The URL can be used to link to this page

Home My WebLink About2405 LA MACARENA AVE; ; CB993892; Permit11 City of Carlsbad 10/23/1999 Miscellaneous Permit Permit No:CB993892 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 438-3101 2405 LA MACERENA AV CBAD MISC Subtype: 2550704600 Lot #: $0.00 INSTALL 3 SKYLIGHTS OTHER 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/21/1999 RMA 10/21/1999 10/21/1999 RB Applicant: CAHEY, BRIAN BELL LAWRENCE D&CYNTHIA A 3048 VIA MARIPOSA CARLSBAD, CA 92009 Total Fees: $90.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES 2405 LA MACARENA AVE CARLSBAD CA 92009 Total Payments To Date: $90.00 PERMIT FEE FINAL APPROVAL Balance Due: $90.00 $0.00 $90.00 $0.00 Inspector: Date: I tJ-;zs-,._f <;J 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 vou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exoired. FOR OFFICE USE ONLY t:f1~~i PERMIT APPLICATION PLAN CHECK No.C13qC, 3f11-.., CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL.---------.,..,.. Plan Cit. Deposit o/ 0 1. PROJ&CTINFORMATION ;2.'10S lo.. Mc.,£.c.. ... ('e,.;,,.~ Addren !include Bldg/Suite I) ~ p .,_ Buslneu Name jet this addreul Legel Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II ot units Assessor's Parcel II Existing UH Proposed Use /.-,J '"Y::::' \ 3 Description of Work SQ. FT. lof Stories I of Bedrooms II of Bathrooms 2. CONTACT PERSON llt-----") Name AddlNS QAgentic<Controctar 3 () '"' f'J '\J \ L-,.. City Telephone II Fax# 3. APPLICANT C.., .,!o. ..._ Neme .Q-eamractor 4. PROPERTYOWNER O t>wner O t,Qlnt for 0wMr \t,.(o~hA Address City s Ml; ( ti B Q 2 '1.; !> Lc,,. !'.\l& 1 u( '" '-' Name AddrNI City I. CONTRACTOR• COMPANY NAME G-PRMT 9c,,,oo State/Zip Telephone# State/Zip Telephone II 1sec. 7031.5 Business and Profea■ions Code: Any City or County which requires a permit to construct, altar, improve, demolish or repair any structure,_ prior to its issuance, also requires the applicant for such ptrmit to file a aigned at■tement that he is licensed pursuent _10 the provisions of the Contract~r·s License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Profusions Code) or that he 11 exempt thetetrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any IPPlicant for a permit subjects tha applicant to a civil penalty of not more than five hundred dollars lt500l). C "'-" ½ ') C' '1 'o -i ;<.,.. .,_ c .. , .. n " c ,h,... l 1.;.. ( .i ..J .M..-'1 '-,.., '1 ~ Name Address City State/Zip Telephone # State License # _________ _ License Clan ________ _ Citv Business Ucen11 I _______ _ Designer Name Address City State/Zip Telephone State License # ________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I hive and will maintain a c1rtifiC1ta of con11nt to self-ins~r• for workers' companHtion II provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~I have and will maintain workers' compen11tion, as required by Saction 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 (5lc'{T C J-....1 ,·, Q Policy No. D '-4_ b · 'i S Expiration Date Jc/ Z I { "i S ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1,.1001 OR LESS! O 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 ao as to become subJect to the Workers' Compeniltion Laws of California. WARNING: Failure to sacure workan' compenutian coverage I• unlawful, and lhaN subj1C1 ■n employer to criminal penelttes ■nd civil fines up to one hundfed thou1■nd dollars 1$100,000), In addition to the coat of compen-■tlon, d■m■gu •• provided for in S.ctiol'I 3708 of the Labor code, lmerest and ■ttomey'a feu. SIGNATU.RE ~~ ( v--DATE / ll .I. 1 ' ', "1 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following ,aason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structu,e is not intended or ottered for sale !Sec. 7044, Business and Profes■1ons Code: The Contractor's License Law does not apply to ■n owner of propeny who builds or improves thereon, and who does such work himself or through his own employees, p,ovided that such improvements are not intended or offered for ute, If, however, the building or improvamen~ 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 .. le). D I. as owner of the propeny, am exclusivaty 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 contractorls) licensed pursuant to the Contractor'• License Lewi. 0 I am exempt under Section ______ Business end Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person ffirml 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 __________ _ COMPLETE THIS SECTION FOR NOIUIESIDEN11AL BUILDING PERMITS ONLY Is the applicant or future building occupant requir•d to submit a bldinHs plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25605, 26533 or 25534 of the Presley,, Tanner Hazardous Substance Account Act1 0 YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district ~r air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO ' IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APFUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENcY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097W Civil Code). LENDER'S NAME ____________ _ LENDER'S ADDRESS _______________________ _ 9. APPLICANT CERTIFICATION I certify that I have reed 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 th• Citt of Carlsbad to enter upon the above mentioned propeny for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5•0• deep and demolition 01 construction of structures over 3 stories in height. EXPIRATION: Every permit isaued by the Building Official under the proviaions 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 365 days from the data of such permit or rf the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ -..-1. C: ,.___.__ DATE / 0 • .l. / .. ~ 5' ;, City of Carlsbad Inspection Request For: 10/22/99 Permit# CB993892 Title: INSTALL 3 SKYLIGHTS Description: Type:MISC Sub Type: OTHER Job Address: 2405 LA MACERENA AV Suite: Lot O Location: APPLICANT CAHEY, BRIAN Owner: BELL LAWRENCE D&CYNTHIA A Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7605913123 Inspector: 12-fi ---- Requested By: BRIAN Entered By: CHRISTINE 14 Frame/Steel/Bolting/Welding tJ.E_ ___________________ _ ~----L _______ _ Inspection History Date Description Act lnsp Comments \