HomeMy WebLinkAbout1835 ASTON AVE; ; CB160376; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-29-2016 Miscellaneous Permit Permit No: CB160376
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
1835 ASTON AV CBAD
MISC
0000000000
$0.00
DEMPSEY CONSTRUCTION
Subtype: OTHER
Lot#: 0
UNDERGROUND PLUMBING AND FOOTING FOR Tl-
Applicant
DEMPSEY CONSTRUCTION INC
STE 103
5937 DARWIN CT
CARSLBAD CA 92008
760-918-6900
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $130.00
Inspector:
PLUMBING
FOUNDATION
Owner:
Total Payments To Date:
Date:
$130.00
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Balance Due:
Clearance:
ISSUED
01/29/2016
MOP
01/29/2016
01/29/2016
$65.00
$65.00
$0.00
$130.00
$0.00
NOTICE: Please take CE approval of yt:U p-oject includes tre "lfl"jX)Sition" of fees, dedicatims, reservations, or ott-er exa::tims rereafter oolectively
referred to as "fees/exoctions." ru have 00 days from the date ttis fX'!llit \MIS issued to protest ifflXJSitioo of tress fees/exroions. If yru protest them, yru rrust
fdiOvVtre p-otest p-ccedures set forth in G:Nernrrent COOe Section 60020(a), and file tre protest and any other required inforrration wth the Oty ~for
processirg in acrordanrewth Carlsbad MJnidpal COOe Sectioo3.32.030. FailuretotirrelyfdiOvVthat p-ccedurewll 00r any subsequent legal action to attack,
revievv, set aside, void, or annul their ifl"jX)Sition.
Yru are hereby Fl.RTHER I\OllRED th::Jt yoti right to protest tre specified fees/exroims CCES NOT .APPLY to water and SEMer C001edion fees and alpadty
chmges, ra plarYlirg, zonirg, gradirg or other sinilar application processirg or servire fees in a:nnection wth this p-cject. NJR CCES IT .APPLY to any
fees/exactims of v..hich have eviousl been "vm a NOTICE sinilar to this or as to VIAi tre statute of linitatims has "rusl other\Mse e "red.
,-",,-----------------------------------------------------------------,
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING OBUILDING OF IRE
Plan Check No.
Est. Value City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Ck. Deposit
Date SWPPP
SUITE#/SPACE#/UNIT# APN
008 2.\2-\20-\2-
...... ~Tz-·~ p·~:T·"~-p: 2
~~
OCC. GROUP
EXISTING USE FIREPLACE
YESO
AIR CONDITIONING
NoD YES0No0
FIRE SPRINKLERS
YEsONoD
APPLICANT NAME
ADDRESS
ZIP
C?WOB
CITY STATE ZIP
PHONE FAX
ADDRESS
CITY STATE 'ZIP
PHONE FAX
EMAIL
STATE LIC. #
(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 ofthe 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}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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.
~have and will maintain workers: c_ompensation, as required by Section 37~0 of the. Labor Code, for the performance of the work f~r which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co, S--tq te. C,or:n~q) Policy No. J9 !f 5 21;, (Q Expiration Date I ) / 0 l /20 I b
This section need not be completed if the permit is for one hundred dollars ($1 00) or less, F{>nd 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 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.
Ji5 CONTRACTOR SIGNATURE • ~GENT
I hereby affirm that I am exempt tram Contractor's License Law for the following reason:
0
D
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),
I, as owner ofthe 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. DYes 0No
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 address I phone 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 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 I phone 1 type of work):
Ji5 PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State law.; relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.! 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 penn it is required for excavations over 5'0' deep and demolition or oonstruction of structures over 3 stones in height.
EXPIRATION: Every penni\ issued by the Building Official under the provisions of this Code shall expire by limitation and beoome null and void ifthe building orwori< authorized by such penni\ is notoommenced within
180 days rrom the date of such pennit or if the building orwori< authorized by such penni\ is suspended or abandoned at any time after the work is oommenced for a period of 180 days (Section 106.4.4 Unifonn Building Code).
/1$ APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 .
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER:-----------------
AS APPLICANT'S SIGNATURE
• (Office Use Only)
CA
ASSOCIATEDCB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
Inspection List
Permit#: CB160376 Type: MISC
Date _jnsE_ecti()!lJ~m ----·~-
04/14/2016 89 Final Combo
02/19/2016 12 Steel/Bond Beam
02/02/2016 11 Ftg/Foundation/Piers
02/02/2016 21 Underground/Under Floor
Monday, August 01, 2016
OTHER
Inspector Act
PY AP
PY we
PY AP
PY AP
DEMPSEY CONSTRUCTION
UNDERGROUND PLUMBING AND FOOTIN
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