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Home My WebLink About1289 FOREST AVE; ; CB120379; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-20-2012 Patio/Deck Permit Permit No: CB120379 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1289 FOREST AV CBAD PATIO Status: Lot#: 0 Applied: Valuation: 1561100800 $2,491.00 Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Inspect Area: Plan Check#: EDWARDS RES-260 SF PATIO Project Title: ATIACHED -PER CITY SPECS-OK PER MIKE PETERSON Applicant: EDWARDS FAMILY TRUST 07-13-01 1289 FOREST AVE CARLSBAD CA 92008 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Owner: EDWARDS FAMILY TRUST 07-13-01 1289 FOREST AVE CARLSBAD CA 92008 WITHDRAW 03/01/2012 RMA 03/01/2012 $58.27 $0.00 $40.79 $0.00 $1.00 $1.00 $0.00 $0.00 $0.00 $0.00 $101.06 Total Fees: $101.06 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $101.06 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 pennit 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 · , · h .. A,, I.A .. A -~-.. j-,u,lu I.A--nivi:>n ::i N,.. ........... · · ·1 In ~h;,-nr ::i<: tn whir·h · · · h"'"' · . -··-jr,,,.j 1z1s1 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTM~NT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL.~~"----''--~~,--~~~ Plan Ck. Deposit"'4.p.~:.._::..:...i,.:..:~-- Validati! 1.t:rz1J Date_-=-+--"'-"'-+--+-"'--------- ~ ""''t"'j Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Phase No. Total # of units # of Bathrooms 2-;.....~-~~----..- :::/U;J'-f 4. Name Address State/Zip Telephone # CONTRACTO~ coM~PA""NY=-.ffwA""M,...,..·~--.......,....,..-,,-.~-=-~-...,.,.;......,~.-.....,_....._,,__.,.,........_......,....., __ .,....,,..........,.,.,__......,.., . ......,,__,_ - (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 # ---------- 8. "'WoRlcH§•"foMPl'NsATio'fi--------IWtif • .. I ~ ,; Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. O 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) O 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 work11n1' 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 as provided for In Section 3706 of the Labor code, Interest and attomay's fees. SIGNATURE DATE ---------- 7. WNER=ilJILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 'fill.. 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 ,i£s;c. 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}. D I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvementY,s ONO I (have~igned an application for a building permit for the proposed work. 1. 2. 3. I have contracted with the following person (firm} to provide the proposed construction (include name I address I phone number I contractors license number}: 5. I will provide some of the work, but I have cont ofwork}: ___________ --::::::====:;-:::::::'Z:--:-;7_-::9'~---------------~--:r;;--~--:;------------- " ,. 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 26634 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? 0 YES O NO IF ANY OF THE ANSWERS AR£ YES. A ANAL CERTIFICATE Of OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVIC~S AND THE AIR POLLUTION CONTROL DISTRICT. CO DI I hereby affirm that there is a construction lending agency for tha performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'SNAME~~~:;;~;::;;:::;;;::::==::;;;;;:;:::;:;:::::;;;;:==._;L:EN~D:E~R~'S:.:_:A:D;D~RE;S~S:=::;:;;:;,;:::;;;;;;;;:;;;;;::::;;:;;;;;;;:;;:;;::;;;::::;;:;;;::;:;:==::::::;::;;;::::;;;;:---:;;::;::::;;:;::;::;. APilllcAN'rcfifffi!1cATIO ::::-'"'"" "' 45 · 11' I certify that I have read the application and state that tha 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 6'0" 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 within 366 days ·from the dete of such permit or if the building or work authorized by such permit is suspended or abandoned at any time afte e work is c or a period of 180 days (Section 106.4.4 Uniform Building Code). JI. APPLICANT'S SIGNATURE _J_:::Y'.'.'.'.\,l~~-!-~.lll:l~~~~!=::::~----------OATE __ .. .a....{·--'~--~--"--#------- YELLOW: Applicant PINK: Finence / «1~ ¥ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov # BEDROOMS # BATHROOMS Plan Check No. Est. Value SWPP CONSTR. TYPE OCC GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS {SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD #_ NOD YES D NOD YES D NOD APPLICANT NAME (Secondary ntact) ADDRESS Cl1Y ZIP ( Cl1Y Cl1Y ZIP PHONE PHONE EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or oun.ty 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 prov1s1ons of the Contractor'_s License Law jCha'fter 9, commending with Section 7000 of Division 3 of the B.us1ness and Professions Code) or [hat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 03 .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: I hereby affirm under penalty of petjury one of the following declarations: D 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. D 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 workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars {$100) or less. D Certificate of Exemption: I certify that in the performance of the worl< 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 as provided for in Section 3706 of the Labor code, interest and attorney's fees. _AS CONTRACTOR SIGNATURE OAGENT DATE I hereby affirm that I am exempt from Contractor's Ucense 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 wilt1in 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). Cl Cl I, as owner of lt1e 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. l~nally plan to provide the major labor and materials for construction of the proposed property improvement. fYes I:] No 2. I av have not) signed an application for a building permit for the proposed work. 3. I ti e contracted with the following person [firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired lt1e following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired ·ng persons to provide the work indicated (include name I address I phone I type of work)· A$ PROPERTY OWNER SIGNATURE Cl AGENT DATE /?_