HomeMy WebLinkAbout1225 STRATFORD LN; ; CB050924; Permit~ dc-i'\"0 City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-21•2005 Miscellaneous Permit Permit No: CB050924
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1225 STRATFORD LN CBAD
MISC
1561643500
$0.00
Subtype: OTHER Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
Issued:
pject1~~:::::...,~~O?!M~~AIN RES ELEC TO LIGHTS Inspect Area:
LL, MOVE PARTION WALU FRAMING, FRAME IN SGD,
Applicant:
ALL CARE RENOVATIONS INC
9950 CAMPO RD 91977
619-462-0133
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $200.00
PERMIT FEE
ELEC FEE
Owner:
ROMAN KATHERINE
1225 STRATFORD LN
CARLSBAD CA 92008
Total Payments To Date: $0.00 Balance Due:
ISSUED
03/21/2005
SB
03/21/2005
03/21/2005
$180.00
$20.00
$0.00
$200.00
$200.00
4224 03/21/05 0002 01
CGF"
Inspector
FINAZ::PPROVA!:
Date: -( ? -l, ) . Clearance:
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/exactions." You have 90 days from the date this pennit 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 Ctty 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 service fees in connection with this project. NOR DOES IT APPLY to any
f x i n f wh· v· n iv imil r r f · i n h h rwi
02
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK N~o 1 Zr.(
CITY Of CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ..,...,•....,.--.------
Validated By 0/2:
Date_ ~~
Address (include Bldg/Suite #)
Legal Des · tion
'~/.()~
Assessor's Parcel #
# of Bathrooms 2,..-
~f.:(i.co~;r ·
1&,,~ -ftzJiu
Name Address City
~,-iC:7:'~lii>tll:fAN:t:\" e{ Cb'ntr~"j:i;tor;,::.,,,c1IJr~!ie~t; for·•Cbntr~ctor ' 0, Owner . · O Agent•for.,Owner.
Name Address CIW
State/Zip Telephone# Fax#
S.tate/Zlp Telephone #
ts1:11ftdr.iif.ft'p;t5"i1'611•~61':>h'i.Ps4~WMM.Et;-1•:',-f' •. ,{·\\; r1 ~ ,, , , -.: •::••/L ::: •.. ; .J": .:i-::-.i .. :1F~~~f~-:eN<~~ •~·~;;rt::: :: .:•h;_~,~··: •., • < ,tr1~:1:ii~.,,.
(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 violati of Section 7031.5 by any ap licant for a ermlt subjects the ap cant to a civjl penalty of not more than five hundred dollars ($500)). 'LLCJliZ!:.. -aJt:,v,di'DR,f (... 'I /2.MS YAU.~ t 77 I Z.-dt9'3
Name
State License # g, ')Ir 360 License Class --=.i::;._·..:.I ______ _
City State/Zip Telephone #
City Business License # /tf>(' } 1 ~
Designer Name Address City State/Zip Telephone
State License # _________ _
rsrtwl>.1.1ltf;R$."CO'M1>1;rt1S"~;TJ0.~:0j}1_j, ·t~:; ,,, , ·~ . . ,,., ". >, ·, Y •i•··1. :.•,·1' ",·,,.!•
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain e certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of ~ 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 coµi_pensation insurance carrier and policy number are:
Insurance Company J '/171! ;:{/UIJ Policy No. (l)QUJ/-2t>I>~ Expiration Date O/-t) /-t)l,
(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 •aecure worker ' ompen111tlon coverage I■ unlawful, and ■hall ■object en employer to crlmlnal penalties and civil fines up to one hundred
thou111nd dollar■ 0,000), In ad to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
p(.slGNATURE --L./ ~ DATE.7-'U-t> r::
r,:,::w:,!:f-.vijelj::s :ij1~p~ii.rlfl.l~O(R'A,norJ';'j,(. :;;:~ ". '}c;r;(,"'T(: ,:;( ,_,,,~·;r;r '. ·er
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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: Tha 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, •'!1 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, 0 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): ______________________________________________ _
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): _________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------tcoliliP."tli:Tf;\'tHISt~ECTIONJFORi//.(iN-"/'lfS/DENT/Al.BUltOING;F!ERMITS ONl:Y
Is the applicant or future building occupant required to submit e 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 Act7 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? ·O YES e:( NO
Is the facility to 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.
(~f.}£.s;[~~.T.f!!J:Ci;1Qfffi;E,N_OIN'G)t,,GEri!S::X;'r;_:-),., ';
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 _________________________ _
~::f>sla:fA~~j_q-A'N;r,iCE1'11;1F.[C,';J"l(lll1h i, :-,,, -',;., : ,! , ;{,,. . '· , ,,<''.,,
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 Cit\' 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 ANO 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 wlth~n 1 ays from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned
at any time after lhe work is co e ed for a peri BO days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE "-L,/ --C) DATE J• 2 /• d r
WHITE: File YELLOW: Applicant PINK: Finance
m m City of Carlsbad Bldg Inspection Request
For: 06/06/2005
Permit# CB050924 Inspector Assignment: PD ---
Title: ROMAN RES ELEC TO LIGHTS
Description: DRYWALL, MOVE PARTION WALL/ FRAMING, FRAME IN
SGD,
Type: MISC Sub Type: OTHER
Job Address:
Suite:
Location:
1225 STRATFORD LN
Lot 0
APPLICANT ALL CARE RENOVATIONS INC.
Owner: ROMAN KATHERINE
Remarks:
Total Time:
CD Description Act Comment
Phone: 6195188180
lnspectiPJC
Requested By: RON
Entered By: CHRISTINE
,1 Fina/~~uJu~~~--l----------
-------------------------------------------
Associated PCRs/CVs
Inspection History
Date Description
05/03/2005 34 Rough Electric
04/22/2005 34 Rough Electric
Act lnsp Comments
AP PD NOT FINAL
CO PD ONCARD
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