HomeMy WebLinkAbout2425 STEVEN CIR; ; CB023609; Permit-
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City c :;arl sbad
1635 Faraday I Carlsbad, CA 92008
Plum in g Permit Permit No: CB023609
,...,, 1ilding Inspection P , uest Line (760) 602-2725
' 125 r--N CR CBAD
_UI 1
7 1 . ' l Lot 1'·
Construction Ty,
'Em11 • '' '"N RES-MOVE TUB &
'LUf\' \STER BATH-2ND ST0 '
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
1cr:
n MUNDSON ERIC&NADJA
ISSUED
12/02/2002
RMA
12/02/2002
12/02/2002
~ '25 STEVENS CIR
2304 12/02/02 0002 01
CGP
Total Payments T
0
0
0
r LillC' 1
r \J "'n' 0
0
0
JS
...
1 'RLSBAD CA 92008
$0.00 Balance Due:
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$30.00
$0.00
$0.00
$0.00
$57.00
$57.00
FINAL , PROVAL
IL. ~ Date: ~ .,_. .2 -ty "1 -±-----__ _
v •rE t
," y
J·es snt
•oval of your project includes the .. ,
90 days from the date this permit
Government Code Section 66020,
1unicipal Code Section 3.32.030.
0sition.
11 your right to protest the specified
r other similar application processin,
ly heen given a NOTICE similar t~
Clearance: -------
· of lees, dedications, reservations, or other exactions hereafter collectively
,td to protest imposition of these fees/exactions. If you protest them, you must
le the protest and any other required information with the City Manager for
·o timely follow that procedure will bar any subsequent legal action to attack,
x1ctions DOES NOT APPLY to water and sewer connection fees and capacity
,,,ice fees in connection with this project. NOR DOES IT APPLY to any
, 15 to whi h th s t f i . i n I h x ir d.
02
57 -00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1 ,PRQJ~I INFORMATION
FOR OFFICE USE ~J
PLAN CHECK No .(j(J(),l J~o 9
EST. VAL _________ _
Validated B:(_ I i _/V_
Plan Ck. Deposit ~fA-
Date / ~/ 2--{ 6
Address (include Bldg/Suite #)
1.4'lS S\(>~ve"' (i\l"c.\e.
L ,I )( Business Name (at this address)
C()v-\s oaq1 Crr-C\. l 00~
Legal Description ot No. Subdivj,liion Name/Number
l=,\ L Mc"v-o Me.St\ 13
Description of Work ~-).\.IH~I i cabi•e-b ~t¼v~om 'relholel: t,.ltw t4bl ~'i ...... b, .. l l\4od3 tor ti.I~
C9Jil~ PE8§_Qtf.Jlf ~r•n1Jr,9JILfl!pllcentl
Address
Existi118 Use
pe1,thVOOWI
SQ. FT. bY
City
Unit No. Phase No. Total # of units
Proposed Use
~G\Wle..
Telephone#
tt 6 0 ) l: 2 q _, 3 ½ 1-1
Telephone#
S.tate/Zip Telephone#
(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 [$5001).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
6.
I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to sell -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)
Qf' 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 secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labo/ codez interest and attorney's fees.
SIGNATURE £ ~ DATE \ 1. _ \ _ 0 '1...
i?.,. OWNEll:!U11,l2rnMI!.ON · · ' · · · . • . · "' ---. -. ---~--~-
I hereby affirm 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 improver-vents 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). · ··--," ..
0 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.~ YES ONO
2. le/ have notl signed an application for a building permit for the proposed work.
3. I have contract&d _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): ______________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work): __________ ,---f~--,:------------------------:--=:----c:--------------
PROPERTY OWNER SIGNATURE _.:::.__--{-~==L:::::::=--------------
.COMf_!,.EIE l'HIS SECTION..EQB NOf'!:BESID
Is the applicant or future building occupant required t o submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 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 t o be constructed within 1,000 feet 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 AND THE AIR POLLUTION CONTROL DISTRICT.
8, CONSTRUCTION LE_NOING AGENCY
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
9. APPLl(,ANT:;:C:::E=fiT=1=Fl-;:C,P.:;:T;;.!QN_:;;O;;:;;;;;;-;;-----;::--;;;:-:;;;;---
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 representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 ii the building or work
authorized by such permit is not commenced within 180 days from the date of such permit or ii the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE __ E.=-•;__~r=--L _________________ _
WHITE: File YELLOW: Applicant PINK: Finance
DATE ___._,\2_=--__,__\ _-_0____:_L,. ___ _
City of Carlsbad Bldg Inspection Request
For: 05/30/2003
Permit# CB023609
Title: GERMUNDSON RES-MOVE TUB &
Description: PLUMBING-MASTER BATH-2ND STORY
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
2425 STEVEN CR
Lot 0
APPLICANT GERMUNDSON ERIC&NADJA
Owner: GERMUNDSON ERIC&NADJA
Remarks: ~-EABL'l AS eOSSJBLE
Total Time:
CD Description
29 Final Plumbing
AJl Comment & ox-7&)
Associated PCRs/CVs
Inspection History
Date Description
O 1/10/2003 17 Interior Lath/Drywall
01/03/2003 24 Rough/Topout
Act lnsp Comments
AP RB
AP RB
Inspector Assignment: RB
Phone: 7609307654
Requested By: ERIC
Entered By: CHRISTINE