HomeMy WebLinkAbout1569 TAMARACK AVE; ; CB022110; PermitOGJl~ City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-17-2002 Miscellaneous Permit Permit No: cso22110
Building Inspection Request Line (760} 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1569 TAMARACK AV CBAD
MISC
2071304800
$0.00
Subtype: OTHER Status:
Lot#: 0 Applied:
Entered By:
Reference#: Plan Approved:
ISSUED
07/17/2002
RMS
07/17/2002
07/17/2002 Issued:
Project Title: BLUE RES-REPLACE ALL WINDOWS Inspect Area:
REPLACE WOOD SIDING W/STUCCO-50 SQ FT
Applicant: Owner:
BARRY BLUE CRAWFORD FAMILY TRUST A o~,6-l38
138 CHESTNUT AV 92008
760 599-0460
Total Fees: $120.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector: L
1569 TAMARACK AVE
CARLSBAD CA 92008
Total Payments To Date: $0.00
PERMIT FEE
Balance Due:
Clearance:
$120.00
$0.00
$0.00
$120.00
$120.00
NOTICE: Please take NOTICE Iha approval of your project includes the ~Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date 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 water and sewer connection fees and capacity
changes, nor planning, zoning, gradirg or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f in fwhi h v r vio I n iv n N Tl i ii r hi hi h t Iii h r vi I h i
PERMII APPLICATION
FOR OFFICE USE ~LY
PLAN CHECK Nou/JQ 12 I I D
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit '7
Validated By dJ2E:
Date , J (,I 7/c >=
Legal Description Lot No.
AJ!;:)°J];µ'
Description of Work
Address
Name Address
'11!0 ,;;:cgltt!IJ(c:tl:IR:&;COMPArlY'lilAME
/
Business Name (at this address)
Subdivision Name/Number
City
O'Agen't for-Owner
City
City
Unit No.
State/Zip
State/Zip
Phase No.
l \
Telephone#
Telephone#
(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 fts
issuance, also requires the applicant for such permit to file a signed statement that he fs licensed pursuant to the provisions 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~.:i:/~~cant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State license # _________ _
·e, . >.w(illi(tlis••coi\ll>ENSAtlON
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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 this 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 is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company______________________ Policy No. Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100] OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation laws of California,
WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE DATE _________ _
i, ' . ER,BUILOER DECLARATION
y affirm that I am exempt from the Contractor's License Law for the following reason:
1, 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
(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 who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale. lf, 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).
D 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(sl licensed
pursuant to the Contractor's License Law).
□ I am exempt under Section ______ Business and Professions Code for this reason:
I ersonally plan to provide the major labor and materials for construction of the proposed property improvement.~ONO
I (have / ave not) signed an application for a building permit for the proposed work.
1.
2.
3. 1 have contractscl with the following person (firm) to provide the proposed construction {include name /address/ phone number / contractors license number):
4. 1 plan to provide ortions of the work, but I h ate, supervise and provide the major work (include name / address / phone
number/ contracto license number):, __ ~.L.--/-~~--------.L.~--~----------------------------
5. ovide the work indicated (include name / address / phone number / type
DATE
Is the applicant or future building occupant r uired t submit a business plan, acutely hozardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 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? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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.
cii,•: :cal'lstRiicfiONLfflDING'AGl!NCY.
1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {Sec. 3097(i) Civil Code).
LENDER'S NAME _______________ _ LENDER'S ADDRESS __________________________ _
!$'. ; ;)(fiPLICANt,.'ce~"\'IFICA TIM
I certify that I 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 au
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 AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND HICH MAY IN ANY W V ACCRUE A ST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
it issued
authorized by snot c
at any time afte co
APPLICANT'S
r construction of structures over 3 stories in height.
his Code shall expire by limitation and become null and void ii the building or work
rmit or ii the building or work authorized bys i · nded or abandoned
nilorm Building Code).
DATE
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 09/06/2002
Permit# CB022110
Title: BLUE RES-REPLACE ALL WINDOWS
Description: REPLACE WOOD SIDING W/STUCCO-50 SQ FT
Type:MISC Sub Type: OTHER
Job Address:
Suite:
Location:
1569 TAMARACK AV
Lot
APPLICANT BARRY BLUE
Owner: BLUE BARRY J&MARY T
0
Remarks: WINDOW REPLACEMENT INSPECTION
Total Time:
CD Description Act Comments we__
Inspector Assignment: PY ---
Phone: 7608458508
Inspector: ----
Requested By: DOUG WILLIAMS
Entered By: CHRISTINE
14 Fram Steel/Bolting/Welding
J#---____;t:._ir'hc:..:...:.::J~----
---------------------4 f'
Associated PCRs/CVs
Inspection History
Date Description
07/19/2002 18 Exterior Lath/Drywall
Act lnsp Comments
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