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HomeMy WebLinkAbout1361 SHOREBIRD LN; ; CB100098; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-14-2010 Miscellaneous Permit Permit No: CB100098 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1361 SHOREBIRD LN CBAD MISC 2157900800 $7,140.00 Subtype: OTHER Lot#: 0 LINEBERGER-ADD 2 FIREPLACES AT BOTH STORIES OF HOME-WITH GAS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/14/2010 RMA 01/14/2010 01/14/2010 R RIMMER CONSTRUCTION LINEBERGER JAMES F&ELIZABETH A STE 103 2611 SOUTH HWY 101 92007 760 753-5906 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $194.00 Inspector: PERMIT FEE GAS LINE 1361 SHOREBIRD LN CARLSBAD CA 92011 Total Payments To Date: $194.00 FINAL APPROVAL Date: J -'.f -ro $167.00 $27.00 $0.00 $194.00 Balance Due: Clearance: $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 pem1it 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 f in fwhich v rvi I ivn N Tl r hi ra flimi i h rvi I h i xird. -I«~~ '.~ CITY OF CARLSBAD JOBADDR~ / J :,6 CT/PROJECT# Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT # # OF UNITS # BEDROOMS # BATHROOMS EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESO#_N0 □ YES □ NO □ YES O NOD APPLICANT NAME ADDRESS e -ZIP CITY STATE ZIP PHONE PROPERTY OWNER NAME ADDRESS CITY STATE ZIP CITY ZIP PHONE FAX PHONE EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby afflrm under penalt; of perjury one of the following declarations: □ 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 iss ed. □ I have and will maintain workers' CO!Jlll'~~i d by Sec. of the lab ode, for lhe _pellormancez, 1.31-e:!hif tljis~it is issued. Myw~~• compensation number are; Insurance Co .. ___ ::::;:).__J__,':_4'--/-.'.'l;-.,4c...__J__~U~c:_:::l-.,L.:..... __ Policy No. -I-++ 1{ g. Expiration Date ---J:,,,.4'....L-4'-,Lf-<¾ policy This section need not be compjeted if □ Certificate of Exemption: l cert· California. WARNING: Failure to addition to the cost of compensation, dam e ~ CONTRACTOR SIGNATURE d, I shall not employ any pernon in any manner so as to become subject to the Workers' Compensation Laws of II subject an employer to criminal penalties and civil fines u to one hundred thousand dollars {&100,000), in e, Interest and attorney's fees. □ I, as owner of the property or my em e "th wages as their sole compensation, will do the won( 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 w~h conlractor(s) licensed pursuant to the Contractor's License Law). □ 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. □ Yes O No 2. 1 (have I have not) signed an application for a building permit for the proposed wor!c:. 3. I have contracted with lhe following person (firm) to provide the proposed construction {include name address I phone/ conlractors' license number): 4. I plan to provide portions of the wor!c:, but I have hired the following person to coordinate, supeNise and provide the major work (include name f address I phone I contractors' license number): 5. twill 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): _65 PROPERTY OWNER SIGNATURE □AGENT DATE .. COMPLETE THI$ SECTION FOR NON•RIISIDENTIAL BUILDING PERMIT$ ONLY 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 ol lhe Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the appiicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes □ 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 authorize representative of AGAINST ALL LIABILITIES, JUD OSHA: All OSHA permM is required EXPIRATION: Eve,y perm~ issued 180 days from lhe date ofsudl · · correct and that the infonnation on the plans is accurate. I agree to comply vnth au City ordinances and State laws relating to building oonstruction. menooned properly fo<mspecti:Jn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD HICH MAY IN ANYWAY ACCRUE AGANST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. clemolitioo or cmstrudion of slructures over 3 stories 11 height. · bns of this Code shall expire by Imitation and becorre nun and YOO if tie buidhg or work autiorized by such penrit is not corrrnenced wiaiin ~-~nnl•~~ndedoc~-•tanyti~a~ .. ~::"J;:~~f ~~ 1~•~;8u~"9Code) City of Carlsbad Bldg Inspection Request For: 03/12/2010 Permit# CB100098 Title: LINEBERGER-ADD 2 FIREPLACES Description: AT BOTH STORIES OF HOME-WITH GAS Type:MISC Sub Type: OTHER Job Address: Suite: Location: 1361 SHOREBIRD LN Lot: 0 APPLICANT R RIMMER CONSTRUCTION Owner: LINEBERGER JAMES F&ELIZABETH A Remarks: DID NOT SAY WHAT TYPE OF INSPECTION Total Time: CD Description Act Comments 19 Final Structural J1._ 11. -----·--'t Comments/Notices/Holds Associated PCRs/CVs Original PC# I ns12ection Histo[)l Date Description Act lnsp Comments 02/10/2010 14 Frame/Steel/Bolting/Welding AP PD 02/10/2010 23 Gas/TesURepairs AP PD 02/04/2010 13 Shear Panels/HD's AP PD 01/26/2010 11 Ftg/Foundation/Piers AP PD Inspector Assignment: PD --- Phone: 6195488937 Inspect~ Requested By: RON RIMMER Entered By: CHRISTINE 01/26/2010 14 Frame/Steel/Bolting/Welding WC PD GATE CODE 8899 \ ! 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