HomeMy WebLinkAbout1854 TULE CT; ; CB052877; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-05-2005 Miscellaneous Permit Permit No: CB052877
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
1854 TULE CT CBAD
MISC
2155040300
$0.00
Subtype: REPAIR
Lot #: 0
BEYER RES-REMOVE EXISTING 3
PAN WINDOW, REPLACE W/1 PANE SAME HEADER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
BEYER ROBERT R&EVEL YN M
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $60.00
1854 TULE CT
CARLSBAD CA 92009
PERMIT FEE
Total Payments To Date: $0.00 Balance Due:
ISSUED
08/05/2005
LSM
08/05/2005
08/05/2005
$60.00
$0.00
$0.00
$60.00
$60.00
4080 08/05/05 0002 01 02
CGP 60-00
FINAL VAL
Inspector: 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
f • h v r vi n N Tl i ii Ii i i h • I h rwi
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. °"6 0 5 c}-9f77
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ~
Validated Bv-z-.....,..-..;;.~-,---'--"c::e------
Date @ loc;:)o5 t J
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Name Address City State/Zip Telephone # Fax #
~:~C~fj~~
10r~Vk4£9y~q~:~::1Atf;f tf~r~;~~~~p•~~E~·t ~::~::~t~~~t,\;,,~~'.I1~i~~e1 ~i'~:·tt-~\)
l~. l.(tP.f!~WNli!.l~~'li\t:~~'.i\'.-11,iri Vl~Jif' ,..~11/;~•.ti,;,;,t;;,;J.\~it:~/!,t,~:1 ,t 'F;, • y,::·, :,1,~ '~~ / ,;i!\i,~~•.t~"\'C~~••;,li'llW~lrf.'.Ni'l;-;.:;ttl.l;i{fW./\;i.\$,\f.J,1:,1'{j1'1' ;, .;lr-i{i .-1., 1,-11r•· '
Name Address City S.tete/Zlp Telephone#
~t~i~NJ'~mM'.coMeQw~ • . i~)i.t{f.it/t~.c""'"l{,\,1~• ,,\.~'-1<tt'i'.f.1r, 1-wJ:-.J;; ;1 . .,. , .,,, , ,,.~.,"4,.,,r,<¼i1t~t,;'1{,t<;1~\Ja,~t~1:Jlr~:~I,Witt\~Mtrm·r•J.i"l:';,~.~ 1''":t!;:..,~~i ;;.:;,;,: ,
(Sec. 7031.5 Business end 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 Codel or that he Is exampt therafrom, end the besle for the alleged
axemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars ($6001).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
i;i:.~ctettQ'St.'dcff1ilQ.fli'OQ... • t·::i~if ~~\P.U"'.~~i~1,~J:1~t.l~if.il~:~;:$,~'1'.'ttli®{t-i~rJL~:1,t:11,;lt::\i/lW1,.-'J:4\~llfi'dr':l;~(,.,;;f .:i',, ·;-r ~ · ', ,, ,. '.'
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have end will maintain a certificate of consent to salt-Insure for workers' compeneetlon ea provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit Is Issued.
0 I have and will maintain workers' compensation, es required by Section 3700 of the Labor Coda, for the parformenca of the work for which this permit is
issued. My worker's compensation Insurance carrier end policy number are:
Insurance Company_____________________ Polley No._____________ Expiration Date. _______ _
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1.,001 OR LESSI
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is leaued, I shell not employ any person in any manner so ea
to become subject to the Workers' Compansetlon Laws of Cellfomle.
WARNING: Failure to ••cut• worlcara' compenaatlon coverage la unlawful, and ahall aubjact an employer to criminal paneltlea end clvH fine■ up to one hundred
thousand dollars ($100,0001, In addition to the coat of companeetlon, damagaa •• provided for In Section 3708 of the Labor code, lnteraat and ettomay'a fNa.
SIGNATURE. ______________________________ DATE _________ _
·rq: ~.mw,~ii1~t.®wlfiQ8~~~..,_~~~~~~,~-~~t1~,1&\-::t~,:~<;:~lffi;~i\-;:~gf;;r,~\/i,l,f~1,S;i\l:~4~Ffi~,;:. -:-~,1: ,r,::-r/,!(, ,. ~-,; , , , :
I ha;eby affirm that I em exempt from the Contractor's License Lew for the following reason:
i\\i. I. as owner of the property or my employees with wages es their sole compensation, will do the work end tha structure is not intended or offered for sale
~044, Business end Professions Coda: The Contractor's License Lew does not apply to an owner of property who builds or improves therao~. end 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).
0 I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: The
Contractor's License Lew does not apply to en owner of property who builds or improves thereon, end contracts for such projects with contractor(sl licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Coda 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 lheva / have not) signed en application for • building permit for the proposed work.
3. I have contracted with the following parson (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 end 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 -~......!~~~::::._~::,,..::......:!!,S~&J:::,,!::::::.-=-----DATE ';;, S' ~o C> ~
~QM~t11S111;GI10~EQ11ti,ION."l'lff.il.P~~\).!liQINQlRE8Mlll,£lN" '~U'.t~~;>:i){,.~Y!fth~t".~i.J~.\i~i,~~~:t".,;z:~~,,,lt;;,i,ii,1~1>,c'.l ,!,,/;-~~ .,,:,;, .:;,;;1.,1, __
Is the applicant or future building occupant required to submit • business plan, acutely hazardous materials registration form or risk management end prevention
program und!lr Sections 25505, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O 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 O NO
Is the facility to be constructed within 1,000 feat of the outer boundary of a school site 7 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.
t1•®~i:tI11:firoQ.Ni~P1N~~ifflQ.n~~.a:1l-V~~ffl J,1,.m1,rii.t:l;;ir11,,ijtJril(t\,j;'. -~·\:,6,~· ·,,h~:: •ii, ··,, :, ~ •1=-Jt·k·, i:-.,, i''~ < it,) ,~~ ·r =,_A
I hereby affirm that there is • construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(i) Civil Code).
LENDER'S NAME_______________ LENDER'S ADDRESS _________________________ _
r• , ~'CER1D-im!ii~-~'ll~~A!'.i;;.~ ',f( ;; ,;,i(;~~,¥;/}i.M,J~~ti1!;il-1~1J~\;r.;f'.i~,-,l;'~c\i~:t t;i!il~'\i' 'At,;;i:;i1,~;¢,t}; t'.+.,Ii:'-t~~;,,;:;~:::r~;;',..; ,r:t ·\~ ;,, '.;t • ,-..., . ! .. '
I certify that I have read the application end state that the above Information Is correct end 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 pennit Is not commenced within 180 days from the date of such permit or If the building or work authorized by such pennit Is suspended or abandoned
al any time after the work Is commenced for a perioMf 180 days (Section 106.4.4 Unifonn Building Code). / ~ APPLICANT'S SIGNATURE CL.~ \.<..... • ~ DATE 'is"' < I :).. C) ~ ~
WHITE: Fila YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 09/08/2005
Permit# CB052877 Inspector Assignment: JM ---
Title: BEYER RES-REMOVE EXISTING 3
Description: PANE WINDOW, REPLACE W/1 PANE SAME HEADER
Type: MISC Sub Type: REPAIR
Job Address: 1854 TULE CT
Suite: Lot 0
Location:
APPLICANT BEYER ROBERT R&EVEL YN M
Owner: BEYER ROBERT R&EVEL YN M
Remarks:
Total Time:
CD Description Act Comment
Phone: 7604382520
Inspector: -----
Requested By: ROBERT
Entered By: CHRISTINE
19 Final Structural kJZ ______ _
Associated PCRs/CVs
lns12ection Histo[Y
Date Description Act lnsp Comments
09/02/2005 14 Frame/Steel/Bolting/Welding WC JM
09/02/2005 17 Interior Lath/Drywall AP JM
09/02/2005 18 Exterior Lath/Drywall AP JM
09/01/2005 14 Frame/Steel/Bolting/Welding AP JM 1 WINDOW
08/31/2005 14 Frame/Steel/Bolting/Welding co JM NO ONE HOME -NOTIFIED
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