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Home My WebLink About1820 MARRON RD; 100; CB013922; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-24-2001 Miscellaneous Permit Permit No:CB013922 Building Inspection Request Line (760) 602-2725 Job Address: 1820 MARRON RD CBAD St: 100 Permit Type: MISC Subtype: OTHER Parcel No: Lot #: 0 Valuation: $21 ,500.00 Reference #: Project Title: CENTURT 21 DEMO PARTIONS & ADD 2ND BATHROOM Applicant: P M CONSTRUCTION D-2234 40575 CALIFORNIA OAKS MURRIETA CA 92562 909 698-5472 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/24/2001 MDP 12/24/2001 12/24/2001 7602 12/24/01 0002 01 02 CGp 138-00 Total Fees: $138.00 Total Payments To Date: $0.00 Balance Due: $138.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: PLUM,MECH,ELEC PERMIT FINAL APPROVAL Date: ;JI/ /12 "2r $78.00 $60.00 $0.00 $138.00 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 w~h 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTI E similar to this or as to which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ____ _ EST. VAL. 2 f :?5? .~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ---------- Validated By __________ _ Date ______________ _ 1. PROJECT INFORMATION Business Name (at this address) ---1lddress (include Bldg/Suite #) /8W ~ Rd. 00/(J;/ /Ou Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel# ~"'-' L.,. l-E~isting Use Proposed Use ~escription of Work SQ. FT. # of Bedrooms # of Bathrooms ~w Al4V 21't(Ut,h tvA/(£ 1-?Aan·~ 2. CONTACT PERSON (If different from applicant) Name Address 3. APPLICANT O Contractor O Agent for Contractor O Owner Name Address City 0 Agent for Owner City 6.~oom ~1./1,, State/Zip Telephone # Fax# State/Zip Telephone# /· PROPERTY OWNER Ce.vn::IZ.. TIZL6Z: JJ.lt.. 9111d l>'wvM ttoN ~h. CA <tOZ.6," City State/Zip f Telephone # Name Address 6. CONTRACTOR • COMPANY NAME / (Sec. 7031.5 Business and Professions Code: Any ~ity or.Count~ which requires a permit.to _construct, alter, improve, demoUsh or repair any struc~ure,. prior to its issuance also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor s License Law (Chapter' 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he ls exempt therefrom, and the basis for the alleged exem,PJion. An:t 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]). ~!YI coNsmucnotJ 4-<JS7S CA<-rF<JeMA. OAfs o-zz3q c,4 .'-tt.5r."l.. ~oq ,n soso Name Address City State/Zip , Tel:::ne # State License # _...;7=--3'--_5_7..:_1_5:;c___ License Class 5 City Business License # ~ g.,-:k\ ~ ~L-/ Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: l hereby affirm under penalty of perjury one of the following declarations: O 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. O 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'A Tl:" FUN p Policy No. Expiration Date ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) O 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, interest and attorney's fees. SIGNATURE_~--------~~--~~-~---~-------- 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 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 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 / address / phone number I 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 I address / phone number / type of work):.~---------------------------------------------------------- PROPERTY OWNER SIGNATURE------------------------ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY DATE _________ ~ ls 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? 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(i) Civil Code). LENDER'S NAME---------------LENDER'S ADDRESS -----------------------------9. APPLICANT CERTIFICATION l certify that I have read the application and state that the above information is correct and that the information on the p(ans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' 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 ilding Official under the provisions of this Code shall expire by limitalion and become null and void if the building or work authorized by such permit is not comma ithin 180 days from the date of such permit or 1f the building or work authorized by such permit is suspended or abandoned at any time alter the work is commen d ! a period of 180 days (Section 106.4.4 Uniform Building Code). ~ J , J / APPLICANT'S SIGNATURE C, DATE /2/ 2.r(J/ / WHITE: File YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE !I'~ PERMIT# (!{J0/J9 7,Z.-;fl . PLAN CHECK# ___ _ --INSPECTOR ,/. C... JOB ADDRESS _(f .......... cJ_C)_/t~B:...._f_f_CJ~,J __ tp __ p_-_L_rJ.__I)_() __ DESCRIPTION _________________ _ CODE DESCRIPTION ACT Inspection List Permit#: CB013922 Type: MISC OTHER CENTURT21 DEMO PARTIONS & ADD 2ND BATHROO Comments ·~~~~-"---.~~~~~-Date Inspection Item Inspector Act 01/31/2002 89 Final Combo JC AP FINAL 01/23/2002 14 Frame/Steel/Bolting/Weldin RI 01/23/2002 14 Frame/Steel/Bolting/Weldin JC AP 01/23/2002 17 Interior Lath/Drywall RI 01/23/2002 17 Interior Lath/Drywall JC AP 01/15/2002 21 Underground/Under Floor JC AP 01/15/2002 84 Rough Combo JC AP 01/14/2002 24 Rough/Topout JC co PLUMBING NOT FULL FOR TEST Friday, February 01, 2002 Page 1 of 1