HomeMy WebLinkAbout2002 AVENUE OF THE TREES; ; CB162892; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-27-2016 Miscellaneous Permit Permit No: CB162892
Building Inspection Request Line (760) 602-2725
Job Address: 2002 AVENUE OF THE TREES CBAD
Permit Type: MISC Subtype: REPAIR Status:
Parcel No: 1562800100 Lot#: 0 Applied:
Valuation: $0.00
Reference #:
PC#:
Project Title: SHEACH: REPAIR GARAGE DUE TO
AUTO DAMAGE
Applicant:
SHEACH JEFF
2002 AVENUE OF THE TREES
CARLSBAD CA 92008
760-803-1087
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
INSPECTION
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
SHEACH JEFF
2002 AVENUE OF THE TREES
CARLSBAD CA 92008
ISSUED
07/27/2016
JMA
07/27/2016
07/27/2016
$130.00
$0.00
$0.00
$130.00
Total Fees: $130.00 Total Payments To Date: $130.00 Balance Due:
FINAL APPROVAL
Inspector: Date: Clearance:
$0.00
NJTlCE: Please take NJTlCE tta ~ d yw: ~ect ircludes tre "lrrpa;itiai' ri fees, decicaicns, resEf'Jiticns, a di-s' exa:iia1S l'1erEBter cxilectively
ret erred to as ''fees'ex:r:Dia1s." YOJ halla 00 days fran the date tlis penrit was issued to pUest irrpa;itioo d these fees'exa:iia'ls. If )OJ pUest them )OJ rrust
fdiONthe pttest I)'003Ciles SEt fath in ChierrmJt Ccxle Secti01 Em2Q{a), a1d file the jl"dest a1d any di-s' f'EQ..ired infcrm:ti01 vJth the 0ty ~fa
~rg inco::adau::evJth Qr1sb00 M..rid!B Ccxle Sectioo3.32.000. Faih.retotirrelyfdiONthct IJOOld.rewll ta anySlb;eq.Jent legal ectiootoatta:i<.
reviEMI, SEt aside, -..tid, a anJ their irrpa;iti01.
Yw ere hereby FlRTl-£R NJTlRED that yw: rigt to p-c:test the spedfied fees'exa:iia1S OC:X::S t\01' JIPPL Y to Wii.er a1d &iW!l' cxrnedia1 fees en:!~
dalges, na planrg, :zairg, gcdrg a di-s' sirrilcr ~icaioo pucessirg a servi<:e fees in cxmedioo wth tlis ~ect. I'ICR OC:X::S IT APPLY to any
~ exa:iia1S of Widl · · NJTlCE · rrilcr · s Wi lirri · · · ·
.. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH OHAZMAT/APCD
Ccityof
Carlsbad
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
STATE
FAA
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEt/SPACEI/UNITt
#BATHROOMS
ADDRESS
ZIP CITY
PHONE
EMAIL
STATE LIC. # STATE LIC.#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date SWPPP
OCC. GROUP
STATE ZIP
FAA
CI1Y BUS. 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 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 exemP.t 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
Workers' 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. D 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 workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date ________ _
~section need not be completed ~the permit is for one hundred dollars ($100) or less.
U Certificate of Exemption: I cert~ that in the performance of the work for which this permitis issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Cal~omia. 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.
65 CONTRACTOR SIGNATURE 0AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's Ucense 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 himseij 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 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).
D I am exempt under Seclion Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construclion 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 I type of work):
65 PROPERTY OWNER SIGNATURE 0AGENT
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollutbn control district or air quality management districf? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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.
Lender's Name
I certify that I have read the application and state that the above lnfonmation is conectand that the lnfonnation on the plans is accurate. I agree to comply\\ith all Cityoltllnanoes and S1ate laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property ilr 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 permtt is required for excavations over 5'0' deep and demoliOOn or construction of structures over 3 stories in height.
EXPIRATION: Every permtt issued by the Building Oflk:ial under the provisbns of this Code shall expire by linttation and become null and void ~the building or v.ork authorized by such permit is not commenced v.ithin
180 days 1i"om the date of such permtt or if the v.ork authorized · is suspended or abandoned at any time after the v.ork is rommenced for a period of 180 days (Sectbn 1 ~.4.4 Uniform Building Code).
DATE --/6
• 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 fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
DELIVERY OPTIONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER:-----------------
_.15 APPLICANT'S SIGNATURE
(Office Use Only)
CA
o ASSOCIATEDCB#------------
o NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
Inspection List
Permit#: CB162892 Type: MISC
Date H-_ln~spec!i()_'!_ltem____·~~-
08/02/2016 14 Frame/Steei/Bolting/Weldin
08/02/2016 17 Interior Lath/Drywall
Thursday, January 26, 2017
REPAIR
Inspector Act
AEK AP
AEK NR
SHEACH: REPAIR GARAGE DUE TO
AUTO DAMAGE
Comments
Page 1 of 1
PERMIT INSPECTION HISTORY REPORT (CB162892)
Permit Type: BLDG-Migrated Application Date: 07/27/2016 Owner:
Work Class: BLDG-Migrated Issue Date: 07/27/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 01/30/2017 Address:
IVR Number: 716057
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
01/25/2017 01/25/2017
January 25, 2017
BLDG-Final
Inspection
011134-2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Paul Burnette
COMMENTS
JEFF SHEACH
2002 Avenue Of The Trees
Carlsbad, CA 92008
Reinspection
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
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