HomeMy WebLinkAbout2653 OCEAN ST; ; CB112257; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-21-2011 Miscellaneous Permit Permit No: CB112257
Building Inspection Request Line (760) 602-2725
Job Address: 2653 OCEAN ST CBAD
Permit Type: MISC Subtype: REPAIR Status: ISSUED
Parcel No: 2031403701 Lot #: 0 Applied: 10/21/2011
Valuation: $0.00 Entered By: JMA
Reference #: Plan Approved: 10/21/2011
PC#: Issued: 10/21/2011
Inspect Area: PD
Project Title: PALSOUL: REPAIR DECK W/FLASHIN
Applicant: Owner:
CURTIS CONSTRUCTION PALISOUL REVOCABLE TRUST 06-20-97
3420 DONNA DR 2653 OCEAN ST
CARLSBAD, CA 92008 CARLSBAD CA 92008
Miscelaneous Fee #1 $65.00
Miscelaneous Fee #2 $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $65.00
Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: $0.00
FINAL APPROVAL
Inspector: (1 )1 Date: •5"
" 12- 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 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
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CITY OF
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/ 2718/ 2719
Plan Check Nott3
Est. Value
CARLSBAD Fax: 760-602-8558 nan ic. ueposi
www.carlsbadca .gov Date g (ii swpp
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TENANT BUSINESS NAME
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9ESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
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APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
ERTY OVER NAME 9ONTRAIOR BUS. NAME '
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(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any sS5U?is, prior to its issuance, also requires the app!icant 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 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)).
MOUG0000 ®?O(i)L)
Workers' Compensation Declaration: lhexebyaffinn under penalty of perjury one of the following declarations:
El 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.
,'fl(S and will maintain workers' compensation, as 'red by Section 3700 of the Labor Code, for the performance the wo for which this permit is issued. My workers' compensation i ra canter and policy
number are: insurance Co._ Policy No. '22- 4) (>C #1plration Date_______________
This section need not be completed if the permit Is for one hundred dollars ($100) or less.
I] 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 suect 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 (111,100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the Lab attorney's fees.
Ar CONTRACTOR SIGNATURE T .2( C...,, AGENT DATE Jo. 21-/f
001391MG-0000,000 003124069000
I hereby alfinn that /am exempt from Confiacto?s L/cense Law for the follo'.Wng 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
sate. It 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 Ucensé Law does not apply loan owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
O I am exempt under Section ___________Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement DYes 0 No
2.1(have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address! phone/contractors' license number):
4.1 plan to provide portions of the work, but I have hired the folfowing person to coordinate, supervise and provide the major work (include name/address! phone/contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to providethe work indicated (include name/address/phone/type of work):
,.PROPERTY OWNER SIGNATURE 13AGENT DATE
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GØ@ WD6 ademm C®ID ) Q()17O(A( OU(!®O(Z)@ G)Oi?O ®311S1
Is the applicant or future building occupant required to submit 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? I] Yes Ci No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Ci Yes I] No Is the facility to be constructed atthin 1,000 feet of the outer boundary of a school site? Ci Yes Cl 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.
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I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
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IcerUt,thatI ham read the application and statethattheabove Information iscenectand thatthe Intionnotionontheplasslsacenata. lagieethonmptyedth all CItyordI and State taw1atingtobuildingcunsthictoit
I hereby authorize reesentatKe of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE crry 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. OA An OSHA permit is required for excavations over 50' deep and demolition or construction of struchires over 3 stories in height. S EXPIRATION: Every permit issued by the Building Oflicial under the provisions of this Code shag expire by Imitation and become null and void if the building or work authorized by such permit isnot commenced within l80 days fmm the dale ofsuch permit crif the building orcrkauthorizedbysuth permitissuspendedorabandon any time erthe iscemmencoaperbdof180days (Section 1064.4 Uniform BulldingCode).
no LAPPUCANT'S SIGNATURE ,,.4 ( DATE
City of Carlsbad Bldg Inspection. Request
For: 05/03/2012
Permit# CBI 12257 Inspector Assignment: PD
Title: PALSOUL: REPAIR DECK W/FLASHIN
Description: CHANGE OUT ARCHED WINDOWS ON WEST FACING
ELEVATION-- WITH NEW ANGULAR WINDOWS-OK PER
Type: MISC Sub Type: REPAIR
Phone: 7605182969
Job Address: 2653 OCEAN ST
Suite: Lot: 0
Location: Inspector:
OWNER PALISOUL REVOCABLE TRUST 06-20-97
Owner: PALISOUL REVOCABLE TRUST 06-20-97
Remarks:
Total Time: Requested By: NEIL CURTIS
Entered By: CHRISTINE
CD Description Act Comments
19 Final Structural (1
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
PCR99043 ISSUED FOOTINGS AND WALL@ ELEV 21;
PCR99057 ISSUED REVISIONS-MOMENT FRAME;
Inspection History
Date Description Act lnsp Comments
01/19/2012 18 Exterior Lath/Drywall AP PD
12/05/2011 14 Frame/Steel/Bolting/Welding AP PD
11/15/2011 15 Roof/Reroof PA PD DECK
11/08/2011 15 Roof/Reroof PA PD DECK REPAIR.
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