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Home My WebLink About1850 MARRON RD; 114; CB004329; PermitCity of Carlsbad 11121'12000 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Perm it No:CB004329 Building Inspection Request Line (760) 602:-2725 Job Address: 1850 MARRON RD CBAD St: 114 Permit Type: MISC Subtype: Status: Parcel No: l Sit, :3Q I I \o 00 Lot #: OTHER 0 Applied: ISSUED 11 /21 /2000 MOP 11 /21 /2000 11 /21 /2000 Valuation: $0.00 Entered By: Reference #: Plan Approved: Issued: Project Title: VOLT TEMP. SERVICES Inspect Area: REMOVE NON -BEARING WALL & CEILING Applicant: ROBERT J BALL CONSTRUCTION 20700 ONAKNOLL PERRIS CA 92570 909 780-1889 Total Fees: $30.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: Owner: 500111/21/00 0002 01 02 CGP 30-00 Total Payments To Date: $0.00 Balance Due: $30.00 $30.00 $0.00 $30.00 XPIRED PERMIT r-'' ~ ,.., f ED IN ACCORDANCE WITH U.B.C • . ~.,..i.4.4 D/t1 t. <a:\ 5-Q\ SIGNATlllE (Lu.0 FINAL APPROVAL Date: 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 wijh 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 capactiy 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 vou have oreviouslv been ciiven a NOTICE similar to this or as to which the statute of limitations has previously otherwise exoired. NOV-21-2000 02:S9 PM BALL.CON.STRUCTION --·-----·-909 7807962 P.02 -STATE HOME OFFICE SAN ,RANCISCO I ANNUAL RATING ENDORSEMENT COMPENSATION IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PEA $100 OF REMUNERATION APPEARING INSU .. ANCE l=UND IN THE CONTIMJOUS POLICY ISSUED TO THIS EMPLO~A ARE AMENDED AS SHOWN BROW. HERE ARE YOUR NEW RATES FOR THE PERIOD INDICATED. IF YOUR NAME OR ADDRESS SHOULD BE CORRECTED 0A IF INSURANCE IS NOT NEEDED FOR NEXT YEAR, PLEASE T£LL US. IMPORTANT THIS IS NOT A BIU CONTIMJOUS POllCY 13-i4186-00 SEND NO IIJNEY lN.ESS STATEMENT IS ENCLOSED THE RATING Pl!RIOD IECUNS AHO Efil>S AT 12:01AM PACI,IC STANWtD TINE RATING PERIOD •-09-00 TO 4-09-01 - * INTERIM BILLING RATES WILL BE USED ON PAYROLL REPORTS. THEY TA!C.E INTO ACCOUNT RATING PLAN CREDITS (OR DEBITS) WHICH WILL APPLY AT FINAL BILLING AND AN ESTIMATE OF YOUR PREMIUM DISCOUNT AS DETAILED BELOW. RATING PLAN CREDITS (DEBITS) EFFECTIVE FROM 04-09-00 TO 04-09-01 RATING PLAN MODIFIER ESTIMATED PREMIUM DISCOUNT MODIFIER COMPOSITE FACTOR APPLIED TO BASE RATES TO DERIVE INTERIM BILLING RATES 1.00000 1.00000 1.00000 ********************************************************************************* * * * PREMIUM DISCOUNT SCHEDULE EFFECTIVE FROM 04-09-00 TO 04-09-01 * ESTIMATED MODIFIED PREMIUM rs DISCOUNTED ACCORDING TO THE FOLLOWING SCHEDULE: * * FIRST NEXT ABOVE * * * Sl,000 $4,000 $5,000 * * 0.0% 19.0% 23.67' * * ********************************************************************************* THE ESTIMATED PREMIUM DISCOUNT IS BASED ON AN ESTIMATE OF YOUR PAYROLL. ACTUAL PREMIUM DISCOUNT APPLIED AT FINAL BILLING WILL BE BASED ON THE ACTUAL PAYROLL REPORTED ON YOUR POLICY AND SUBJECT TO AUDIT. COUHTBRSIGHED AHD ISSUED AT SAN FRANCISCO MARCH lt, 2000 (OVER PLEASE) POLICY FORM L 5 PERMIT APPLICATION CITY OF c'ARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION ~ 1£.S-cJ '/17/rl(.t),ll/ .Rt> S"4-lTe # /Lj FOR OFFICE USE ONLY PLAN CHECK NO. fb: Lj5'2.'j' EST. VAL·---------~ Plan Ck. Deposit--------- Validated By __________ _ Date ______________ _ Addiess (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assess~ Parcel # .-fi"'(:'e.f'Yl1. Existi';IL,Use IJ CI./Z_ 7j 1;-"'-a I 6 t-bvt Proposed Use Description of Work s a. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Name Address City State/Zip Telephone# Fax# 3. APPLICANT O Contractor O Agent for Contractor O Owner O Agent for Owner Name 4. PROPER:t:/>;;N~~ Address City State/Zip Telephone# Name City 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 ex,!!)31ption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hupdred dollars ($5001) . .,Col3er<l..-t' ~~JI ~&-'7"/S-/-.:Zo7oo o-n.ez.-/C,110// r~ (:.C<. 9.2.5°'"70 ( .,c?) 751) ~flo Name Address City State/Zip ~ \ Telephone # State License # l. -:J.. 7 0 2, :J ~ License Class /3-/ City Business License # 5 ~, ~ ~ 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. 0 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 co~ensation insurance carrier and poli y number are: ,d Insurance Company ...) //,;--I~ ;...., Policy No. / 3 <.,I, 4' I rc:-1 f Expiration Date 't-I -20tJ I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$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. 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 ______________________________ _ 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). 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 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 I 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 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 I address I phone number I 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 I address I phone number I type of work):----------------------------------------------------------- PROPERTY OWNER SIGNATURE------------------------ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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--------------- 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 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 · 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 permi · not com need within 180 days from th e of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the wo en ed for a period o~ ection 06.4.4 Uniform Building Code). " APPLICANT'S SIGNA DATE WHITE: File YELLOW: Applicant PINK: Finance