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Home My WebLink About1199 OAK AVE; ; CB021295; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-26-2002 Miscellaneous Permit Permit No: CB021295 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1199 OAK AV CBAD MISC 2050200300 $0.00 BOWDEN RESIDENCE Subtype: REPAIR Lot#: 0 REPAIR ROOF STRUCTURE & WALL Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/26/2002 MDP 04/26/2002 04/26/2002 Applicant: Owner: 6019 04/26/02 0002 01 02 BOWDEN LIVING TRUST 09-15-00 1199 OAK AVE CARLSBAD CA 92008 Total Fees: $80.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: BOWDEN LIVING TRUST 09-15-00 CGP 80 . 00 1199 OAK AVE CARLSBAD CA 92008 Total Payments To Date: $0.00 PERMIT FINAL APPRO AL Date: Balance Due: Clearance: $80.00 $0.00 $0.00 $80.00 $80.00 NOTICE: Please take NOTIC that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction ." 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 whi h v r i n iv n N Tl imil r hi r whi h h t f limi i n h r vi I h rwi PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONL V ,,.- PLA N CHECK N0.0'1_, .. \'<-'( ~ EST.VAL. _________ ~- Plan Ck. Deposit ---------- Validated By __________ _ Date ______________ _ >tJCMJE~>iRAZ Address (include Bldg/Suite #) 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 ~,~~ ~~ 1 Rb SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. ;J~~~RSO~ ~m eppllP.! Name Address City State/Zip Telephone# Fax# 3. APPLICANT O Contractor O Agent for Contractor O Owner O Agent for Owner Name Address City State/Zip Telephone # ~\l:Alli~#r~ 1ztJ<hiE1'\ uql( Na~' Address ON?: he-V@<fno City ~Zip qZt~pho(yfuo) tcl-151~ 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 [$5001). Name Address City State/Zip Telephone# State License # ----------License Class----------City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- 6. 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 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 rs 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 la 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, interest and attorney's fees. SIGNATURE------------------------------r 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 'M_ 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 rs;;'c. 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 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 l aw 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 I 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 I phone number I 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 I phone number I contractors license number):------------------------------------------------- 5. I will provide some of the work, but I h ve contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type ofwork): __________ ......,...__.,.,...---------------------------1r-.,....::--.---,.r1-----:-------- ,......J,RoPERTY OWNER SIGNATURE DA TE -'...:..lf...1..-L:lo<....-"""'C:.....t-.:C..~ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 25505, 25533 or 25534 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 rs MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 limilation 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 comm~ced ys'r a period of 180 days (Section 106.4.4 Uniform Building Code). / APPLICANT'S SIGNATURE ~ v-..____ DATE ~ L. 2.k 1 0 "2.,.. WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/23/2002 Permit# CB021295 Title: BOWDEN RESIDENCE Description: REPAIR ROOF STRUCTURE & WALL Type:MISC Sub Type: REPAIR Job Address: 1199 OAK AV Suite: Lot 0 Location: APPLICANT BOWDEN LIVING TRUST 09-15-00 Owner: BOWDEN WILLIAM IE&MARGURIETTE A Remarks: Total Time: CD Description Act Comments Inspector Assignment: RCB Phone: 000000~000 i -/' J Inspector:~ i/ //,:/<" c'/ Requested By: BILL DOWDER Entered By: GIOVANNA 19 Final Structural ~~~~~~~~~-~~~~~- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 04/30/2002 11 Ftg/Foundation/Piers AP RC OK TO INSTALL SIDING 04/29/2002 14 Frame/Steel/Bolting/Welding AP RC OK TO WRAP 04/29/2002 15 Roof/Reroof AP RC OK TO COVER 04/29/2002 17 Interior Lath/Drywall AP RC OK TO TAPE 04/29/2002 34 Rough Electric AP RC