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Home My WebLink About1620 BITTERN CT; ; CB030107; Permit. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 .4 07-25-2OOi Miscellaneous Permit Permit No: CB030107 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: MlSC Subtype: OTHER Status: ISSUED Parcel No: 2155907500 Lot#: 0 Applied: 01/13/2003 Valuation: $3,125.00 Entered By: RMA Reference #: Plan Approved: 01/13/2003 Issued: 01/13/2003 Project Title: BORNEMANN RES-FIREPLACE IN Inspect Area: PD 1620 BllTERN CT CBAD REAR YARD-9 FT TALL Applicant: Owner: YASKIL LANDSCAPE INC BORNEMANN TRUST 07-26-89 0437 07/2!j/o3 0002 01. 02 P 0 BOX 831 92014 858 509-0517 CGP 60.00 Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees PERMIT FEE RE tSSUE TOTAL PERMIT FEES $120.00 $60.00 w.00 $Isa.OO Total Fees: $180.00 Total Payments To Date: $120.00 Balance Due: $60.00 Date: NOTICE: Please take NOTICE that approval of your project indudes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter cdlectively referred to as 'feedexactions." You have 90 days from the date this permit was issued to protest imposition of these fees/ex&ons. 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 Manger 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 feeslexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sm'ce fees in connection with this project. NOR DOES IT APPLY to any feeslexach 'om of Y&@I vou have D reviouslv been a iven a NOTICE s imilar to this. or as to w# r exdred. .. . PERMIT APPLICATION CITY OFCARLSBAD BUILDING DER FOR OFFICE USE ONLY PLAN CHECK NO.aa 0 /07 EST. VAL. Plan Ck. Deposit Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Name Address City StateEio Teleohone # Fax # Address City Statelzip 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 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 and Professions Codel 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 I55001). Nbme Address City W n* a 42821 85Q's094?97 54 MPJJmbe /rcJc, pl0,- -1 OOL Me Statelzip Telephone # State License # &q 2 <ci License Class C- -2.. City Business License # m,.%bT* Designer Name Address City StateEip Telephone a,w, ApEC l4LA.K ?A &VG sWAas(4 a. 92029 %~4m*?i50 State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury 0 of the work for which this permit is issued. issued. My worker's compensation insurance carrier and policy number are: Insurance Company W€ 2Ed TTH Policy NO.> lO%MOT Expiration Date 6h /I lfI6.3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 151001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. i%m 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 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 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 up to one hundred lawful, and shall subject an employer to damages a8 provided for in Section 3706 0 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. 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). 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). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have / 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 I address I phone number I contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. of work): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number /type PROPERTY OWNER SIGNATURE DATE 3 mi 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO 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 Citp 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 Official under the provisions of this Code shall expire by limitation and become null and void if the building or work permit or if the building or work authorized by such permit IS suspended or abandoned Uniform Building Code) DATE WHITE: File YELLOW: Applicant PINK: Finance * City of Carlsbad Bldg Inspection Request For: 07/28/2003 Permit# Title: Description: CB030107 Inspector Assignment: PD BORNEMANN RES-FIREPLACE IN REAR YARD-9 FT TALL Type: MlSC Sub Type: OTHER Job Address: 1620 BllTERN CT Suite: Lot 0 Location: APPLICANT YASKIL LANDSCAPE INC Owner: BORNEMA" TRUST 07-26-89 Remarks: FIREPLACE Total Time: CD Description 69 Final Masonry lnsp Requested By: MR. BORNEMANN Entered By: KAREN Comment Associated PCRsKVs InsDection History Date Description Act lnsp Comments 04/02/2003 68 FireplacdTie Straps CO JM NEED PREGROUT 81 STEEL INSP 01/14/2003 61 Footing AP JE ’ City of Carlsbad Bldg Inspection Request For: 04/02/2003 Permit# CB030107 Inspector Assignment: JE Title: BORNEMANN RES-FIREPLACE IN Description: REAR YARD-9 IT TALL Type: MlSC Sub Type: OTHER Job Address: Suite: Location: APPLICANT Owner: Remarks: Total Time: 1620 BITTERN CT Lot 0 Phone: 8587753770 Inspector: ,j+j’j’ YASKIL LANDSCAPE INC BORNEMANN TRUST 07-26-89 FINAL FIREPLACE Requested By: AMNON Entered By: CHRISTINE CD Description 68 Fireplacrnie Straps Associated PCRs/CVs InsDection History Date Description Act lnsp Comments 01/14/2003 61 Footing AP JE NOTICE 1635 FARADAY (760) 602-2700 AVENUE . .* CITY OF CARLSBAD * BUILDING DEPARTMENT IME ?:a I (2. DATE LOCATION PERMIT NO. &30/7 FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? YES PHONE 43 CODE ENFORCEMENT OFFICER