HomeMy WebLinkAbout2310 KEATS PL; ; CB031415; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 CV ..
05-14-2003 Miscellaneous Permit Permit No: CB031415
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2310 KEATS PL CBAD
MISC
2121502900
$0.00
WADE RESIDENCE
Subtype: OTHER
Lot#: 0
CREATE SHOP @ 3RD CAR GARAGE W/ELEC.
Status:
Applied:
Entered By:
Plan Approved:
ISS~i,
Inspect Area:
Applicant: Owner:
ISSUED
05/14/2003
MDP
05/14/2003
)~r5i\11e~0z,002 01.
CC,P
WADE ALLEN&BETH G REVOCABLE LIVING TRUST 08-21-0 WADE ALLEN&BETH G REVOCABLE LIVING TRUST 08-21-0
2310 KEATS PL
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $60.00
Inspector:
PERMIT
2310 KEATS PL
CARLSBAD CA 92008
Total Payments To Date: $0.00
Date:
$60.00
$0.00
$0.00
$60.00
Balance Due:
Clearance:
$60.00
at approval of your project includes the "Imposition f fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.tt 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
f I in N Tl E imilar hi r whihh a flimi tin h rvi l hrwi
50 ~ 00
PERMIT APPLICATION
CIIY OF'CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. ____ _
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date _____________ _
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
# of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone# Fax#
ll!i~W\\il:l:\•it'li:t.J,Pilit•iitord:1[1il,Aai~!l!f!lijl@i:lil!ii,i'~Gl;i:!c~n•ii0,,i01~~/i:f:for•:dii,,b~rf: ii'!,2::•.· •
State/Zip Telephone#
(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 Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
-•Pim-fflN~TrJTh:~iif,4i4'.lifid~~t;i !Ji:'.;:;,,,, -~ 'c;,,nO'C'',;,;:.q~;,;:.,'c;.•,
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.
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 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 la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), In addition to the coat of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE;__,...;,ii.in;;..s~m:;;jij,;;;;;;;;,;;.n;;;;;ii;;;;;;;:;;;:;;,;;;:,;,;;;;;;;;;;;;;;;;;:;;:;:::;;;;;:;, DATE ________ _
tJr 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 himself or through his own employees, provided that such improvements are not intended or offered for sale. lf, 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).
0 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}.
0 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. 0 YES ONO
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 I 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 / phone
number/ 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 / address / phone number / type
~;;;;;~:~~;~~tfa;~tli!aNtY:0l;efu•:a,i::/•J1:'k. :.,,,: DA~E.-. ,:c":c,:'::&:'.'-i.:..,_,<-L--'-''-'---
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 26505, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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.
'!tl!!?l;l!l'l$'!:lfaffi~fl•~11JN~~El',ll:'V1:,½,:,,,,:.:\:. :,. it:'.'·
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _
i!lf,\1mil!ttilimcunlililii.rw illit.t'1V'" J:,~::··•·
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 Citt 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 the building Officlal under the provisions of this Code shatl expire by limitation and become null and void if the building or work
authorized by such pennit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time, 1'1er the work is commenced a perio~ of 180 ;ays (Section 106.4.4 Uniform Building Code).
'-.JAPP: iCANr i SIGNATURE _ __L.~~~C:~U-4~~~&=c::_._________ DATE __,,'5,_-Lp'~~_,7,C!C'&-"<.J~--------
f' WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 06/11/2003
Permit# CB031415 Inspector Assignment:
Title: WADE RESIDENCE
Description: CREATE SHOP @ 3RD CAR GARAGE W/ELEC.
Type: MISC Sub Type: OTHER
Phone: 7606031980
Job Address: 2310 KEATS PL
Lot O -f}-Location: Inspector:
APPLICANT WADE ALLEN&BETH G REVOCABLE LIVING TRUST 08-21-0
Suite:
Owner: WADE ALLEN&BETH G REVOCABLE LIVING TRUST 08-21-0
Remarks: CELL 519-2620 -PM PLEASE 3PM
Total Time:
CD Description
4),:;~-, ~('ll'<(l.;,,'1'' ~,
Act Comment
Requested By: BETH
Entered By: CHRISTINE
17 _i_n_:r;_,r .... io~r-~~at_:_x~ryw~·-'-1----f:P----------------------
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
06/03/2003 14 Frame/Steel/Bolting/Welding AP MP