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Home My WebLink About2684 WATERBURY WAY; ; CBR2017-1520; PermitPrint Date: b7 /28/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2684 Waterbury Way BLDG-Residential 1674412200 $6,009.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Patio Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: SCHAFER: 300 SF ALUM PATIO COVER W/ ELECTRICAL Applicant: TERRY MONTELLO 4715 60Th St San Diego, CA 92115-3802 619-994-555 7 BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) SB1473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $151.97 Owner: TRUST SCHAFER FAMILY TRUST 02-18-02 760-434-4601 Total Payments To Date: $61.84 Status: Applied: Issued: Finaled: Inspector: Contractor: SKYLINE SUNROOMS INC 1955 Cordell Ct, Suite 101 El Cajon, CA 92020-0901 619-334-4504 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously oth~rwise expired. Permit No: CBR2017-1520 Closed -Withdrawn 07/07/2017 07/28/2017 $90.13 $88.35 $61.84 $1.00 $0.78 ' THE FOLLC.NING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMATIAPCD f. Cvcifyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No.Cf,~ l 7-15 2,0 Est. Value 009- Plan Ck. Deposit Date ~ 7-7 JOB ADORE~ Lo SUITE#/SPACE#/UNIT# APN CT/PROJECT # # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) PROPERTY OWNER NAME CITY EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS sS CITY STATE ZIP CITY ti et on PHONE FAX PHONE U Pl · ~~ • ltS O LI EMAIL EMAIL STATE UC.# STATE LIU,~ 12?. lo . (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 Chat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). Wori<ers' Compensation Declaration: I hereby affirm under penaffy 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. ~ I have and will maintain wor1<ersji:G1rJl9{1~ion, as~r Quired by Section 3700 of the Labor Code, for the performance of the work [O[ i<;l\thi~mit ir,issued. My workers' compensation in ura ce carrier and policy number are: Insurance Co. __ ~~"-l'-"'Y-}201,f f Policy No. CC t..f 'O bl (p D Expiration Date I l I l t . This section need not be completed if the permit is for one h red dollars ($100) or less. D 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 asp vided for in Section 3706 of the Labor code, interest and attorney's fees. J!5 CONTRACTOR SIGNATURE GENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ 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). 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). 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. O ves 0 No 2. I (have I 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 / 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 I address I phone I contraclors' 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 I address / phone / type of work): .J!5 PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future t>Uilding 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 Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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. (Sec. 3097 (i) Civil Code). 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 representative of the City of Carlsbad to enter upon the above mentioned property for inspection pul))OSeS. 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 penmtt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every penmit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void rr the building or won< authorized by such penmit is not commenced within 180 days from the date of such penmit or rrthe building or authorized by such penmtt is suspended or abandoned at any time after the WOO<DisATcomE mencedl lfor :;er,~~ days (Section 106.4.4 Unrrorm Building Code). ,,1$ APPLICANT'S SIGNATURE I l I I STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. C .. ~)Tli,C' I 0 f CJ :: C U P JI ~J C Y ; C o 111 tr. e r :: , : I Pio:L'l.t'.:. G n I \' ) Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ~ APPLICANT'S SIGNATURE DATE Ifl:7'/17 To Carlsbad Building Department: 2.Cit>4 We would like·to cancel permit C:8'R20·H--1520'1ocated at 2684 Waterbu!"'iWay for the-patio cover and collect all sets of plans that were originatty submitted. 't-rran-ks, Terry Montello JUL 2 8 2017 CITY OF CARLSBAD BUILDING DIVISION