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HomeMy WebLinkAbout1301 KNOWLES AVE; ; CB030845; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-24-2003 Miscellaneous Permit Permit No: CB030845 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1301 KNOWLES AV CBAD MISC 1561641000 $0.00 Subtype: REPAIR Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 03/24/2003 SB 03/24/2003 03/24/2003 Project Title: Applicant: STRAIN RES REPLACE DRYWALL MINOR ELEC AND PLUMBING Issued: Inspect Area: Owner: A-1 FACTORY DIRECT CARPET STRAIN FAMILY TRUST 08-14-00 887 RANCHEROS DR 92069 746-6469 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $192.00 Inspector: PERMIT FEE 1301 KNOWLES AVE CARLSBAD CA 92008 Total Payments To Date: $0.00 FINAL APPROVAL Date: 07,. o/-0 1000 03/24/03 0002 01 $192.00 $0.00 $0.00 $192.00 Balance Due: Clearance: CGP $192.00 NOTICE: Please take N val of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exact1 ns. • You e 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 infonnation 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 x·nti NI ilr ·· r I ix· 02 192-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION ~~·L:301 FOR OFFICE USE ONLY PLAN CHECK NO.C-l>e>> 0 S 'f_> EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By_:':2'~,-::73'~------- Date :S,.-Z'{-:-o3 Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work f?G{l(),JSTl?.U(!TJ:O,J IJFTE.I?.. /'f1()LD 2. CONTACT PERSON (if different from applicant) SQ, FT. l(Klffc/JTATW ,J o'/JtJ Stories "1 I # of Bedrooms 3 # of Bathrooms ~ Name Address City State/Zip Telephone # Fax # 3. APPLICANT ~ Contractor O Agent for Contractor A::/t FMro,ey bJ:RECr <!Af-P£, Name Address fs,7"eR~]{E)/,sOf. City SM I/I/IR.<fJ5 State/Zip 7b0 CA-'(,)()69 7µc,-fp/G1 Telephone# ~ROPERTY OWNER '11Mb <;--W,:r,J ~ Name I Jc)! !<A/Vu.JI.£ \ A i/c · Address Cir-ff)a)r ~o ror; -OJr,7 State/Zip Telephone # 5. CONTRACTOR • COMPANY NAME (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 ~e:!t°"t=-AJrottion lJ EJar31. by a~ applicam p~Al)~je ,,ant t) J7?8Jnlty O as mor than fl/9/~nt~d dol7 6c5~0~~ -bl/b9 Name Address City State/Zip ~Wphone # 1 r State License# 7;). 00 {p ~ License Class {!-/5 B City Business License# ::::::::fl: ??·l ;~d r~ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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 of the 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 Sr: CofVI;>. 'INS . ~ II 2D Policy No. /(pl./ 7 i 7 r Expiration Date I?. -Jc). -0 ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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 . thousand dolla .:.;.,:__~':f:e:--n:::sa:'::t;.;:lon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred f compensation. damages as provided for In Section 3706 of the La or c de, interest and attorney's fees. SIGNATURE DATE '"'3 7. OWNER-BUILDER DECLARATION 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: 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). ~ 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. 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 _________ _ COMPLETE THIS SECTION FOR NON-RESIDENT/AL BUILDING PERMITS 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? 0 YES O 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. 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 b 1 1ng O 1c1a r 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 co within 180 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 co S Uniform Building Code). DATE ---='3,/i ..... r ..... ~t,=-o~J'------- WHITE: File YELLOW: Applicant PINK: Finance ◄ City of Carlsbad Bldg Inspection Request For: 06/30/2003 Permit# CB030845 Title: STRAIN RES REPLACE DRYWALL Description: MINOR ELEC AND PLUMBING Inspector Assignment: JM --- Type: MISC Sub Type: REPAIR Job Address: Suite: Location: 1301 KNOWLES AV Lot 0 APPLICANT A-1 FACTORY DIRECT CARPET Owner: STRAIN FAMILY TRUST 08-14-00 Remarks: Total Time: Phone: 7604971014 Inspector: ----- Requested By: CLAYTON Entered By: ROBIN CD Description Act Comment 19 Final Structural 11£_ I /Dia e"{ 29 Final Plumbing tt11cuf 39 Final Electrical I - j Associated PCRs/CVs lns12ection Histo!Y Date Description Act lnsp Comments 04125/2003 17 Interior Lath/Drywall AP JM 04/14/2003 16 Insulation AP JM OK TO DRYWALL 04/09/2003 24 Rough/Topout AP JM OK TO INSULATE EXISTING FRAMING 04/09/2003 34 Rough Electric PA JM 04/09/2003 44 Rough/Ducts/Dampers co JM CONNECT ALL EXHAUST FANS