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