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Home My WebLink About2814 SOMBROSA ST; ; CB992947; Permit-4~ City of Carlsbad 08/06/1999 Miscellaneous Permit Permit No:CB99294 7 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 438-3101 2814 SOMBROSA ST CBAD MISC Subtype: 2551020700 Lot #: $0.00 OTHER 0 Status: Applied: Entered By: Plan Approved: Issued: FUNKE RESIDENCE Inspect Area: REPLACE TWO WINDOWS WITH DOORS AND ELECTRIC Owner: FUNKE WILLIAM H&CATHY C ISSUED 08/06/1999 MOP 08/06/1999 08/06/1999 FUNKE WILLIAM H&CATHY C 2814 SOMBROSA ST CARLSBAD CA 2814 SOMBROSA ST 2689 08/06/99 0001 01 02 92009 Total Fees: $90.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: • CARLSBAD CA C-·PRMT 90 .(\) 92009 Total Payments To Date: PERMIT ELECTRIC $0.00 FINAL APPROVAL Date: \ci' \~ ,~~ Balance Due: $70.00 $20.00 $90.00 $90.00 Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the 'lmposiHon" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.· You have 90 days from the dale this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to waler and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been oiven a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 ( PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Or., Carlsbad CA 92009 (760) 438-1161 1. Legal Description Lot No. Subdivision Name/Number I! Existing Use 0!,_()C) rs. SQ. FT. 2. Address 3, CJ Agent for Contractor ~ Owner u..~ ~~ Name Address 4. PROPERTY OWNER Name Address 5. CONTRACTOR -COMPANY NAME #of Stories City 0 Agent for Owner City CitY FOR OFFICE USE ONLY PLAN CHECK NO. Tl ---L-°1 '-/7 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ Urut No. Phase No. Total # at uruts Proposed Use # of Bedrooms II of Bathrooms State/Zip State/Zip Telephone # State/Zip Telephone II (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to ,ts issuance, also requires the applicant for such permit to hie a signed statement that he is licensed pursuant to the provIs1ons of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$50011. Name Address City State/Zip Telephone II State License # _________ _ License Class _________ _ City Business License# _______ _ Designer Name State License # 6. WORKERS' COMPENSATION Address City Workers' Compensation Declafation: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which th,s permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit 1s issued. My worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ IS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION: I certify that ,n the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ecome subject to the Workers' Compensation laws of California. WARNING: Failure a cu ers' compen a on over ge is unla I, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 0, 0 , i ition,$0 the of comp nHtion, ages as provided for In Section 3706 of thf-1-code, interest and 11ttomey's fees. SIGNATURE __ J_._,[L~L!,~~:::::=-U1---'..--V....::::::~~~~=='-------DATE /:!JI '( r -~ 7. OWNER-BUILDER DECLARATION eby aflirm that I am exempt from the Contractor's License Law for the following reason: I, as owner, of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale . 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section ______ Business and Professions Code for this reason: I persona(ly plan to provide the major labor and materials for construction of the proposed property improvementt YES ONO I {have./ have not) signed an application tor a building permit for the proposed work. 1. 2. 3. ith the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number): 4. I plan to provide portions of the work, u ired the following person to coordinate, supervise and provide the major work !include name I address I phone number I contractors license number):_---:-1-=--"---------=---,,..,...---------------------------------- 5. PROPERTY OWNER COMPLETE THIS SECT ing persons to provide the work indicated (include name / address / phone number I type Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? 0 YES O NO Is the facilitY to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 3097Iil Civil Codel. LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that 1 have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\< of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued e Build' this Code shall expire by limitation and become null and void if the building or work authorized by such permit is of such permit or if the building or work auth rize by such permit is suspended or abandoned at any time after the Section 106.4.4 Uniform Building Codel. &'J / {J APPLICANT'S SIGNATURE ~-....>J. __ _::.....c:;. ______ 4 +------------DATE ---+,-_\O_,_.......,._.,__( _____ ~ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 12/8/1999 Permit# CB992947 Title: FUNKE RESIDENCE Inspector Assignment: ~ ~ Description: REPLACE TWO WINDOWS WITH DOORS AND ELECTRIC Type:MISC Sub Type: OTHER Job Address: Suite: Location: 2814 SOMBROSA ST Lot 0 APPLICANT FUNKE WILLIAM H&CATHY C Owner: FUNKE WILLIAM H&CATHY C Remarks: Total Time: CD Description Act Comments Phone: 8584554385 Inspector: SQ ' Requested By: BILL FUNKE Entered By: CHRISTINE 39 Final Electrical ~~~ Associated PCRs Inspection History Date Description Act lnsp Comments