HomeMy WebLinkAbout2714 MADISON ST; ; CB973735; PermitJob Address: 2714 MADISON ST
Permit Type: RAD
Citv of Carlsbad
RESIDENTAL ADD/ALT
Status:
Applied:
Permit No: CB973735
EXPIRED
12/5/1997
Parcel No: 2031100800 Lot#: Approved:
Reference No: Issued:
PC#: Inspect Area:
Project Title: RAD BED/BATH 348 SF, STORAGE ROOM 772 SF OF UN CONDITIONED SPACE
Applicant: Owner:
HOENIG SETH
2714 MADISON ST
CARLSBAD CA
760 434-9668
00136104885 Plan Check
Fees: $430.00 Additional Fees:
$430.00
$0.00 Total Fees: $430.00 Balance: $0.00
City of Carlsbad
M :.j ■II ii I I II· I •14 ·8 I I I, 114 •• I
DATE: 10/30/98
TO: HOENIG SETH
2714 MADISON STREET
CARLSBAD CA 92008
PLAN CHECK EXPIRATION
PC# CB973735 DATE: 12/05/98
ADDRESS: 2714 MADISON ST
You have applied to have your plans checked on the date shown
above, and you have not obtained your building permit.
The provisions of Section 304(d) of the Uniform Building Code
state:
"Section 304(d) Expiration of Plan Review
Applications for which no permit is issued
within one year following the date of
application shall expire by limitation, and
plans and other data submitted for review
may thereafter be returned to the applicant
or destroyed by the Building Official.
In order to renew action on an application
after expiration, the applicant shall resubmit
plans and pay a new plan review fee."
Please check the appropriate box indicating your choice
and return this letter to the BUILDING DEPARTMENT.
PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS.
PROJECT ABANDONED. PLANS MAY BE DESTROYED.
If you have any questions, please contact the Building
Department at (619) 438-1161 extension 4331.
RAENETTE ABBEY
Building Department
2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (760) 438-1161 • FAX (760) 438-0894
\) q L{t,J/ FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. [t 3 7 3.~
~~:· ;~ .. $5 2ft2v ·/lt/jy CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161 Validated By JVv--..; oait.)39 121_os_1_,fl._ik6_,,,...W_¥_z_o __ 2 __
c-~ 430-00
d ress (i_ncJude Bldg/;u•te1 I) :i.1 I "-i. P A...d ; ~Cly{
Busin•u N•m• l■t this 1ddrual
Legit Oescri~ion { Q Lot No. 8 I-' -::t;t:;-~ o -~ I c:> -o o -o o Subdivision N■m•/Number Unit No. Phase No. T ot■I I of units
Aue11or's Parcel I 1 / Exlstina.,.YH
\.'-t)e...$,·
Name
Name AddrHI City .S.t■t•IZIP Tatephon• I ·
rg_: • CONTRACTOR • COMPAN'fNAME'';·1:r,,~t"fr,.i1~W•f~f~~-}~~¼:~.f".~~~~N;v.,tM(~W&W.llam&t'~
IS•c. 7031.5 Business end Professions Code: Any City or County which requirH • permit to construct, ■tter, lmprov•, damotlah or rap.tr ■ny itructur•, prior to Its
Issuance, also requires the applicant for such p•rmlt to file • signed stItem1nt thtt h• 11 llcan.ed pur1uInt to th• provlilona of the Contractor'• Uc•nH Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business •nd Prof•nlon1 Coda! or that h• 11 •x•mpt thar•from, •nd th• b■Il1 for th• •ll•g•d
exemption. Any violation of Section 7031 . 6 by any applicant for I parmlt subjects the IppllcInt to ■ civil penalty of not mor• thin flv■ hundred doll•rs (♦5001),
Name Address City St1t•/Zlp T1l1phone I
State License I _________ _ License Class ________ _ City Busln•n Llc■ns• I _______ _
Designer Name Address City St1t1/Zlp Telephone
State License I _________ _
'8. WORKERS' COMPENSATI.ON .· •. -: . _ .-: . : ~: ~ :'~:=:•. _:_;-_:z'.:Q;:.:;::1".: J...':'.tl;;.'r'.::~::'5!'.!_frr'°..1.m~t.J-'.lf~!JI~~~~
Workers' Compensation Decl■retion: I hereby effirm under penelty of perjury one of the following decl■r■tlons:
0 I heve and will malntein e certificate of consent to nit-Insure for workers' compensation ■1 provided by Section 3700 of the Labor Code, for th11 performance
of the work for which this permit Is Issued.
0 I heve end will maintain workers' compensation, IS required by Section 3700 of the Labor Code, for the performenc, of th• work for which this permit t,
issued. My worker's CO"(' ppns,tion Insurance ~•rrier and policy number ■re: 0 / 1, Q.
Insurance Compeny >Tc;..~ e. f"" '-'v\ 0 . Policy No. / I~ 8 J.. l ~ -l:f 1 Explretlon Date. _ __, •_..._I J. ___ D __
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED· DOLLARS (UOOJ OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which thl• permit 11 laluad, I ah■N not employ any peraon in ■ny manner 10 11
to become subject to the Workers' Compensation LIwI of Cellfornl1.
WARNING: F■lture to Hcura worken' compen■etlon coverage la unlawful, ■nd ■h■II 1ubject ■n ■mploy■, to c:rimkl■I panaltla■ ■nd clvll ftna1 up to -hundred
thouund dollars 1$100,0001, In ecldltlon to tha coat of compensation; d■m■ga 81 provided for In Section 3708 of die L■bOf code, lntll'Nt ■nd 1ttomay'1 f-■.
SIGNATURE_____________________________ DATE
7. oWNER·BUILDER .DECLARATION~· ;~\'\~/?::t-;;!F.~~~~ft:~~~~~~~~~~~~"1!a~~~1,"';;t :: :rM~ "'':>
I hereby affirm that I am exempt from the Contractor's License L■w for the following re■son:
~ I, as owner of the property or my employees with wages as their sole comp1n11tion, will do the work ■nd the Itructure la not Intended or offered for ■el■
(Sec. 7044, Business ■nd Professions Code: The Contractor's License Law does not .apply to In owner of prop•rty who bulldl or lmprov■1 thereon, ■nd who do■1
such work himself or through his own employees, provided that such Improvement■ ■re not Intended or offered for Hie. If, however, tha-buHdlng or Improvement I•
sold within one year of completion, the owner-builder wilt heve the burden of proving that he did not build or Improve for the purpoH of. 1■111.
0 I, es owner of the property, em exclusively contracting with lic1n1ed contractor■ to construct the project (Sec. 7044, Bualnua 1nd Profeulons Coda: The
Contrector's License L1w does not apply to ■n owner of property who builds or lmprov81 thereon, ind contract■ for 1uch projectl with contr■ctorl1I Hc-..d
pursuant to the Contractor's LicenH Law).
0 I am exempt under Section ______ Bu1ine11 and Profe11iona Code for this r■11on:
1. I personalty plan to provide the major labor and m■terlet■ for construction of the propoeed property lmprov.inent. 0 YES ONO
2. I (heve / have not) signed an application for e building permit for the proposed work.
3. I have contracted with the following person lfirml to provide the proposed co111truction !include n■rne I ■ddr-I phone number / contractorw Nc■nH numi.,I:
4. I plan to provide portions of the work, but I have hired the following person to coordinate, 1upervile ■nd provide tha m■Jor work linc:lude n■m■ / ■ddr-/ phone number / contractors license numberl: ____________________________________________ _
5. I will provide some of the work, but I have contr1cted lhiredl the following pe'80n■ to provide the work lndic■ted {lncludtl n■m, / eddrua / phone number / type
of work): --+--=-A-L--r-f-, ,
PROPERTY OWNER SIGNATURE ,,4Jr:P= ci . 3-, DATE / z... / S:-/ (/ 7
COMPLETE THIS SECTION FOR NON'-Rff/Dsvtw/..011.biji,Q\~f.()ijt;~ i~~
Is the applicant or futu·re building occupant required to submit a bu1ln111 plen, ■cutely hazardoua meteri■t■ r■glstretlon form or rfek m■negement ■nd prev■ntlon
progrem under SecUons 26506, 26533 or 261134 of the Presley•T■nner Hu■rdOUI Sub1t1nc■ Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain • permit from the ■Ir pollution control district or ■Ir quality m■n■g•ment district? 0 YES O NO
Is the facility to be consfructed within 1,000 feet of the outer boundary of • school alt■? 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT •
. a~--· ~oNsr.RuCTioN ~o,No ~oENcY}.'~~~::1~:~::}1.'Ia;!;~~;;.,~~!i;~~,i:fl~~,~9;r¼~i:~1;1~~tt1w~i~;.I~:.:~i11q~~~~~-1;~;~~r~t1i1~i~m~w:,
I hereby affirm that there Is a construction lending agency for the performance of the work for which thi1 permit Is _Issued (Sec. 3097(1) Civil Codel.
LENDER'S NAME ______________ _ LENDER'S ADDRESS. _______________________ _
'9 .. : -APPLICANT CERTIFICATION·.''·"· ·, · ;,; ~..: ~k'.o;;::i;~;~~~":,.";'~:;'~~~~~~~Jf::,_!i~~9Jffll!Ilmil.;if'~-ef.R~'ff~;~·y,\l~'f£~'\'~~
I certify that I heve read th■ application and state that the above Information 11 corract and thet the Information on the plena 1, 1ccurat1. I agrH to comply with ■n
City ordinances and State laws relating to building construction. I hereby authorize repre■entativea of tha Cltt of Carfab■d to enter upon the above mentioned
property for inspection purpose&. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEi' HARMLESS THE CITY OF CARLSBAD AGAINST ALL UAIIUTIES,
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 s•o• deep end demolition or construction of structures over 3 etorlH In height.
EXPIRATION: Every permit issued by the Building Ofliclel under the provisions of thi■ Code sh■II expire by limitation and become null and void if the building or
work eU1horized by such permit Is not comm need within 365 days from the date of such permit or If the building or work authorit■d by such permit 11 1uIpend•d
or ebandoned et eny time after th work · d f r I period of 180 d1y1 (Section 108.4.4 Uniform Building Code). ! !
APPLICANT'S SIGNATURE -~:t.:::::J.:::::.::...::::...._1_---1~====~~----------DATE I ~ ~ L 't 7
WHITE: FIie YELLOW: Applicant PINK: Finance