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Home My WebLink About1585 TURQUOISE DR; ; CB042290; Permit,n. City of Carlsbad U.t-c:Ui1{_ 1635 Faraday Av Carlsbad, CA 92008 l QmL£ ti~ 06-G 2004V Patio/Deck Permit Permit No: CB042290 Building In spection Request Lin e (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1585 TURQUOISE DR CBAD PATIO 2122013200 Lot#: 0 $930.00 Construction Type: NEW REVIE RES 120 SF PAT CVR PER CITY SPECS, ELEC FOR FUTURE SPA Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 06/09/2004 SB 06/09/2004 06/09/2004 Applicant: REVIE JAMES&JACQUELINE E REVIE JAMES&JACQUELINE E 1585 TURQUOISE DR CARLSBAD CA 92009 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Total Fees: $56.19 1585 TURQUOISE DR CARLSBAD CA 92009 Total Payments To Date: $0.00 $21.33 $0.00 $13.86 $0.00 $1.00 $0.00 $0.00 $20.00 $0.00 $56.19 Balance Due: $56,19 4005 06/09/04 0002 01 02 CGP 56-19 FINAL APPROVAL DATE 7k/4vcLEARAflCE 1 SIGNATURE f' id_,,__ __ 7/ PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. G~(2,'2..-~ CITY O~ CARL;.SBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 '73,c) EST. VAL.------=----- Plan Ck. Deposit,---.--,------- Validated. v_~ __ =:::.15:;;;__ _____ _ Oate,....£'-J~~u;.!!~-------- Business Name (at this address) Unit No. Phase No. Total # of units Assessor's Parcel , Existing Use Proposed Use Name State/Zip Telephone# Fax# S.tate/Zip Telephone , 11.1:r~$it~J'._~-:~it ... ltil!. • -at~~~ ... ~~ ~~~LUS-~ (Sec. 7031.6 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 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 [$5001). Name Address City State/Zip Telephone# State License # __________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # __________ _ fil~ff~Bffl.fAJJ~.~~ •. ·~5J,;i£~J; ·,J(i,i~il~.. f.-i,_.{.....,,.,,_"'~t.~ ::.,.~ ~:.'.·;~ .... ,~ • i-I.. l,:-!' '·.' .... ~ .fl i.J~ .. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. • O I have and will maintain worker,s' 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 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 [$1001 OR LESS) O 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 Hcure worker■' compen■atlon coverage ii unlawful, and lhaU 1ubject an employer to criminal penaltla■ and civil flna■ up to one hundred thou1and d0Uar1 1•100,000J, In addition to the coat of compenaatlon, damage■ e■ provided for In Section 3706 of the Labor code, lntereat and attorney'• feea. =~iii.ii' i'•ij·~~ij·~, im1~ii■miiijijjjjii;iifj,j,~~ij~ij· i·~~ii-~· ·i,,i~i•,"~£i~riir~j•·~:•fi'i~i~·~T{filr:1~~J~i ;~1~.\,I'~~~~~t.£~.t~~ •. ~'ilt.1lm'.~ I hereby affirm that I em exempt from the Contractor's License Law for the following reason: 0 I, es 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, Buslne■s 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 ere 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, em 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 Coda 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 / 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 numbar): _______________________________________________ ~-- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the w~rk Indicated (include name / address / phone number / type of work):, ________________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE _________ _ tlf.Q.Mi!1;~J.ei&f!!t~~g_,j'ijfN£1'.QNNQMRlf~a>mftd~'ftll.!!,;QIN!tl':filiMLI~:QNllY,..:wJ.Ll:;.11.:~,.,~J;l;i';;~,~i•1:.[{~.i!'l',;i~~;,~_j~~-.iitc.~,•,~;,.'.:i,·t!Z;;~~l".t.;,!,J,,.i.G:~&1,;i;fa1~ 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~nstructed 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. _iri..'®..ff~v.0119.ffll{~rfgjr@'A'.g~~R~~sll~~i;.~··•·.;.l!it~~!~tl~!!::t1:~'.t::.~~t,e:it'.;.::1:±J'~; .. •~:•.;, .• s.r1.: ••• ~J,~.:i,:~:,,·~.:..,"'~-,:-· ..• ~:::t.;i,JJ:,·:J:1:, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). 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 Cit\' 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 not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended 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: 07/20/2004 Permit# CB042290 Title: REVIE RES 120 SF PAT CVR PER Description: CITY SPECS, ELEC FOR FUTURE SPA Type: PATIO Sub Type: Job Address: Suite: Location: 1585 TURQUOISE DR Lot 0 APPLICANT REVIE JAMES&JACQUELINE E Owner: REVIE JAMES&JACQUELINE E Remarks: Total Time: CD _D_e_s_c-ri-pt-io_n _______ ~ Comment 19 Final Structural ~ Associated PCRs/CVs Inspection History Date Description 06/17/2004 11 Fig/Foundation/Piers Act lnsp Comments AP PY In spector Assignment: PY --- Phone: 0000000000 Inspector: ----- Requested By: JAMES Entered By: ROBIN 06/10/2004 31 Underground/Conduit-Wiring PA PY CONDUIT ONLY ' ----- I---·-' --·-- I_~ ~ ·---·-'"" - ; -1---l- -l--l-. i----'