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Home My WebLink About1235 MARIPOSA RD; ; CB020424; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-11-2002 Miscellaneous Permit Permit No:CB020424 Building Inspection Request Line (760) 602-2725 Job Address: 1235 MARIPOSA RD CBAD Permit Type: MISC Subtype: OTHER 0 Status: ISSUED 02/11/2002 JM 02/11/2002 02/11/2002 Parcel No: 2122203700 Lot #: Applied: Valuation: Reference#: Project Title: Applicant: $3,125.00 AMELIO -FREE STANDIN FPLACE ELEC & GAS LINE AMELIO FRANK&KAREN 1235 MARIPOSA RD CARLSBAD CA 92009 Entered By: Plan Approved: Issued: Inspect Area: Owner: AMELIO FRANK&KAREN 0693 02/.U/02 0002 J1. 1235 MARIPOSA RD CARLSBAD CA 92009 C.GF" Total Fees: $136.00 Total Payments To Date: $0.00 Balance Due: $136.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: PLUM & ELEC FIREPLACE $47.00 $89.00 $0.00 $136.00 ·:-::~?,RED PERMIT ''. ~:.:PiRED IN ACCORDANCE wmi U.B.C. ~u,hllli l110.4.4 FINAL APPROVAL Date: 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 '1ees/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 capactiy 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 "OU have nreviousl" been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Assessor's Parcel # Existing Use , #of Stories L-1ne.., Name Address City '3' ' 111\PUCANT' ' I]i(fop\rabtgr, ' ,!il')!;t,nl':!<iwliililmii!i>'rf, /'[;Jii),,0:er,; w□: A,geiit /iii o.i~ar Name Address Citv •k •,.lilJQPl!Rl:Y,'9WNI!~ Name Address Citv FOR OFFICE USE ONLY PLAN CHECK No./:&.2-1~{- EST. VAL. __________ _ Pia~ Ck. Depo:•il:: ~:::_•_t•_d_B_\(_-.-::·_/4 'JVl, __ -:_~_~-_.-q:::~::'l-1/'"'.:-z:"'v,'----~"'"-- ·, fra vi I'.-An-te. l1 o I 1qo Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# State/Zip Telephone# 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 Citv State/Zip Telephone State License # _________ _ s; • ,; WQ:llii:~U"l10M~SATION ' Workers' Compensation Declaration: 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 [$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 aecure workers' compensation coverage la unlawful, and ,hall aubject an employer to criminal penaldu and civU fine• up to one hundred thousand dollara ($100,000), In addltJon to the coat of compen,atlon, damagu aa proyjded for In Section 3708 of the Labor code, Jntere•t and attorney'• feea. SIGNATURE _______ __....________________________ DATE :7;;:?['.fbWNrR'~.1Vtfoif'U>l!c~MflOI\I\(· .,, :~-'. :. i.:·,:/. ·::0:<;-:;,,: ;r:::-: •. ;:-3,;?c,::;;·.;:?:;. · I hereby affirm that l 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 solyithin 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). fid' 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 I 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 have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. __________ c-cr.:----c:--:--6'------------------------------------- PROPERTY OWNER SIGNATURE ' 'l)J)Mji~iil'l!ITTilS $ECJJPN;l'l)11£ 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 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. Si CPt!STRUCTIOl'ILENQJNii!il~NiiY-1'' 1 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 Jaws relating to building construction, J 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 buHding or work authorized by such permit is not commenced within 180 days 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 c9 n d for a period of 18 s (Section 106.4.4 Unilorm Building Code). MTE _d_-_(_/-_O_:;l--_____ _ WHITE: File YELLOW: Applicant PINK: Finance .. ti . -City of Carlsbad Bldg Inspection Request . . . - Permit# CB020424 For: 02/20/2002 Inspector Assignment: PD ---Title: AMELIO -FREE STANDIN FPLACE Description: ELEC & GAS LINE Type:MISC Sub Type: OTHER Job Address: Suite: Location: 1235 MARIPOSA RD Lot APPLICANT AMELIO FRANK&KAREN Owner: AMELIO FRANK&KAREN Phone: 7609301287 0 ,/) los_, -ff- Remarks: EARLY AM PLEASE · FIREPLACE INSPECTION! Total Time: CD Description 68 FireplacefTie Straps ~E Associated PCRs Inspection History Date Description 02/15/2002 11 Fig/Foundation/Piers 02/15/2002 21 Underground/Under Floor Requested By: KAREN Entered By: CHRISTINE Act Comm~en s -#f-_lAL: ii Act lnsp Comments AP PD FOR FIREPLACE AP PD --.. ·------~-----------------