HomeMy WebLinkAbout1753 TAMARACK AVE; ; CB062969; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-13-2006 Miscellaneous Permit Permit No: CB062969
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1753 TAMARACK AV CBAD
MISC
2073120300
$0.00
Subtype: OTHER
Lot#: 0
KERWIN: REPLACE SIDING, 2 BAY
WINDOWS & 1 REG. WIND.
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/13/2006
JMA
10/13/2006
10/13/2006
KERWIN FAMILY 2006 TRUST 08-30-06 KERWIN FAMILY 2006 TRUST 08-30-06
1753 TAMARACK AVE
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $120.00
Inspector:
1753 TAMARACK AVE
CARLSBAD CA 92008
PERMIT FEE
Total Payments To Date: $120.00 Balance Due:
Clearance:
$120.00
$0.00
$0.00
$120.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedi tions, 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
lees/ x i nsofwhi h h v r vi u I be n iv naN Tl imilart hi r hi h st teoflimi in ha revi u I h i eex ired.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. C0o10 7°1. 0<f
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. ______ _
Address (include Bldg/Suite #) Business Name (at th(s address)
Lot No. Subdivision Name/NumJ,er _ Total # of units
"'f"" 1'.JQ{.U LU ,'t0CVJ-4,0
Existing Use
'b,I' •_;, ,. FT • #of Stories # of Bedrooms # of Bathrooms
. -.l'lll!lnR-"'&~rii'IIRi!l!e,'i!Iilfk'!il'lt1!'ci'
Name Address City State/Zip Telephone# Fax#
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Name Address City State/Zip Telephone #
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/ /21A/c,< r /4dl'2£&AI< /?i;;;;Ru 1,,,J /75;? Z'iM,.{,&if.P tltC C'hrl ,0-2°of-: V C 741) ;>..J. 0 -w ~ 7
Name ,, Address City S.tate/Zip Teltlphone II
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demollsh 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
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 [$5001).
,me Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
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Work•r•' Comp•nution Dacl1r1tion: I h•r•by affirm under penalty of p•rjury one of the following d•clar1tion1:
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
of the work for which this permit is issued.
D 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
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company______________________ Policy No._____________ Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
D CERTIFICATE OF EXEMPTION: l 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 aecure workera' compenaatlon coverage 11 unlawful, end lhall aubject an employer to crlmlnal penaltiea and cMI finea up to one hundred
thouaand doJlars ($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.
SIGNATURE.______________________________ DATE ________ _
:J4·~ibWN•"'~·Qjl;j..,.'11Jjfjr:J-:'~ilt~.!Uli:~.(\i~~!.1!:lliiii~)liR~1itiit.~~;;~.;,a;,r~~sf:..::r~1:i,;j~;,J1}~.l)/:-liit,:;,,{·; .• ;,l{iiii~:~-it~([_i(~~,-~,~~~]~i}~:l~\),':f.I~f.;;,!'~i~h~}ijif;;?~f;:'.:~:'.
I har•bv affirm that I am exempt from the Contractor'• License Law for the following reason:
El 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
(s'"ec. 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 ha 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. 0 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 I phone number / contractors license number):
\
. 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 umber/ contractors license number): ________________________________________________ _
. I will provide some of the work, but J have contracted (hired) the following persons to provide the work indicated (include name/ address / phone number/ type
f work): __________ -:;;,-----,---~'-,:;;,----,7'-"'5;L.------------------------------
~PAOPEATY OWNER SIGNATURE--.----: ~':,,~=:~;a, :---. .•,
ili9Nli>mel'Hl$11!~e:tr9Nll'1ili!l\i
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 D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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.
\11,C!:l,!.QNSTR_UCTIQt,f L.~PING.'A:ll'~llCY \".' • 'sc(; t. ., ,s .• t'
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971il Civil Code).
LENDER'S NAME______________ LENDER'S ADDRESS,-_______________________ _
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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 Jaws 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 5'0n 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 day fom the date of s h permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commence for a iod of p-' 6 .4 Uniform Building Code).
DATE /0 ',"3'-_2ou {:
WHITE: File YELLOW: Applicant PINK: Finance
m ..
.
.
City of Carlsbad Bldg Inspection Request
For: 05/17/2007
.
Permit# CB062969
Title: KERWIN: REPLACE SIDING, 2 BAY
Description: WINDOWS & 1 REG. WIND.
Type:MISC Sub Type: OTHER
Job Address:
Suite:
Location:
1753 TAMARACK AV
Lot: 0
APPLICANT KERWIN FAMILY 2006 TRUST 08-30-06
Owner: KERWIN FAMILY 2006 TRUST 08-30-06
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: MC ---
Phone: 7607206127
Inspector:
Requested By: MARK
Entered By: JANEAN
19 Final Structural .eJ _____ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
03/1612007 18 Exterior Lath/Drywall AP MC NEW GLAZING OF PER T-24 MIN