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HomeMy WebLinkAbout2544 UNICORNIO ST; ; CB032524; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-11-2003 Patio/Deck Permit Permit No: CB032524 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2544 UNICORNIO ST CBAD PATIO Lot#: 0 2152802300 $605.00 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: ISSUED 09/11/2003 SB 09/11/2003 09/1 1/2003 Project Title: Applicant: SHEPARD RES 78 SF PATIO COVER PER CITY SPECS KURT FORD CONSTRUCTION 3025 DEL REY AVE 92009 944-0529 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 Issued: Inspect Area: Plan Check#: Owner: SHEPARD MARGARETE 2544 UNICORNIO ST CARLSBAD CA 92009 $16.29 $0.00 $10.59 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $27.88 Total Fees: $27.88 Total Payments To Date: $0.00 Balance Due: $27.88 Inspector: 3990 09/11/03 0002 01 CGP 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 imposiUon 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 SecUon 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 27 -88 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C 5J:3Z.S2:7 EST. VAL. Go S-- Plan Ck. Deposit=-....,..--,-------- Validat Date,_-;2,1-1-++(,,,J..-==::!l...------- C.AiLbBAl) CA 9200'7: BusinessNailfe (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use (j Desg~~A lJC E-Co\.)~ (2..._ SO. FT. { s -p #of Stories # of Bedrooms # of Bathrooms cl--, CONTACT PERSON (If different from applicant) Name Address 3. APPLICANT 0 Contractor 0 Agent for Contractor· 0 Owner Address City 0 Agent for Owner City State/Zip Telephone # State/Zip Telephone# Name Address City Telephone # Fax# N 5. CONTRACT08 • COMPANY NA!'JI!; '/' (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 -~WW~ALn_v~i~~ti~otn:oJO~S~e_c_t_io_n_1_0_3_,_·_5_b~y~a~nly-~~•~PJPLlic_•_n_t-f~olrJa~p~£,.~r~m-it~su~b~jEec~tl~-h-elalpJU~li~~~t~to~alc~i~itl~p~en~a~l~t~~nlo_t_m~G~~t~h-a:nJf~iv~e~hu~1r~e-d~o~l~la~r~l$:5[0~0~])t.~~~Z9 ,> Name Address , /' City State/Zip Telephon State License # '320 ?15:{ License Class J:> ~@EIZJI /_ City Business License # _______ _ Designer Name ----------Address City State/Zip Telephone 1 State License # 6. WORKERS' COMPEt,ISATION 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 3 700 of the Labor Code, for the performance of the work for which this permit is issued. O 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 ______________________ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100] OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, ARNIN • unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ouaan >llal:A-4$,.:~f>-~,t!J,_W:_~.-_.,_ .. _eodltilonri<!H .. i=:::~----on, damages as provided for in Section 3706 o t and attorney's fees. DATE _ __.-f.~IJ....4L.L..L._~--.~-·-~--•"· O 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). O 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 O NO 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 QNL Y 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, g9N_::lTRUCJION LE_NDING 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 ______________ _ LENDER'S ADDRESS. _________________________ _ 19, 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. City of Carlsbad Bldg Inspection Request For: 11/05/2003 Permit# CB032524 Title: SHEPARD RES 78 SF PATIO COVER Description: PER CITY SPECS Type: PATIO Sub Type: Job Address: Suite: Location: 2544 UNICORNIO ST Lot 0 APPLICANT KURT FORD CONSTRUCTION Owner: SHEPARD MARGARETE Remarks: Total Time: CD Description 19 Final Structural ~{ Comment Associated PCRs/CVs lns12ection Histo[Y Date Description Act lnsp Comments Inspector Assignment: JM --- Phone: 7608453383 Inspector: ----- Requested By: KIRT Entered By: CHRISTINE 10/07/2003 15 Roof/Reroof AP JM EXHAUST VENT TO OUTSIDE 09/19/2003 14 Frame/Steel/Bolting/Welding AP JM 09/19/2003 15 Roof/Reroof AP JM OK TO COVER 09/19/2003 34 Rough Electric AP JM