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HomeMy WebLinkAbout2678 OCEAN ST; ; CB140679; PermitCity of Carlsbad ) 1635 Faraday Av Carlsbad, CA 92008 03-26-2014 Miscellaneous Permit Permit No: CB140679 Building Inspection Request Line (760) 602-2725 Job Address: 2678 OCEAN ST CBAD Permit Type: MISC Subtype: OTHER Status: ISSUED Parcel No: 2031410900 Lot #: 0 Applied: 03/26/2014 Valuation: $0.00 Entered By: JMA Reference #: Plan Approved: 03/26/2014 PC#: Issued: 03/26/2014 Inspect Area: Project Title: GORDON: 13 WINDOWS REPLACED Applicant: Owner: GLIKO CONTRACTING GORDON IRVING J TR STE 206 8530 LA MESA BLVD 2678 OCEAN ST LA MESA CA 91942-0966 CARLSBAD CA 92008 858-273-4006 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $130.00 Total Payments To Date: $130.00 $0.00 $0.00 $130.00 $130.00 Balance Due: $0.00 (9J- FINAL APPROVAL InsDector: Date: 7' / 7 Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as feesIexactions. You have 90 days from the date this permit 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. 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 night 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 -S. 2 ITHE FOLLOWIG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: []PLANNING DENGINEERING QBUILDING DFIRE DHEALTH DHAZMATIAPCD Building Permit Application Plan Check No. 1g.... Est. Value 1635 Faraday Ave., Carlsbad, CA 92008 CITY 0 F Plan Ck. Deposit Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building©carlsbadca.gov Date 5124114' IswPPP I www.carlsbadca.gov 'JOB ADDRESS - 2.&7. T -AR ISUITEC/SPACE#/UNITC IAPN CT/PROJECT U LOT U PHASE U U OF UNITS U BEDROOMS U BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ICOI (s ui NOW- -J.5 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE AIR CONDITIONING YES [3#. NO[—] YES [—]NO J IFIRESPRINKLERS YES] NOEJ APPLICANT NAME PROPERTY OWNER Primary Contact ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL - DESIGN PROFESSIONAL CONTRACTOR BUS. NAME co,-1tfI-*c- N ADDRESS ADDRESS 13 r6,,30 L4 PA liL14. 1/rrE 2o( CITY STATE ZIP CITY STATE ZIP PHONE . FAX PHONE -2i3-4D IS'-2-410 EMAIL EMAIL ' , STATE STATE LIC.# CLASS 1191 I CITY BUS. LIC.# I (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 issuanelalso requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law{Chapter9, commendingwith Section 000 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). 7.2 Workers' Compensation Declaration:! hereby affirm underpenally, of pei'jwy one of the following I 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 LabCode, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co._LU esaoo IJI C L'O ) Policy No. (LI M) 3e)c '7713Z) Expiration Date Thi section need not be completed if the permit is for one hundred dollars ($100) or less. ti 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 w era' 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, ama s as provided for in Section 3706 of th abor code, Interest and attorney's fees. AT CONTRACTOR SIGNATURE IrA 4,.,J\ - 0 AGENT DATE -; -- -- - - ---' thereby affirm that! am exempt from Contractor's License Law for the following reason: [J 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). [1 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). [J I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. Dyes [:]No 2.1(have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed constiudion (include name address/phone/contractors' license number): 4.1 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/contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone / type of work): ..'PROPERTY OWNER SIGNATURE . DAGENT DATE _ 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? Yes. No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnctor air quality management district? jYes t, No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? NsYes 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name Lender'sAddress Mos IoeiIifjthatI have read the application and slate thatthe above Information is conectandthatthe Information on the plans isaccurate. I at" cornptywIth all Cftyo dinancesandStatelaws,elallngth buildingconstnjction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE GuY 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. 0511k An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. EXRATlON: Every permit issued byth ildingaifcial under the provisbnsof this Code sh IexphebyIlmitation and becornenuhand %vd f the building or work authorized bysuch perrnitis not commenced wittrin 180 days from the date of such perm or f buildiogor work authorized by such permit is s rid or cloned at any tirne after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ..gAPPLICANT'S SIGNATURE . DATE UiN STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. ICERTIFICATE Proj e cts SI1I Fax (760) 6024560, Email buiIdinacadsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. C0 #: (Office Use Only) - CONTACT NAME ...................- ,.. OCCUPANT NAME ADDRESS , - ... - -. . BUILDING ADDRESS- - .. . -: CITY . STATE ZIP - - CITY STATE ZIP - -. Carlsbad CA PHONE ' . rim I IF . ,. .. - EMAIL - . . . . -, . .. OCCUPANTS BUS. LIC. No. ' - -- DELIVERY OPTIONS PICK UP: CONTACT OCCUPANT (Listed above) (Listed above) KICONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASS OCIATED CB# CONTRACTOR (On P. - - ' NO CHANGE IN USE / NO CONSTRUCTION MAIL /FAX TOOTHER: - .57 g - - CHANGE OF USE / NO CONSTRUCTION vilp 41 LAPPLICANT'S SIGNATURE . -. - DATE F 4 - t Inspection List Permit#: CB140679 Type: MISC OTHER GORDON: 13 WINDOWS REPLACED Date Inspection Item Inspector Act Comments 04/15/2014 14 Frame/Steel/Bolting/Weldin - RI 04/15/2014 19 Final Structural PD AP 04/01/2014 18 Exterior Lath/Drywall PD AP Friday, April 18, 2014 Page 1 of 1