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Home My WebLink About1365 SHOREBIRD LN; ; CB110377; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-29-2012 Residential Permit Permit No: CB110377 Job Address: Permit Type: Parcel No: Building Inspection Request Line (760) 602-2725 1365 SHOREBIRD LN CBAD RESDNTL 2157900900 Valuation: $25,029.00 Sub Type: RAD Lot#: 0 Constuction Type: 5B Reference #: Entered By:-MIOE!.._ __ _ Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 0 0 DUSSIN RESIDENCE Structure Type: Bathrooms: O Orig PC#: Plan Approved: Issued: Inspect Area: Plan Check#: 190 SF SINGLE STORY FAMILY ROOM ADDITION Applicant: LIPKIN LARRY 13607 POWERS ROAD 92064 858-774-1957 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 Green Bldg Stands (SB1473) Fee Green Bldg Stands Plan Chk Fee $260.88 $0.00 $169.57 $0.00 $0.00 $2.50 $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 $1.00 ?? Owner: SUSAN DUSSIN 1365 SHOREBIRD LAN$ Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO 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 Fire Sprinkler Fees TOTAL PERMIT FEES Total Fees: $4 77. 95 Total Payments to Date: $169.57 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 $0.00 $20.00 $24.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $477.95 $308.38 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 1T APPLY to any f h . Tl hi fli I JOB ADDRESS I • D 0 EXISTING USE ~ CONTACT NAME (It D"'9nlnt Fom Appl/cant) ADDRESS Building Permit Application 1635 Faraday Ave., CaMsbad, CA 92008 760-602-2717 i 2718 / 2719 Fax 760-602-8558 www.ca~1badca.gov \ \• GoC'7 Plan Check No. Est. Value Z Plan Ck. Deposit Date 7 l \ SWPPP I N PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING vesONoO 4:,vt) APPUCANT NAME FIRE SPRINKLERS YES0N00 CITY STATE ZIP STATE ZIP l-A. qt-0(,,4 PHONE FAX PHONE ~5% "'T74 V'151 EMAIL EMAIL PROPERTY OWNER NAME ADDRESS ADDRESS \) CITY ZIP oa..::,\ CITY CA PHONE FAX EMAIL EMAIL od '-I. c "',..__ ARC STATE UC.# STATE LI CITY Bl.JS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, lmprove, demolish or repair any structure, prior to its issua~,.ajso requires the applicant for such permit to flle a signed statement tfiat he Is Ucensed pursuant to the provisions of the Contractor's License Law fChacter 9, commending wlth Section 7uuv of Division 3 of the Business and Professions Code} or fhat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any appllcan'ffor a permit subjects the spp!lcant to a clvil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Wortltrl' Compen1atlon Dtcllntlon: I h6mby afflrm under P8f1S/ty of perjury one r:lthe fol/cNl/ng declarattons: Qi have and wlll maintain a ctrtfflcate ofcooaerrt to Ntl'-lnaure fa workers' corrpensation as provided by Section 3700 of the Latx>r COO:!, fa the pertormance of the work fa which this permit is issued ~av• and wlll mllnllln wOIU'I' compensation, as l'QllJired t1{ Sectioo 3700 of lhe utxr COO:!. for thepertonnance of the work fer which ths permit IS issued. My workers' CC>nl)EIOS8lio:i insurance carrier aOO policy numbei'are: Insurance Co ____________________ Policy No. _____________ ExpirationDfie ___ • ______ _ l,lli§.seclion need rd be carplS:edif!he pa LJ Certificate of Exemption: I certify t i is for one l'M.Jndred 00\lars ($100) or less he performance of the work for which thlS permit is ISSUed, I shall not empoy 81Tf person in any manner so as to becoole sLqeCI to the WCll<ers' Ccmpansation Laws of rken' compensaUon coverage 11 unlawful, and ahall 1ubJect an employ• to crtrnlnal penaltlel and cMI fines up to one hundred thou1■nd dollarl (&100,c:xq, In • • rovlad for In Section 3708 of the Labot coda, Interest and attom.y'1 feel. Calikmia WARNING: Failure to MCU I hereby afflrm that I am exempt from Cootractrx's License Law fa th9 following reason: □ □ □ I, as owner of the property or my Employees with wages as their sole ccmpensatioo, wiH cb the work arxllhe stn.dure is not irtendedor offered k>r sale (Sec. 7044, Business and Professions Cede: The Cortrada's License Law 0085 not~ to an owner of prcperty wh::l txJi!ds or impr<wes thereon, an:lwho does suet, work himself or through his ot1n Employees, provided that su:h improvEJT'lenls are nct intended or offefed for sale. If, however, the buildng or mpiwement is sQd within one year of ccmpletioo, the owner-builder wm h811e the txJrden of i;ro.,ing that he did not Wild or improve fer the purpcse of sale). I, as owner of the pr~rty. an exclusively contracting with licensed cortraciors to conslnd the project (Sec. 7044, Business and Professons COO:!: The Co:i!ractor's License Law 0086 not ~y to an owner of pr~ who bu!lci; or imprCNeS lhereoo, and contracts br six:h pro~s with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ ,Business and Professions COO:! for this reason: 1. I personally plan to provide the major la:>OI" and materials for constrix:tial of the proposed prq:>erty improvEmenl. □Yes Qo 2. I (have / have not) signed an ~lication for a bU:ldng permit for the prcposed work 3. I have contracted with the folloNing person (firm) to prc,,,ide the prqx:,sed constrix:tion (include nane adctess / P,one / caitractors' license number) 4. I plan to provide portions oflhe work, but I have hired the following person to coordnale, s~ise and providelhe major work (include name I adjress / phooe / contractors' license mrnber) 5. I will provide some of the work, but I have cctllractad (hired) \he following persons to p-ovide the work indcated (include nerne / act1ress I phone/ type of work): ,.S PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETI:' THIS SICTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the c!R)licant « ruture build'ng occupant req..,ired to sl.bmrt a business.Q!!!Q, aciJely hazarOOJS materials registratia"I foon or riSk managemerd: andpreva,lioo i::rogran lllder SEdions 25&15, 25533 or 25534 of the Presley-TannerikarooJSSlbstanceAccourtlv:;f? 0Yes LJNo Is !he awlk:ant cr future building_occui:art req.Jired to d:llain a permrt frcm the 13r pollutKln controlm!,ric! or awnty management district? []ves 0No Is the facility to beconstrtK:ledw~h1n 1,000 feel oftheooter OOl.lllCBryofaschod site? LJYes LJNo IF AAY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS IIET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION C0NTROL DISTRICT. eby affirm that I certify that I hlwe read the application and state that the abow infonnadon Is comtetand thatthe lnfonnatlon on tile ptans Is accurata. I &gr881D complywtth all Cllyoldlnanoes and stats laws relldngto buldlng consbucUoo. I hereby authoize representllli.e d the City d C&1sbad ID e111er upon the ebo,e mentioned property fer il,pedion purposes. I ALSO AGREE TO SAVE. INDE~IFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGI.ENTS, COSTS AND EXPENSES v.lilCH MAY IN ANYWAY ACCRUEAGAJNST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMT. OSHA: An OSHA pernit is reqti'ed fer eXG8V8lions ovet 5'0' deep 111d demoltion <r c:onsvudioo d nuctures over 3 staies i'l height. EXPIRATION: Every penni issued by the Bu rig Officel unda-the provisions ct this Code shal expi'e by lmtation std become nuU and wid r the buildq or work authorized by such perml is not commenced wlhrl 180 days from the dale of such perml er· ldilg orm · by such pe,ml is suspended er abendooed al any tin> allerthe wa1< is conrnenced for a perod of 180 days (Section 106.4.4 lmilurm Bulding Code) . .l!5 APPLICANTS SIONATU ~::::;-z._:_. DATE ~ \ ~ \ 11 Community & Economic Development DECEMBER 2, 2011 SUSAN DUSSIN 1365 SHOREBIRD LN CARLSBAD CA 92011 RE: APPLICATION DATE: PLAN CHECK#: ADDRESS: EXPIRATION DATE: PERMIT TYPE: DESCRIPTION: 02/17/2011 CB110377 1365 SHOREBIRD LN 02/16/2012 RESIDENTIAL 190 SF LIVING ROOM ADDITION www.carlsbadca.gov You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained and the original plan review application will expire on the date noted above. This courtesy notice is sent to advise you of the following provisions of the City's codes regarding expiration: 18.04.035 -Section 107.4 amended-Expiration a/ plan review. Section 107.4 of the California Building Code is amended ta read: Applications far which no permit is issued within one year fallowing the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. 90 day extensions of the plan review period may be granted by the Building Official after review of a letter of explanation provided to him by the property owner. An extension of time granted by the Building Official does not. by right. apply to any related Discretionary Permit under review. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. __ Project Abandoned -I will pick up the plans within 10 days __ Project Abandoned -Plans may be destroyed If you have any questions, please contact the Building Division at (760) 602-2719. Building Division CC: LARRY LIPKIN ...,.....,. Building Division 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560