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 - - '• -
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PAGE H 3 - LAST
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