The URL can be used to link to this page

Home My WebLink About1286 VERONICA CT; ; CB031992; Permit. . City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ~-2003 . Miscellaneous Permit Permit No: CB031992 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 1286 VERONICA CT CBAD MISC 2145511 800 $0.00 Subtype: REPAIR Lot#: 0 WORTHINGTON RES-REPAIR MOLD DAMAGE-REPLACE PLATE & SUBFLOOR IN BATH Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/17/2003 CB 07/17/2003 07/17/2003 LENNAR HOMES OF CA 24800 CHRISANTA DR MISSION VIEJO CA 92691 WORTHINGTON SCOTT M&TRACEY LAZARUS 949-598-8500 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees : $60.00 Inspector: 1286 VERONICA CT CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $0.00 FINAL,.APP ROVAL Date:l-Z --0 $60.00 $0.00 $0.00 $60.00 Balance Due: $60.00 9899 07/17/03 0002 01 CGF· 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~x ~ 02 60 .. 00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NoL'fr),3,liqtfz.... CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit:--------- Validated By__;C,=:=,,,E,""'--------- Date ----J--t ]-0 2 1. PROJECT INFORMATION Address (include Bldg/Suite #) Business Name (at this address) I 2, B (;.. VE' .e.o ,,,J /LA ~ 0 v ~r c Al-' L~tf,;,O wo,<T ~At.//f:-rad Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. s M.!k:? G EAM /Lr Av6".M ... r 2 7 TA' ,II/JI€ ~.///114,f 2 2 4= Total # of units -Assessor's Parcel # Existing Use Proposed Use k'tzs. Description of Worknlt:U,0 ;;.t; If. ,r/e, L£ r'u?cti. /'L--#T-€ / s t.1./J~L,'1'~~ #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) :Tvu ef,,uu1:te.v1 2 4-B VO C-IILt.s,147,1.; Name Address 3. APPLICANT O Contractor O Agent for Contractor O Owner Name Address 4. PROPERTY OWNER City 0 Agent for Owner City 1 State/Zip 3 Telephone# Fax# Telephone# wc>L-rrl,1,ra;--rad /2. B0 ;1.£Lo.1,.//ct't ~"uLr c&Ll<A:tf/l a ?2Pr?A zt::. ())-'ls / ~ /e,z.1 Name Address City State/Zip Telephone # 6. CONTRACTOR • COMPANY NAME (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 [$500]). L/v,./Ald~ ./(hw,f°.S 24f?,oo ll1t.${/O,o! vrara Cd-'92~7'1 ?,f'f-S-?f?-8~00 Name Address City State/Zip Telephone # State License # 7 2 B/0 2. License Class_________ City Business License # /;;J Q / 'j>t/J :J_ Designer Name Address City State/Zip Telephone State License # _________ _ 8. WORKERS' 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 ~e work for which this permit is issued. g[ 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 t!JL/J /l!liA/1$'//C Policy No. NI ....I C-/tJfl, ~/-~ 00 Expiration Date. ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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 ona hundred thousand dollars ($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---===-----=::===--,·,--~~-~ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 (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). 0 1,1 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). 0 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 / phone number / contractors license number): 4 . 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 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 _______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENnAL BUILDING PERMITS 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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? 0 YES O NO Is the facility to be constructed within 1,000 feet 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ----------------------------9. APPLICANT CERTIFICATION 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 laws relating to building construction. I hereby authorize representatives of the Cit\t 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 permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commence or a period of 180 days (Section 106.4.4 Uniform Building Code). DATE 7-/7-C)3 -~--~--~~------ YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE /() -( ,-0 5 INSPECTO.&- • PERMIT# CJ3 ·(J 3 1f 9 2- JdB ADDRESS (2,{0 v~/.-tJ"1 /CA PLAN CHECK.# ---- DESCRIPTION ________________ _ CODE DESCRIPTION ACT · COMMENTS ii h ,J1rC fttJ__ •. {(;-C-/LE p ·oJL-~ If I Inspection List Permit#: CB031992 Type: MISC Date Ins ection Item 10/01/2003 89 Final Combo 09/30/2003 19 Final Structural 09/30/2003 29 Final Plumbing 07/18/2003 13 Shear Panels/HD's 07/18/2003 14 Frame/Steel/Bolting/Weldin Wednesday, January 21, 2004 Ins PD PD PD PD PD REPAIR WORTHINGTON RES-REPAIR MOLD DAMAGE-REPLACE PLATE & SUBFLOOR ector Act Comments AP SEE REPORT ATTACHED CA NO TIME -RESET FOR WEDNES. CA NO TIME -RESET FOR WEDNES. AP PLATE/SUBFLR AP REPLACED Page 1 of 1