HomeMy WebLinkAbout2405 MARK CIR; ; CB141672; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-14-2014 Miscellaneous Perm it Permit No: CB 141672
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2405 MARK CR CBAD
MISC
1671604100
$0.00
Subtype: OTHER Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: BASHORE-MISC ELECTRIC FOR
LIGHTING/ MOVE GAS STUB FOR STOVE/ ENCLOSE WALL
Applicant: Owner:
WORTHING INC, B. A.
STE G
BASHORE BRIAN A&SUSAN
640 GRAND AV
CARLSBAD CA 92008
760-729-3965
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $196.00
Ins ector:
2405 MARK CIR
CARLSBAD CA 92010
INSPECTION FEES
PLUMB/ELECT
Total Payments To Date: $196.00
FINAL APPROVAL
Date: f-~ -19'
Balance Due:
Clearance:
ISSUED
07/14/2014
LSM
07/14/2014
07/14/2014
$130.00
$66.00
$0.00
$196.00
$0.00
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, yoi.J 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 s/ x cti n of which hav r vi I be n iv n N E imil r to i hi h s le of Ii ita i n h s r via I olh iwi x ir
~ «"~!£> Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 /2718/2719
Plan Check No. G,f;, { Lf I Ip 1
~ CITY OF
CARLSBAD
JOB ADDRESS -z
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Est. Value
Plan Ck. Deposit
Date 7
CT/PR JECT # # OF UNITS # BEDROOMS # BATHR MS TENAl'll BUSINESS NAME CONSTR. TVPE OCC. GROUP
DESCRIPTION Of WORK: Include Square Feet of Affected Atea(s)
tvi I s etd-rCG-ti ve.
EXISTING USE GARAGE (SF)
T NAME (If Different Fo
RC:C>KS
PATIOS (SF) DECKS (Sf)
APPLICANT NAME s
ADDRESS
-Po-"""E:ox:
FIREPLACE
YES □#_ NO □
ID4-\
AIR CONDITIONING
YES O NOD
FIRE SPRINKLERS
YES O NO □
(Sec: 7031.5 Business nd P_,ofes~ions Co e: Any City or Coun_ty which requires a permit to construc.t1_ alter, Improve, demolish or r~air any structure, prior to its issuance, also requires the applicant for such per to file a signed stalement that he Is licensed pursuant to the provisions ohne_Contrector's License lawjChepter 9, commendinl! with Section 7000 of Division 3 of the Business end Professions Code) or [hat he Is exempt therefrom, end the basis for the alleged eitemption. Ally violation of Section 031.5 by any appllcanffor e permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
?~ .• , ~-~_1£..:.~,~M~~··.
Workers' Compensation Declaration:/ hereby affum under penalty of perjury one of lhe following declarations:
D I have and wlll maintain a certificate Of con&enl to self-Insure for workers' compensation as provided by Section 3700011h11 Labor Code, for the performance of the work for which lhls permit is Issued.
'pz{ I have and will maintain worker.Ii' c()moam1.atlon. as reQuirad by Sectio!_l 3~00oftl!!_Labor Code. for the performance of the work for which lh!s permit ls Issued. My wockers' compensation lnsuranpe carrier and policy
numbe'8re il5"rancaCo 2f14·te ( "°"'°~~ON TN 7 h)('id ~Q\);}.'f;).'7 l{ 1// · _ 1/, .· ·
This sec6on need not be compleled Hlhe permit Is for;; h~Mi"red dollars ($100) or less. if / t5 D Certificate of Exemption: I certify that in the perfoITT1a11CE1 of the work for which this permll ls Issued, I shall not elJllloy eny person In any manner so as to become' su6j8Ct lo1fie Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and 1hall subject an employer to criminal panalUes and clvlt fines up to one hundred thousand dollars {& 100,000), In
addition to the cos! of compensation, da vlded f In Sect on 3706 of the Labor code, interest and attorney's fees,
~ CONTRACTOR SIGNATURE O AGENT DATE
I hereby affirm Iha/ I em exempl from Contractor's Ucense Law for lh fo/lowi reason: □ I, es owner of lhe property or my employees with wages as their so e compensation, will do the wort and the Slructure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlracto(s
License Law does not apptt to an owner of property who bullds or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not intended or offered !or
sale. If, however, the building Of improvemenl is sold within ooe year of completion, lhe owner-bullcler wUI have the burden of proving lhal he did not bulld or Improve for the purpose of sale).
□ I, as owner of Iha property, am exclusively contracting with licensed contraciors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of
property who builds 01 improves thereon, and con1racts for such projects with contraclor(s} licensed pursuant lo the Contractor's License Law).
□ I am exempt under SecUon _____ .Business and Professions Code ror this reason:
1.1 personally plan to provide the major labor and materials for consl!uction of 1he proposed property improvement. □ Yes □ No
2. I (have/ have not) signed an application !or a building permit for lhe proposed work.
3. I have contracted wi"lh the following person (firm) to provide lhe proposed construction (Include name address/ phone /contractors' license number):
4.1 plan to provide portions of the work, but I have hired lhe following person to coordinate, supervise arid provide Iha major work (include name I address I phone/ contractors' ficense number):
5. I will provide some of the work, bul I have contracled (hired) the following persons to provide the work Indicated {Include name I address/ phone/ type of work);
,£S PROPERTY OWNER SIGNATURE □AGENT DATE
Is lhe applicant oi future buil~ng occupant required lo submit a business plan, acutely hazardous materials reglstraUon form or risk management and prevention program under Seclions 2~. 25533 or 25534 ol lhe
Presley-TeMer Hazardous Substance Account Act? □ Yes D No
ts lhe applicant or future buUding occupant required to obtain e permit from lhe air pollullon control district or air quality management disltlcl? □ Yes □ No
Is tile facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes □ 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 A.IR POLLUTION CONTROL DISTRICT.
I certify that I have read the appllcatlon and stabl that the above Information Is correct and that the lnfunnatlon on the plans Is accurate. I agree to comply with atl City ordinances and State \8YtS relating to bullding ~.
I hereby au!uize represenlawe ol Ile Cly ol Carlsbad ll enter upon tie above rronli:>ned property fer i1specliln purpo,es. 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 ACCRUEAGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrr.
OSHA: AA OSHA permit is requied for excavations over 5'0' deep and dem::ilition or oonslrucOOn of struaJres over 3 stories ri height
EXPIAATION: Every permit issued by the Buildirg Offdal under the provisions of t1is c:ode shalt expie by rmilalion and become ool and voKi ff t.e lxlidi,g or work aufnized by SI.di penn1 is nola:mrnenced 'Mttwl
180 days from lhe deteofsuch pemitorf lhebuidinga v.oi'klWlhorlzsd by suchpemiil is suspended or abandoned at any line after the work is coovnencedfOf a period of 180days (sedbn 106.4.4 Unibm Buikina Code).
_,6! APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB141672
Date Inspection Item
09/04/2014 19 Final Structural
09/04/2014 19 Final Structural
07/16/2014 84 Rough Combo
Friday, September 05, 2014
Type: MISC OTHER
Inspector Act
RI
PB AP
PB AP
BASHORE-MISC ELECTRIC FOR
LIGHTING/ MOVE GAS STUB FOR STOVE/
Comments
Page 1 of 1
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@) INTERIOR PARTITION DETAIL
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