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HomeMy WebLinkAbout2234 VISTA LA NISA; ; CB992131; PermitCity of Carlsbad 06,'07 /1999 Miscellaneous Permit Permit No:CB992131 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 438-3101 2234 VISTA LA NISA CBAD MISC Subtype: 2552700200 Lot#: $2,950.00 OTHER 0 Status: Applied: Entered By: Plan Approved: Issued: DETUNO RESIDENCE Inspect Area: OUTDOOR FIREPLACE PER SPECS W/ GAS LINE BBQ ISSUED 06/07/1999 DT 06/07/1999 06/07/1999 Applicant: DETUNO JOE Owner: STANDARD PACIFIC CORP C/O KEN CABLAY 0515 06/07/99 0001 01 C-·PRMT 2234 VISTA LA NISA CARLSBAD CA 92009 760-635-2889 Total Fees: $114.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES 7290 CLAIREMONT MESA BLVD SAN DIEGO CA 92111 Total Payments To Date: $0.00 Balance Due: PERMIT FEE GAS LINE $87.00 $27.00 $114.00 Inspector: t ' """ _,\. ... ·--• -SEC:TIOrl lOti,4,4 FINAL APPROW Date: SIGNATURE ~ Cllffl'rance: $114.00 NOTICE: Please take NOTICE that approval of your p ject 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 lees/exactions. II 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 Ca~sbad Municipal Code Section 3.32.030. Failure to tmely 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 lees/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 lees/exactions of which ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otheiwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 114-00 FOR QF,FICE USE ONLY PERM'IT APPLICATION PLAN CHECK NO. cB o/j2fj/) EST. VAL. £? /S-0 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 Plan Ck. Deposit _________ _ Validated By __ ___..(v:;._T_-r--::--,~' ,......,..,--(760) 438-1161 Date ____ <J_djr.......+-~+--/ q..,__.q'--- Address (include Bldg/Suite Ill / Business Name lat this address) Legal Description Lot No. Lo. Cc.9, ~ Vall# Subdivision Name/Number Unit No. Phase No. Total # of units ,2. CpNTACT PERSON (If different from epplic■ntJ Jo -e.. 0 ,Twu ~,,g 4 l/4sh Name Address 3. APPLICANT O Contractor O Agent for Contractor )c1' Owner Name 4. Address Name Address 5. CONTRACTOR • COMPANY NAME '-'PtO City State/Zip Telephone II Fax# 0 Agent for Owner City State/Zip Telephone# ls~f C t6S--d'S~ City State/Zip Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit ta construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant far such permit ta 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). Name Address City State/Zip Telephone fl State License # ----------License Class _________ _ City Business License # _______ _ 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: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labar Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3 700 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$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 subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, end shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (5100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE _______________________________ _ DATE -----------'<_7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the propen y 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 o.wn 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}. ~ I, as owner of the propeny, 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 contractorls) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Cade 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, b t I have hired the following rson to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number):_,,_ __ -+------~,,C....------------------------------------- 5. I will provide some of the work, the following persons to provide the work indicated (include name I address / phone number / type of wark): ___________ +------+----,,;-,fl----------------------------------------- ;'PRoPERTY OWNER SIGNATURE ---+---~----~-__, ..... ,...,. ...... ~,---------------DA TE (A, -7 ~ 9 o/ COMPLETE THIS SECTION FOR NO ls the applicant or future building occupant r quired 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? D 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. 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. 3097Ii) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ 9. 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 ANO EXPENSES W MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requ· ' • demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit is ovisions of this Code shall expire by limitation and become null and void if the building or work authorized by such perm the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after 80 days (Section 106.4.4 Uniform Building Code). & -115i9 APPLICANT'S SIGNATURE DATE YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 1 0/ 13/99 Permit# CB992131 Inspector Assignment: Title: DETUNO RESIDENCE Description: OUTDOOR FIREPLACE PER SPECS W/ GAS LINE BBQ Type: MISC Sub Type: OTHER Job Address: Suite: Location: 2234 VISTA LA N ISA Lot APPLICANT DETUNO JOE 0 Owner: STANDARD PACIFIC CORP Remarks: Total Time: CD Description Act 11 Ftg/Foundation/Piers c:t 23 Gas/TesURepairs Inspection History Comments lv>-i Date Description Act lnsp Comments Phone: 6095583112 Inspector: ---- Requested By: MIKE Entered By: BARBARA ~ 'f A :e~.,