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HomeMy WebLinkAbout2311 DANA CT; ; CB031130; Permit06-23-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB031130 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # 2311 DANACTCBAD MISC 1675322900 $5,00000 Subtype OTHER Lot# 0 BETJttQMANN RES UPGADE TO 200 \MPS, REPLACE WINDOWS, ADD ISLAND SINK & CAN Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/18/2003 MDP 04/18/2003 04/18/2003 RB Applicant KAMAR BUILDERS INC -S25-CARLSBAD~VILLAGE DR CARLSBAD, CA 92008 619-729-7911 Owner BEULIGMANN STEVEN A TR&BEULIGMANN JULIE A TR 2311 DANACT CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PLUM & ELEC WINDOWS/ RE ISSUE $6200 $121 00 $000 TOTAL PERMIT FEES $18300 Total Fees $18300 Total Payments To Date $122 00 Balance Due $61 00 5027 06/23/04 0002 01 02 CGF" 61-00 RANGE SIGNATURE 04-18-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB031130 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2311 DANA CT CBAD MISC 1675322900 $5,000 00 Subtype OTHER Lot# 0 BEULIGMANN RES UPGADE TO 200 AMPS, REPLACE WINDOWS, ADD ISLAND SINK & CAN Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/18/2003 MDP 04/18/2003 04/18/2003 Applicant KAMAR BUILDERS INC 325 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-7911 Owner BEULIGMANN STEVEN A TR&BEUJJGIj 2311 DAN ACT CARLSBAD CA 92008 \NNJULIEATR 'xS/03 0002 Oi 02 122=00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PLUM & ELEC WINDOWS S6200 $6000 $000 TOTAL PERMIT FEES $12200 Total Fees $12200 Total Payments To Date $000 Balance Due $12200 r HAS EXPIRED IN ACCORDANCE WITH U.BA fc ,jN 106.4.4 D t^i^JUiV—SIGNATURE _0i Inspector FINAL APPROVAL Date 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 : PROJECtsiNFQRMATION .3 3 / / DAr* CT. FOR OFFICE USE ONLY PLAN CHECK NO FV*/* EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description 00 Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use SOFT "Z^d0 * #0f stories Proposed Use Description of Work ff of Bedrooms # of Bathrooms Name Address O'Owner Name i4 iPftbPERTrOWNER.x C 1-: .<? .M^ Address City Agent for Owner '•'-•': C r~> City State/Zip Telephone 2-3/y Name Address City State/Zip Telephone # !'6^-icbWRS^ 'X..V.-i-L';',".-,i;^ ..'!." L-~. ."'I- :?;:."• -Y.J, ",'••., VI- -.;,-: ...... •." (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 [$500]) Name State License # M ^ 9> 5> 2- f? Address License Class City State/Zi| City Business License # Telephone Designer Name Address City State/Zip Telephone State License # [6 WORKERS' COMPENSATION •" : . . ':: AF- .^-^'^..i •' J"~ ' '. "' ' ; "^i .M::.'-:' ' !:.JK,. .'I Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations &T\ 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 (U 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 S'T^'TV ClSl/P Policy No i(^0/^ // *~ C/ <- Expiration Date ^ ^ ~~ ' ~ & > (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) [~| CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($JQO 000), in aMitdn to the ribst of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees I hereby affirm that I am exempt from the Contractor's License Law for the following reason l~l 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 If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden ofproving that he did not build or improve for the purpose of sale) l~l 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) "~--,..__l~l 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 fJ YES QNO 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 / 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 of work) PROPERTY OWNER SIGNATURE DATE CT '.I'ti; . ~J~=. . .'1."...,l.CJw :.;..- ": , !'.', . -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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? C] YES CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~1 YES l~l NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? O YES fj MO 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.^&QNstRuctw .;:a:-;r::;i.;-r:-::- ;;^v :,;:*;&:,:•• ." ...... •• t-7:. : '•- t "••;>,. ? ,~ .- 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 ADDRESSLENDER'S NAME |9 .-;;APPLICANt£ CERTIFICATION '-.;.. -I,. ;>. „,. ^ : .^' '.l^f ,. :., ,....j|fi ''.*_ ."'KC „ ., ........ ,,,„., "I . "..... . JPf ^ °': r „ ,•„ •;».% ^?- -;,..,. T 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 the building 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 commenced within 180 days from tjje date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a penad oH80 cMys (Section 106 4 4 Uniform Building Code) DATE ^ ~ / P' ^3 __APPLICANT'S SIGNATURE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/13/2004 Permit* CB031130 Title BEULIGMANN RES UPGADE TO 200 Inspector Assignment RB Description AMPS, REPLACE WINDOWS, ADD ISLAND SINK & CAN LIGHTS Type MISC Sub Type OTHER Job Address 2311 DANACT Suite Lot 0 Location Inspector OWNER BEULIGMANN STEVEN A TR&BEULIGMANN JULIE A TR Owner BEULIGMANN STEVEN A&JULIE A TRS Remarks AM PLEASE Phone 7605197775 Total Time Requested By MARTY Entered By KAREN CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical omment Associated PCRs/CVs Inspection History Date 05/15/2003 05/15/2003 05/13/2003 05/13/2003 05/13/2003 05/13/2003 05/09/2003 04/25/2003 04/25/2003 Description 17 18 14 24 33 34 14 21 22 Interior Lath/Drywall Exterior Lath/Drywall Frame/Steel/Boltmg/Welding Rough/Topout Service Change/Upgrade Rough Electric Frame/Steel/Bolting/Welding Underground/Under Floor Sewer/Water Service Act AP AP we AP PA AP AP AP we Insp JE JE RB RB RB RB RB RB RB Comments 1106-H4 OK TO SET METER - RECALL FOR FINAL FOR WINDOW CHANGE OUT FOR ISLAND SINK CITY* ELECTRIC AND GAS METER CLEARANCE INTER-DEPARTMENT ADDRESS: -f _stt> S E O Service Equipment Only Reason, If Denied ELECTRIC METER GAS METER COMMERCIAL RESIDENCE NEW SERVICE RELOCATE TSPB TEMP P/P UP-GRADE TEST METER IRR PEDESTAL COMMERCIAL RESIDENCE TEST METER Building Inspector Signature QlO CallecTTn By YES NO YES NO YES NO Date Time Date Time Called In To STATE COMPENSATION INSURANCE FUND 3 SD R & WORKERS' COMPENSATION INSURANCE PAYROLL REPORT 4 0 OJ3O~ST&-CL£5 9 1 0 2_0_9_0 00160759100201030301037003060 KAMAR BUILDERS, 325 CARLSBAD VILLAGE DR STE C2 CARLSBAD, CALIF 92008 GROUP POLIO 1607591 - 02 0 C 3 0 6 0 PAYROLL PERIOD 2/01/03 TO 3/01/03 104 C~ECS »;/ ."-• :-:c;-i; FOR ADDRESS CHANGE SEE INSTRUCTIONS ON EACr. II zero payroll wr.ie NONE on all pages5 •.,': Df!c <=nc .-aiuin <iii Doges DO NOT PERFORATE SD R i ADDRESS CITY STATE KAMAR BUILDERS, INC 020103 030103 1607591 02 C '.. A S S 9 CODE: NO 5633 5645 5697 6307 6308 6315 63 16 6218 6220 DESCRIPTION OF WORK DONE SEE REVERSE IF ADDITIONAL CLASSIFICATION NEEDED STEEL FRAMING WAGES PAID FROM $22 00 PER HR CARP ENTRY -RESIDENCES WAGES PAID TO $21 99 PER HR CARPENTRY -RESIDENCES WAGES PAID FROM $22 00 PER HR SEWER CONSTRUCTION WAGES PAID TO $21 99 PER HR SEWER CONSTRUCTION WAGES PAID FROM $22 WATER OR GAS MAINS WAGES PAID TO $21 99 WATER OR GAS MAINS WAGES PAID FROM $22 EXCAVATE/LAND LEVEL WAGES PAID TO $23,99 EXCAVATE/LAND LEVEL WAGES PAID FROM $24. 00 PER HR PER HR 00 PER HR PER HR 00 PER ,HR 9009 BLDG/COMMER QTHER EE / 9011 APT/CONDO OTHER EE^^X Itemise payroll below YOUR POLICY WILL only for corporate BE SUBJECT TO officers aeneral part- ners LLC'members or CANCELLATION IF relatives (farm only) THIS REPORT AND not excluded by PAYMENT ARE NOT PAYROLL Or EMPLOYEES i i i i ii ; / y f y : V , ;v_y ; 1 ! 1 1 1 1 ' , OVERT, ME , EXCESS S l TOTAL S c 1L •'-•••PAYROLL 5 O i RECEIVED BY 3/1 1/03 • NTERiM RATE 19 36 54 88 ~~E\"'.V ML'L " :?L • ;- - - ; :. : ' _- R ^ i E i -i E '• ~j ' r : r. ~0 CJETEKiVi !.••.'£ -:-••• .' ;._ 19 36 ^- '• >"'32 :w" ^ 15 94 25 07 16 41 24 87 10 42 10.69 18. 87 i CROSS PREMIUM S MODIFICATION « » • >. CHECK MUST BE ENCLOSED FOR THIS AMOUNT i\ --. M ::TITLE DESCRIPTION OF WOFJK DONE CODE NO PAYROLL ! ,i 1 A t k i s = - • = : .. r- : -_-._ nil employees (including unlicensed contractors or contractors without WC coverage) during the period c WILLFUL UNDERREPORTING OF SUCH AMOUNTS IS A VIOLATION OF CALIFORNIA FRAUD STATUTES SiG1- (•; - IV ;, , .. „ f ~TUPE -p. INC E - f' • / ' ~ •) -: Q Cc PE REPOR -vDDRE •; '-i. i •"*• w 1 RSON - '1, ~ »• / ' SS WHERE C 'i/' -, ^! 'A'-S /'//:,^1^ PAYROLL RECORDS /' 2 ( ..'/tV ARE .^> .; Tl7L,r AREA fJ-'L^ 70 KEPT dncluaq ZIP CODE ) '.>" ( •-, ? i- '- L CODE ^ PHONE >-C^. j - - '• - \ "• ', PAGE H 3 - LAST o —0 ,t-t- ? A <e> 2. u '0) 4-•=5 11 AO ft- A