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Home My WebLink About1715 BLUEBIRD LN; ; CB100631; Permit04-13-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB1 00631 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference*: PC#: Project Title: 1715 BLUEBIRD LN CBAD MISC 2158801208 $0.00 Subtype: OTHER Status: ISSUED Lot#: 0 Applied: 04/13/2010 Entered By: RMA Plan Approved: 04/13/2010 Issued: 04/13/2010 Inspect Area: MAYBAUM RES-REPLACE SLIDING GLASS DOOR IN FAMILY ROOM-INCLUDING FLASHING & Applicant: Owner: MAYBAUM LOUIS S&MICHELLE T REVOCABLE 2002 TRUST MAYBAUM LOUIS S&MICHELLE T REVOCABLE 2002 TRUST 1715 BLUEBIRD LN CARLSBAD CA 92011 1715 BLUEBIRD LN CARLSBAD CA 92011 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $65.00 $0.00 $0.00 $65.00 Total Fees:$65.00 Total Payments To Date:$65.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: 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 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, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. X JOB ADDRESS „„..,.„. .1715Blueb CT/PROJECT# LOT* PHA Building Permit Applicatio 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carisbadca.gov ird Lane SE# # OF UNITS # BEDROOMS 4 i>U 1 I tff/SPACE#/UN # BATHROOMS 2.5 n Plan Check No. ^ „ « Est. Value (Jj/flDb%l Plan Ck. Deposit . Date O ff3/t ffr fPN215 - 880 - TENANT BUSINESS NAME CONSTR v f 12 - 08 TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replacing 8' x 8' patio sliding door with same size patio sliding door - complete replacement requiring to break stucco around sliding door EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME . _ .... .L. Scott Maybaum ADDRESS 171 5 Bluebird Lane CITY STATE ZIP Carlsbad CA 92011 PHONE FAX 760-476-0794 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.lt PATIOS (SF)DECKS (SF) FIREF YES[ APPLICANT NAME ADDRESS CITY PHONE EMAIL Carlsbad 760-476-0794 "LACE AIR CONDITIONING 3» NCQ YESQNOQ L. Scott Maybaum 1715 Bluebird Lane STATE ZIP CA FAX FIRE SPRINKLERS YESQNOQI 92011 CONTRACTOR BUS. NAME _ .. ,.,. . „.,. . .. . _Pel la Windows/Windows Made Easy ADDRESS CITY PHONE EMAIL STATE UC.# Brea 760-633-4817 932421 640 N Puente St STATE ZIP CA FAX CLASS CITY BUS. LIC.# 92821 (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500}). Workers' Compensation Declaration: I hereby atttm under penalty ofperjuiy one of the fo/fow'ng (federate. LJ 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. I 11 have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and pdicy number are: Insurance Co Policy No. Expiration Date Thjs section need not be completed if the permit is for one hundred dollars ($100) or less. I I 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. 4ET CONTRACTOR SIGNATURE QAGENT DATE /nerepy affirm that I am exempt from Contractor's License Law tor 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 sate. If, however, the building or improvement is sold within one year of completion, the owner-buider will have the burden of proving that he did not build or improve for the purpose of sale). I/I I, as owner of the property, am exd usively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code The Conlractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property irnprovernent. I lYes |~~|NO 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contactors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name /address / phone / type of work): JEfPROPERTY OWNER SIGNATURE [>GENT DATE 1\ J15|/C7 PlNo Is tie 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 "• tey-Tanner Hazardous Substance Account Act? I I Yes I iNo Is applicant or future bui ding occupant required to obtain a permit from the air pdl ution control district or airjjuality management dstrict? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes FlNo IF ANY OF THE ANSWERS ARE YES,/ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I oen^tnmi have read the appltorBon and state tt« the above informatkin is correct and thatte I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned properly 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 SO deep and demoitbn or cons&ucfon of structures over 3 stories in height. EXPIRATION: E 180 days from tJ JEf APPLICANTS SIGNATURE City of Carlsbad Bldg Inspection Request For: 04/29/2010 Permit# CB100631 Inspector Assignment: MC Title: MAYBAUM RES-REPLACE SLIDING Description: GLASS DOOR IN FAMILY ROOM-INCLUDING FLASHING & STUCCO Type:MISC Sub Type: OTHER Phone: 7602501442 Job Address: 1715 BLUEBIRD LN Suite: Lot: 0 Location: Inspector: |M L APPLICANT MAYBAUM LOUIS S&MICHELLE T REVOCABLE 2002 TRUST Owner: MAYBAUM LOUIS S&MICHELLE T REVOCABLE 2002 TRUST Remarks: GATE CODE IS 4628 Total Time: Requested By: NA Entered By: BINSPECT CD Description Act Comments 19 Final Structural f"\ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04/27/2010 14 Frame/Steel/Bolting/Welding WC MC GATE CODE 4628 04/27/2010 18 Exterior Lath/Drywall AP MC 1715 Bluebird Lane Carlsbad, CA92011 CD