HomeMy WebLinkAbout1186 MARIPOSA RD; ; CB030244; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB030244
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference#:
Building Inspection Request Line (760) 602-2725
1186 MARIPOSA RD CBAD
MISC
2122211200
$3,125.00
Subtype: OTHER
Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/23/2003
NEW
01/23/2003
01/23/2003
JM Project Title: BAKER RES OUTDOOR FIREPLACE
GAS/ELEC-SPA&BBQ ELEC· FOUNTAIN&SINK "7._/~72 ,... .l5. )2
Applicant:
CEG
344 MAIN STREET
VISTA CA 92084
726-3360
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $150.00
Inspector:
Owner:
BAKER DAVID B&KATHRYN D
FIRE PLACE
GAS/SINK/ ELEC
1186 MARIPOSA RD
CARLSBAD CA 92009
Total Payments To Date: $136.00
$89.00
$61.00
$0.00
$150.00
Balance Due:
Clearance:
$14.00
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. NOA DOES IT APPLY to any
X i n f h V ' I T imil r wh' ' n h . h rwi
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.C\?>a3 0ZL17
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit._ _______ _
273 Validatr By
Date -
Business Name (at this address) Addiirt-de Bldg/Suite#)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
#of Stories
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). C-_t?§ L Ana5LA-11e '?, 1/({ hfOl✓i./ ;,-lA'SIJJ C-14 qze'( Y 71,o 7.:<t:,-J.J-6 ~
Name & Address City State/Zip Telephone #
State License # 7 0 / 3 / 2= License Class C.--;l 7 City Business License # I Z-./I 3.3
Address City State/Zip Telephone
D
of the work for which this permit is Issued.
~ 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
f.;sued. 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 [$100) 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 aecure workera' compensation coverage I• unlawful, and •hall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), In addition to the coat of compensation, damage••• provided for In Section 3706 of the Labor coda, Interest and attorney's faea.
SIGNATURE DATE
fl, Wtt~f!.:!lUILOE!U)ECLARA'L
I hereby affirm that I am exempt from the Contractor's License Law for the 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).
O 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 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, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I 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 work):. ________________________________________________________ _
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 26505, 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
D YES D NO
~~~· ~~.,:_ ~ ,¼
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).
" 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 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 o struction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions 1s 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 lhe da ermi · e building or work authorized by such permit is suspended or abandoned
at any ti~ after the work is commenced for ouao d m orm Building Code). /
APPLICA -~-=::::::__.,..._-A.,L...____________ DATE ti/th../ .23 z_oc, _3 I
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 05/22/2003
Permit# CB030244 Inspector Assignment: JM ---
Title: BAKER RES OUTDOOR FIREPLACE
Description: GAS/ELEC-SPA&BBQ ELEC-FOUNTAIN&SINK
Type: MISC Sub Type: OTHER
Job Address:
Suite:
Location:
1186 MARIPOSA RD
Lot
APPLICANT CEG
0
Owner: BAKER DAVID B&KATHRYN D
Remarks:
Total Time:
Phone: 7608010044
Inspector: J\1\1\
Requested By: DAVID
Entered By: CHRISTINE
CD Description Act Comment
29 Final Plumbing K---------------------
39 Final Electrical -/--
~~ -J--~~~~
Associated PCRs/CVs
lns1:1ection Histor,,:
Date Description Act lnsp Comments
02/07/2003 68 Fireplace/Tie Straps AP JM OK TO GROUT
02/05/2003 11 Fig/Foundation/Piers AP JM OK TO POUR -FPLACE TO BE 11 FT HIGH
01/24/2003 21 Underground/Under Floor WC JM
01/24/2003 23 Gas/T esVRepairs AP JM BBQ, FRPLC & SPA EQUIP
01/24/2003 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY