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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 Page 1 of 1