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Home My WebLink About1820 MARRON RD; 102; CB020318; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-31-2002 Miscellaneous Permit Permit No:CB020318 Building Inspection Request Line (760) 602-2725 Job Address: 1820 MARRON RD CBAD St: 102 Permit Type: MISC Subtype: OTHER Parcel No: Lot#: O Valuation: Reference #: Project Title: Applicant: $3,500.00 HEARING AID-NEW 20 FT WALL- DUMP SINK & NEW DOOR 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 01 /31 /2002 RMA 01 /31/2002 01/31/2002 0065 01/31/02 0002 01 02 CGP 104 -00 Total Fees: $104.00 Total Payments To Date: $0.00 Balance Due: $104.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOT AL PERMIT FEES Inspector: PERMIT PLUM,MECH,ELEC FINAL APPROVAL Date: ,hr~z, $60.00 $44.00 $0.00 $104.00 Clearance: ------ NOTICE: Please take NOTICE that approval ol your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.· You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely lollow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specffied lees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address (include Bldg/Suite #) 1. PROJECT INFORMATION 182D tl\Atz.i,QIJ Q.D. ~u\n, (!o~) Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use R ,o,,t. wA ,~ Description of Work SO. FT. ~ 2. Name ~ Address 3. APPLICANT e'.]" Contractor O Agent for Contractor O Owner 'Pm (:ONStPuc.rrO/V "(DOS CA<.lF, Name Address 4. PROPERTY OWNER C EN(F]t 1]lq,C INl.. Name Address #of Stories City 0 Agent for Owner c:,,1,cl ])-ZZ.5,'I City City 5. CONTRACTOR • COMPANY NAME ,=>n, CON$ rrzuc ndN FOR OFFICE USE 0~ PLAN CHECK No.tJl.cJJ/? EST.VAL.~~~~~~~~~~ Plan Ck. Deposit -----....... --,.-- Validated By ~ ~ 4,1}--: Date / (?/ / ') r ~, Unit No. Phase No. Total # of units (,c:Ft)-,,7 80~0 CA qz.~ Telephone # Fax # (qOfllt} ·?rt &OS' o tl'v"-'1.• i M t..A <t ?..Cic. "L State/Zip 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 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 ($500)). j>M, t:.c>N~T't1uc..t:id,..> 'j2$ZS: C,t<..1 EQIZN•A 0,4t:s ~'l."'\'f MVUH~n,-C,4 't"Z.Sw '2... Name ddress City State/Zip Telephone# '701 <.o,b S'i7?. State License # $ 7~ S 71 S License Class '}j City Business License # / Z / Z 9 7 8 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: ~ 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: J / Insurance Company s;;-09~ FCJND Policy No. ZZ1·00%"% 3'' e Expiration Date I / 0 I Zoos ~ ' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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. workera' compensation coverage is unlawful, end shell subject en employer to criminal pe ,,in addition to the cost of compensetion, damages es provided for in Section 3706 of the Le lties and civil fines up to one hundred code, i terest and attorney'• fees. SIGNATURE: _ _.:;Z:::B~!:!.J:~a~e,~~~~::....1--------------DATE___JL...,jl'-"'.....,,<#---=~'Z..=-~ 7. OWNER-B ILDER 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 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 I address I phone number I contractors license numberl=·------------------------------------------------ 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 I phone number I type of work)=------------------------------------------------------------ PROPERTY OWNER SIGNATURE------------------------ COMPLETE THIS SECTION FOR NON-RESIDENT/AL BUILDING PERMITS ONLY DATE _______________ ~ Is the applicant or future building occupant required to submit a business plan, ,cutely 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 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 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 issued by the b · ·ng Official under the provisions of lhis Code shall expire by limilation and become null and void if the building or work authorized by such permit is not commenc in 180 days from the date of such permit or if the building or work authorized by such p mil is suspended or abandoned at any time after the work is commence riod of 180 days Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE --..C-----::.......:.711:.._.!.._e~:..::..::....:....::._.!_ _________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/13/2002 Permit# CB020318 Title: HEARING AID-NEW 20 FT WALL- Description: DUMP SINK & NEW DOOR Type:MISC Sub Type: OTHER Job Address: 1820 MARRON RD Suite: 102 Lot Location: APPLICANT P M CONSTRUCTION Owner: Remarks: Total Time: CD Description 19 Final Structural Associated PCRs Inspection History Date Description 02/14/2002 17 Interior Lath/Drywall 02/13/2002 84 Rough Combo Act Comments Act lnsp Comments AP JC AP JC Inspector Assignment: JC --- Phone: 9097178050 Inspector: -::;:e Requested By: NA Entered By: CHRISTINE