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Home My WebLink About1234 MARIPOSA RD; ; CB022168; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-24-2002 Patio/Deck Permit Permit No: CB022168 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1234 MARIPOSA RD CBAD PATIO Lot#: 0 Status: Applied: Valuation: 2122202600 $1,856.00 Construction Type: NEW Entered By: Reference#: Project Title: Applicant: CULLEN RESIDENCE 256 SF PATIO CULLEN DAVID D&MARJORIE 1234 MARIPOSA RD CARLSBAD CA 92009 Plan Approved: 1234 MARIPOSA RD CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 07/24/2002 MDP 07/24/2002 07/24/2002 Total Fees: $61.14 Total Payments To Date: $0.00 Balance Due: 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 Inspector: FINAL APPROVAL Date: '?, / lb/Oq. Clearance: $36.45 $0.00 $23.69 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $61.14 $61.14 NOTICE: Please take NOTICE that approval of your project includes the "lmpositionff of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.ff You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES 1T APPLY to any . h I Tl imn h r f' i r i ! PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. (51.,-'?_ \ (Q. 8 I <g$"(o EST. VAL. -~\ ,_ ______ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Legal Description Lot No. Subdivision Name/Number Unit No. 2. 1 'l. "2. "2.0 Phase No. Total# of units • Existing Use Proposed Use p Descr SQ. FT. #of Stories # of Bedrooms # of Bathrooms City ~e,,u; ,, C4 ;rq~oq' · z2a f.!'l I 867 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 Address City State/Zip Telephone State license # _________ _ i{~~C'IM~)lliOJll~J:'~;,~{:', ?,T:·r'.::·rtsr:\:;_:," :;~:kt~:,,<t";·: ,F>\·:n~50:;::'.;,t.0;;:;:,:1·,'::h· 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 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 ($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 secure workers' compensation coverage I• unlawful, end shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,0001, In addition to the cost of compensation, damages as provided for In Section 3708 of the Labor code, Interest end attorney's fees. SIGNATURE _____________________________ _ ~1~r,tow;itill1liliE1:I(fiYl!!Cul\fiA'fiOl,r;,• ;;;1+: Y{•: • ·;t,s<•it;'•/·• · ,·t ... I hereby affirm that I am exempt from the Contractor's License Law for the following reason: IJL 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). 0 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, end contracts for such projects with contractor(sJ 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 I 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. l wfll provide some of the work, but I d) the following persons to provide the work indicated (include name / address / phone number/ type of work):, __________ -f,f-/'---ry'7--t;J-~:z_-:,;.,--------------;;..-::;;-::--;;;=;----------- 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 Hazardoi.Js 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT GE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ll\lntfJl'tlWf:fflijfll:fEJl'i1J~~~t~Cf4f~-Z14~R\:~,si::;;~;i'c'.?l~l?:ii',;;;:r;,:Hrrmtr'l fr{{i~i1J::::,r;-· ·· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097fi) Civil Code). LENDER'S NAME______________ LENDER'S ADDAESS::;-::;--:c:-----,--,-,---,--,-,---,----,---,---,,---::--,,-----,--- fll~*iJRi&J(tAf{e!ftTI-'fffbN1i;~Jl'.\}(t?,;:;\'.E:\1\:Y)'.;~¾1Jlr4ffr:(1f'.f.1ii)ftE:t'-(;J -:::·.1,~1'?':\i{,;;r;:c>.;'.::1'.t< .. , 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 ANO 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 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 w· 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for od of 180 er 106.4.4 Uniform Building Code) . .>f-PPLICANT"S SIGNATURE DATE PINK: Finance ' City of Carlsbad Bldg Inspection Request Permit# CB022168 Title: CULLEN RESIDENCE Description: 256 SF PATIO For: 08/15/2002 Type:PATIO Sub Type: Job Address: 1234 MARIPOSA RD Suite: Lot 0 Location: APPLICANT CULLEN DAVID D&MARJORIE Owner: CULLEN DAVID D&MARJORIE Remarks: Total Time: CD Description Act Comments 11 Fig/Foundation/Piers Inspector Assignment: S~ Phone: 7609291867 Inspector: 5\2... Requested By: DAVID CULLEN Entered By: CHRISTINE JbL ,=--~ ~ -Fl--'-~~--------- _.J9.__ f \t"P:R ~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments ····----- . -···· ·~•-··-·-··•· ;e I .:...i I (/j I . I I ~ fl Z.1 '2., ,Z,,'20 • 2.., ~ SHOREPOINTE-DISCLOSURE EXHJBtT LOT26 OF FINAi. MAP NO. 13840 ! \" i I I" ~ "' l 1J' __ ,, :1/ ;~ [g,j ~ '/4 -----~ ~-----~- ~ David D. Cullen 1234 Mariposa Rd. Carlsbad, CA920()9 ~ I I \ .. -,-.. I .. ~ ~ _,. 4~fa..tt1:~ c·v.::.--c.-e=-,✓ ' --~-; ----~---,.,..., --.--- G,t,1'1!; , .••. -~·· .._/ .... .-_-..... :::?:'------,-.,--1\N: ~e:+<.A-.... -,:,,-~-/--, c-()d ·-~ (.,,4,J,.S. PRl!ffAAEC ON: 00-lb.OC SCAU<: N.T.a. iVomt; .. • NIT i Of I 1 I -4 ) \_