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HomeMy WebLinkAbout2740 HOSP WAY; ; CB030371; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 02-05-2003 Miscellaneous Permit Permit No: CB030371 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2740 HOSP WY CBAD MISC $0.00 RYAN RESIDENCE Subtype: REPAIR Lot#: 0 REPAIR AUTOMOBILE DAMAGE Applicant: THE HOME IMPROVEMENTS STE 106 215 S PACIFIC OCEANSIDE 92054 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $120.00 Owner: PERMIT Total Payments To Date: $0.00 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/05/2003 MDP 02/05/2003 02/05/2003 7450 02/05./03 )002 :)1. $120.00 $0.00 $0.00 $120.00 Balance Due: C~(3iF" $120.00 FINAL APPROVAL ~-.!!1n:!;:S:Ep~ec~to2!r::_: ..;;;.~:::¢;~;;;;,6'.'. __ ~D~a~te~:.,::ral. 0 -~ Clearance: NOTICE: Please take val of your project includes the ~Imposition" of fees, dedications, reservations, or other exactions hereafter collectively e 90 days from the date this permit was issued to protest imposition of these tees/exactions. If you protest them, you must follow the protest procedures se 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 right to protest the specilied fees/exactions DOES NOT APPLY to water and sewer connection lees 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 f hi h hav vi I n iven N I E simil r o hi s whi h h I limi i r vi I i PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Existing Use Description of Work SO. FT. #of Stories FOR OFFICE USE ONLY PLAN CHECK NO. D> 0 7 I EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date, _____________ _ Unit No. Phase No. Total II of units Proposed Use # of Bedrooms # of Bathrooms 5!2/Jlli&:!~~•m•,~~~ r~:r,:: ::;!'~.,e,:'-" Name Address City State/Zip Telephone # Fax# 11141:1■ !W'BWWIAEZU 1 7 Bllilil'.J-WijJJ-i Name Address City State/Zip Telephone II 2 Name City S.tata/Zip Telephone II !HIii A i&IIIIBl!IIIIL i &£11111111 illll'llll-11■11 1511 unm1111211111111111, (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 7031.6 by any appllcant for a p,w1lt subjects the applicant to a civil penalty of not more than five hundred dollars ($6001). tlie 1-/,µ,,e T.,,,.,'ffe._."'.,,_/,-~-:hr F Paci-I-., #1171, k IIKicaU C'l 'P26W ~J Sr? -'1',H;'Y Name Y Address City State/Zip Telephone II State License II TT'-l'f-KtJ License Class 8 City Business License II /Z/0 t:}(7 Designer Name State License # Address City State/Zip Telephone 1111 !l!lmllllllllll/Pit-1111 1 11 ~■Ill ]■arr -lll!llll!l!ilil!l!!&'l'rl0!l!R~!;slt8%!!1&1-W 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. 0 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: // __ \ __ lnsuranceCompany,t/:t( ;I,-c« 1 :z: Ct{) PollcyNo./!t:25:G!z?D/P SZ?':I Expiration Date a,µ,_ll'f ""(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] 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 ucure worken' compansadon coverage la unlawful, end shall subject an employer to crlmlnal panattlea and civil fines up to one hundred thouaand dollars ($10 00), In ad on to the cost of compensation, damages as provided for In Section 3708 of the co , Interest and attorney's faes. SIGNATURE ••iii DATE '_s I hei'eby af rm that I am exempt from the Contractor's License Law for the following reason: D 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(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 / address / phone number/ contractors license number): ____________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number/ type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE .'1,l~--1 I 1" illlilWllll"lllfB ffl 1111 !ffi! W 1 2 777t9!1!!Jw,- 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 26606, 25533 or 26534 of the Presley-Tanner Hazardoi.Js Substance Account Act? D YES D NO Is the appllcant or future building occupant required to obtain. a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 foet of the outer boundary of a school site? 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. 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. ________________________ _ ~---llll■-,"l!!lll!!-!i:i!+,:,1,1!1ll;e-1J I certify that I have read tha 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 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 s•o• 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 ls 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 at any tin · after the work is commen for riod of 180 days (Section 106.4.4 Uniform Building Code). 4· / DATE ?___£~3 , WHITE: File YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION INSPECTOR _ _.:r ...... 1::: __ _ PERMIT# 0~':::1 \ . PLAN CHECK# ----- JOB ADDRESS _ _,,~,._::,..._':::\,~O~B=o=>"°"'c..,__,,uk°""""'-'r------------ \ \ DESCRIPTION __________________ _ CODE DESCRIPTION ACT AP COMMENTS f11J,t./ · Inspection List Permit#: CB030371 Type: MISC Date Inspection Item 02/21/2003 17 Interior Lath/Drywall 02/21/2003 17 Interior Lath/Drywall 02/21/2003 18 Exterior Lath/Drywall 02/21/2003 18 Exterior Lath/Drywall 02/20/2003 17 Interior Lath/Drywall 02/07/2003 14 Frame/Steel/Bolting/Weldin 02/07/2003 16 Insulation 02/07/2003 34 Rough Electric Thursday, February 27, 2003 REPAIR Inspector Act RI JE AP RI JE AP PS AP JE AP JE AP JE AP RYAN RESIDENCE REPAIR AUTOMOBILE DAMAGE Comments AM PLEASE NAILING INSPECTN 02/20/03 P SMITH AM PLEASE WINDOW ON ORDER Page 1 of 1 i1 ~ ~ ~ ?O -· I'\ ~~ -'\) ,\ (\ S) 1r ~ -\) ~ " .... s:, -" " ,.. $) " ,... :::. ~ r1> "' ~ ... "< " ~ ti'\ { " ""<. ,.. (> t 1/1 ~ -1--~ oG -0. N <.I\ "1 ...... .,,. (',I oO N . r o<l -~ oc, "" II\ '-> "' ~ ~ • ~ '1--(fa .( ' :. ~ " ~ ~ ~~ ~! 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