HomeMy WebLinkAbout2435 BADGER LN; ; CB043421; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
09-01 -2064 Patio/Deck Perm it Permit No: CB043421
Job Address:
Permit Type: PATI 0 Status: ISSUED
Parcel No: 2091105500 Lot#: 0 Applied: 08/31/2004
Valuation: $1,458.00 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 08/31/2004
Issued: 08/31/2004
Project Title: BENGTSON RES-I82 SF PATI0,GAS Inspect Area:
Plan Check#:
2435 BADGER LN CBAD
TO BBQ & FIRE PIT,ELECT TO BBQ
Applicant:
BENGTSON SHAWN
2435 BADGER LN CARLSBAD CA 92008
Owner:
BENGTSON SHAWN
2435 BADGER LN CARLSBAD CA 92008
Building Permit
Add'l Building Permit Fee Plan Check
Add'l Plan Check Fee
Strong Motion Fee
Renewal Fee Add'l Renewal Fee Other Building Fee
Additional Fees
TOTAL PERMIT FEES
$29.73
$0.00 $19.32 $0.00
$1 .oo
$0.00 $0.00 $47.00
$0.00
$97.05
Total Fees: $97.05 Total Payments To Date: $77.05 Balance Due: $20.00
015% 09/01/04 0002 01
CGP
InsDector: Date: Clearance:
NOTICE: Please take NOTICE thVat approval of your project includes the "Impositionn of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feeslexactions 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
feeslexactions of which vou have Dreviouslv been aiven a NOTICE similar to this, or as to which the statute o f limitations has oreviouslv otherwise exDired.
FOR OFFICE USt UNLY
PLAN CHECK NO. ar/ 4.392 \
EST. VAL. /om
Plan Ck. Deposit
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
I 2//sb, I w IV '
Address (include Bldg/S*te XI
Legal Description Lot No. Subdivision NamaiNumber Unit No. Phase No. Total # of units
Business Name (at this address)
A * 35 EAWeri LA~E CARCS&SD,CA C@m8
--I
ts4
Name Address StatelZip Telephone #
Sd Name J Addtess , City S.tate/Zip Telephone #
(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 ita
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 bivision 3 of the Business and professions Code] or that ha 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 186001).
Name Address city Statelfip Telephone #
Stete License X ticense Class City Business ticense X
Designer Name Address City Statelfip Telephone
State license #
0 of the work for which thw permit Is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$lOO1 OR LESS)
0 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 tha Workers' Compendon Laws of California.
WARNINO: Fdhmto wcu. workom' compuuath cwu10. b unbwtul, md W .ubi.a n wnpbyer to uhhal pmclltk. d dvil fines up to om hundnd
thwund &bra 18100.000). in ddltlon to tho cost of comp~~~tlon, damag~ ma provided far in S.etton 3706 of the labor code, interest and attomev's fees.
SIGNATURE DATE
I hereby affirm that I am exempt from the Contractor's Ucense Law for the following reason:
I hava 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
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
I, as owner of the property or my employees with wager as their sole compensation, will do the work and the structure is not intended or offered for sale
9tc. 7944, Buainesa and Professions Code: The Contractor's Ucensa 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
I, as owner of the property, am exclusively contracting with licensad contractors to construct the project (Sec. 7044, Business and Professions Code: The
of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
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).
0
1.
2.
3.
4. number i contractors license number):
I am exempt under Section
I @/ have not) rignod an application for a building permit for the proposed work.
I have contractd,wlth the following person (firm) to provide tho proposed construction (include name I address I phone number i contractors license number):
I plan to provlde portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name i address I phone
Businens and Professions Code for this reason:
I penonally plan to provide tho major labor and materials for construction of the proposed property improvement.
program under Sections 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? - 0 YES
Is the applicant or future building occupant requlred to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO
0 NO
0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEmNG THE
REOUIREMENTS 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(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 thet the information on the plans is accurate. I agree to comply with a11
City ordinances and State laws relating to building construction. I hereby huthorlze representatives of the Citt 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 6'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by
authorlzed by such permit Is not mmme
at any tlme after the work is commen
APPLICANT'S SIGNATURE DATE B/sl /oc(
, itation and become null and void if the building or work
date of such permit or if the building or work authorized by such permit is suspended or abandoned
tion 106.4.4 Uniform Building Code).
City of Carlsbad Bldg Inspection Request
For: 09/0 1 /2005
Permit# CB043421 Inspector Assignment: PY
Title: BENGTSON RES-1 82 SF PATI0,GAS
Description: TO BBQ & FIRE PIT,ELECT TO BBQ
Type: PATIO Sub Type:
Job Address: 2435 BADGER LN
Suite: Lot 0
Location :
APPLICANT BENGTSON SHAWN
Owner: BENGTSON SHAWN
Remarks: gate code 331 7 - card is on the table
Phone: 76080571 99
Inspector:
Total Time: Requested By: SHAWN BANGSTEN
CD Description
Entered By: CHRISTINE
Act Comment
19 Final Structural
29 Final Plumbing
Associated PCRs/CVs
InsDection History
Date Description Act lnsp Comments
09/13/2004 31 UndergroundKonduit-Wiring PA PY CONDUIT ONLY
09/01/2004 23 GawTesVRepairs AP JM BBCYFIREPIT