HomeMy WebLinkAbout2255 NOB HILL DR; ; CB100655; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-15-2010 Miscellaneous Permit Permit No: CB 100655
Building Inspection Request Line (760) 602-2725
Job Address: 2255 NOB HILL DR CBAD
Permit Type: MISC
Parcel No: 1671121800
Valuation: $0.00
Reference #:
PC#:
Subtype: OTHER Status: ISSUED
Lot #: 0 Applied: 04/15/2010
Entered By: RMA
Plan Approved: 04/15/2010
Issued: 04/15/2010
Inspect Area:
Project Title: BLAKE RES-REMOVE DROP PORTION
OF CEILING IN KITCHEN-RE-DRYWALL, INSTALL UNDER
Applicant: - Owner:
HUNTINGTON BEACH CABINETS BLAKE JOHN A&PATRICIA M
2255 NOB HILL DR.
19301 JERRILYN LN 92646 / - .- -
" CARLSBAD CA 92008 /
714 965-8475
Miscelaneous Fee #1 PLUMB/ELECT '- -' $47.00
Miscelaneous Fee #2 . N DRY WALL \ '-' $65.00
Additional Fees '.' / '\ -'7 $0.00
TOTAL PERMIT FEES -'-- _—,.-;/ ¶.$112.00
/
- I
-,
-
Total Fees: $11200 Total PaymentêTo Date: - - $112.00 Balance Due: - - $0.00
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\ INCORPOR1-TEO / 192
I 1'
I Insoector:
FINAL APPROX/AL
____________ Date: %~. 10 Clearance:
NOTICE: Please take NOTICE that Ppproval of your project includes the "lmpsition" 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
C,~— - -- Plan Check No.
uiIaing Permit Application f..J tVV'_/
'7 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
CITY OF 760-602-2717/2718/2719 -
Fax: 760-602-8558 Plan Ck. Deposit CARLS8AD Date ( 'JOB ADDRESS ADDRESS SUITE#/SPACE#/UNIT# APN 2..5&oe ST/PROJECT # J
LOT C PHASE C U OF UNITS # BEDROOMS U BAThROOMS. TENANT BUSINESS NAME (X)NSTR. TYPE [OOr. GROUP
DESCRIPTiON OF WORK: Include Square Feet olAffected Area(s)
L\CflQ!I JflbC r) fl
i(.,5w ('4AUL-s (AoU- LdA Ltkk
cqtj( kLi
PROPOSED USE GARAGE (SF) PATIOS (IF) DECKS (SF) FIRER CE AIR CONDITIONING FIRE SPRINKLERS EXISTING USE V1
YES D #_ NOD YES D NO P YES 0 NOD
CONTACTNAME mAppil APPUTNAME
ADDRESS.
%t er'r,,ktt 14 :
ADDRESS -
(.
Cl ATE ZIP
tk1L cj& aL L CITY STATE ZIP
PHONE FAX PHONE
EMAIL
'i ,Jer C.Ov1A
EMAIL
tROPERTY OWNER NAME NTRACTOR BUS. NAME
ADDRESS
Zzcc , UJ
ADDRE
\
CITY STATE ZIP CITY STATE ZIP
cj
PHONE FAX PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME& ADDRESS STATE UC. U STATE UC.# CLASS Ifi1TY BUS. UC.# BZ-SZ *
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit
applicant for such permit to file a signed statement that he is licensed pursuant to the pr
Business and Professions Code) or that he is exempt therefrom, and the basis for the alk civil penalty of not more than five hundred dollars ($500)).
®D(2(D°
Workers' Compensation Declaration: thereby affirm unde..... lty of perjury one of the following declarations:
I have and will maintain a certificate of consent toseif-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.
0 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 center and policy
number are: Insurance Co. Policy No. Expiration Date
ibs section need not be completed if the permit is for one hundred dollars ($100) or less.
Certificate of Exemption: I certify that in the performance of the work for which this permit is lssued,l 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, dam a s as provide for in Section 3706 of the Labor code, interest and attorney's fees.
CONTRACTOR SIGNATURE
.-
• DAGENT
-
DATE
•
thereby affirm that tam exempt from Contractor's Ucense Law for the following reason: .
C) 1, as owner of the property or my employees with wages astheirsole 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).
-
C) 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 contractors) licensed pursuant to the Contractor's License Law).
C) I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property Improvement C) Yes C) No - - -
2.t(have Ihave not) signed an application for a building permit for the proposed work. -
I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number):
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! phone! contractors'license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address ! phone !type of work):
"PROPERTY OWNER SIGNATURE - OAGENT DATE -
to construct, alter, improve, oemoiisn or repair any structure, prior to its issuance, also requires me ovislons of the Contractor's License Law (Chapter 9, Commending with Section 7000 of Division 3 of the rged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a
lwop(~qoj?)O 9G€?0 (®(1J ® @aO1O OQ)Ot)dDOiJ@ LIJO ()M
Is the applicant of 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? C) Yes C) No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airqualily management district? C) Yes Cl No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl 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.
()U{J@ IE1?77777
I hereby affirm that there is a construction lending agency for the performance of thework this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
G0GA131)' O1?O
IcertithatIhave read the application and statethatthe above Information Is cenectand thatthe Information on the plans Isaccumte. lagme to complywith all City ordinances and State laws relalfngto bulldlngconstniction.
I hereby authorize representative of the City of Carlsbad to enter upon lheèbove mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARL SBAD'
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID dIV INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA. An OSHA permit is required for excavations over 5)' deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under the provisio of this Code shall expire by limitation and become null and void it the building or work authoredby such permit is not commenced withb1
180 days from the date of such permit or if the budding or work authorized by sych permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106AA Uniform:Buildling Code).
'APPLICANT'S SIGNATURE /j-_._.._(!k DATE
City of Carlsbad. Bldg Inspection Request
For: 05/27/2010
Perrnit# CB100655 Inspector Assignment: PY
Title: BLAKE RES-REMOVE DROP PORTION
Description: OF CEILING IN KITCHEN-RE-DRYWALL, INSTALL UNDER
CABINET LIGHTS, 5 NEW FLORESCENT CAN LIGHTS,
1111^% 00 IFS#'III 0111W All I !j'%LI-rVb II
Type: MISC Sub Type: OTHER
Phone: 7145806221
Job Address: 2255 NOB HILL DR
Suite: Lot: 0
Location: Inspector:
OWNER BLAKE JOHN A&PATRICIA M
Owner: BLAKE JOHN A&PATRICIA M
Remarks:
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
Requested By: MARK
Entered By: CHRISTINE
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lnsDection Histo
Date Description Act Insp Comments
04/20/2010 17 Interior Lath/Drywall AP PY
04/16/2010 14 Frame/Steel/Bolting/Welding AP PY
04/16/2010 16 Insulation AP PY
04/16/2010 24 Rough/Topout AP PY
04/16/2010 34 Rough Electric AP PY
HUNTINGTON BEACH
CABINETS
15401 Chemical Lane
HUNTINGTON BEACH, CA 92649
(714) 968-8475
JOB _L-A 2Z Io
SHEET NO. . OF_____________________
CALCULATED BY______________________ DATE___________________
CHECKED BY ,DATE
SCALE .
P PRODUCT 207