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Home My WebLink About2504 MARRON RD; ; CB060357; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-15,-2006 Miscellaneous Permit Permit No: CB060357 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2504 MARRON RD CBAD MISC Subtype: OTHER Parcel No: 0000000000 Valuation: $1,500.00 Reference #: Project Title: THE SUMMIT AT CARLSBAD 54 SF MAILBOX KIOSK Applicant: HANSEN BRIAN 2359 4TH AVE SAN DIEGA CA 92101 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT ELECTRIC Lot#: 0 Owner: Total Fees: $80.00 Total Payments To Date: Inspector: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: $0.00 Balance Due: Clearance: ISSUED 02/13/2006 MDP 02/15/2006 02/15/2006 $60.00 $20.00 $0.00 $80.00 $80.00 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 pem,it 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. Fanure 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 . h r i I n iv n N Tl E imil r hi r whi h fli i in h h i jERMIT ~PPLICATION CITY• OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1, PROJECT INFORMATION FOR OFFICE USE ONL V PLAN CHECK NO.c ~--?::$7 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. ______________ _ ~ So 4 N\,ti,.Q.f.2.ol!J \2. o Address (include Bldg/Suite #) Business Name (at this address) Legal Description • lCo1•03o·· 5 I S:5, i S(.. Description of Work Lot No. Subdivision Name/Number P,.. PAIZt{","\e;i..J T; Existing Use \c;,lOS\~ S"4s~ SO. FT. #of Stories Unit No. Phase No. bcce:ssoQ. :t Proposed Use -# of Bedrooms Total # of units # of Bathrooms ~~~~-t=\:i~~~_.!:::::::=~S~lfJ---fV\.~~e;~-....:===;========::::;;;:::::;;::::::::----:::-:-.:::;:::..~ru~~'=-t Address City State/Zip Telephone # Fax # 0 Contractor O Agent for Contractor O Owner Ii' Agent for Owner 2.2 S'C'I 4~ la-vE.. SAt-l D1e-e,o 3. APPLICANT Jwop.. C/l. C\'"2.lo\ Name Address City State/Zip Telephone# b PROPERTY RWNER 0C\t=-\C r\'2of€!1.r'18"';> 'is'i/0 9 Name Address City State/Zip Telephone# 5. CONTRACTOR · COMPANY NAME (Sec. 7031.5 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 usiness and rofessi s Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a ,cant to a civil penalty of not more than five hundred dollars [$5001). Name City State/Zip Telephone# State License # ________ ___,..,_ City Business License # _______ _ Designer Name City State/Zip Telephone State License # ________ -,,:= 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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 [$100) 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 the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE.______________________________ DATE 7. OWNER-BUILDER DECLARATION --=:::;;;:::;;:::;::::;:;;;;;;;;:;;::::;;;::;::::~~~~-~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 sale (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 sale). O I, as owner of the 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 property who builds or improves thereon, and contracts for such projects with contractods) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 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 of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? 0 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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. 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. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ 9 . APPLICANT CERTIFICATION 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 all City ordinances and State laws relating to building construction. I hereby authorize 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any lime after the work is for a peri d f 180 days (Section 106.4.4 Uniform Building Code). DATE _z._._10 __ ._o_c.-..:_ ___ _ WHITE: File YELLOW: Applicant PINK: Finance FOR OFFICE USE ONLY PLAN CHECK NO. _____ _ i PERMIT APPLICATION EST. VAL. __________ _ Plan Ck. Deposit _________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Validated By __________ _ Date _____________ _ Address (include Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units l'-'l•OJo•'SI ,~S-15(,, 11-\P.~ Assessor's Parcel # CoAJSTP.IICT Alt:IN MAI t.l?l())( Existing Use f'.IO$K s</::SF I Proposed Use -Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# ISWM _ p W C. )< -o"----------"~'--'t-'-----'-<f--"~'----'--'/tc,"-"c,,"'AA"""e>c..Jtll.CU,,.E>,utteS,aL._._Pw..e=l<i'l-"#'--'('--"Sl>~l=--<A_,_,S'---"'\l'e-"'(:,"'A:,.;;$'--<,w:t,l"-'V'---"-ll')_,_lceOc..J<jL__7-'-"-o "is:-"---'•--'7'-->"-'i-'-•-&.f--'--"'b'f_._4-_,__ t-.cmn:r Address City State/Zip I Telephone# Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to oonstruct, 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 7031.5 by an ap licant for a permit sub·e the applicant to a civil penalty of ot more than fiv hundred dollars [$500]). ,:. fl State/Zip State License #_6=ffi=~13=(}--,~--City Business License#-'-==~~~------ J 1/'1 DA '2.~':>C, 4""' A.VE, CA C\~1'2.E) Designer Name Address City State/Zip State License# C 0 11 ~C:,, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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. )( I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My worker'scompensati:/n_s,?~cecar~erio~o~num;rare: . I I.J./JhA/ . . I I ·I· r-./ -Insurance Company_J.lti,,,.i.Jl'.1W[e.1Dnt.Q lU)Ll_ Poltcy No. l..:V\:_J"..J /cJ Expiration Date_ OLlJ Ll:U=------ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) □ 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 secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to ona hundred thousand dollars($100,000), lnq% to the cos of o pensatlon, damages are provided for In Section 3706 of the Labor Code, Interest and attorney's fees. SIGNATURE__ DATE __ Q_,Z _{2__ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will d the work and the structure is not intended or offered for sale (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 sale). □ I, as owner of the 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 property 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 labor and materials for construction of the proposed property improvement. □ YES □ NO 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 I 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 I address/ phone number/ /ontractors 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 I phone number/ type of work): PROPERTY OWNER SIGNATURE ___________________________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance ?ERMIT APPLICATION • CiTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Plf'■PI Fi# if± I □IMillen&illllll 5 l I I Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or 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 APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ii! ±fffflffM±±rl L 11111 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 all 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, JUDGEMENTS, 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 of 5'0" deep and demolition or construction of structures over 3 stories in heig~t. EXPIRATION: Every permit issued by the building Official 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 commenced within 180 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ DATE .L:JJ""--'./..,3,,ltXo"""'------------- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/19/2006 Permit# CB060357 Title: THE SUMMIT AT CARLSBAD Description: 54 SF MAILBOX KIOSK Type: MISC Sub Type: OTHER Job Address: Suite: Location: 2504 MARRON RD Lot APPLICANT HANSEN BRIAN Owner: Remarks: Total Time: 0 CD Description 19 Final Structural ~ Comment Comments/Notices/Hold Associated PCRs/CVs Original PC# lnsgection Histo[Y Date Description Act lnsp Comments 08110/2006 18 Exterior Lath/Drywall AP PC 05118/2006 14 Frame/Steel/Bolting/Welding AP PC 0511812006 24 RoughfTopout WC PC 0511812006 34 Rough Electric AP PC 05/1812006 44 Rough/Ducts/Dampers WC PC 0511812006 83 Roof Sheathing/Ext Shear AP PC 0510412006 11 Ftg/Foundation/Piers AP PC 05104/2006 14 Frame/Steel/Bo1tingN./elding NR PC 05103/2006 14 Frame/Steel/Bolting/Welding NR PY no one there Inspector Assignment: PC --- Phone: 7024001768 Inspector: Requested By: RICK Entered By: CHRISTINE