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Home My WebLink About2718 WATERBURY WAY; ; CB031583; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-09-2003 Patio/Deck Permit Permit No: CB031583 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2718 WATERBURY WY CBAD PATIO Status: ISSUED 06/09/2003 AMA 06/09/2003 06/09/2003 Parcel No: 167 4320600 Lot #: 0 Applied: Valuation: $3,264.00 Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: MACGRAY RES-256 SF DECK,W/DOOR & LIGHT W/SWITCH & PLUG Inspect Area: Plan Check#: Applicant: MACGRAY EDIE 2718 WATERBURY WAY CARLSBAD CA 92008 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 Total Fees: $109.26 Owner: MACGRAY EDIE 2718 WATERBURY WAY CARLSBAD CA 92008 Total Payments To Date: $0.00 6942 06/09/03 0002 01 02 $53.49 $0.00 $34.77 $0.00 $1.00 $0.00 $0.00 $20.00 $0.00 $109.26 Balance Due: CGP 109-26 $109.26 FINAL APPROVAL INSP. _..._J ___ M..-___ DATE ?ju:{p CLEARANCE _______ _ FOR OFFICE USE ONLY PERMIT APPLICATION CITY OP CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. C6 Oj f 5 f j EST. VAL. .]2c; L( Plan Ck. Deposit It{= Validated By ~ c Date r /q I Ob 1. e,\O,!i&J INFQflfMI J.PN 27 I 8 w f'n:E..@..,33 Vl?,.'j Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Proposed Use scription of Work ,J #of Stories # of Bedrooms # of Bathrooms \ 0 ✓--l> .e:c.)l.. z C> M ~Q... ~Cit."\ ,Un<>-., f-➔4:>~L t)DQQ..S Name Address Fax# 0 Contractor O Agent for Contractor O Owner O ~gent for Owner Name Address City State/Zip Telephone# (4. PROPERTY OWNER \d A'.SJi. LB ,l /L'1 WA-::1 Ce 9 u:> Qf:> G'-S=.N tfSp.c/4~ '.2-)\<:j CL<;> Name Address City State/Zip Telephone# (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 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# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name State License # 8. WO KERS' COMPENSATION Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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. 0 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 ($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, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), 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-BUJl,DER DECL'.ARATIQ!,I ""'."""-==:;:;;::;;:'.;:-;::-:-;;;-:;;;::::;;:;:;::.._,~--~•..-·----==, I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ,gl 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 (Sac. 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. 2. 3. I personally plan to provide the major labor and materials for construction of the \'reposed property improvement.JO YES ONO I~/ have not) signed an application for a building permit for the proposed work. 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 hav d) the following persons to provide the work indicated (include name / address / phone number / type of work): ______________ --H:f-,--,rr-,H--r-----------------------,-,L-~--=-------------- PROPERTY OWNER SIGNATURE ---W-IQ.L-~__:_.../-1-..\..,,L-------------- COMPLETE TH!S SECTION FOR NON-RE 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 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. 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. 3og1(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ ~--Al;'P~ICANT 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, JIJDGMENTS, 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: Every permit 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 permit is suspended or abandone,;l at any tir after the work is com en ed for a peri 180 da s Section 106.4.4 Uniform Building Code). APPLICJ> 'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/26/2003 Perm it# CB031583 Title: MACGRAY RES-256 SF DECK,W/DOOR Description: & LIGHT W/SWITCH & PLUG Type: PATIO Sub Type: Job Address: 2718 WATERBURY WY Suite: Location: APPLICANT MACGRAY EDIE Owner: MACGRAY EDIE Remarks: Total Time: CD Description Lot 0 Act Comment Inspector Assignment: JM --- Phone: 7608020140 Inspector: Requested By: GLEN Entered By: CHRISTINE 19 Final Structural ~------ Associated PCRs/CVs Inspection History Date Description 06/25/2003 11 Fig/Foundation/Piers Act lnsp Comments AP JM OK TO POUR