HomeMy WebLinkAbout1739 TAMARACK AVE; ; CB030874; Permitt,\uG'\ City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-26-2003 Miscellaneous Permit Permit No: CB030874
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
1739 TAMARACK AV CBAD
MISC
2073110100
$0.00
Subtype: REPAIR
Lot#: 0
NOWLIN RES FIRE REBUILD ELEC,
PLUMB,DRYWALL,ROOFING,HVAC,ROOF FRAME
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/26/2003
SB
03/26/2003
03/26/2003
GEBCO CONSTRUCTION NOWLIN MARJORIE TR
1395 SUNSET GROVE RD
FALLBROOK RD 92028
760 723-7201
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $120.00
Inspector:
PO BOX295
SAN LUIS REY CA 92068
1198 03/26/03 0002 01
CGP
PERMIT FEE
Total Payments To Date:
FINAL
Date:
$0.00
$120.00
$0.00
$0.00
$120.00
Balance Due:
Clearance:
$120.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.' You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020{a}, and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f x ctions f which ou h
02
120-00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NOL'.?fu>C) ~7<j
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit-~-------
Validated By_:'z..L.--'~=--~-----
Date 3 -2 " -0 ,3
1. PROJ.!f.CTqlNFOl!l!M.TION . I , 17 0 ,A-1"1'. A,.~~<...<
Business Name (at this address) .,,,.-AdLKttS B~~u~ #) c_~ ~
Legal D$cri~n /) Subdivision Name/Numbe'r Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
#of Stories # of Bedrooms # of Bathrooms
I 2. s
Name Address City State/Zip Telephone# Fax#
3. APPc.lCANT a({ Contractor D Agent for,ContractOf O Ow_ner O AgeritJor Owner
Name Address City State/Zip Telephone#
,,> ~~fzJ00~ I C.
Name Address City State/Zip
,t,.0 7</z-Sioq
Telephone#
5. CONtRACTOR .;COMPANY NAME
(Sec. 7031.5 Business and Professions Code: Any City or Countv 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 b! ~y ,flPPlicant for a permit subjects the applicant to a civil pt3nalty of rot more than five hundred dollars [$5001).
/ 6-tS<...o C;oN<;;r 1..:)4~ ~uM;<:r 6Zt>J( ,.,.i.x..l~"c!Xi'S l'> ~ <.CU' 7bo-,1..]·l 7.01
Name Address City State/Zip Telephone#
State License# Si:Q .504 license Class g City Business License#/ 2,.} $()$J
Designer Name Address City State/Zip Telephone
State license # _________ _
6; WORKERS' COI\IPENSA TION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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 .
._. ~ I have and will mamtam workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit 1s
issued My worker's compensation insurance earner and policy number are: j )
lnsu,anceCompanyLor-.G,lf'l~l> &?lC.(l'lzt I ,_,t l.O PohcyNo.{)05¢o:OI ,l,":, I 5 Exp,,at,on Date /01, 03
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
D 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 Labor code, interest and attorney's fees.
SIGNATURE. ________________ ,---------------,--DATE _________ _
7. 00 ;owNER'BVllPER'DEClARATION°
I hereby affirm 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 Coda: 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).
D 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. 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/ aontractors 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 I 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 _________ _
COMPLETE THIS SECTION-FOR NON-RESIDENTIAL 8UILDINOIPERMITS cONLY.
ls 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, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant 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 feet of the outer boundary of a school site? D 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. CONSTRUCTION LENDING 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 ______________ _ LENDER'S ADDRESS __________________________ _
9. 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 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 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
at any time after the work is commenc for a periofo~O days (Section 106.4.4 Uniform Building Code). <}
,,,-/4PPLICANT'S SIGNATURE -;,tL~"ij.~+~~=~--------------DATE --1V.,,f-__ Z._'--1/~0~3~------
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 1 0/08/2003
Permit# CB030874 Inspector Assignment: JM ---
Title: NOWLIN RES FIRE REBUILD ELEC,
Description: PLUMB,DRYWALL,ROOFING,HVAC,ROOF FRAME
Type: MISC Sub Type: REPAIR
Phone: 7608031395
Job Address:
Suite:
Location:
1739 TAMARACK AV
Lot
APPLICANT GEBCO CONSTRUCTION
Owner: NOWLIN MARJORIE TR
Remarks:
Total Time:
CD Description
19 Final Structural
0
Act Comment
Inspector: J -!\I\.
Requested By: MIKE
Entered By: CHRISTINE
li'-------
Associated PCRs/CVs
lns11ection Histo[Y
Date Description Act lnsp Comments
07/01/2003 17 Interior Lath/Drywall AP JE 1107 -A3 WAITING FOR HOT MOP 1-2 WEEKS OUT
07/01/2003 18 Exterior Lath/Drywall AP JE
06/17/2003 16 Insulation AP JM OK TO DRYWALL -NO RECORD CARD
06/09/2003 84 Rough Combo AP JM OK TO INSULATE