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HomeMy WebLinkAbout258 BEECH AVE; ; CB010588; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 1 2-1 9-200 1 Miscellaneous Permit Permit No:CBOI 0588 Job Address: Permit Type: MlSC Subtype: OTHER Status: ISSUED Parcel No: 2031420400 Lot #: 0 Applied: 02/09/200 1 Valuation: $0.00 Entered By: JM Reference #: Plan Approved: 02/09/2001 Issued: 02/09/2001 Project Title: CITY OF CARLSBAD - MAGEE PARK Inspect Area: RCB 258 BEECH AV CBAD REMODEL EXIST BATHROOMS Applicant: CITY OF CARLSBAD Owner: CITY OF CARLSBAD PUBLIC AGENCY 00000 PUBLIC AGENCY 00000 Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due: $0.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 FINAL APPROVAL Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposifion" 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 fight to protest the specified feeslexactions DOES NOT APPLY to water and sewer connection fees and capactiy 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION I FOR OFFICE USE ONLY IEST. VAL. :./ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 E* Address (include BldglSuite #) Validated By Date QUC TMKT\ Lm-S Business Name (at this address) Total # of units Phase No. Legal Description Lot No. Subdivision NamelNumber Unit No. Assessor's Parcel # Existing Use Proposed Use Description of Work - - - SQ. FT. #of Stories # of Bedrooms # of Bathrooms SIN&€- rn03EtKBrnS PERSON (if different from applicant) Address city Statelzip Telephone # Fax # rnCSBP;s) RN m p3 Name 3. APPLICANT 0 Contractor Agent for Contractor 0 Owner a Agent for Owner Name Address city Statelzip Telephone # \u+m SO hi 4. CPROPERTY OWNER Name Address t7-Y Rt=cf&5 city Statelzip Telephone # r3m Id00CARI-Sm V'tlqbEM. GWM &Ul? 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 Business and Professions Codel or that he is exempt therefrom, and the basts for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars [$500]) Name Address city State/Zip Telephone # State License # License Class City Business License # StatelZip Telephone Designer Name Address city State License # 6. WORKERS' COMPENSATION Workers' Compensation Declaration 0 of the work for which this permit is issued 0 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 I$1001 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 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 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) 0 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) 0 1. 2. 3 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 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 7. OWNER-BUILDER DECLARATION I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. c] YES ON0 I (have I have not) signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number I contractors license number) Business and Professions Code for this reason. ~ ~~~ 4. number I contractors license number) 5. I plan to provide portions of the work, but I have hrred the following person to coordinate, supervise and provide the major work (include name I address / phone 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 I type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-R€S/D€NTIAL 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 0 NO Is the applicant or future building occupant required 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 site7 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 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(1) Civil Code) LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTlFICATION 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 helght. EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitatlon and become null and void if the building or work authorized by such permit is not comwncjd within 1Rdays frgm the date of such permit or if the building or work authorized by such permit is suspended or abandoned 0 YES NO at any time after the work is ection 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE v WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/10/200 1 Permit# CB010588 Inspector Assignment: RCB Title: CITY OF CARLSBAD - MAGEE PARK Description: REMODEL EXIST BATHROOMS Type: MlSC Sub Type: OTHER Job Address: 258 BEECH AV Suite: Lot 0 Location: APPLICANT CITY OF CARLSBAD Owner: CITY OF CARLSBAD Remarks: PERMIT DUE TO EXPIRE 12/2/2001 Phone: Inspector: Rc J3 Total Time: Requested By: CHRISTINE Entered By: CHRISTINE CD Description Act Comments 7?A-m4ueyc*.&-w -gU+L.f /04dAm-I :oo Plq 19 Final Structural 29 Final Plumbing 39 Final Electrical d 49 Final Mechanical AL Associated PCRs Inspection Historv Date Description Act lnsp Comments 07/30/2001 84 Rough Combo NR RC NO ONE THERE /CLOSED SIGN IN WINDOW 11:05 LEFT CARD 06/04/2001 63 Walls AP AR OKTOGROUT 05/29/2001 11 FtglFoundationlPiers AP AR 05/24/2001 21 UndergroundlUnder Floor AP AR NO JOB CARD