HomeMy WebLinkAbout2703 ARGONAUTA ST; ; CB050722; Permitn
06-01 -io05
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
HlROSHlGE DAVID
$&@‘% City of Carlsbad +\ *\-- 1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Miscellaneous Permit Permit No: CB050722
2703 ARGONAUTA ST CBAD
MlSC Subtype: REPAIR Status: ISSUED
2154202900 Lot #: 0 Applied: 03/09/2005
$0.00 Entered By: RMA
Plan Approved: 03/09/2005
Issued: 03/09/2005
HlROSHlGE RES-REPAIR EXIS-DECK Inspect Area: PS
3 DECKSQ600 SFRE-DO MAST BATH-WATER DAMAGE
2703 ARGONAUTA ST CARLSBAD CA 92009
Owner:
HlROSHlGE DAVID
2703 ARGONAUTA ST
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
PERMIT FEE
ELEC/PLUMB FEE
$120.00
$47.00 $0.00
TOTAL PERMIT FEES $167.00
Total Fees: $1 67.00 Total Payments To Date: $80.00 Balance Due: $87.00
Inspector: 7xh Clearance:
w NOTICE: Please take NOTICE that approval of your project includes the “Imposition” of fees, dedications, reservations, or other exactions hereafter collectively
referred to as “feedexactions.” You have 90 days from the date this permit was issued to protest imposition of these feedexactions. If you protest them, you must
follow the protest procedures sel forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified feedexactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or setvice fees in connection with this project. NOR DOES IT APPLY to any
feedexactions of which vou have Dreviouslv been aiven a NOTICE similar to this. or as to which the stalute of limitations has Dreviouslv otherwise exDired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
.
FOR OFFICE USE
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Date
INFO
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Address (in$lu$aB/Sui
Proposed Use
Name Address City Statelzip Telephone #
Name Address City Statelzip Telephone #
6
(Sec. 7031.5 Business and Professions Code: Any City or County whtch 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. 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 1$5001).
Name Address City Statelzip Telephone #
State License # License Class City Business License #
Designer Name Address city Statelzip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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 IS1001 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: Ea 1, 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.
4.
number I contractors license number):
5.
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
'. , t ER-8
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have 1 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 I phone number I 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
I will provide some of the work, but I have contracted (hipd) the following persons to provide the work indicated (include name I address I phone number I type
Business and Professions Code for this reason:
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 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.
0 YES 0 NO
GEN
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
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 lo 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, ys from th 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 commence rio 6f 0 days ection 106.4.4 Uniform Building Code).
WPPLICANT'S SIGNATURE 9 -5&/2d DATE 3 'i-0 5
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For. 1 I /I 7/2005
Permit# CB050722 Inspector Assignment: PS
Title: HlROSHlGE RES-REPAIR EXIS-DECK
Description: 3 DECKS@GOO SFRE-DO MAST BATH-WATER DAMAGE
FRAMING,ROOF,SHOWER,BATH,ELECT & PLUMBING
Type: MlSC Sub Type: REPAIR
Job Address: 2703 ARGONAUTA ST
Suite: Lot 0
Location:
APPLICANT HlROSHlGE DAVID
Owner: HlROSHlGE ROBERT
Remarks: AM PLEASE - 8AM TO 10AM
Total Time:
Phone:
Inspector: xi
Requested By: HlRlSHlGA
Entered By: CHRISTINE
CD Description Act Comment
19 Final Structural c.4-
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
06/07/2005 17 Interior LathlDtywall AP JM
06/03/2005 16 Insulation AP JM
06/03/2005 27 Shower Pan/Roman Tubs AP JM
05/31/2005 34 Rough Electric AP JM ATBATH
05/12/2005 15 Roof/Reroof PA PD
05/12/2005 18 Exterior Lath/Drywall PA PD
04/05/2005 18 Exterior LathlDrywall AP PS
04/01/2005 18 Exterior LathlDrywall NR PS
03/15/2005 14 Frame/Steel/BoltingNlding AP PS NEW PLYWOOD ON DECKS
0311 5/2005 18 Exterior LathlDrywall wc PS
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