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Home My WebLink About1750 KIRK PL; ; CB062796; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-20-2006 , ' Residential Permit Permit No: CB062796 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1750 KIRK PL CBAD RESDNTL 2072604000 0 0 $3,294.00 Sub Type: Lot#: Construction Type: Reference #: Structure Type: Bathrooms: RAD 0 NEW 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: JACOBS: 27 SF BATH ADD Orig PC#: Applicant: WORTHING INC, B. A. SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee HMP Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $53.49 $0.00 $34.77 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check#: Owner: JACOBS MICHAEL T&ANGELICA R 1750 KIRK PL CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES ISSUED 10/02/2006 JMA 10/20/2006 10/20/2006 Total Fees: $136.26 Total Payments To Date: $136.26 Balance Due: Inspector: FINAL APPROVAL Date: ( Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $136.26 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest ar'ld any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f . h v r vi I T ii hi r whi h h f limi i n h r I h i · . . • '"" /?006 001 FO'h91ff+~E VJii~"79NL Y PERMl:f APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO$bd-'.] q-"' EST. VAL. §" 3 2.0, f Plan Ck. Deposit 3'f-,JJ Validated By t~ Date 10 Oh 1; .. •.~RQJEC.T. INFORMATION Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # =4P '2.o1 -2@ Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name ~i\~Lr:t· ~~~fui Name "'" Address \7 Address City D ~g-Elnifod}wner CA C!Z0l6 City City State/Zip Telephone# Fax# State/Zip (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 Code] or that he is exempt therefrom, and the basis for the alleged exem~tA •Awc~n;: Sectio1~0l1.5 ?.O~ a~plicant fo\D4mit scjecti;dapp&t .to a i.oetEJty of ~t more than ZC/~n3;~c 1$500]). Name Address City tate/Zip Telephone # State/Zip e:. . .Wo'~~Eiis'>cmi;tl>i!f,ltATION, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 ~ he work for which this permit is issued. 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 i sued. My worker's compensation insurance carrier and ticy number are: Insurance Company _...,::;z/::::(.l_j~~.r.td~lt;:,L_____ Policy No. c::oc, 8 775-ZOO(p Exp;,a,;on Date I -0 I -0 r (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 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 addltlo e cost of compensation, damages as provided for In Section 3706 of the.,J..p r cod , i t est and attorney's fees. SIGNATURE; ______ _:~~~....i_.f':,!_~.,..,~=-------------DATE_,_I_U-4---''2-,::__.µ£..1(L __ 1i-:"-,oWNEReaVrt:oeR1l!EQIA8A"fi!i!ii 1 D I, as owner of the property or my employee with w es 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 Co '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). 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(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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): ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _ 1CQMPLE:rltnt1$SECTfOi\l F.i>llNiJN'IIESID£NTIA, ·surLPi!iio·piE_RMltll'Ol!IL"t-• 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 O NO Is the applfcant 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. 1 • '¢!i!iis'rRVci101!1'1.i!l!lo!!iiG"iloi!l!le~ I 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 __________________________ _ 9'., !. , iA~Jil.fli~T·ceRTiRCATI/Jlih · 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 Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period days (Section 106.4.4 Uniform Building Code). DATE \t, '-J~,L APPLICANT'S SIGNATURE --~-~VIP~~------- YELLOW: Applicant PINK: Finance ) 77 ..:,..:, SEP-25-2007 04:13P FROM:JACDBS CHIROPRACTIC 7504347442 TO:5028550 P.1 September 11, 2007 City of Carlsbad 1;.if■IGll■i4M•IA·Siiii,i4111 MICHAEL & ANGIE JACOBS 1750 KIRK PL CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: RESDNTL Permit Number:CB062796 Issue Date: I 0/20/2006 ADDRESS: 17S0 KIRK PL PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on I 0/18/2007, The provisions of UBC. Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 authorized by such permit is not commenced within 180 days from the date of such permit (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped al any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authoriz.ed by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further thl\t such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. --;X.-Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauscbek Otlice Specialist 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560.