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Home My WebLink About2623 OCEAN ST; ; CB032282; Permit~u - City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-18-2003 Miscellaneous Permit Permit No: CB032282 Building Inspection Request Line (760) 602-2725 Job Address: 2623 OCEAN ST CBAD Permit Type: MISC Subtype: OTHER Status: ISSUED Parcel No: 2031400600 Lot #: 0 Applied: 08/18/2003 Valuation: $5,000.00 Entered By: MDP Reference #: Plan Approved: 08/18/2003 Issued: 08/18/2003 Project Title: SABA RESIDENCE Inspect Area: REPLACE ROOF STRUCTURE & ELECTRIC Applicant: . Owner: WORTHING INC, B. A. SABA TRUST 02-28-91 SUITE #201 690 CARLSBAD VILLAGE DR 3065 DONA SUSANA DR CARLSBAD, CA 92008 STUDIO CITY CA 91604 619-729-3965 Miscelaneous Fee #1 PERMIT $115.00 Miscelaneous Fee #2 ELECTRIC $20.00 Additional Fees $0.00 TOTAL PERMIT FEES $135.00 Total Fees: $135.00 Total Payments To Date: $0.00 Balance Due: $135.00 2184 08/18,'03 0002 01 02 COP 13500 FINAL APPROVAL DATE - 21CLEARANCE_ SIGNATURE ____ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 165 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. 925 40 22.82_. EST. VAL. Plan Ck. Deposit Validated By_________________________ Date Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing,Use Proposed Use of Vtork A t j '1YPr'O. FT. I # Stori - # of Bedrooms # of Bathrooms .1A.. .dM ,..E l.1fl .1 - I - - - Name Address City State/Zip Telephone # Fax # Name Address City State/Zip Telephone # Name Address City - State/Zip Telephone # (Sec. 7031.5 Business and Professions Code: Any City or Countyy, 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 Code] or that he is exempt therefrom, and the basis for the alleged exemption. 1Ajlyolation of Spction 70j,,5 bvgiy applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). ef'7 IA lFWqVt., Al tAt TiPt 1.( At.A I Al I I /1 ... -1 0 I Address City License Class 13 — I . . City Designer Name City State License # .7"I'D IU' .— 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 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.O b()Ss'77.' '24IO' Expiration DateI . I . (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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' ompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addr§A to the cost of c a ion, damages as provided for in Section 3706 of'the dr code, / nterest and attorney's fees. SIGNATURE . DATE .1!3 ....... L7-.OWNER-BUILDER.DECLARATI N -~.- I heieby affirm that I am exempt from the C tr tor's License Law for the following reason: I, as owner of the property or my erritloyet 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 ontractor'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 improviment 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 1hereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). . o I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for Construction of the proposed property improvement. 0 YES ONO I (have / 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 / contractors license .number): 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 I phone number I contractors license number): 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 FORWON4RESIDEN.77AL'BUILDING VERMITWONLT 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 p011ution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. IS.r-'-,jCO,NSTRU.CTIOW...LENDIN.GlAGENCYJ.. TT" TI I I hereby affirm that there is a construction lending agencyfor 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 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 comm within 180 days from the date of such permit or if the building or work authorized by §uch permit is suspended or abandoned at any time after the work is corn ced r a nod of 180 (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE . . DATE %' -. WHITE: File YELLOW: Applicant PINK: Finance MW City of Carlsbad Bldg Inspection Request For: 02/25/2004 Permit# CB032282 Inspector Assignment: RB Title: SABA RESIDENCE Description: REPLACE ROOF STRUCTURE & ELECTRIC Type: MISC Sub Type: OTHER Job Address: 2623 OCEAN ST Suite: Lot 0 Location: APPLICANT WORTHING INC, B. A. Owner: SABA TRUST 02-28-91 Remarks: FINAL REQUESTED Total Time: Phone: 7608400598 Inspector: Requested By: TIM Entered By: CHRISTINE CD Description Act Comment 19 Final Structural ,a A> Associated PCRs/CVs Inspection History Date Description Act Insp Comments 12/09/2003 17 Interior Lath/Drywall AP RB 12/08/2003 17 Interior Lath/Drywall CA RB 12/05/2003 14 Frame/Steel/Bolting/Welding AP RB 12/05/2003 16 Insulation AP RB 12/04/2003 14 Frame/Steel/Bolting/Welding PA RB SEE NOTICE ATTACHED 12/04/2003 24 Rough/Topout WC RB 12/04/2003 34 Rough Electric CA RB. NO ELECTRIC 12/04/2003 44 Rough/Ducts/Dampers WC RB 12/01/2003 15 Roof/Reroof PA RB ROOF NAILING ONLY OK