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Home My WebLink About1014 LAGUNA DR; 06; CB054015; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-21-2005 Miscellaneous Permit Permit No: CB054015 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1014 LAGUNA DR CBAD St: 06 MISC Subtype: REPAIR 1552722001, Lot#: 0 $0.00 COTRAN RES REPLACE FIRE DAMAGE LIKE FOR LIKE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: SERVICE MASTER ALL PHASE ISSUED 11/21/2005 SB 11/21/2005 11/21/2005 SUITE 6 1466 PIONEER WAY 92020 619-442-1234 KORNH~LA S LIVING TRU 1014 LAG DR#:_. ,.-t'-IWO-..-V'•• CARLSB CA 20~ - Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $240.00 Inspector: PERMIT FEE Total Payments To Date: Date: $240.00 Balance Due: Clearance: $240.00 $0.00 $0.00 $240.00 $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 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 seivice fees in connection with this project. NOR DOES IT APPLY to any f Tl imilr hi r hihh flimi ·n h rvi I h i FOR OFFICE USE ONL;!::::, -- PLAN CHECK NO. ~,:Jo5 lf.o/ S PERMIT APPLICATION ~ - • f c"_,,,~'1'd1 ·~ . 'l> EST. VAL. __________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 -. • · .... ,, 0 u •· ,, .. <' ~~~ "J(. lt-ur,.,:.. Plan Ck. Deposi~t ~ Validated ! _ __!__ Da~ \ ( +1-0 1. PROJECT INFORMATION Phase No. Total # of units Assessor's Parcel # 155 -c~na -ao-(p Existing Use re.sicle.nCA..-- Description of Work SQ. FT. # of Stories Proposed ~d, res1eoCL # of Bedrooms # of Bathrooms ~r~ r~¾ora..::f-i on a,4-0 I 2. PERSON (If different from applicant) Name ===--=::,-::--Address City State/Zip Telephone# AP.PLICANT Contra~entfo( Co tractor □ Owner _____ .....,_,_,.Agent fo'-'r Ow!!"""'""e"-r __ _ N~~_s_ra.as~~cb-Address Pi one.qr Wat,ty K <, El ~i~ CA Tele/h~~r° Fax# Soio Telephone# (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 CodeJ or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by an appli<:'nt for a permit subjects the applicant to a civil penal~f not more ian five hundred dollars Jf.5:1), ;--, Cft 990~0 {tpl 1./t/J.-/:J ~tJ Name Address City Telephone# State License#__;,-,::.,..,=-:::::.-;,____ License Class--='--------/ Z. 'l-/t..$, Designer Name Address City State/Zip Telephone# State License# ________ _ 8. WORKER'S COMPENSATION ------Workers' Compensation Declaration: I hereby affirm under penalty 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 issued. X I have and will maintain worker's 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 iumber are: 1 I J I Insurance Company 5\a,te,_. f?tLI)('.{ Policy No. 4q {p" 00 0 do O 7 ":( Expiration Date __ ___:.f-1,, --:..I ,.__,Oc...(.p=--- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) □ 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 llars($100,000), In additi9P to o t of compensation, damages are provided for in Section 3706 of the Labor Code, interest and attomey•~t· ! ,,,,,,.---- SIGNATURE DATE /tf.;.-Z.l{,5).5 OWNER-BUILDER DEC_LA~RA_TI_O_N ___ _ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will d 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), □ 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). □ 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 □ NO 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 I 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 I address / phone number / /ontractors license number): ----------------------------------------------- 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number I type of work): PROPERTY OWNER SIGNATURE ____________________________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RES/OENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely-ha_z_a-rd-o-us materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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? D 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. 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(1) Civil Code). NIA LENDER'S ADDRESS-----_-_-_-_-_-_-_-_-_-_--,:::,:::,::::::,------ I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City 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, JUDGEMENTS, 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 of 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). f APPLICANrs s1GNATURE ----~--<--....ccc.>-<":L.,c:; ... ,n,,C;JJz-=-''--=-------------DATE _ _,_r_,_r./../_t/=..J.!:....,,,...,'J:....,_ _______ _ WHITE: File YELLOW: Applicant PINK: Finance ~ w City of Carlsbad Bldg Inspection Request For: 09/22/2006 Permit# CB054015 Title: COTRAN RES REPLACE FIRE DAMAGE Description: LIKE FOR LIKE Type: MISC Sub Type: REPAIR Job Address: 1014 LAGUNA DR Suite: 06 Lot 0 Location: APPLICANT SERVICE MASTER ALL PHASE Owner: Remarks: GATE CODE *6969 (AFTER NOON) Total Time: CD Inspector Assignment: PY --- Phone: 6194421234 Inspector: ----- Requested By: LESLIE Entered By: CHRISTINE Description Act Comment 39 Fi7::,1 hi-____________________ _ a_~~~-§f,___~~~~~- Comments/Notices/Hold Associated PCRs/CVs Original PC# lns~ection History Date Description Act lnsp Comments 09/13/2006 19 Final Structural NR PY ELEC METER RELEASE 09/12/2006 19 Final Structural NR PY LOCKED OUT 05/03/2006 17 Interior Lath/Drywall AP PY 04/26/2006 17 Interior Lath/Drywall co PY NEED 5/8 X UNDERSTAIRS AND COMPLETE NAILING 04/25/2006 17 Interior Lath/Drywall NR PY NO ONE THERE 03/22/2006 23 Gas/Test/Repairs AP PY 03/22/2006 24 Rough/Topout WC PY 02/17/2006 16 Insulation AP PD WAIVED 02/17/2006 84 Rough Combo AP PD 02/15/2006 84 Rough Combo co PY 12/21/2005 84 Rough Combo NR PY