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Home My WebLink About1598 TRITON ST; ; CB060810; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-22-2006 Miscellaneous Permit Permit No: CB060810 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 1598 TRITON ST CBAD MISC 2150751100 $0.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: CONVERT GARAGE TO SALES OFFICE WITH ELECTRIC Inspect Area: Applicant: BLACK RAIL RIDGE LLC 3443 CAMINO DEL RIOS #312 SAN DIEGO CA 92108 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: lnspec $75.00 Owner: BLACK RAIL RIDGE LLC 3443 CAMINO DEL RIOS #312 SAN DIEGO CA 92108 Total Payments To Date: $0.00 Balance Due : FINA'r(Pf:>~OVAL Date: -f lf -O I, Clearance: ISSUED 03/22/2006 LSM 03/22/2006 03/22/2006 $75.00 $0.00 $0.00 $75.00 $75.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Cartsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. (;800 8 I 0 EST. VAL. _________ _ Plan Ck. Deposit --,----::------.--- Validated By ___ ~~"-.-:::::-'-''------- Date. ___ ___,_,$~/-"',2;'-"~.c.c..+/=O"""~"'--- ~: PR_QjE:CT INFORMATION -1......z...=i..J..!....___i,_!...:...l,.~~..:..-l'l.:....__S-=.......1..~_:__<c;.:....:~'---:;'('---------C----'-'-~-+-'-.>..L:..~-r,J.L.LL....::'-"-'-----'-.....,._,.....,_ ______ _ Address (include Bldg/Suite #) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use D<!0~0V°d;..':/ U1'+1Lf'r&-e 70 61't-Lt:'.S 2. CONTACT PERSON (If dlfferent from applicant) SO. FT. OFFICL= #of Stories (µ I eL~CT;Lc c.. # of Bedrooms # of Bathrooms 6. CONTRACTOR • COMPANY NAM.I: (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 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 I$ 500]). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WQRJ(f:.RS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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 ($100) 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 addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, lnteraat and attorney's fees. SIGNATURE=--======--=---------==-----====-DATE 1.. OWNER-BUILDER D1;.ClARATION -=--::-:===;;;;:::::;::=._ I hfllf'111hv Affirm thAt I 11m AxAmot from tha Contractor's License Law for the followina reaso.n: City of Carlsbad Bldg Inspection Request For: 04/13/2006 Permit# CB060810 Title: CONVERT GARAGE TO SALES OFFICE Description: WITH ELECTRIC Type: MISC Sub Type: OTHER Job Address: Suite: Location: OWNER 1598 TRITON ST Lot BLACK RAIL RIDGE LLC Owner: BLACK RAIL RIDGE LLC Remarks: Total Time: 0 Act Comment Inspector Assignment: TP --- Phone: 61~00~ lnspe~--- Requested By: JUAN Entered By: CHRISTINE CD Description 19 Final Structural _f_ __ _ ------------------ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 03/27/2006 32 Const. Service/Agricultural 03/24/2006 32 Const. Service/Agricultural Act lnsp Comments AP TP disc. Exist., re-connect to new pole tied to CB052298 NS TP