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HomeMy WebLinkAbout1282 VERONICA CT; ; CB990144; Permit01/13/1999 City of Carlsbad Patio/Deck Permit Permit No:CB990144 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 438-3101 1282 VERONICA CT CBAD PATIO 2145511700 Lot#: 0 $725.00 Construction Type: VN CITY SPEC PATIO 100 SF Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: GRASS ROOTS LANDSCAPING WILLYARD VINCENT A&AMY C 1282 VERONICA CT CARLSBAD CA 92009 12236 A AV 92040 ISSUED 01/13/1999 MOP 01/13/1999 01/13/1999 619 561 6344 5282 01/13/99 0001 01 02 Total Fees: $34.81 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 TOTAL PERMIT FEES Total Payments To Date: Date: Balance Due: Clearance: $20.49 $0.00 $13.-32 $0.00 $1.00 $0.00 $0.00 $0.00 $34.81 C-PRMT 34 -81. $34.81 pproval of your project includes the "lmpo 'tion' o ees, 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 wijh Ca~sbad 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK NO. 79-l I.{~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ Plan Ck. Deposit ________ _ (760) 438-1161 Validated By __________ _ Date ______________ _ Address (include Bld~ite I) l <-<» ~ \J E~ \ C.ft CT Business Neme (et this address) Legal Description Lot No. 21.o Unit No. Phase No. Total If of units Assessor's Parcel ,2 I'\ ,5 j"f f '1tlJ Existing UH Proposed Use ~cf Stori~s II of Dedto>oms # of Bathrooms 00 '-1- Name Address City State/Zip Telephone II r lfrffi~Tub.~1i5f:~1~1i Name Address ,..,......,.....,_..., City State/Zip Telephone I (5 . .,,;-:-coNTMcTOJf?COMPANYfiA~°£.~h:.-.x.i:.c~~™~~~::r .. ~,:~~~~.,. (Sec. 7031.5 Business end Professions Code: Any City or County which requires• permit to constNct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file • signed statement that he 11 licensed purauent to the provisions of the Contractor's License Lew (Chapter 9, commending with Section 7000 of Division 3 of the Business end Profusions Code) or that he ls exempt therefrom, and the basis for the alleged exema.:_R~~vs latio~ITTS031 ·l.M1)$CL7'f~.~~it subjt~?l~plic~~o •Ai~frn•u~smtn c"A hu~moars l~f~'s~,~~ Name Address City State/~ ,.,, /'1,1 ~ T!l~o,L: J State License II_;=.-:.....:...==.----License Class L -a,. 7 City Business License I ~VI-/ Designer Name Address City State/Zip Telephone State License II _________ _ ,e. -WORKERS' COMP£NSATIONrr-~J:"~1'~~~~~ .. :H1':f~~~;:~~:~~~~·~~ .-!'f-;;:r';":':,.~-::·:r--· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: S--1 have and will maintain I certificate of consent to aelf-insure for workers' compensation as provided by Section 3700 of the Lebor Code, for the performance lithe work for which this permit is issued. 0 I have and will maintain workers' compensation, es 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: t"2. 't l)I fJC'I q'.) Insurance Company b-.OL"'"Dt. ~ ~ ~(.f_ Policy No. N. \UL \..\<1.□ (a Expiration Date 16"' l) ,.. r, (THIS 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 10 as to become subject to the Workers' Compensation Laws of Callfomie. WARNING: Feltun to aecura woncerw' c:ompeneatlon coverage la unlawful, end aheA aubjeet ., employer to c:rimlnel penaltlea end clvH fine• up to one hundred thousand dollera 1$100,000), In llddltlon to the cost of compenution, damages es.pn>Ylded for In Section 3706 of the labor code, lntarest Wld ■ttomey'a fHs. SIGNATURE ______________________________ DATE _________ _ 7. ~'bWNER.UUJEit'o!ctAR.inoi~~;.~•~~~, .... ~~~•!t~~tS"~~~.~;;g~~~~-:!:i*;:~~-~::.:-~:z:-~i~~- 1 hereby affirm that I am exempt from the Contractor's Ucense Lew for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work end the stNcture is not intended or offered for Hie (Sec. 7044, Buslnesa and Professions Code: The Contractor's Ucense Lew does not apply to an owner of property who builds or improves theraon, and who does such work himself or through his own amployeas, provided that auch improvements are not Intended or offered for Hie. If, however, the building or Improvement Is sold within one year of completion, the owner-builder will have the burden of proving thlt he did not build or Improve for the purpose of sale). 0 I, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profesaions Code: The Contractor's License Lew doe, not apply to an owner of property who builds or improves thereon, end contracts for such projects with contr■ctor(s) llcensad pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code tor this reeson: 1. I personally plan to provide the major labor and m,tari■ls for construction of the propoHd 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 constNction (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 / eddreu / 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): _________________________________________________________ _ :::;:;~E~~;::~:E~;-~~iJi;;ENiiAl;;jfAi-faii·iiu;IU>IN~NGOfl.1$Mrr~-iiij-ij~-~:ci~.i i~i,...i:i,-,,,;i.i""'~'~ii:·,~~~:~~.~.i;_~.~z~-..... -~-.. -.'.i.,.-~-.• -'!..-_.,-_.-l-,.;.-·,:-.""-_-.?-,-:·--:-·:.:= .. 1r"~."!1£!~_;.!...: Is the applicant or future building occupant required to submit a buIinesI plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25634 of the Presley-Tanner Hazardous Sublt■nce Account Actr D · VE& O NO . Is the applicant or future building occupant required to obtain • permit from the air pollution control district or ■ir quality management district? 0 YES O NO Is the facility to be constNcted within 1,000 feet of the outer boundary of a 1ch00i site7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF TME OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 'il~CO.NSTRVCT1o,{t£NDJNCi1'GERfi'.'JID•;;::i~~~;B~~~.a!,~~~Ji,"'fii"~-·~r;::•''••·,~:.-,,:;.;:-?:.r:.~·~";~.r-:.:·~· I hereby affirm that there Is a constNction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _______________ LENDER'S ADDRESS :9]:• ~CANT'camRCA:fiON.,~iw..":~~~~,f~i;.~!d~;?;;;:$:.;~;;. ~;;;;:;:;;~;;~;:;:~;:;&;;:· ;:;l;;;:tz::;;;;~;;:~:;;~;,;:;;:,1;;'W'°;;;·L:;;,ttt::;:,,..,;;~:;:_;::.;;::· .....,;::;;;:,,:;:'":':;.?';:~~:,-..-:::';--;1:::,_:-: .. ::r-:.;_ -: .. ~::_:: ........ : .. :_::.::,:~:_;::::::::. I certify that I have read the application end state that the above information is correct end that the Information on the plans Is accurate. I agree to comply with 111 City ordinances and State laws relating to building constNction. 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 AU 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 s•o• deep and demolition or construction of stNctures over 3 stories In height. EXPIRATIO~: Every permit is~u.ed by the Building ~i~al er the provisions of this Code 1h1II expire by limitation end become null end void if the building or work authorized by such permrt 1s not co ed hin 65 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 wor e ed f a rio o 1 daya (Section 106.4.4 Uniform Building Code). DATE _4...../-....... f...:....i)._~--J?1-9+,--- PINK: Finance City of Carlsbad Inspection Request For: 4/6/99 Permit# CB990144 Title: CITY SPEC PATIO 100 SF Description : Type:PATIO Sub Type: Job Address: Suite: Location: 1282 VERONICA CT Lot 0 I.\PPLICANT : GRASS ROOTS LANDSCAPING Owner: WILL YARD VINCENT A&AMY C Remarks: Total Time: CD Description Act Comments Inspector Assignment: PY Phone: 6195616344 Inspector: ---- Requested By: NA Entered By: CHRISTINE 19 Final Structural ~--------- Inspection History Date Description Act lnsp Comments 1 /19/99 11 Fig/Foundation/Piers AP PY CHECK SIDE YARD SET BACKS s. T "K E... E. .- ·, • ~t t-"\~, i ~~S. ~l\L '{f\\Zu "'l.SfbEW:£ ~ - l 2.'l> Z \/ c..'RD~ ICf\ CT C.ftR.LS ~f,l) C.R Vf\VLE:.L ~ 214 551 l'l 00 L~T -:%\-Z..lo M.lf\f "tt-133 Cfij- r,· ,o~ 101 '. 8 ., ;-;,.,:-~·-...... ,... li:.>1.,q,....,v,: • ., I --- i& f&fil" \~ f ALE. 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