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HomeMy WebLinkAbout2807 VIA CONQUISTADOR; ; CB002976; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08/14/2000 Patio/Deck Permit Permit No:CB002976 Building Inspection Requ est Line (760) 602-2725 Job Address: 2807 VIA CONQUISTADOR CBAD Permit Type: Parcel No: Valuation: Reference #: PATIO 2225921600 $2,204.00 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: ISSUED 08/11/2000 JM 08/14/2000 08/14/2000 Project Title: KORN RES-COV PATIO 304 SF Inspect Area: Applicant: ALLSCAPE INC PMB 403 629 S RANCHO SANTA FE RD SAN MARCOS CA 92069 760 480-4041 Total Fees: $87.34 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 Inspector: Owner: KORN AXEL B&MARION V 2807 VIA CONQUISTADOR 5904 ngii · 'OO OOOl o· CARLSBAD CA 92009 v ' .... ,, l. C-PRMT Total Payments To Date: $0.00 FINAL APPROVAL Date: }O/fJ:5/t{) Balance Due: Clearance: $52.33 $0.00 $34.01 $0.00 $1.00 $0.00 $0.00 $0.00 $87.34 $87.34 NOTICE: Please take NOTICE that approval of your project includes the "lmposibon' of fees. dedications, reservations. or other exactions hereafter collecbvely 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 bmely 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 vou have oreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has oreviouslv otherwise exoired. 02 87-34 PERMIT APPLICATION FOR OFFICE USE O)U,):' PLAN CHECK No.YJao,2 EST. VAL. :).. 2.o Cf CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit __________ _ 1. PROJECT INFORMATION 2807 Via Conquistador, Carlsbad Address (include Bldg/Suite Ill Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Proposed Use II of Bedrooms II of Bathrooms 2. CONTACT PERSON (It different from applicant) Name Address 3. APPLICANT :f:l::Contractor O Agent for Contractor O Owner Name Address 4 . PROPERTY OWNER City 0 Agent for Owner City Axel & Marion Korn, 2807 Via Conquistador, Carlsbad, CA 92009 , Name Address City 5. CONTRACTOR -COMPANY NAME State/Zip Telephone II Fax II State/Zip Telephone II 760 .929.1037 State/Zip Telephone II !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 t herefrom, 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). Mllk A. Snith, Al)flJ:lP? lacxH:a[e & D-sign, la:: , 629 S Rard:n S3m·a Fe Rd H-'B 4D3r Sao M-m:rs, CA 92069,7ffi 480.C Name Address City State/Zip Telephone II State License II 7 1 4 0 0 4 License Class C-2 7 City Business License II 1 2 0 3 1 1 4 Designer Name Address City State/Zip Telephone State License II _________ _ 6. WORKERS' COMPENSATION 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. tKJ I have and will maintain workers' compensdtion, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is ,ssu.,d. My worker's compensation insurance carrier and policy number are: Insurance Company fl'..RMER I S INSU@NCE Policy No. N2008-79-65 Expiration Date 7/28/Q 1 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil 1ines up to one hundred thousand dollars ($100 00). in addition to th c st of ompansation, damages as provided for in Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE._~-#.bl-\.,.q,."'-""-s.d..<._,_-,,,£-~"""""=1-------------DATE 8 ,,-; '-/-(}-(,) 7. OWNER-BUILDER DECLARATION I her .. by affirm that I am exempt from tho Contractor's License Law for tho 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, 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 . 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 wo1kl: ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RES/OENTIAL 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 Act7 0 YES O NO Is tho 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 site7 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. B. CONSTRUCTION LENDING 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 ________________________ _ 9. APPLICANT CERTIFICATION 1 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 permil 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 permil is suspended or abandoned at any 1,me after tile work is ed for a period of 180 day (Sec ·on 106.4.4 Uniform Building Code). DATE YELLOW: Applicant PINK: Finance ~ '17 City of Carlsbad Bldg Inspection Request For: 10/24/2000 Permit# CB002976 Title: KORN RES-COV PATIO 304 SF Description: Type:PATIO Sub Type: Job Address: 2807 VIA CONQUISTADOR Suite: Lot Location: APPLICANT ALLSCAPE INC Owner: KORN AXEL B&MARION V Remarks: Total Time: 0 CD Description Act Comments 19 Final Structural ~F~ Associated PCRs lnsgection History Date Description Act lnsp Comments Inspector Assignment: SR Phone: 8584804041 Inspector: ~ ' Requested By: ALLSCAPE Entered By: CHRISTINE 10/18/2000 19 Final Structural co SR NO PLANS OR PERMIT ON THE JOB SITE 8/18/2000 11 Fig/Foundation/Piers AP SR 8/18/2000 15 Roof/Reroof WC SR 8/16/2000 11 Fig/Foundation/Piers co SR SEE RESULT AND NOTICE A TT ACHED