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Home My WebLink About1851 PENTAS CT; ; CB101761; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-27-2010 Miscellaneous Permit Permit No: CB101761 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1851 PENTAS CT CBAD MISC 2155210800 $0.00 Subtype: REPAIR Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: BELT RES-FLOOD DAMAGE REPAIR REMOVE & REPLACE DRYWALL & INSULATION AROUND Applicant: Owner: WORTHING INC, B. A SUITE #201 BELT ADAM R&WENDY M 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 760-729-3965 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $177.00 Inspector: 1851 PENTAS CT CARLSBAD CA 92011 PERMIT FEE ELECT & GAS FEE Total Payments To Date: Date: $177.00 Balance Due: Clearance: ISSUED 09127/2010 RMA 09/27/2010 09/2712010 $130.00 $47.00 $0.00 $177.00 $0.00 I 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 tees/exactions. If you protest them, you must follow the protest procedures set foi1h in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carl::::bad 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 the1r 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 fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. &. «'» ¥ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# LOT# EXISTING CONT ACT NAME (H Different Fom Applicant) ADDRESS CITY Building Permit Application 1635 Faraday Ave .. Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 PHASE# Fax: 760-602-8558 www.carlsbadca,gov # OF UNITS # BEDROOMS # BATHROOMS Plan Check No. Est. Value Plan Ck. Deposit APPLICANT NAME 13,, A . Wa:vJe., ADDRESS eox 104( STATE ZIP CITY STATE lo J SWPP ZJP .GR UP FIRE SPRINKLERS YES O NOD £A-q zoi 5 PHONE FAX PHONE 7(c(J 72 Yltb'? EMAIL ADDRESS CITY ZIP "'/'20/ 'c, (Sec. 7031.5 Business a Professions.Code: Any City or County which requires a permit to construct. alter. improve, demolish or repair an~ structure, prior to its issuance, also ~uires the applicant for such permit to file a signed statement that he ls licensed pursuant to the provisions of the Contractor's License Law fChaoter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he Is exem9.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). WORKERS' COMPENSATION Workffl' Compensation Declaration:/ hereby affirm under penalty of peljury one of the following declerstions: □ I have and will maintain a certlftcate of consent to self-Insure for woricers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. p[·1 have and will maintain wcirkffl' compenaaUon, as required by Sectioo '.3700 cit the Labor Code, for the performance of Iha Y«lrk for which this permit is issued:·My· workers' compensai i,sura~ carrier and policy oumbe<a,e, lasuraaceC<>. ::::i:oww TN':>, Polk,yNo. l,\t pq3?, IQ Z4'1 Io E,q;raoonDale -1..LJ, 1 I This section need not be completed ii the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of Iha work for which this pennil is issued, I shall not employ any person in any manner so as lo 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 fints up to one hundred thousand doNart (&100,000), in addition to the cost of compensation, damages as for In Section 3706 of the Labor code, Interest and attomey's fats. AS CONTRACTOR SIGNATURE I hmby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the strucillf8 is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo 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, howev8f, the building or improvement is sold within one year of completion, the owner-bu~der wiU have the burden of proving that he did not build or Improve for the purpose of sale). □ I, as owner of the property, am exdusively contracting wtth licensed contractors to conslruct 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 contracta(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. □ Yes □ No 2. I (have/ have not) signed an application for a bulldlng permit for the proposed work. 3. I have contracted with the folkM'lng person (firm) lo provide the proposed construction (include name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I haYtl hired the following person to coordinate, supervise and provide the major wcllk (induda name I address/ phone/ contrachn' llc8nse number): 5. I will provide some of the 'Mll'k, b I ~~;!,,~(hired) th following persons to provide the work Indicated (lociude name I address/ phone/ type of WOl1<.): _6$ PROPERTY OWNER SIGNATURE □AGENT DATE ~ z,7 /10 COM PL E T-E TH I S S E CT I ON FOR NON· R ES ID ENT I A L B U IL D I NG P E R M ITS ONLY Is lhe appHcant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention pr<qam under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ad? □ Yes O No Is the applicant or Mure building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the fadMty to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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, CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construct10n lending agency for the performance of the work ttus pemut is issued (Sec. 3097 (ij C1vH Code) Lender's Name lender's Address APPLICANT CERTIFICATION I certify that I haYe read the appllcatlon and state that the above infonnation Is correct and that the infonnation on the plans Is accurate. I agree ID comply Mtl1 all City ordinances and State laws ielatlngi:i bulldlng oonstndlon. I hereby aulhorize representalr,o ol lhe City ol Callsbad ti enter upon lhe above mentioned property ilr r,spection purpo58S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THlS PERMIT. OSHA: AA OSHA pennil is required fix excavations rMM 5'0' deep al'Kl demoiioon or ronslrucoon of structures~ 3 sb'es ii ~ti. EXPIRATION: Every pennil issued by the Building Offdal under tie pl"O'VmOS of lhis Code shall expi'e by imilatk>n and become nul and YOid W the buildilg or WOik authorized IYy sud1 permN: is nol: o:::mnenced wtil 180 days from lhe da., of such penm"' '"" <icing · by such pennl is suspended o, abandoned at any 1ml aillr lhe ...t< • carmenced ilr a period ol 180 days(Seclon 106.4.4 Uribm Buidlrg Code). A!S°APPLICANT'SSIGNATIJ DATE q/z7 b City of Carlsbad Bldg Inspection Request For: 01/07/2011 Permit# CB101761 Inspector Assignment: PY , --- Title: BELT RES-FLOOD DAMAGE REPAIR Description: REMOVE & REPLACE[DRYWALL & INSULATION AROUND ENTIRE PERIMETER OF HOUSE W/ MINOR ELECTRIC & Type:MISC Sub Type: REPAIR Job Address: Suite: Location: 1851 PENTAS CT Lot: APPLICANT WORTHING INC, B. A. Owner: BELT ADAM R&WENDY M Remarks: Total Time: 0 CD 19 Description Act Comments Final Structural _________ ¥_ _ _ __ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 11103/2010 17 Interior Lath/Drywall Act lnsp Comments AP PY Phone: 7604190766 Inspector: ---- Requested By: JOHN Entered By: CHRISTINE J. CR1017f. t