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Home My WebLink About262 DATE AVE; ; CB121917; Permit09-25-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB121917 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 262 DATE AV CBAD MISC 2060802501 $0 00 Subtype Lot# OTHER 0 MCCOY RES- REMOVE 3 WINDOWS EXTERIOR AND INSTALL 1 WINDOW ON SOUTH WALL OF Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/25/2012 SKS 09/25/2012 09/25/2012 Applicant NCF CONSTRUCTION Owner MCCOY FAMILY 1994 TRUST 04-26-94 PO BOX 9797 SAN DIEGO CA 92169 858-997-4246 262 DATE AVE CARLSBADCA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES INSPECTION FEE $130 00 $0 00 $0 00 $130 00 Total Fees $130 00 Total Payments To Date $130 00 Balance Due $0 00 Inspector INALAPPROVAL Date /-f-/5 Clearance NOTICE Please lake 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 infonnation with the City Manager for processing in accordance with Cadsbad 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/exactcns 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 fe$$/exgctipns of which vou have oreviousiv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired THE FOLLOWING APPROVALS REQUIRED PRIORTO PERMIT ISSUANCE • PUKNING • ENGINEERING • BUILDING • FIRE • HEALTH • HAZMAT/APCD Plan Check No ' ^ ''^ * CITV OF Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buidling@carl5badca gov www carlsbadca aov Est. Value Plan Ck. Deposit Date SWPP '°~ 1^2. l^ATB AWe SUiTE#/SPACE#/UNIT# APN - CT/PROJECTff - LOT# PHASL# # Of: UNITS tt BEDROOMS # BATHROOMS | TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OFWORK Include Square Feet of Affected Area(s) t\ ^ y 1 //7fl^ / EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES • tt NO • YES • NO • YES • NO • APPLICANT NAME (Primary Contact) APPLICANT NAME (Seconcfary ConOct) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CO»™.CTO„ BUS NAME -.^p ^ ADDRESS O y ^ K , JL --^ 2U ADDRESSrv f) _ ^ CITY ^ t s a STATE ZIP C^jc\i> CPs PHONE FAX PHONE nb'lS=('6ol~? EMAIL EMAIL fv , - ARCH/DESIGNER NAME & ADDRESS STATE LIC tt CLftss CITY BUS LICP (Sec 7031 5 Busmess and Professions Code Any City or County wliich 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 tie is licensed pursuant to the provisions ofthe Contractors 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 exempuon 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)) Workers' Compensation Declaration (hereby affirm under penalty of perjury one of Ihe foltowing declarations n I have and will maintain a certificate of consent lo self insure forworkers compensation as provided by Seclion 3700 of the Labor Code forthe performance of the work for which ft is permit is issued ;[ed by Sect/Jn 3700 of the Labor Code, for Ihe performance oy he work lor which this permil is issued My wori<ers compensation insurance camer and policy Policy No I ^ Qi ^^"7<^ Expiration Dale npleled ll the permit is for one hundred dollars ($100) or less O Certificate of Exemption I cerlily thai in the performance olthe work for which this pennit is issued, I shall not employ any person in any manner so aslo become subjecl lo Ihe Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&1l]0,000), in addition to the cost of compensation, damaggsjiB'frovitlfd for in /ectig(( 3706 of the Labor code, interest and attorney's fees ^ CONTRACTOR SIGNATURE f/^/M/H) JlMWi/^ DAGENT DATE I have and will maintain workei^ compensation, asre^ed by SectAn number are Insurance Co ^'^Ci^"^ This section reed not be completed if the permit is for one hundred dollars ($10i I hereby affirm thai I am exempl from Contractor s Ucense Law for the following reason • I, as owner olthe property or my employees with wages as Iheir sole compensation will do lhe work and lhe structure is nol intended or offered for sale (Sec 7044, Business and Professions Code The Contraclor's License Law does not apply to an owner ol properly who builds or improves Ihereon, and who does such work himsell or through his own employees, provided lhat such improvements are not intended or oliered lor sale If however, lhe buildmg or improvemenl is sold wilhin one year ol completion, lhe owner builder will have lhe burden ol proving that he did not build or improve lor lhe purpose ol sale) n I as owner olthe properly am exclusively contracting with licensed contraclors lo construct the project [Sec 7044, Business and Professions Code The Conlractors License Law does not apply lo an owner of property who builds onmproves thereon, and contracts lor such projects wilh contraclor(s) licensed pursuant to the Contraclors Ucense Law) n I am exempl under Section Business and Professions Code for this reason 1 I personally plan to provide lhe major labor and materials lor conslruclion of the proposed property improvement • Yes • No 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with Ihe following person (firm) lo provide the proposed construction (include name address / phone / contractors license number) 4 I planlo provide portions of the work, but I have hired the lollowing person to coordinate, supen/ise and provide the major work (include name/address/phone/contractors' license nurrber) 5 I will provide some ol the work bul I have conlracted (hired) lhe following persons to provide the work indicated (include name / address / phone / lype of mrk) PROPERTY OWNER SIGNATURE •AGENT DATE Is fte applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of lhe Presley Tanner Hazardous Substance Account AcP • Yes • No is the applicanl orfulure building occupantrequired to oblain a permit Irom the air polluiion conlrol distnct or air quality managemenl dislnct' • Yes a No Is the lacility lo be constnjcted within 1,000 feet of the outer boundary ol a school site'' O Yes • 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 I hereby affinn that there is a construction lending agency for the perfonnance ol the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I certfythati have iBadtheappIicabon and state thatthe above infomiation IS coriectandthatthemforrnaOon on the plans IS a^ I agree to comply with all Cityordmances and State laws relabng to buildingconstnicton I hereby authonze representative ol Ihe City of Carlsbad to enter upon the above mentoned property for inspecton purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINSTALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUEAGAINST SAID CITY INCONSEQUENCE OF THE GRAtJTING OF THIS PERMIT OSHA AT OSHA permit is required for excavalions over 5 0' deep and demolition or conslmction of stmctures over 3 stones in height EXPIRATION Every permil Bsued by (he Suiting Olfciaiunderffie provisions offliis Code sliall expire by limitation ar 180 days from the date ol such pemit or iftte*^^^wDr1< aijthonpJ by such permit is suspended or abandoned at any time after the mik is commenced for a penod of 180 days (Section 11D6 4 4 Uniform Building Code} ^APPLICANT'S SIGNATURE < A^w/fnJ//.jX- DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE Complete the following ONLY if a Certificate of Occupancy will be requested at final Inspection CERTIFICATE OF OCCUPANCY {Commercial Projects OnIy| Fax (760) 602-8560, Email www buildinuiScarlsbadca oov or Mail the completed form to City ofCarlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0# (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS LIC No DELIVERY OPTIONS • PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR {On Pg 1) • MAILTO • CONTACT (Listed above) • OCCUPANT (Listed above) o CONTRACTOR (On Pg 1) a MAIL / FAX TO OTHER • ASSOCIATED CB#- • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit# CB121917 Type MISC OTHER MCCOY RES-REMOVE 3 WINDOWS EXTERIOR AND INSTALL 1 WINDOW ON Date Inspection Item Inspector Act Comments 01/08/2013 14 Frame/Steel/Bolting/Weldin - Rl INSP TYPE? 01/08/2013 14 Frame/Steel/Bolting/Weldin PB WC 01/08/2013 19 Final Structural PB AP 11/30/2012 14 Frame/Steel/Bolting/Weldin PB AP Tuesday, January 08, 2013 PaQe 1 of 1