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Home My WebLink About2737 JEFFERSON ST; F; CB040071; Permit-{1£-, City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ~ 01-08-2004 Miscellaneous Permit Permit No: CB040071 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2737 JEFFERSON ST CBAD St: F MISC Subtype: OTHER 2031100200 Lot #: 0 $0.00 CASTENS RES-REPLACE WINDOW WITH SLIDER&MOVE ELECTRIC OUTLET Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: CASTENS GLENN D&MARCIA A CASTENS GLENN D&MARCIA A 2381 JEFFERSON ST #A CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 2381 JEFFERSON ST #A CARLSBAD CA 92008 PERMIT/ELECT FEE ISSUED 01/08/2004 RMA 01/08/2004 01/08/2004 $80.00 $0.00 $0.00 $80.00 Total Fees: $80.00 Total Payments To Date: $0.00 Balance Due: $80.00 2570 01/08/04 0002 01 02 CGP 80-00 Clearance: ------ approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.' 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. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. CJJ D ?-I Q21 / CITY OF CARtSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL._~~~~~-~--- Plan Ck. Deposit ___ __,'+-.,\---- Validated By.....4--~--11------ Date ___ +-f-,toc._~-yt..;=+------ Address (include Bldg/Suite I) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use SO. FT. lot Stories I of Bedrooms I of Bathrooms U/_rr//. 6£ Stt=/<Jt'A2. State/Zip Telephone I Fax I Name Address City State/Zip Telephone I 2.JYl,1 Je-ffe(StJWSM Qtf'Lr&,:0 O'J Cf2cXt:f Zkrr ~39?SS Address City S.tate/Zip Telephone I a mNJDWA.TA MMNY. NAME (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 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 ($500)). Name Address City State/Zip Telephone I State License I----------License Class---------City Business License I -------- Designer Name Address City State/Zip Telephone State License I---------- le,_,WORltUS1,COM8NIATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. O 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. Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O 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: F.aur. to -. workers' c:ompenHtlon coverage la unlawful, and shell subject .., employer to criminal penaltiH and civil finH up to one hundred thouund dobra ($100,000), In addition to the coat of compensation, damages aa provided for in Section 3706 of the Labor coda, intaraat and attomey'a fae1. SIGNATURE DATE;;;;;;:;:;:;:::;::;;::::;;;;:::::;;;;;;::::;::;;::;_~-·.....--..--.... irm that I am exempt from the Contractor's License Law for the following reason: 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). 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(sl licensed pursuant to the Contractor's License Law). 0 1. 2. 3. I am exempt under Section Business and Professions Code for this reason: I pers ally plan to provide the major labor and materials for construction of the proposed property improvement.~ ONO (have I have not) signed an application for a building permit for the proposed work. e contracted _with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. 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):---------------------------------------------- 1 will provide some of the work, but I have contracted (hiredl the following persons to provide the ofwork): ___________ .....,,.~,..,.,~--..,,.""r----:~.:::....~-5,ot::::::.-------~f-c.-------,L---~'---,--+---------- ROPERTY OWNER SIGNATURE _L_~~~~::::f~~'...J:~~~~~~-t:_ ______ _j 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, 26633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? -0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES D 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. (8._ CONSTRUCTJON.LENDING'A ENC I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971il Civil Codel. LENDER'S NAME-------------- I certify that I have read the application and state that the above information is correct and that the information on the plans is ~ccurate. 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned rJ ~t any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). / _ !' ~PPLICAr.ff'S SIGNATURE DATE /(r~ WHITE: File YELLOW: Applicant PINK: Financ City of Carlsbad Bldg Inspection Request For: 03/01/2004 Permit# CB040071 Title: CASTEN$ RES-REPLACE WINDOW Description: WITH SLIDER&MOVE ELECTRIC OUTLET Type: MISC Sub Type: OTHER Job Address: 2737 JEFFERSON ST Suite: F Lot 0 Location: APPLICANT CASTEN$ GLENN D&MARCIA A Owner: Remarks: Total Time: CD Description Act Comment Inspector Assignment: PY --- Phone: 6199915690 Inspector: ----- Requested By: DOUG Entered By: CHRISTINE 19 Final Structural -Af----- Associated PCRs/CVs lns12ection Histor~ Date Description Act lnsp Comments 02/25/2004 17 Interior Lath/Drywall AP PY 02/25/2004 18 Exterior Lath/Drywall AP PY 02/23/2004 17 Interior Lath/Drywall NR PY NO ONE THERE 02/20/2004 14 Frame/Steel/Bolting/Welding AP PY 02/20/2004 34 Rough Electric AP PY -.~ ~ ' " . . 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