The URL can be used to link to this page

Home My WebLink About1408 TOPAZ CT; ; CB032304; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-19-2003 Miscellaneous Permit Permit No: CB032304 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1408 TOPAZ WY CBAD MISC 2121915800 $0.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: SIMONIN! RES REPLACE MANDOOR Inspect Area: AT GARAGE WITH DUTCH/FRENCH DOOR Applicant: SIMONIN! RONN&BELINDA 1408 TOPAZ WAY CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: SIMONIN! RONN&BELINDA 1408 TOPAZ WAY CARLSBAD CA 92009 ISSUED 08/19/2003 SB 08/19/2003 08/19/2003 $60.00 $0.00 $0.00 $60.00 Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 Inspector: FINAL A AJ;- Date: u 1 J 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 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 service fees in connection with this project. NOR DOES IT APPLY to any f x in fwhih u v rv· I T wihh fl'mi in •1 .h ... PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Assessor's Parcel # Name APPUCA Address Clty FOR OFFICE USE OHLJ PLAN CHECK NO.C-~3., Z3o'-/ EST. VAL. __________ _ Validated By,__-S~ .... ~,-e,. ------ Plan Ck. Deposit Z~. Date '6 / / 2 Phase No. Total # of units #ofB~ooms 5'tcf~yard Telephone# Fax# '1<0t1t1 'I--,.LJ.'2.11.'..<;1 ~c_._,_:"11:'.!..f'lllllh-,_f.c'#,l.J_..JO,=±;.,J,J.L'1~~~c.p....L:::~L.,~~...,,.-:;µ.::2ll:__Ll,2tL'.":_L;::lL'.=.J-.:? 7 ~ Name 4. PROPERTY OWNER ,'?ame o s: cy:p!,'ca,nf Name Address Crty State/Zip Telephone# &. CON111ACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any Clty or County which requires a permit to construd, 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 lioensed 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 {$500]). Name Address City State/Zip Telephone# State License# ________ _ License Class __________ _ City Business License# __________ _ Designer Name Address City State/Zip Telephone# State License# _______ _ I. WORKER'S COMPENSATlON 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. O I have and will maintain worker's 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 oompensation 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 ($100) OR LESS) O{___ 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: Fallure to secure workers' compensation oveniga Is unlawful, and shall subject an employer to criminal panaltlas and clvll fines up to ona hundred thousand dolla111($100,000), In , damaq_as aqt P'i,Vl'lfd for In Section 3709 of the Labor Coda, Interest and atton-,,,J~::. n s1GNATURE-1-'...i.u~-._.,,~...,,'-J-='.la.~J:1<:"2:J6.L __________ DATE ~ < ,2T I z, ZC~.3 7. OWNER t hereby affirm that I am exempt from the Contractor's License Law for the following reason: Ill, I, as owner of the property or my employees with wages as their sole compensation, will d the wOfk 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 employee&, provided that such improvements are not intended or offered for sale. 1f, 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 exdusively contracting with licensed contradors 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 Contrador'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 construction of the proposed property improvement. D YES □ NO 2 I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the follOINing person (firm) to provide the proposed construdion (indude name I address/ phone number I contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (indude name / address / phone number I /ontractors license number): WHITE: Fife YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS 8EC110N FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ad? □ 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? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school 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 AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the pertonnance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME__________________ LENDER'S ADDRESS __________________ _ I. APPLICANT CER11FICA110N 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. J hereby authorize representatives of the City of Car1sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE, INDEMNIFY AND KEEP HARMLESS lHE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID cnY IN CONSEQUENCE OF lHE GRANTING OF lHIS PERMIT. OSHA: An OSHA permit is required for excavationS of S'O" deep and demolition or construction of strudures 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 clays from the date of such permit or if the building or 'NOrk authorized by such permit is suspended or abandoned at any time after the wook Is commenced to, a penod of 180 days (Section 106.H r BuHdi"."C°".e) . APPLICANT'SSIGNATURE &.t,rJ, I~ DATE ~r f 4 zoo3 WHITE: File YELLOW: Applicant PINK: Finance • Inspection List Permit#: CB032304 Type: MISC OTHER Date Inspection Item Inspector Act 08/29/2003 14 Frame/Steel/Bolting/Weldin JM WC 08/29/2003 18 Exterior Lath/Drywall JM 08/21/2003 14 Frame/Steel/Bolting/Weldin JM Tuesday, December 30, 2003 AP AP SIMONIN! RES REPLACE MANDOOR AT GARAGE WITH DUTCH/FRENCH 000 Comments NO RECORD CARD, GATE CODE 5454 OK TO DRYWALL Page 1 of 1