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Home My WebLink About149 MAPLE AVE; ; CB023822; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-19-2002 Miscellaneous Permit Permit No: CB023822 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 149 MAPLE AV CBAD Mis51,3 ,~ou »{ $0.00 Subtype: REPAIR Lot#: 0 Project Title: HOLT RES REPLACE DRYWALL IN DETACHED GARAGE Applicant: RES CONSTRUCTION 467 RANCHO VISTA RD 92083 760 414-9557 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $60.00 Owner: PERMIT FEE Total Payments To Date: -- $0.00 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/19/2002 SB 12/19/2002 12/19/2002 3903 .12/ 19 / 02 0002 01 02 $60.00 $0.00 $0.00 $60.00 Balance Due: CGP 60-00 $60.00 ''~---~-~-A._. ____ _ d'IJ.t____,I ( __ u_· ( 4 ; (_o _3_ 'PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1 . PROJECT INFORMATION Subdivision Name/Numbe"r 2. CONTACT PERSON (If different from eppUcentJ Name Address City 3. APPLICANT 0 Agent for Co~tractor O Owner O Agent for Owner < FOR OFFICE USE ONLY PLAN CHECK N0.0~l.. ~8 z.;t. EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated ~--=2....._!;--CB=------- Date l l--79 .... b >-,, Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# Telephone# State/Zip Telep one City Business license# j 2/37 JG, Designer Name Address City State/Zip Telephone State license # _________ _ J e. WORKERS' COMPENSATION (/liworkers' 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 end 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 ($1001 OR LESS) k'7\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 · ~c~me subject to the Workers' Compensation Laws of California. ;...,..n1111ur11. to secure workers' compensation coverage Is unlawful, and shell subject an employer to criminal enaltles and civil fines up to one hundred 0Q,000), In addition to the cost of compensation, damages as provided for in Section 3706 oft e L or o ~terest and attorney's fees. DATE-f-"""f--L..-H;;-=~:..==-...!..._-=-.~.-~,...,,..-.~~---.., 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 emplo.yees with wages as their sole compensation, will do tha 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 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). 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 O 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 / 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-RESIOENT1AL BUILDINQ 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 26605, 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? O 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 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). 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 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 by the building Official under lhe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit · nol co enced within 180 days from the date of such permit or if the building or work authorized by s h per it is suspended or abandoned I\) at any time after the wor is comm ced for a period of 180 days (Section 106.4.4 Uniform Building Code). \,X APPLICANT'S SIGNATUR~"""'~~""""""==:::====~~--------------DATE WHITE: File YELLOW: Applicant PINK: Finance I City of Carlsbad Bldg Inspection Request For: 01/06/2003 Permit# CB023822 Title: HOLT RES REPLACE DRYWALL IN Description: DETACHED GARAGE Type: MISC Sub Type: REPAIR Job Address: Suite: Location: 149 MAPLE AV Lot APPLICANT RES CONSTRUCTION Owner: Remarks: ~ pl11ase, Total Time: CD Description 0 Act Comment Inspector Assignment: JM --- Phone: Inspector: =1itJ Requested By: RICHARD Entered By: CHRISTINE 19 Final Structural ££_ _______ _ Associated PCRs/CVs Inspection History Date Description 12/20/2002 17 Interior Lath/Drywall Act lnsp Comments AP JM I 5'-0" □ • ~ _, ~ =" =======;---19'-4"~---------------;; &> _, <O j • 0:) _, <O >< 0 _, C\I - !'-----~~ --------------20·-o"--------r BY AP5~ DEC 1 9 2002. City of C/\R.LSBAD BUILDING DEPT. 0 _, 0 C\I