HomeMy WebLinkAbout2717 ANTA CT; ; CB032770; Permit10-06-2003
Job Address: Permit Type:
Parcel No:
Valuation: Reference #:
Proiect Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Miscellaneous Permit Permit No: CB032770
2717 ANTA CT CBAD
MlSC Subtype: OTHER Status: ISSUED 2153201700 Lot# 0 ADDlied: 10/06/2003
$0.00
GATES CONDO CONVERSION VERIFY SEPERATE UTILITIES
Applicant: GATES PATRiClAA&BEAM RICHARD J
2717 ANTA CT
CARLSBAD CA 92009
Entered By: MDP Plan Approved: 10/06/2003
Issued: 10/06/2003 Inspect Area:
Owner: GATES PATRICIA A&BEAM RICHARD J
2717ANTA CT 5814 10/06/03 0002 01 02
CARLSBAD CA 92009 CGF" 60.00
Miscelaneous Fee M Miscelaneous Fee #2 Additional Fees
TOTAL PERMIT FEES
PERMIT $60.00 $0.00 $0.00
$60.00
Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
I
FOR OFFICE USE ONLY
PLAN CHECK NO. 0% 27%
EST. VAL.
Plan Ck. Deposit
Validated By I
Date
ISec. 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, a150 requires the applicant for such permit to file a signed Statement that he io licensed pursuant 10 the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 Of Division 3 Of the Business and PrOfes5ionS Codel or that hs is exempt therefrom. and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a Permit subject5 the applicant to a civil penalty Of not more than five hundred dollars [$5001).
Name Address City StatelZip Telephone X
State License X Licsnsa Class City Business License X
Designer Name Address City Statelzip Telephone
State License X
Workers' compensation OeCIaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which thio permit io issued.
issued. My worker's compensation insurance Carrier and policy number are:
~~~~~~~
I have and will maintain a Certificate of Consent to self-insure for workers' ComPnnSation as provided by Section 3700 of the Labor Code, for the psrformance
I have and will maintain worksn' compensation, as required by Section 3700 of tha Labor Code, for the Performama of the work for which this permit is
EXD ra1 on Date ~nrdrance Company -
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 111001 OR LESS1
Po OCY NO.
0 CERTIFICATE OF EXEMPTION: I ceaify that in the performance of the work for which this Permit is issued. i shall not employ any person in any manner PO as
to become subject to the Workers' Compensation Laws Of California.
WARNIN* Failura to MCU~ worksn' compensation coverage is unlawtul. and shall subject an mploya to criminal penaltllls and civil fines up to one hundred
thousand dollars l$1OO,OOOl. in addition to the Cost of compensation, damages as provided for In Section 3706 of the Labor de, intsrsst and attorney's fees.
SIGNATURE DATE
I, as owner of the property or my empIoye0s with wages as their sole COmpenSation, will do the work and the StiURUre is not intendsd or offered for sale ISec. 7044, Business and Professions Code: The Contractor's License Law does not BPPIv 10 an owner Of property who builds or improves thereon. and who does
Such work himself or through his own employees. provided that such improvamentr are not intended or Offered for sale. If, however. the building or improvement is
0
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction Of the proposed property improvement. 0 YES UNO
I (haw I have not) signed an application for a building permit for the proposed work.
I have contractad with the following parson lfirml to provide the proposed COnStrURiOn Iinclude name I address I phone number I s on tractors license number):
Business and Professions Code for this reason:
1s the applicant or future building occupant required to submit a business plan, a~utelv hazardous materiais registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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 district7
Is the facility to be Constructed within 1.000 feet of the outer boundary of a school site?
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUE0 UNLESS THE APPLICANT HAS MET OR IS MEETING THE
0 YES 0 NO
0 YES 0 NO
ENTS OF THE OFFICE . ,. ,, , .,
I hereby affirm that there io a Construction lending agency for the performance of the work for which this permit is issusd ISec. 3097111 Civil Codel.
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 representativ~s Of the City of Carlobsd 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 str~ct~res over 3 stories in height.
EXPIRATION: Every permit issued by the building Ofiicial under the provisions of this Code shall expire by limitation and become null and void if the building or work
authodzed by such permit is not commenced within 180 days from the date of such pemit or if the building or work authorized by SUC permit is s Spended or abandoned
at any time after the work is commenced lor a Deriod 01 180 davs (Section 106.4.4 Uniform Buildina Codel. .. r I
>PPLICANT.S SIGNATURE ATE
City of Carlsbad Bldg Inspection Request
For 10/24/2003
Permit# CB032770
Title: GATES CONDO CONVERSION
Description: VERIFY SEPERATE UTILITIES
Type: MlSC Sub Type: OTHER
Job Address: 2717 ANTA CT
Suite: Lot 0
I-7L Inspector Assignment:
Phone: 7609312577
Location: Inspector:
APPLICANT GATES PATRICIA A&BEAM RICHARD J
Owner:
Remarks: CONDO CONVERSION FINAL
Total Time: Requested By: RICHARD
CD
19
29
39
49
Entered By: ROBIN
Description
Final Structural
Final Plumbing
Final Electrical
Final Mechanical
t
Associated PCRs/CVs
InsDection History
Date Description Act lnsp Comments