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Home My WebLink About1724 BONITA LN; ; CB050240; PermitCity of Carlsbad I 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 01 -25-2005 Miscellaneous Permit Permit No: CB050240 Job Address: Permit Type: MlSC Subtype: OTHER Status: ISSUED Parcel No: 2050801200 Lot #: 0 Applied: 01 /25/2005 Valuation: $0.00 Entered By: LSM Reference #: Plan Approved: 01/25/2005 Issued: 01/25/2005 Project Title: GOSMAN RES- KITCHEN REMODEL Inspect Area: 1724 BONITA LN CBAD INSTALL ARCHES, MlSC ELECT, MOVE GAS LINE Applicant: WORTHING INC, B. A. SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 61 9-729-3965 Owner: GOSMAN RAYMOND L&ANN E 1724 BONITA LN CARLSBAD CA 92008 Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PLUMBING & ELEC ARCH $61 .OO $60.00 $0.00 $121 .oo Total Fees: $121 .OO Total Payments To Date: $0.00 Balance Due: $1 21 .oo 0323 01/25/05 0002 Of. 02 CGP l21-00 Insuector: 5 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 "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feesiexactions. 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 feedexactions 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 Dreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv othelwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 > FOR OFFICE USE ONLY PLAN CHECK N0.a fl ~~aCl0 EST. VAL. Plan Ck. Deposit Validated By Date \ Business Name (at this address) \% Lpcsve Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use 5 YPANY 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 IChaDter 9. commendina with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged State License # 2 3 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. 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 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 Insurance Company Policy No. -5eFExpiration Date ' I (THIS SECTION NEED NOT B~COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$io01 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. WARNING: Failu coverage is unlawful, and shall subject an employer to up to one hundred thousand dollars ( addition to th compensation, damages as provided for in Section 3706 ttorney's fees. eby affirm that I am exempt f 0 I, as owner of the pro yees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and P he Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or throug es, 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). 0 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 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: ON0 4. number I contractors license number): 5. 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): PROPERTY OWNER SIGNATURE DATE 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 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO 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). LENDERS NAME LENDER'S ADDRESS ERll 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 Citt 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 at any time after the work is commenced for a APPLICANT'S SIGNATURE DATE .* City of Carlsbad Bldg Inspection Request For: 03/28/2005 Permit# CB050240 Inspector Assignment: PC Title: GOSMAN RES- KITCHEN REMODEL Description: INSTALL ARCHES, MlSC ELECT, MOVE GAS LINE Type: MlSC Sub Type: OTHER Phone: 7607293965 Job Address: 1724 BONITA LN Suite: Lot 0 Location: Inspector: OWNER GOSMAN RAYMOND L&ANN E Owner: GOSMAN RAYMOND L&ANN E Remarks: Total Time: Requested By: TERESA Entered By: CHRISTINE CD Description 19 Final Structural - Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 02/08/2005 17 Interior LathlDrywall AP PC 02/08/2005 23 GasKesffRepairs AP PC 02/03/2005 16 Insulation AP PC 02/03/2005 84 Rough Combo AP PC ,/ J