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Home My WebLink About1705 TAMARACK AVE; ; CB070285; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-31-2007 Miscellaneous Permit Permit No: CB070285 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1705 TAMARACK AV CBAD MISC 2072606900 $0.00 GREEN RESIDENCE Subtype: OTHER Lot#: 0 ADD EXTERIOR DOOR & LIGHT TO BATHROOM Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/31/2007 MOP 01/31/2007 01/31/2007 GREEN JOHN&BILLIE FAMILY TRUST 12-18-91 GREEN JOHN&BILLIE FAMILY TRUST 12-18-91 1705 TAMARACK AVE CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $60.00 1705 TAMARACK AVE CARLSBAD CA 92008 ELECTRIC PERMIT Total Payments To Date: $60.00 FINA~ APPRO_;'AL Date: ~ ~ \/' · () Balance Due: Clearance: $20.00 $40.00 $0.00 $60.00 $0.00 NOTICE: Please take NOTICE that 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 wil! 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, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any f es/ · vio \ been iven N FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO .. ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL _________ _ Plan Ck. Deposit ________ _ Validated By. __________ _ Date ·-------------- Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel II Existing Use Proposed Use SQ, FT. #of Stories # of Bedrooms # of Bathrooms =M Name Address City State/Zip Telephone # Fax # A'" )~K~.mr~~'.Mffl,Rl~~Ja~4'~i~A~~li!aJ~:~-~~~ Name Name Address City State/Zip -~;.~fu':!~0~~0_1111s:i1t.rJ:~ID'.aJA~~ftffl~-, (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 its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business end 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 ($6001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # r.t ~'i!~~-~tlli!i:i~M4Erl?14]Atf~~!M~ll~~#~,~;;~~~~~-:iZ~:sSt'.ib:;;,~tffEi~~m:rr¾;;; Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 l 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. 0 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______________________ Polley No. Expiration Date, _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 Hcure workers' compeneatlon coverage le unlawful, and thall aubJect en employer to criminal penaltlu and clvll fines up to one hundred thousand dollare ($100,000), In addition to the cost of compensation, damages u provided for In Section 3708 of the Labor code, lnterut and attorney's fue. ~1.iiiiiwi .. iiiii· i. ij.iii11i11iirnirrii1111ii .. 11:ll"ilillillii!!ll'I' 1· iii· .i!llll!iii.li!llillliiiii· i· i-ii· i.i,l11i0iiiili>li:·iillii'l!,ii!'iz,;i\i•i*iiJ:li~;~i!li!i!i,,~~-.i\iPl!~k1/!l!f-'y,1'/( I hei'eby affirm 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 (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. 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 contractorts) licensed pursuant to the Contractor's License Law). I am exempt under Section ______ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. ~ES ONO 2. ~ I have not) signed an application for a building permit for the proposed work. , I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number}: D ,. 3. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ________________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following parsons to provide the work indicated (include name / address / phone number / type of work): ~ PROPERTY OWNER SIGNATURE DATE Is the applicant or future buil ant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 26533 or 26534 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097til Civil Code). LENDER'S NAME LENDER'S ADDRESS, ________________________ _ -11ii.\!iiilli"i&iii1ii!.\lil'/i%&1-~-111'1i!i'i~I 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 all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 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 by the building Offlc u er the provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit Is mme ed within 180 fr at8 of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work i commenc f action 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE YELLOW: Applicant PINK: Finance DATE -• • City of Carlsbad Bldg Inspection Request . For: 03/28/2007 Permit# CB070285 Inspector Assignment: Title: GREEN RESIDENCE Description: ADD EXTERIOR DOOR & LIGHT TO BATHROOM Type: MISC Sub Type: OTHER Job Address: 1705 TAMARACK AV Suite: Lot 0 Location: APPLICANT GREEN JOHN&BILLIE FAMILY TRUST 12-18-91 Owner: GREEN JOHN&BILLIE FAMILY TRUST 12-18-91 Remarks: Total Time: Phone: 7607298322 Inspector: Requested By: JOHN Entered By: BINSPECT CD 14 34 Description Act Comment Frame/Steel/Bolting/Wei~~ _!rE_ ___________________ _ Rough Electric f 11',t'll4 ___________________ _ g,:;__ ifp Commeni!Xces/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments I\JCTi:. ~ I:o-~ 1=x.rrr11~ li+b 0-ATt--1 t2a:.:ti,1 ts °"Ri::()J)e_1 ..:6 A U,' l~) A~[') iU I I I LJ5E --r;~ E. Ex.! ST1~ tf~-:EQ A >Jd c:1.f uJ_Jf; . l'IJ .J f ra! <.'-+-~ ~ ~ <. <.,.I \--cl. ~ '1..-oa \ cl¼ ~ \ 1.. (Jo<{ fJ (.c_ ~ \...tj \Jr --:z ~ s:. .LU 6.osEr ti if c8 f;x:1sT1~ },AlllRooM !>2"x8011 STEEL CLAD t),o°' ~; ~b "x. -o~' C~Ei s~ APPRrp.o BY ~-- JAN 31 2007 City of CARLSBAD BUILDING DEPT -.5t\oWeR-l tk>H~GREEJJ 1<1:s1oeNC.: l'705 TAMARAO:: A.,s:-. CARLS~, CA ~008 APN: f0'1-'li:,0-/;q-OO Sc.AUE: 1/~' :::J" ~ 0