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HomeMy WebLinkAbout2340 CARINGA WAY; A; CB011910; Permit05/31/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No:CB011910 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2340 CARINGA WY CBAD St: A MISC Subtype: 2152402956 Lot#: $0.00 WING RESIDENCE WATER DAMAGE REPAIR,REPLACE TUB W/SHOWER REPAIR Status: ISSUED 0 Applied: 05/31/2001 Entered By: MDP Plan Approved: 05/31/2001 Issued: 05/31/2001 Inspect Area: Applicant: WING DANA STEA 2340 CARINGA WAY CARLSBAD CA 92009 Owner: WfNGDANA STEA 2340 CARINGA WAY CARLSBAD CA 92009 0626 05/31/01 0002 01 02 CGP 69.00 Total Fees:$69.00 Total Payments To Date: $0.00 Balance Due: $69.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PLUMING PERMIT $34.00 $35.00 $0.00 $69.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. f PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 t,ORMAT C 'sj*-f*j£*A FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date r 'h, rr*" f ~~~^ ^ f Business Name (at this address)Address (include Bldg/Suite #) Legal Description Lot No.Subdivision Name/Number Unit No,Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work {FT.v *of Stories 8- # of Bedrooms # of Bathrooms Name Address >-• City 3, APPLICANT QContMOtor Q Agent for Contractor laOwriei ' ~O$ge«HorC»wtef State/Zip Telephone Fax* Name .*' _JsgNmrv OWNER Address City State/Zip Telephone # Name / Address City State/Zip Telephone # S. CONTRACTOR - COMPANY NAME * ~ -,'•-- >'rf*i ,- : , ? ' •>- -..»-' #* * ^ -> .-,>-.<•»<• •», ^ ._ f (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 # Address License Class City State/Zip City Business License * Telephone # Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. f~l 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 ($1001 OR LESS) Q 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 7./OWNER-BUILDER DECLARATION " f -, J „ <r y^ I Iwreby affirm that I am exempt from the Contractor's License Law for the following reason: [3 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 of proving that he did not build or improve for the purpose of sale). Q 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 pursuent to the Contractor's License Law). O 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. Q 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 portionslbf the work, but I have number / contractors license number): 5. I will provide some of the work, but I have c of work): _ ed the follov i to coordinate, supervise and provide the major work (include name / address / phone ROPERTY OWNER SIGNATURE •gffi '(hired) Tne foll/ving persons to provide the work indicated (include name / address / phone number / type J*r ^L DATE 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? Q YES Q 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES D 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» CONSTRUCTION LENDING AGENCY -' , • jfV: •--,-> :-r^ ' ' 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 LENDER'S ADDRESS 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 City 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 the 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 fora-perjod of 180 days (Section 106.4.4 Uniform Building Code). DATE J~^~ 7/ —PPLICANT'S SIGNATURE -^ZL- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/25/2001 Permit* CB011910 Title: WING RESIDENCE Description: WATER DAMAGE REPAIR.REPLACE TUB W/SHOWER Inspector Assignment: RGB Type:MISC Sub Type: REPAIR Job Address: 2340 CARINGA WY Suite: A Lot 0 Location: APPLICANT WING DANA Owner: Remarks: AM PLEASE 760-931-7625 Phone: 7608051122 Inspector: /}C/*> Total Time: CD Description 68 Fireplace/Tie Straps Act Comments Requested By: N/A Entered By: ROBIN Associated PCRs Inspection History Date Description Act Insp Comments 06/06/2001 14 Frame/Steel/Bolting/Welding AP RC 06/06/2001 24 Rough/Topout AP RC