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Home My WebLink About1294 MARIPOSA RD; ; CB030759; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-14-2003 Miscellaneous Permit Permit No: CB030759 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1294 MARIPOSA RD CBAD MISC 2122200200 $3,125.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 03/14/2003 SB 03/14/2003 03/14/2003 Project Title: HAGGARD RES FIREPLACE AND PIT GAS AND ELEC TO BOTH Applicant: HAGGARD SEAN&MICHELLE 1294 MARIPOSA RD CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE GAS/ELEC Issued: Inspect Area: Owner: HAGGARD SEAN&MICHELLE 1294 MARIPOSA RD CARLSBAD CA 92009 $89.00 $47.00 $0.00 $136.00 Total Fees: $136.00 Total Payments To Date: $0.00 Balance Due: $136.00 Inspector: 0435 03/14/03 0002 01 CGP 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 "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. NOR DOES IT APPLY to any xa in f hi r i I Tl imil r w i h fli i i . h 02 136-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.CB::>>~75'7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Dep-0~· l'2 Validated By,.._<-,,,(_._Zc.-_=------ Date°3? --o, '< , ~ Address (include Bldg/Suite #) I J 9Lf ffl« ,'i\??'.3 Business Name (at this address) legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # ---~~~~~~l Address City State/Zip Telephone# City S.tate/Zip rB!ll!lllll!_,_ __ ,IIIM~lllllllllll lll.l:--llli--ll-!£! (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 f$500]). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name State License # Address City State/Zip Telephone . ·~ .. , , _ . tl~i.t~t#.~ii<:1ITT;{~M,~1'f~$lf,f,~~\Jf7!f:'~Jfi~~J1JJ 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 po/icy number are: Insurance Company______________________ Policy No. Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100J 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 Califomia. WARNING: F to aecure workera' compenaatJon coverage la unlawful, end aheU subject en empJoyer to crfmlnel peneltlea end clvll fines up to one hundred thousand doll• 0,000 , eddltl the coat of compensation, damagea q provided for In Section 3708 of Labor code, Interest end attomey'a teaa. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 !'.)roving 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, 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: t. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I 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 will provide some of the w , but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone number/ type of work):_-:---:------:---"~:','---;,fi,;z~,,__ ____________________ :'i:::J'u;--;;-::------------- PROPERTY OWNER SIGNATURE DA TE -1-~ 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 26506, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act7 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 out~r boundary of a school site7 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. --a "·":"-~_;J•~~~~~~-;fi,.~1·~-1,,i:i~W-.,.JJf,,~ttjli~i•;~/t,--!, .. ,1,:it-11.·JF,11/:t'?:f•~; ... t:'. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec, 3097{j) Civil Code). LENDER'S NAME -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. 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 Offi · under the provisions of this Code shall expire by limitation and become null and void if the buWdfng or work authoriz£•,j by such permit is t c menced in 180 a from the date of such permit or If the building or work authorized by such permit is suspended or abandoned any tir, •J after the work is co e ced for a riod of days {Section 106.4.4 Uniform Building Code). PPLICA IT'S SIGNATURE _....s:'{;;;":::.--4:l-.i,:C:,~~--------------DATE _3~--'Y~--n_... ________ _ WHITE: File YELLOW: Applicant PINK: Finance · City of Carlsbad Bldg Inspection Request For: 08/19/2003 Permit# CB030759 Inspector Assignment: JM ---Title: HAGGARD RES FIREPLACE AND PIT Description: GAS AND ELEC TO BOTH Type: MISC Sub Type: OTHER Job Address: Suite: Location: 1294 MARIPOSA RD Lot 0 APPLICANT HAGGARD SEAN&MICHELLE Owner: HAGGARD SEAN&MICHELLE Remarks: Total Time: Phone: 7604732199 Inspector: :)\N'. Requested By: SHAWN Entered By: CHRISTINE CD Description Act Comment 19 Final Structural ~------ Associated PCRs/CVs lns12ection Histo!Y Date Description Act lnsp Comments 05/05/2003 68 Fireplace/Tie Straps AP JM AP ON 5/2/03 05/02/2003 66 Grout AP JM OK TO GROUT 05/02/2003 69 Final Masonry WC JM 04/22/2003 66 Grout AP JM OK TO POUR 2ND LIFT 04/16/2003 66 Grout AP JE 1ST LIFT 04/10/2003 12 Steel/Bond Beam WC JM 04/10/2003 61 Footing AP JM OK TO POUR 04/08/2003 11 Ftg/Foundation/Piers co JM FIREPLACE DOES NOT MEET SIDEYARD SETBACK 04/08/2003 11 Ftg/Foundation/Piers co JM 03/18/2003 23 Gas/TesVRepairs AP JM B B Q & F·PLACE 03/18/2003 31 Underground/Conduit~Wiring PA JM CONDUIT ONLY City of Carlsbad Bldg Inspection Request For: 04/08/2003 Permit# CB030759 Title: HAGGARD RES FIREPLACE AND PIT Description: GAS AND ELEC TO BOTH Type: MISC Sub Type: OTHER Job Address: 1294 MARIPOSA RD Suite: Lot 0 Location: APPLICANT HAGGARD SEAN&MICHELLE Owner: HAGGARD SEAN&MICHELLE Remarks: home 602-8304 -'i59p'gp f27fipp Total Time: Inspector Assignment: JM --- Pho : 7604732199 Inspector:~ Requested By: SHAWN Entered By: CHRISTINE CD Description ~ct Comment · / 1 11 Ftg/Foundation/Piers (Q___ ;:;✓,.~~ dr-:~r~~L.; ./4µ±.· -------<,;,~ Sc.-/:64,,C·,K,.. __ . -- Associated PCRs/CVs Inspection History Date Description Act /nsp Comments 03/18/2003 23 Gas/TesVAepairs AP JM BB O & F-PLACE 03/18/2003 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY 1--Ja~~' d I l, &/4 Wlll<1' ~ RJ Ctt.,\~~J., "l'd'OoC\ ,, 1-\~ _,./\I---72 ~I l_/ ,_,· > \ ... •·--,., BY A~VEO MAR 1 4 2003 City of CARLSBAD BUILDiNG DEPT. •'