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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