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Home My WebLink About2679 VANCOUVER ST; ; CB042476; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No: CB042476 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2679 VANCOUVER ST CBAD PATIO Lot#: 1674413400 $1,666.00 Construction Type: 0 NEW Status: Applied: Entered By: Reference #: Plan Approved: ISSUED 06/21/2004 RMA 06/21/2004 06/21/2004 Project Title: STEVENS RES-215 SF ENCLOSED ~ATIO & ABOVE GROUND SPA (!P✓plicant: -.......... j ~YLINE SUNRO~O~MS "-l,\ 8015 ALVARADO RD ~ LA MESA, CA 91 2 619-469-9556 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 Owner: STEVENS SCOTT M 2679 VANCOUVER ST CARLSBAD CA 92008 Total Fees: $175.60 Total Payments To Date: $0.00 Inspector: Date: Issued: Inspect Area: Plan Check#: $33.09 $0.00 $21.51 $0.00 $1.00 $0.00 $0.00 $120.00 $0.00 $175.60 Balance Due: $175.60 4822 06/21/04 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 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 ICE imilar o thi or rwis ex ired. 02 175-60 PERMIT APPLICATION CITY Of CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., (:;arlsbad, CA 92008 Business Name lat this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Proposed Use ss City Fax II :fo!".'gilJ'ili'.k"li!l&.w.iii'c.:t>:\:GP.-W11•rit'foit~n•r-• , .~-:;t,t:t- ress City :t.-i~'/di~'irs:?l.,lf~\t~\~~-~.tl •":.,18S':~· •• - Name Address City State/Zip Telephone II teft<fc»li'itAi;;T0.8i?QO~MN~AM~~~1.~·1;.ii'.~1~t"".:"'~'l..•r;f:!-c~~!:'.'~~• .. ::1-f!,t ''!':"·J1'.i.';-:l'•,;::, '.'!';.~• :·.,>:~-.:: ·, -,~,1,.~.~'<::>-0·• ...,.;:; •t • •. :.~::i-·k:~: (Sac. 7.031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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 P.t' n.-Any iolatio o action 7031.5 by any applicant fo erAA subjects the applic t to a civil penalty of not an five d'.ed dollar1,JS5 01). 5 t<U · -r State License II -'~Y..::8'-]..,_0d--__ {o..,_ __ _ License Class __ ......,£¾_._ _____ _ City State/Zip I City Business License II ld Designer Name Address City State/Zip Telephone State License II _________ _ ttt,~WQi!J(E8S!"0f.1ll!_ir,isA'!J'ION.tfi£.il~Ji.t-{t;~.,;;J;;;~\,;.,:&,~i.;;,~~ ;,,,:;:;_,,.:: •. -•. ~oi,L;-,-~.,., ,· . .,.-: ).: • ·,';'.:.:,.:,, _.,?ii: ., ·, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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, 'fii_ 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 ihued. My worker·•:=~tion Insurance carrier and policy number are: . ' I brr Insurance Company ~on Policy No. Z.()(!fulBi O I Expiration Date~l~l-+-0_1 t-'-u .... :r.,__ __ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS} 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become aubjact to the Workers'· Compensation Laws of California. • compensation covar1111a la IM!lawful, and ahaU 1ubject an employe, to criminal pen■ltlea and civil finH up to one hundred thouHnd doHara I$ to tha coat of compenHtlon, d1megea ea provided for In Section 3706 oft . , Interest and attorney', fees. :=~i~ff!i]ii'Sifitt:;~-;-'i_.ii,~--~-nj~,,~bilN,i~&ai··iji~,i-ii'~i·ii~~'~i.:"i2i~ .... ~8'1!~:l!i:~~i:~··i· .@~-,~~i:~"·i·i··~~i;-i·~i:i·;~~i1c,~•~:~;;lih\;.~~H-ii'~;;,::,¥.:;f-, .. ~41l:W.;:.;,~~Jf,I-·, .. ,:-;;;:;;;1,~•½•,{;~,,-~-, •; I he;eby affirm that I am exempt from tha Contractor's License Law for the following 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, Busineas 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 1mploy1■1, providad 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 salel. 0 I, H owner of the property, 1m exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law doea 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'• License Law}, 0 I am exempt under Section ______ Buslneas 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 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 _________ _ 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?· 0 YES O NO Is the applicant or future building occupan.t required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO la the facility to be constructed within 1,000 feet of the outer boundary of a sch~ol site 7 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 fiEQUlREf'1ENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE Aln POLLUTION CONTROL O!STRICT. 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. _________________________ _ ~~eJ1;1c~r«c.~et1Ji(~li9fii:~.t£:~~,~ ... j;&-:<,;;....;,g,4i~~~:~.;;.'l.itlti-:~\,,.J:r,~itl ... ~.::.:; ·,il:i;:.f.ii\,. ~\:;.;,;~:,t.1•·-"·'-,.;,,,.,, .. _; .. '.,\.:.;,.;.,, : ...... , ... :....-, ~ ; .•. I certify that I have read the application and atata that the above Information ia corract 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. OSHA: An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height . EXPIRATION: f:very pennlt issued by lhe 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 pennit Is not commenced within 180 days fro tho date of such pennll or If lhe building or work authorized by such permit is suspended or abandoned al any time after the work is commenced tor eriod of 1BO y Seclion 106.4.4 Unifonn Building Code). APPLICANT'S SIGNATURE DATE YELLOW: Applicant PINK: Finance Ci'ty of Carlsbad Bldg Inspection Request For: 10/01/2004 Permit# CB042476 Title: STEVENS RES-215 SF ENCLOSED Description: PATIO & ABOVE GROUND SPA Type: PATIO Sub Type: Job Address: 2679 VANCOUVER ST Suite: Lot Location: OWNER STEVENS SCOTT M Owner: STEVENS SCOTT M Remarks: Total Time: 0 CD Description Act Comment Inspector Assignment: Phone: 8582777666 Inspector: ---- Requested By: SARA Entered By: CHRISTINE & Ff~~l ~~oo~/ ___ ~_fc ___________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments