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Home My WebLink About1317 GULL CT; ; CB011907; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06/20/2001 Patio/Deck Permit Permit No:CB011907 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1317 GULL CT CBAD PATIO Status: Parcel No: 2156421200 $3,100.00 Lot#: 0 Applied: ISSUED 05/31/2001 RMA 05/31/2001 05/31/2001 AR Valuation: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: LARSEN RES-3 PATIOS=400 SF ELEC TO FOUNTAIN LARSEN BRIAN L&TERESA M 1317 GULL CT CARLSBAD CA 92009 Plan Approved: Issued: Inspect Area: Owner: LARSEN BRIAN L&TERESA M 1317 GULL CT CARLSBAD CA 92009 2657 06/20/01. 0002 ()1 CGF" Total Fees: $109.26 Total Payments To Date: $89.26 Balance Due: $20.00 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: $53.49 $0.00 $34.77 $0.00 $1.00 $0.00 $0.00 $20.00 $0.00 $109.26 Clearance: NOTICE: Please take NOTICE t 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 cartsbad 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 rght 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 reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired. ,''\'"'.• ,,.::., FOR OFFICE USE ONL V ·PERMIT APPLICATION PLAN CHECK NO., ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit -----~-j--- 1. PROji:CT INFORMATION /3 r7 G uU C:f. Ca,.,-/,;;;haol , ell Address (include Bldg/Suite #) (OCJ /7,., Business Name (at this address) Lt< r, !J& Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use DescriP,lifn of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 5DC{t-:o c;:wtl'IU ,2. CON1 ACT PERS.ON ·uf different from appllcantf 4tJCJ jvM !:J fl/. Address Name 3. 0 Contractor O Agent for Contractor /3; /{ Name Address 6. CON'[flACTOR • COMPANY NAME 0 .f\gent f City State/Zip Telephone# Fax# d. City State/Zip Telephone# City S,tate/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 # _________ _ Licem;e Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ '6. WORKE.RS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I t,ave 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 t.he 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 tho 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 la 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. SIGNATURE.______________________________ DATE--:-::::;::;;::;::;;:::::;;;::;::::;::=-;:;;;;:=..~. 7_. OWr,IER-BUiLDER DEC'-'ARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). ~ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The tontractor'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). O I am exempt under Section ______ Businoss and Professions Code for this reason: 1. 2. 3. ~o one number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordin te, 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 contrac:ted (hired) the following persons to provide the work indicated (include name / address I phone number / type of work):, ______________ _,r------.,---------------------,---------------- PROPERTY OWNER SIGNATURE ----~~"-L,,,,,A/L)...,,-<-.,_UJ...,'""1<'-,1,,U""""""wJc....::.._______ DATE _4_,__,.,3"-'1'--'/2'-'tJ"--'-/ ___ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMIT$. Or,ILY 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? 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 AND THE AIR POLLUTION CONTROL DISTRICT. ,8, CO,NSTRUCTION LENDING AGENCY , ., """-.. .,. ·• .c. I hereby affirm that there is a construction lending agenc:y for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9 . APPLICANT CERTIFl'cATION 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 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 fof/1 period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE \.JL,j JM) ~ DATE ${.31 /o I WHITE: File YELLOW: Applicant PINK: Finance m City of Carlsbad Bldg Inspection Request For: 11/29/2001 . , Permit# CB011907 Title: LARSEN RES-3 PATIOS=400 SF Description: ELEC TO FOUNTAIN Type:PATIO Sub Type: Job Address: 1317 GULL CT Suite: Lot 0 Location: APPLICANT LARSEN BRIAN L&TERESA M Inspector Assignment: AR --- Phone: 7606037953 Inspector: ---- Owner: LARSEN BRIAN L&TERESA M FAMILY TRUST 05;24-01 Remarks: Total Time: Requested By: TERESA ; [·", . ' ' ,~-' ' · • • Entered By: CHRISTINE CD Description Act Comm1;1nts, ~? -F-~-na_l~S~tr_u_ct_u_ra_i _____ ~------------------- Associated PCRs Inspection History Date Description Act lnsp Comments 06/21/2001 31 Underground/Conduit-Wiring CO AR EXPOSE CONDUIT 06/20/2001 11 Fig/Foundation/Piers AP AR