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1003 DAISY AVE; ; CB102504; Permit
, - City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-28-2010 Patio/Deck Permit Permit No: CB102504 Building Inspection Request Line (760) 602-2725 Job Address: 1003 DAISY AV CBAD Permit Type: PATIO Status: ISSUED Parcel No: 2144221100 Lot#: 0 Applied: 12/21/2010 Valuation: $3,009,60 Construction Type: NEW Entered By: JMA Reference*: Plan Approved: 12/28/2010 Issued: 12/28/2010 Project Title: FITZGERALD: REBUILD PATIO/MAKE Inspect Area: SOLID ROOF Plan Check#: Applicant: Owner: JB HOME IMPROVEMENT FITZGERALD FAMILY TRUST 01-03-07 219 S. SANTA FE AV 1003 DAISY AVE VISTA 92083 CARLSBAD CA 92011 760-758-2654 Building Permit $63.21 Add'l Building Permit Fee $0.00 Plan Check $41.09 Add'l Plan Check Fee $0.00 Strong Motion Fee $1.00 Green Bldg Standards (SB1473) Fee $1.00 Renewal Fee $0.00 Add'l Renewal Fee $0.00 Other Building Fee : $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $106.30 Total Fees: $106.30 Total Payments To Date: $106.30 Balance Due: $0.00 FINAL APPROVAL Inspector: ^-"^ * "" Date: t*' I ' (( Clearance: NOTICE: Please take NOTICE that approval of your project 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 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 limitations has previously otherwise expired. CARLSBAD CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# \\ - Ob •CT/PROJECT#LOT*PHASE ft # BATHROOMS TENANT BUSINESS NAME ....."tfifl** 'f?t CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) off fa •* °P fa-Tot EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE NO| | AIR CONDITIONING FIRE SPRINKLERS CONTACT NAME (If Different Fam Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE PHONE FAX EMAIL EMAIL PROPERTYOWNERNAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP »l2o IV CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. #CLASS - CITY BUS, LIC.# (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 theapplicant 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 theBusiness 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 ($500)). Workers' Compensation Declaration-. / hereby affirm under penalty of perjury one of (he following declarations: LJ 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 11 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 workers' compensation insurance carrier and policy number are: Insurance Co: ••.•:::••...• _^__^__j :•••• • •••• Policy No. ''•"•: . v. •:•••:•"..-..::•;.. Expiration Date : •. : •:•'.'.. - '••/. :' •' Thissection need not be completed if the permit is for one hundred dollars ($100) otless. lixfCertificate of Exemption: I certify that in the performance of the work fon«ti!ch 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 cowrie 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 fonn-S^fion 3706 of the Labor code, interest and attorney's fees. , J&*> CONTRACTOR SIGNATURE f-rf •^j|***^XXf DAGENT "ATE (£/£-1// 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 contractors) licensed pursuant to the Contractor's License Law).D I am exempt under Section..Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I JYes j JNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number)-. 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address /phone / type of work): ^PROPERTY OWNER SIGNATURE QAGENT DATE uality management district? HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF I hereby affirm that there is Lender's Name;; -i permit is issued (Sec. 3097 (i) Civil Code). City of Carlsbad Bldg Inspection Request For: 02/23/2011 Permit* CB102504 Title: FITZGERALD: REBUILD PATIO/MAKE Description. SOLID ROOF Type: PATIO Sub Type: Job Address: 1003 DAISY AV Suite: Lot: 0 Location: APPLICANT JB HOME IMPROVEMENT Owner: FITZGERALD FAMILY TRUST 01-03-07 Remarks: Inspector Assignment: PD Phone: 7608096231 Inspector/ Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: SHAWN Entered By: CHRISTINE Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 02/14/2011 19 Final Structural CO PD NO ONE HOME DOGS. 9:45AM 01/20/2011 14 Frame/Steel/Bolting/Welding AP PD 01/20/2011 15 Roof/Reroof AP PD PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB 10-2504 DATE 12/21/10 ADDRESS 1003 Daisy Avenue RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOL/SPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER replace patio cover PLANNER ENGINEER DATE /o DATE H:\ADMIN\COUNTEft/PUNNING/ENGINEERING APPROVALS Check a License - Contractors State License Board Page 1 of 1 Department of Consumer Affairs *«» Contractors State Li Contractor's License Detail - License # 793072 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. ••8- CSLB complaint disclosure is restricted by law (B.&E,I124J) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. ••» Per BSP 7071 J_7 , only construction related civil judgments reported to the CSLB are disclosed. ••* Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. ••» Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Business Information Entitir: Issue Date Expire Date License Status Additional Status: 793072 ' JB HOME IMPROVEMENT 3458 RAVINE DRIVE CARLSBAD, CA 92010 JBj^injess P^ Sole Ownership jD3/28/2001__ ___ 03/31/2011 Extract Date: 12/22/2010 This license is current and active. All information below should be reviewed. Classifications: Bonding: Workers' Compensation: CLASS B DESCRIPTION GENERAL BUILDING.CQNTJRACTOR CONTRACTOR'S BOND This license filed Contractor's Bond number SC6368333 in the amount of $12,500 with the bonding company MERJCM£QNIRACIQBaJMDE.MNJIY COMPANY, Effective Date: 03/02/2009 JJjHSGjg^sj^ ; This license is exempt from having workers compensation insurance; they certified that they have no employees at this time. Effective Date: 05/21/2010 Expire Date: None Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=7... 12/22/2010 o t H O JOT-DOC co Pi;°;o NJ m I >;*m