HomeMy WebLinkAbout2416 BURGOS CT; ; CB053641; Permit10-20-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No:CB05364i
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
CHAD COLTON
2416 BURGOS CTCBAD
MISC
2162403902
$0,00
Subtype:
Lot#:
COLTON RES-REPLACE ALL WOOD
SIDING WITH STUCCO-ALL 4 SIDES
OTHER
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
CHAD COLTON
ISSUED
10/20/2005
RMA
10/20/2005
10/20/2005
2416 BURGOS CT
760613-5795
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $120.00
$0.00
$0.00
$120.00
Total Fees:$120.00 Total Payments To Date:$120.00 Balance Due:$0.00
Inspector:
FINAL A
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 lees/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 feesfexactions 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLYPLAN CHECK NO..EST. VALPlan Ck. DepositValidated ByDate A'.Address (Include Bldg/Suite *)Business Nsme (at this address)Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Totel * of unitsAssessor's Parcel *Existing Use Proposed UseDescription of Work SQ.FT.#of Stories # of Bedrooms # of Bathrooms
Name Address State/Zip Telephone # Fax #
~ tf-ajsafi"*.*
(Sec. 7031.6 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 7031.6 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:
O 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.
Q 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 [91001 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 so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to sccura workers' compensation coverage la unlawful, and ahafl subject an employer to criminal penalties and dvH fines up to one hundred
thousand dollars (* 100, 000), hi addition to the coat of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE _DATE
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
Q 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 sate
(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 sele).
3 I, as owner of tha 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 p'roperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason:
1 . I personally plan to provide the major tabor and materials for construction of the proposed property improvnment. CJ 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
work): _ ___________________ _ _ - __
PROPERTY OWNER SIGNATURE
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 O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) 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 ell
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 tfjB-burtdjhg CDffitial 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 commeTCEjawipnAso 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 rammeffceirBr aperiod of 180 days (Section 106.4.4 Uniform Building Code).
APPL)CANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 03/29/2006
Permit* CB053641
Title: COLTON RES-REPLACE ALL WOOD
Description: SIDING WITH STUCCO-ALL 4 SIDES
Inspector Assignment: JM
Sub Type: OTHER
2416 BURGOS CT
Lot
Type: MISC
Job Address:
Suite:
Location:
OWNER CHAD COLTON
Owner: COLTON CHAD A&SANDRA L
Remarks: CAN YOU FINAL THIS PERMIT?
Phone:
Inspector:
Total Time:
CD Description
19 Final Structural
Act Comment
Comments/Notices/Hold
Requested By: CHRISTINE
Entered By: CHRISTINE
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
11/03/2005 18 Exterior Lath/Drywall AP JM
11/01/2005 18 Exterior Lath/Drywall CO JM LIST ON SITE