HomeMy WebLinkAbout2288 PLAZUELA ST; ; CB102228; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-22-2010 Miscellaneous Permit Permit No: CB102228
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2288 PLAZUELA ST CBAD
MISC Subtype: OTHER
Parcel No: 2163512100 Lot#: 0
Valuation: $0.00
Reference #:
PC#:
Project Title: MC CARRON RES-IN MASTER BATH
& 2ND BATH-REMOVE & REPLACE TUBS & TILE
Applicant:
JUDY MC CARRON
2288 PLAZUELA ST
859 361-0394
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $130:00
Inspector:
PERMIT FEE
Owner:
JUDY MC CARRON
2288 PLAZUELA ST
859 361-0394
Total Payments To Date: $130.00
FINAL APPROVAL
Date J · 2 q · ( f 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Balance Due:
Clearance:
ISSUED
11/22/2010
RMA
11/22/2010
11/22/2010
PD
$130.00
$0.00
$0.00
$130.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exact1ons." 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.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or seNice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired
•• ~ «-~
•~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave .. Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
JOBAOORESS 5 <P\azoe,\c,
Plan Check No.
Est. Value
Plan Ck. Deposit
PR JE # LOT# # OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME
YES □#_ NO □
APPLICANT NAME
ADDRESS
STATE ZIP CITY STATE
Cf\ q
FAX PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
ZIP CITY STATE
Q.;i
PHONE FAX
EMAIL
STATE UC.# CLASS
SWPP
YES □ NO □ YES □ NOD
ZIP
ZIP
CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County_ w_hich requlres_a ~rmit to construct _alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a sig!lea-slatement that he is licensed pursuant to l.tie· provisiOns of tfie~cohtractor'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)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affinn under penalty of perjury Ofl6 of the following declarations:
□ I have and will maintain e certificate of consent to self-Insure for workers' compensafon as provided by Section 3700 of the labor Code, for the performance of the work for which this pennlt Is issued.
□ I have and w1II maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work IN which this pemiil is issued. My workers' compensation insurance carrier and policy
number are: lnsuranceCo. ______________________ PollcyNo. ______________ -Expiration Date _________ _
This section need not be completed ii the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: l certify that in the performance of the wlll'I( for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Calilofnla. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollara (&100,000), In
addition to the cost of compensation, damages as prov\ded for in Section 3706 of the Labor code, Interest and attorney's fees.
,,6$ CONTRACTOR SIGNATURE □AGENT DAiE
OWNER-BUILDER DECLARATION
I hjreby affirm that I am exempt from Confnlctor's LJcense 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).
□ I, as owner of the property, am exdusively contracting with licensed contractors to conslruct Iha 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 putsuant to the Contractor's License Law).
□ I am exempt under Section _____ .Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for COl'lSlruction of the proposed property improvement. □ Yes O No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted v.ilh the following person (finn) to provide the proposed conslruction (lndude name address I phone/ conlractors' license number):
4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone I contractors' license number):
5. I will provide some of the WOOi, but I hav contracted (hired) the following parsons to provide the work indicated (include name I address I phona / type of work):
.A:5 PROPERTY OWNER SIGNATURE □AGENT DATE
. ♦CITY OF
CARLSBAD
JOBADDRISI
PROPERTY OWNER NAME
ADORES$
CITY
PHONE
EMAIL
ARCH/DESIGNER NAME 6 AOORESS
Buildli4fr£rt k.catlon
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 I 2718; 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUlTE#/SPACE#/UNIT#
CONTRACTOR BUS. NAME
ADDRESS
STATE ZIP CITY
FAX PHONE
EMAIL
STATE UC.# STATE UC.#
Plan Check No.
Est. Value
Plan Ck. Deposit '
Date SWPP
STATE ZIP
FAX
ClASS CITY BUS. UC.#
(Sec. 7031.5 Business and Professlo .... Code: Any CltY_or C_oun1:): which requires a ~It_ to construct. alt8!'.. Improve, demolish or repair any structure, prior to ltS issuance, also r~lres the applicant for such permit to file a sliaiei:f statement ttiat he IS ucensec:1 pursuant to lh8 proyrsions-of the 'Corltractor's license Law JChaDter 9, commending with Section 7000 of DMsk>n 3 of the Business and Professions Code) or Dtat he ls exem_pt therefrom, and the basis for the alleged exemption. An; violation of Section 031.5 by any applleanffor a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
WORKERS COMPENSATION
Workln' ComptnNtkln Deelll ltleff. -I herabyflltltm-lnder penalty d petj,ly one of the fo/lowlng ded8rBllonl:
□ I hive and wll maintain I ctrtlftcall of conunt lo Hlf-inaln ro-workers' compenealion 88 provided by Section 3700 of lhe Labor Code, for the performance rl the work for wNdl 1h11 permll III Issued.
□ I hive and wll malntam worktrl' compenNtion, aa required by Section 3700 of the Labor Code, for Iha paformanc:e rl Iha wail: br which 1h11 parmM 11 l&&ued. My workerl' compe.-.don lnuance cant. and policy
numt)er n: lnuance Co. Poley Na~ -· ckpfndlon Datt ________ _
Thi& IICllon need not be completed If lhe permt I& br one hundred dollan ($100) or leu.
□ CerUflcate of Exemption: I certify that In the performance d Iha WOik for which !hi& permit is issued, I shall no! employ any person in any mln'III' so 81 to become subject to the Workefs' Compens11ion Laws of
Ca11bn1a. WARNING: Fliklrl to &tcurt workn' compen&ation coverage I& unlawfuL and shall &utiject an employwto crlnillll penlltlN and dvll flnn up to one hundrtd lhouund dollrl (&100,000), In
addition lo lht COit of compenutlon, dllnlpl II provided for In Section 370& of lht Labor coda. lnterett and attome,'1 '"8.
,I! CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
I hMby dml t/tat I am exem,x m Contmctor's Ucanse Law for thefolowlng reason.'
□ I, N OMNlf rl lhe property or my employees with wages a& their &Ole compnatlon, wil do Iha wortc: and the SlrUchn I& not intended or offer1d for &ale (Sec. 7044, Bu&inen 111d Profe&&lon& Code: The Cooiaclor'&
lioBn&e law doe& not apply to III owner of property MIO bulld& or improve& thereon, and who does such work himself or through hi& own employee&, provided that such improvernenll n not Intended or offered for
sal. If, however, the bulklng Of m'll)l'O'ltlT18 Is sold ... ooe yest of completion, the CMner-builder wil have the bl.rden rl proving that he <Md not blild Of Improve for the p1,1p01e of &ale~
□ I, as OM'IIII' offle property, am exclusivay contracting wittl llcen&ed conncttn to construct the project (Sec. 7044, Buslnen and Profenion& Code: The Cootractor's Licen&e Law doe& not apply lo an~ ol
property who bulkl& or improve& thereon, and contracls for &UCh projacls wit\ contractor(•) licensed ptnlllWII to the Contractor'& Licen&e law).
□ I am llltlfflpt oodw Seclon ____ ,,.U&lne&t and Prmalcn Code b 1h11 reaon:
1. I -plan b> -ttle major ~bar and -r,, -at ttle proposed property '"""""'"'"'-□ Yeo □ No
2.1 (haVII I ha,o nol) 8'gr1ed an -r,, a buidng permit r,,tt,e propooed -
3.1 have contracled 'Mil the folowlng person (ftnn) lo prtMde Iha pmposad con&truclion (Include name addrna /phone/ conractor&' llcenN number):
4.1 plan to prOYide portion& rl the work, but I have hired Iha following parson ti coordklate, &tJpervi&e and provide the mator work (Include name/ adn&& /phone/ contractn' llcera llllTlber):
5.1 wil-.,,..o1.,.,..., bull ha,oconlraclad (lnd)ttle ~......, b> pro,ida ttlewon< ndicatad (lncblo """''"""""'/phono/~peot""'):
,I! PROPERTY OWNER SIGNATURE □AGENT DATE
. .
COMPLETE THIS SECTION FOR NON•RESIOENTIAL BUILOING PERMITS ONLY
" Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration foon or risk management and prevention program under Sections 25505, 25533 or 25534 oflhe
, • Presley•Tanner Hazardous Substance Account Ad.? □ Yes □ No
Is lhe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes □ No
Is the facility to be conslructed YAlhln 1,000 feel of the outer boundary of a scoool site? □ Yes □ 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 AJR POLLUTION CONTROL DISTRICT.
CO NS TR UC TlO N LENO I N_G,,,"GEl\lf,!Y:>
I hereby affirm that there 1s a construction lending agency for the performance of the work this perrmt 1s issued (Sec 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information Is correct and that the information on the plans is acwrate. I agree to comply 'l'lflh all City on:llnances and State laws relatlngto bulldlng ooostrudlon.
I hereby authooze representative of Ile City of Carlsbad il enter upoo the above menOOOed property for inspecoon IXJfPOS8S. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY 0:: CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAJNST SAID CrTY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT.
OSHA: HI OSHA permit is requred t:ir excavations CN8f 5'0' deep and demolition or consln.K:tbn of slructures over 3 sbries fl heghl.
EXPIAA TION: Eve,y permit issued by the Build" g Ofli::ial under the provisions of this Code shall expire by linitation and become null and void if the buidhg or 'Mllk auflorized by sucti permt is not oorrmenced 'Mtlil
180 days from the date of such pern_;t or if the bu · authorized by such permit is suspended or abandoned at any lme after the v.a1t is commenced for a pelk:xl of 180 days (Sec:tkxl 106.4.4 lklibm Eklildi'lg Code).
AS APPLICANT'S SIGNATIJ DATE
&) . .
· . City of Carlsbad Bldg Inspection Request
For: 03/28/2011
Permit# CB102228 Inspector Assignment: PD
Title: MC CARRON RES-IN MASTER BATH
Description: & 2ND BATH-REMOVE & REPLACE TUBS & TILE
SURROUND., REPLACE & MOVE LIGHTING. REDUCE
IAlll.ln_,., .,.,~e n,,en AAA,r!o'T'l':"'r""I Tlln ·•-11r"' c,,.n.,v 1111 Tlln
Sub Type: OTHER
---
Type:MISC Phone: 7602712166
Job Address:
Suite:
2288 PLAZUELA ST
Lot: 0
Location: Inspector:
OWNER JUDY MC CARRON
Owner: BEKINS ROBERT&CYNTHIA 2001 TRUST 09-07-01
Remarks:
----
Total Time: Requested By: JUDY
Entered By: CHRISTINE
CD Description Act Comments
19 Final Structural _B._ 21-1&e-~~s 1Ht2ou"rM our O(<:..
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
lns12ection Histo[)!
Date Description Act lnsp Comments
11/24/2010 14 Frame/Steel/Bolting/Welding PA PD
11/24/2010 24 Rough/Topout PA PD
11/24/2010 34 Rough Electric PA PD
11/23/2010 14 Frame/Steel/Bolting/Welding CA PD