The URL can be used to link to this page

Home My WebLink About2578 TOWN GARDEN RD; ; CB042574; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-29,;_"2006 Miscellaneous Permit Permit No: CB042574 Building Inspection Request Line (760) 602-2725 Job Address: 2578 TOWN GARDEN RD CBAD Permit Type: MISC Subtype: OTHER Status: Parcel No: 2131306200 Lot#: 0 Applied: Valuation: $0.00 Entered By: Reference #: Plan Approved: Issued: Project Title: GARDENSIDE P A 6, BRESSI RANCH Inspect Area: TEMP. GARAGE CONVERSION TO SALES OFFICE Applicant: GREYSTONE HOMES 101 5973 AVENI DA ENCINAS CARLSBAD CA 92008 760-804-7700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $75.00 Inspector: ~ Owner: GREYSTONE HOMES 101 5973 AVENIDA ENCINAS CARLSBAD CA 92008 760-804-7700 PERMIT Total Payments To Date: $75.00 FINAL APPROVAL Date: .1:2-M/2:.t Balance Due: Clearance: FINAL 06/28/2004 MDP 06/28/2004 06/28/2004 TP $75.00 $0.00 $0.00 $75.00 $0.00 NOTICE: Please take NOTICE that approval of yOtJr project includes the "Imposition' of fees, dedications, reservatiol'\S, or other exacliol'\S hereafter collectivet, referred to as "fees/exactions.· You have 90 days from the date this permit was issued to protest imposition of these fees.lexactions. 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 wilh Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal aciion 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 xainfhih hvr·1 N • limi· v· • • FOR OFFICE USE ONLY PERMIT APPLICATION PLAN cHEcK No. otf ;;-s, Y CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ 1, • PROJECT INFORIIIIATION . A_ ,. ..,. .........._"' • ;J.f57e, 1cld,-.J. tn~~- Address linclude Bldg/Suite #} Business Name (at this address) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Pare e..., Proposed Use Description of Work ~ SQ. FT. # of Bedrooms # of Bathrooms Te:JH~I/ .~":~ .... J.jV~'6t-l .To. ;:;Al.£'> ,l. : · CONTACT, Pl;RSON •U••dlfferenU~m tppHcentl , .. •• • • •• fr.,rH f;v.,t>JbUIJJ l'SZ& Olf!Al?A:Y'. Ai.r£ -~400 Name Address <¼zasAP City . .. .. .. CA:9'™ State/Zip • idtm~ 7tTl.3 Telephone# :t . . 0 Agent fodiaritractcfr, 0:AgenUor Owner• !IF. ·-7717 Name Address City State/Zip Telephone# 4. ·PROPERTV•OWNER §,Aµa: As Name Address City State/Zip Telephone# '6; .·• CONTRACTOR • COMPANY NANiif (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). SA-Nte;: Af,. ~VtG Name State License # 632_. 6,t('3 Address License Class -~A......,,hs,--~----- City State/Zip Telephone # City Business License # / l.o f/6Z.. Designer Name Address City State/Zip Telephone State License # _________ _ 6; WORKERS' COMPENSATION ... Workers' Compensation Declaration: I hereby affirm under penalty of pmjury one of the following declarations: 0 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 oft~ work for which this permit is issued. ~ 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 c,£.p kf'u.6UC' i ~S:., Ce. Policy No. J,\,WC....lete,'7'7Goo0 Expiration Date ~I ___I ~c./ !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 ($0 • • n t e cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney"s fees. SIGNATURE-4&J~~~t~~~~~=-==------------------DATE _________ _ :,, ' OWNi!A•EiUllOERiDECLARATlilN>> 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 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 ~ithin 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 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. 1 have contracted with the following person (firm) to provide the proposed construction (include name I address I 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 contract (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type of work): ___________ ~~~eff:.,,-£-~;£.~Y-;;,;L-------------------------------------- PROPERTY OWNER SIGNATURE .CQIVIPLETf THIS SECTION iFOR NON:/l.t$1DENT/:JW BUILDING P~RMITS ONLY! Is 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? 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 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. C0"'1STRUCTION LENl>,ING AGENCY construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Codel. LENDER'S NAME -~~-~~----------- 9. APPI.ICANT CERTIFJCATIOl'\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 ell 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 18 ays o e date of such permit or if the building or work authorized bys h perm is suspended or abandoned at any time after the work is comme f r s (Section 106.4.4 Uniform Building Code). "\ {/ (J APPLICANT'S SIGNATURE ....L.~~~~~h.~~~-=========-----------DATE ---'<I-di'-+---'-l/'_+--+--~--- WHITE: File YELLOW: Applicant PINK: Finance 31 City of Carlsbad Bldg Inspection Request For: 12/28/2006 Permit# CB042574 Inspector Assignment: TP --- Title: GARDENSIDE P A 6, BRESSI RANCH Description: TEMP. GARAGE CONVERSION TO SALES OFFICE Type: MISC Sub Type: OTHER Job Address: 2578 TOWN GARDEN RD Suite: Lot 0 Location: OWNER GREYSTONE HOMES Owner: KOLJONEN ALLAN&GLENDA Remarks: Can you final? House final Dec. 2006 Total Time: CD Description Act Comment Phone: lnspecloi2- Requested By: CHRISTINE Entered By: CHRISTINE 19 Final Structural £_ _____ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# lnsgection HistoD'. Date Description Act lnsp Comments 0813112004 14 FramelSteel/Bolting/Welding AP TP 0813112004 34 Rough Electric AP TP 08131/2004 44 RoughlDuctslDampers AP TP 08/2512004 69 Final Masonry WC PS