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Home My WebLink About129 MAPLE ST; ; CB022589; PermitCitv of Carlsbad Residential Permit Permit No: CB022589 Job Address: 129 MAPLE AV Status: Permit Type: RESDNTL Applied: Parcel No: 2042331600 Lot#: 0 Approved: WITHDRAW 9/3/2002 12/19/2002 Reference No: Issued: PC#: Inspect Area: Project Title: BOWMAN RES-567 SF 2DU OVER EXISTING GARAGE Applicant: WORTHING INC, B. A. 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 00136104885 BLDG PLAN CHECK Fees: $2,412.79 Additional Fees: Owner: BOWMAN TOD C&DONNA S 129 MAPLE AV CARLSBAD CA $226.61 $0.00 Total Fees: $2,412.79 Balance: $2,186.18 c;v PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1; l>ROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. ao ) . .,l,_/2rf; EST. VAL. 4 J; 7t A Plan Ck. Depo~ -----,t.':,l:..._,.CL=,JYI 0 Validated Bvr,...,,._+-+--+-'4'-'"""-- Date, __ ---c~f---:.;;;}--/-L<'.....<,:::S ___ _ Business Name (at this address) Asses2QParcel # {p Existing Use Proposed Use ~ ...-2.22 ::f sro11•ot~s 5 [ec,;J, 01 ~'tJ°[;j UL/ tt ~, "j"Vtt ti °7t,o-7'2-CJOJ!Yf- Name Address ,:JL :Af'l'LtCANT Cl :-Contr-lCtor-;Cl: Agenr f o·r:.:Cohtlllctot " --·-□ _ O"""ner 1?,A ½,I DR"Tt\: IN 6 City 0 Agent for Owner C. AA L";£,I\ D State/Zip Ta1aphone # Fax # Name I tJ { · 1 p(.) E:PX l 01\ \ Address f City / State/Zip Telephone# State/Zip '5, ,. ·· 1;0NTRACTOFPCDMPANY'NAME ., (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 hu~red dollars 1$500]). l'AI L BA, W~Tu\N(') 1r::,l( J;Pb e:,ox \C::,l\-\ { AQI '.;6'\:D CA 42c;4'B -,&o 72..9-3-,..,,-_,, Name dress 1 City 1 State/Zip Telephone # tS 1 U 4 [3 -\ City Business License # 4 2-0,.:::) Woi2.. lo'-f/ ( ~64-o (A 1 ~ Designer Name State License II ,fe,...,~--'\'-~-"''-''-'=-==- 8.', 'woillta!s, COMPENSATION City Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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. ~ 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 ~ed. My worker's compensation insurance carrier and policy number are: '8 Insurance Company ":flA1"e F\JND Policy No.Z.2-:'1 -9 UIV l'T /p?,-, Exp;ra,;on Date I· b I· oz... (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 work for which this permit is issued, l 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 ($10 ion to the cost of compensation, damages as provided for in Section 3706 of the L de, interest and attomey's fees. DATE O"Z- D I, as owner of the property or my e lay s 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: e 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). D 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D 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 / phone number/ contractors license number).,_------------------------------------------------ 5. I wilt 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).,_----------------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ lioMPI.Etl!ii'H1$'SECtl0t.iFOl!·fii)N:Jili$/DEN1/At'IIUllblNG~ERMIT$'0NLY. 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? D YES D 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? 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 OFF1CE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. is,· . CONSTRllctiDN LENDING AGENCY 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). LENDER'S NAME ______________ _ LENDER'S ADDRESS, ________________________ _ •s., APPI.ICANTCl!flTIFICATioN I certify that l 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 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 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 fo eriod o days (Se rn6.4.4 Uniform Building Code). DATE a,/£.· / rt? APPLICANT'S SIGNATURE -"'1,__,_,_ __ _,7.cc_,_'/_<__c~__,,,.:.-=-------- YELLOW: Applicant PINK: Finance City of Carlsbad 1=111idliil·i•l4·Eiii,,i4,ii WORTHING INC, 8. A. 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 Re: Application Date: 09/03/2002 0:00:00 Plan Check #: CB022589 Address: 129 MAPLE AV Expiration Date: 09/03/2003 0:00:00 Permit Type: RESDNTL Description: BOWMAN RES-567 SF 2DU OVER EXISTING GARAGE You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 {d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. X Project Abandoned I will pick up plans within 10 days __ Project Abandoned -Plans may be destroyed. If you have any questions, please contact the Building Department at (760) 602-2718. Raenette Abbey Building Department 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @