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Home My WebLink About1330 CYNTHIA LN; ; CB112564; Permit12-07-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No: CB112564 Building Inspection Request Line (760) 602-2725 Job Address: Pennit Type: Parcel No: Valuation: Reference #: Project Title: 1330 CYNTHIA LN CBAD PATIO 1562317700 Lot#: 0 $2,969.00 Construction Type: NEW FOX RES-310 SF PATIO-ATTACHED OPEN LATTICE - PER CITY SPECS & GAS TO BBQ Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 12/07/2011 RMA 12/07/2011 12/07/2011 Applicant: BROOKHART CONCRETE INC, RAY F 2911 STATE ST CARLSBAD, CA 92008 619-729-5122 Owner: FOX ERIC E&BEVERLY M 1330 CYNTHIA LN CARLSBADCA 92008 Building Permit Add'l Building Pennit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Green BIdg Standards (SB1473) Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $58.27 $0.00 $40.79 $0.00 $1.00 $1.00 $0.00 $0.00 $30.00 $0.00 $131.06 Total Fees: $131.06 Total Payments To Date: $131.06 BalanceDue: $0.00 Inspector: FINAL APPFjOVAL Date: Clearance: NOTICE: Please take NOTICE thalapproval of your project Includes the "Imposition" o! fees, dedications, resen/ations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pemfiit 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 foliow that procedure will bar any subsequent legal action to attaci<, 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 pianning, 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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. 'V CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit SWPPP JOB ADDRESS 1330 Cynthia Ln., Carlsbad, CA 92008 SUITE#/SPACE#/UNIT# APN 156 - 231 - 62 - 00 CT/PROJECT # LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) New 310 sq. ft. patio cover with open lattice, no enclosing roof or walls. Extension of existing 3/4" gas line from house to future 80 CFU BBQ location. EXISTING USE Uninproved PROPOSED USE Patio GARAGE (SF) PATIOS (SF) 310 DECKS (SF) FIREPLACE YES[~^. NoTTI AIR CONDITIONING YES [•NO [7] FIRE SPRINKLERS YES[^N0[7] APPUCANT NAME (Primary Contact) Eric Fox APPLICANT NAME (Secondary Contact) Beverly Fox ADDRESS 1330 Cynthia Lane ADDRESS Same as applicant CITY Carlsbad STATE ZIP CA 92008 CITY STATE ZIP PHONE 619-778-0180 FAX none PHONE 760-730-3967 FAX EMAIL callmeishmael _11 @yahoo.com EMAIL PROPERTY OWNER NAIVIE - ... Same as applicant CONTRACTOR BUS. NAME Ray F. Brookhart Concrete, Inc. ADDRESS ADDRESS P.O. Bdx4545 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92108 PHONE FAX PHONE 760-434-3082 FAX EMAIL EMAIL rfbconc@aol.com ARCH/DESIGNER NAME & ADDRESS STATE UC # STATE UC.# CLASS CITY BUS. LIC.# C8-508108 C8 (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 ($500)). I COMPENSATION Workers' Compensation Declaration: / hereby alfirm under penalty of perjury one of the following declarations. • 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 bv Sectk)n 3700 of the Labor Code, for the performance of the work for whk;h this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Insurance Co _ Policy No.. Expiration Date _ This sectton need not be compleled If the permit Is for one hundred dollars ($100) or less. I I 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. W/U?NING: 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 (&tOO,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. vfiS" CONTRACTOR SIGNATURE •AGENT DATE / hereby affirm that I am exempt from Contractor's License Law for the following reason: I I I, as owner of the property or my emptoyees with wages as their sole compensation, will do the work and the stnicture 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, pnjvlded that such improvements are not intended or offered fbr 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 contrKting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or impnjves thereon, and contracts for such prcijects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section, .Business and Professtons Code for this reason: 1.1 personally plan to pravide fhe major labor and materials for construction of the proposed property improvennent. I / lYes I iNo 2.1 (have / have not) signed an appltoatton for a building permit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired Ihe following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide Ihe work indtoated (include nanne / address / phone / type of work): See concrete contractor's information above. All other work done by owner. PROPERTY OWNER SIGNATURE QAGENT DATE / 2^ ^ 7 H s the ap^icant or future building occupant required to submit a business plan, acutely hazardous materials registratton form or risk management and prevention program under Sections 25605, 25533 or 25531 ''I I'lr 'resley-Tanner Hazardous Substance Account Act? [^Yes I INo s the applicant or future buikling occupant required to obtain a permit from the air pollution control district or air qualilv management district? •Yes DNO s the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes PiNo F 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. •I hereby affinn that there is a constnjction lending agency for the perfonnance of the work this pennit is issued (Sec. 3097 (i) Civil Code), .ender's Name Lender's Address certify that I have read the applicatlan and state that the above infbmiation Is conect and that the infonnatkin on the plans is accurate. I agree to comply with all City ordinances and State laws relatlngto building constmctkin. hereby authorize representative of the City of Carlsbad to enter upon the above mentkDned property fbr inspedicn puiposes. 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. )SHA: An OSHA pemnit is required for excavations over S'O' deep and demolitkxt or constmction of stnxlures over 3 stories in heighL iXPIRATION: Every permit issuedbytheBuildIng Offkial under the provlskins ofthisCodeshallexpiretiy limitatkxi and become nullandvoidifihe buikJing or wortt authorized by such pennit is not commenced within 80 days tiom the date of such pemnit or if the building w woik authorized by such pennit is s^ ^eTAPPLICANT'S SIGNATURE or It the buiding or woni authon2 DATE City ofCarlsbad BIdg Inspection Request For: 03/01/2012 Permit# CB112564 Title: FOX RES-310 SF PATIO-ATTACHED Description: OPEN LATTICE - PER CITY SPECS & GAS TO BBQ Inspector Assignment: PY 1330 CYNTHIA LN Lot: Type: PATIO Sub Type: Job Address: Suite: Location: OWNER FOX ERIC E&BEVERLY M Owner: FOX ERIC E&BEVERLY IU Remarl<s: 6197780180 Phone: 6197780180 Inspector: Total Time: CD Description 19 Final Structural Act mments Requested By: ERIC FOX Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 12/21/2011 11 Ftg/Foundation/Piers AP PY 12/21/2011 23 Gas/Test/Repairs AP PY