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Home My WebLink About1673 DOCENA RD; ; CB022640; PermitON 09-05-2002 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No CB022640 Building Inspection Request Line (760) 602-2725 1673DOCENARDCBAD RESDNTL Sub Type 2159100700 Lot# $1,890 00 Construction Type Reference # 0 Structure Type 0 Bathrooms RADVAR RES-CONVERT 63 SF OF OFFICE TO BATHROOM RAD 0 VN Status Applied Entered By Plan Approved Issued Inspect Area Orig PC# Plan Check# ISSUED 09/05/2002 RMA 09/05/2002 09/05/2002 Applicant RADVAR HAMID&HEDYEH 1673DOCENARD CARLSBAD CA 92009 Owner RADVAR HAMID&HEDYEH 1673DOCENARD CARLSBAD CA 92009 5609 09/05/02 0002 01 02 CGP 150.64 Total Fees $15064 Total Payments To Date $000 Balance Due $15064 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee $3645 $000 $2369 $000 $000 $1 00 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 Meter Size Add'l Reel Water Con Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing InLieu Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $4800 $2000 $21 50 $000 $000 $000 $000 $000 $15064 Inspector FINAL ABPRQVAL Date frn-0 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 lees/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 m 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 fees/exactions of which you have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERIWT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECTJNFORMAtlONs Address (include Bldg/Sctrfe W f A(A FOR OFFICE USE ONLY PLAN CHECK NO EST VAL __t Plan Ck Deposit Validated Date Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total ft of units Sescription of Work 7 7 "25UsiONTACT PERSON (if different from applicant) # 01 Bathrooms Name Address City 3 APPLICANT JaQjCbntractor Q Agent for Contractor W Owner , Q Agent for. Owner State/Zip Telephone i Fax # Name 4 PROPERTY OWNER Address City Sftte/Zip I Telephone"* Address City State/Zip Telephone #Name S-J CONTRACTOR'-COMPANY NAME ..,;iZ::°:;,,'.' '••' "-Up ". ;'::: . :••• '".. ^rf- (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 Codel 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 State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # 6 WORKERS'COMPENSATION 'r!H Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 rj I have and will maintain workers compensation, as required by Section 3700 of the Labor Code for the performance of the work for whicn this permit is issued My worker s compensation 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) Q 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 OWNER-BUILDER DECLARATION " :L - ¥ L I hereby affirm that I am exempt from the Contractor s License Law for the following reason ^3' 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 (Se^c 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) l~l 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) C] 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 IS'YES I""|NO 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 (h^edMhe following persons to provide the work indicated (include name / address / phone number / type of work) / PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FO^7/ON-R£Slf)e^^L^llLDlNG 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? CD 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' l~l YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l YES l~1 NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEI TING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8 ShCONSTRUCTION LENDING AGENCY "... n«*;i I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER S NAME LENDER'S ADDRESS 9 APPLICANT CERTIFICATION ••":.. :,:i.'.iii: ^, , '" """^. :'" •••.•# ^ 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 City of Carlsbad to enter upon the above mentioned property for inspection purposes t 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 suspendPd or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 11/13/2002 Permit# CB022640 Title RADVAR RES-CONVERT 63 SF OF Description OFFICE TO BATHROOM Inspector Assignment PD Sub Type RAD 1673 DOCENARD Lot Type RESDNTL Job Address Suite Location APPLICANT RADVAR HAMID&HEDYEH Owner RADVAR HAMID&HEDYEH Remarks Phone 7608053809 Inspect Total Time Requested By HAMID CD 19 29 39 49 Entered By CHRISTINE Description Act Comments Final Structural '71 / Final Plumbing / /Final Electrical / Final Mechanical L Associated PCRs/CVs Inspection History Date Description Act Insp Comments 10/11/2002 17 Interior Lath/Drywall AP PD 10/08/2002 29 Final Plumbing WC PD 10/08/2002 39 Final Electrical WC PD 10/08/2002 84 Rough Combo AP PD