HomeMy WebLinkAbout2154 CORTE CIDRO; ; CB030761; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-14-2003 Miscellaneous Permit Permit No CB030761
Building Inspection Request Line (760) 602-2725
Job Address 2154 CORTE CIDRO CBAD
Permit Type MISC Subtype OTHER Status ISSUED
Parcel No 2552501400 Lot# 0 Applied 03/14/2003
Valuation $3,12500 Entered By SB
Reference* Plan Approved 03/14/2003
Issued 03/14/2003
Project Title HESTER RES FIREPLACE /BBQ Inspect Area
GAS /ELEC TO BOTH
0437 03/14/03 0002 01 02
Applicant Owner CGP 136-00
HESTER GREGORY B®INA M HESTER GREGORY B®INA M
2154 CORTE CIDRO 2154 CORTE CIDRO
/ CARLSBAD CA 92009 CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
PERMIT FEE
GAS/ELEC
$8900
$4700
$000
TOTAL PERMIT FEES $13600
Total Fees $13600 Total Payments To Date $000 Balance Due $13600
JT FINAL APPROVAL
Inspector — Date ^Mfl^-/^ Clearance
NOTICE Please take NOTICE that 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 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 follow 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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK
EST VAL
Plan Ck Deposit
VahdatefLBv
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor s Parcel #Existing Use Proposed Use
SQ FT # of Bathrooms
2 CONTACT PERSON (if different from applicant)
Name Address
3 APPLICANT"" Q Contractor Q Agent for Contractor
City
3wneri*': Q Agent for Owner
State/Zip Telephone #Fax*
Name
4 PROPERTY OWNffe
Address City State/Zip Telephone #
Name Address City State/Zip Telephone #
"SK5 CONTRACTOR - COMPANY NAME " ° "' ••• 2;nH:" . --.f^;" ::°-\:;.rI •-,•
(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 !$5001)
Name
State License ff
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name Address City State/Zip Telephone
State License #
'&••.- WORKERS'iCOMPENSATION • .:": "" ....-ii *:
:, j;?s::""" ,.= :•• '":: ' ; ;j s>-ihE^aSSpr'"'"
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
fj] 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 worker's compensation insurance carrier and policy number are
Insurance Company Policy No Expiration Date
(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
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
SIGNATURE DATE
JPWNER-BUILDER DECLARATION ... off*"''"* , H* • ' "^ •,;"•" ^ ., ,•
r\ hereby affirm that I am exempt from the 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 structure \s not intended or offered for sale
/TSe'c 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)
f_] 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)
G 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 Eo YES I~|NOJT"N^
2 I (have / 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 / phone number / 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 / address I phone
number / contractors license number)
5 I will provide some of the wo(k, but ^h^ve ccjitractedjhired) the following persons to provide the work indicated (include name / address / phone number / type
, of work) "
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR WOW-B£S/dfAfTMiiBUlLbiNG 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 Act? l~| YES l~l NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' O 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 ili CONSTRUCTION LENDING AGENCY ' !)r:::"' J;§P.:' • . """" "^ ^ '•'"
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code)
LENDER'S NAME LENDER S ADDRESS
9'-i: APPLICANT CERTIFICATION, '""""Z "1 ":••-• ,.rf:: -:"T' •• ' -••' '" :-?v • * ~
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 CitV 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 theVbuildmJ Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not aAnmeAcea within|180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
x at any time after the work is comrr\e^\dVorHJp&-iqdJbfJ£bLdays4Section 106 4 4 Uniform Building Code)
^APPLICANT'S SIGNATURE /^WyV^/iA ;N
WHITE File YELLOW Applicant PINK Finance
Inspection List
Permit* CB030761 Type MISC OTHER
Date Inspection Item
10/21/2003 29
10/21/2003 68
08/01/2003 29
08/01/2003 39
03/26/2003 68
03/20/2003 11
03/20/2003 23
03/20/2003 31
03/19/2003 11
03/1 9/2003 23
03/19/2003 31
03/19/2003 68
Final Plumbing
Fireplace/Tie Straps
Final Plumbing
Final Electrical
Fireplace/Tie Straps
Ftg/Foundation/Piers
Gas/Test/Repairs
Underground/Conduit-Wirm
Ftg/Foundation/Piers
Gas/Test/Repairs
Underground/Conduit-Wmn
Fireplace/Tie Straps
Inspector Act
JM
JM
PY
PY
PY
PY
PY
PY
PY
PY
PY
PY
Fl
Fl
AP
CO
AP
AP
AP
PA
PA
NR
PA
we
HESTER RES FIREPLACE /BBQ
GAS /ELEC TO BOTH
Comments
NEED GFI
FIRE PLACE
CONDUIT ONLY
FIREPLACE FOOTING
CONDUIT ONLY
Tuesday, October 21, 2003 Page 1 of 1
UNSCHEDULED BUILDING INSPECTION
DATE /Gfl<tff)3 INSPECTOR
PERMIT # (V PLAN CHECK #
ADDRESS
DESCRIPTION
CODE DESCRIPTION ACT COMMENTS