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Home My WebLink About2121 TWAIN AVE; ; CB044527; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 12-15:.2004 Patio/Deck Permit Permit No: CB044527 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2121 TWAIN AV CBAD PATIO Lot#: 0 2081811000 $7,440.00 Construction Type: NEW BLANKENSHIP RESIDENCE 496 SF PATIO COVER ,CITY SPECS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 12/16/2004 MOP 12/16/2004 12/16/2004 AN DIEGO LANDSCAPE SYSTEMS BLANKENSHIP PAUL R&CHERYL L TRS 6 ' 642 POWAY RD 2121 TWAIN AVE CARLSBAD CA 92008 POWAY CA 92065 760 788-8140 7776 12/16/04 0002 01. 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: $140.08 Inspector: Total Payments To Date: $84.29 $0.00 $54.79 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $140.08 $0.00 Balance Due: Clearance: GP $140.08 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any 02 140-08 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONL yl <( "'1.,.; PLAN CHECK NO. 6 L .... ~ 7 EST. VAL. =z H tlO Plan Ck. Deposit _________ _ Validated By __________ _ Date _______________ _ ,::z l..;l.l TWl'r/AJ A Vi§, Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units !S1,J4'1 e £AN'l1e-'< J±O&\t=; Assessor's Parcel # Existing Use Proposed Use P~no c, ve:J?.~ '-t'l ~ I Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON lit different from applicant) Name Address City State/Zip Telephone # Fax# 3. APPLICANT ~ Contractor D Agent for Contractor D Owner D Agent for Owner .:5,-i:>. /,,,A,.;D~ .S<t~Te;"" :S fo M.)L l~h f?it""C)tJ-A Vt 't .)41, G r1,o 7n-e11.10 Name Address City State/Zip Telephone # 4. PROPERTY OWNER 8 Yk'tfe./$ A rP Cit q..2Cc¾ Name Address 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 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). s. o. Wrt,10 r..A-P:#-.i:; '('syeh"s Po .Bo)( t')...-0 6 ~mPrJ-/1 Ctr et :>-~1,S .., , t? 2 ~-8'/"ltJ Name Address City State/Zip Telephone # State License# ~ 30 7 36 License Class C,.-;;)-"7 City Business License# ' ;ii OCJC/ / 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: D 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. ~ 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 compensation insurance carrier and policy number are: Insurance Company s rft re-e f.1,J O Policy No. llf 5 1/1 -,_ ~d (j L/ Expiration Date "J--a' -os- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) D 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 dollar 1tion he cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE:~~~~~~~ef:;Z~~~===~---=~~==-~~= DATE ---'/'-';J-.=--___,-/t,.j{;,l:Z--'---"~<-l/=1--- 7 _ OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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. D 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 number): _________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ 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 le:: thA ::ir.nnlir-:::1int nr f11t11rA h11iltiinn nrr11n:::1int rAm1irArl tn nht:::1iin ::t nArmit frnm thA :::1iir nnlll1tinn r-nnt rnl rli~trir t nr :::1iir m1::alitv m::1n::tnAmAnt rlic:.trir-t? n v~~ n Nn City of Carlsbad Bldg Inspection Request For: 02/02/2005 Permit# CB044527 Title: BLANKENSHIP RESIDENCE Description: 496 SF PATIO COVER ,CITY SPECS Type: PATIO Sub Type: Job Address: Suite: Location: OWNER 2121 TWAIN AV Lot 0 BLANKENSHIP PAUL R&CHERYL L TRS Owner: BLANKENSHIP PAUL R&CHERYL L TRS Remarks: Total Time: CD Description Act Comment Inspector Assignment: RB Phone: Inspector: Requested By: CHAD Entered By: CHRISTINE 19 Final Structural ~------- Associated PCRs/CVs Inspection History Date Description 12/21/2004 11 Fig/Foundation/Piers Act lnsp Comments AP RB 12 FTGS ~o-ff CHIR PINE ~ y-_ orNORFOlK ISi.ANO PINE 0 0 lRE£ OULLNl-'IILMS~ soa'7Ia ~ .@ • ~ 1 ~::;i:=::::::::::rHOP.=.sEs~~~EP=~-c:::=::::===::i;l\==o7i]\ I • • • 14•~1· .rL._::::_,_a_cr-_ • ,,..K IJIEATI< SEATING OFIC,.ll'(N AREA ~: {;: GCTWII\N SOD LAWN MOW CURB ::. "l>H< COU<l'A>" ~ • I I ~ Os1,· ,.-0 •• LAVCNO(Jt 6'(r'---I--lli.Y Q <:> fl.ACSTONt ... S fCPPERS 'Mll I o o D : FOUNlAI AR ◊ GW(TBR) OF PARADISE UfUlY PN) FROM GATE lOWMXJN N ElXlE -0 FOR'llllGtfT ULLY .2-•).'._. '8'' l -$''"g' ClClNCRCTt! W"'-'< UTILITY PAD FROMGl>.IETO EDGE CF WINOOWB.!,!_4 _ BOB ANO SHERRIBLANKENSH:P 2121 TWAIN AVENUE CARLSBAD. Cl\ 92008 CX)t+,".1''£ 11:. w,.._, LL----21"0---- ex1S1NG ORNEWAY EXTUO--Y l'TOLEFT ~TOAIOHT AGAPANTHU • GROUNOCOV ~ .. ~: ___ ...£4~_,t_'.:_58'Cr--+J...:._, ____ _ MAILBOXES EXISl ING 1 REE AGAPANTHUS GROUND COVER