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HomeMy WebLinkAbout1363 NIGHTSHADE RD; ; CB041907; PermitCity of Carlsbad 1635 Faraday AV Carlsbad, CA 92008 0520-204 Patio/Deck Permit Permit No: CB041907 Building Inspection Request Line (760) 602-2725 Job Address: 1363 NIGHTSHADE RD CBAD Permit Type: PATIO Status: ISSUED Parcel No: 2156412900 Lot #: 0 Applied: 05/20/2004 Valuation: $2,961.00 Construction Type: NEW Entered By: SB Reference #: Plan Approved: 05/20/2004 Issued: 05/20/2004 Project Title: AUGER RES82 SF ALLUM PATIO Inspect Area: COVER ICBO #1841 P Plan Check#: Applicant: Owner:. SKYLINE SUNROOMS ' AUGER MARTIN R&CHRISTINE D 8075 ALVARADO RD - 1363 NIGHTSHADE RD LA MESA, CA 91942 .-) CARLSBAD CA 92,009 619-469-9556 / $4579 Building Permit Add 'I Building Permit Fee' Plan Check / .. . \ . /-. / 1$0.00 \ -'($29.76', Add'I Plan Check Fee/ • I 1, \ . ..$0.00 Li $1.00 Strong Motion Fee \ - : $0.00 Renewal Fee 1 ., / ¶ - - / '$0 00 - Addi Renewal Fee Other Building Fee \\ ./$0.00 Additional Fees . . . .f - TOTAL PERMIT FEES '/ * /1 ; $76.55 Total Fees: $76.55 Total Payments;To Date: • ' $0.00 Balance Due: $76.55 \ \ - -'.5' 4667 0/20'04 0002 Ot 02 42 '.5 76 '3 - FINAL APPROVAL Inspector: ' Date: ((t 91;iCJ 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv otherwise excired. FOR OFFICE, USE ONLY -. PLAN CHECK NO.C"3 /a7 EST. VAL. Plan Ck. Deposit - S Validated B -' S Date 2-404 address) Unit No. - 'Phase No. TOtaI # of units Business Name (at this Le, I Nane .... Name Address City - State/Zip Telephone # 0!LRJ9fl C0MPAYJL - (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structured 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 exam n olatoo,,c79W2 %I p3l .5 yppl aPPlicar a civil penalty o/ot rF;sthfive dtJ1$Sllj. f'Ii I J %11;11141111 SJ 11,0 I CVII I 'V.1111/1 I I P&J II Il I U • /WW Name -(J (6'lz"JA . ,' . Address . .,. , City - . State/Zip Telephone # State License # '''•"U . License Class. City Businêss'License # Designer Name . Address , . City State/Zip Telephone State License qLKEcMiSiIpN. Workers' Compensation Declaration: I hereby affirm underpenaltyof 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 by Section 3700 of the Labor Code, for the performance of the work for wh h this 'permit is carrier and policy number are: c- 7 Policy No. lOulI'O1 ins Expiration Date u1ot' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not eploy Tany person in any manner so as m to become subject to the Workers' Compeisation Laws of California. WARNING: Failure to secure wor r ' compensation coverage is unlawful, -and shall subject an employer'to criminal penalties and-civil fines up to one hundred thousand dollars ($ OikiO a d - n to the cost of compensation, damages as provided for in Section 37,06, of the Lor clIe, I terest and attorney's fees. SIGNATURE ' . ' . -, - - - DATE('i1P..01 ÔWERiThL E AAfIO I hereby affirm that I am exempt from the Contractor's License 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 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 - 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: . . , - 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO '2. I (have 1 havinót) signed an application for's 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 follàwing person to coordinate, 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 contracted (hired) the following persons to provide the work indicated (include name / address ! phone number !type of work): PROPERTY OWNER SIGNATURE . - - - Y DATE * 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 0 NO Is the applicant or future building occupant required.to obtain a permit from the air pollution control distridt or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 ,YES - 0 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. 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 APPLIC fJ 'AT ION' 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 withi180 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 comme ad of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE " S - . " - ' DATE WHITE: File YELLOW: Applicant PINK: Finance - -- - - - - City of Carlsbad-Bldg Inspection Request For: 06/14/2004 Permit# CB041907 Inspector Assignment: Title: AUGER RES82 SF ALLUM PATIO Description: COVER ICBO #1841 P Type: PATIO Sub Type: Phone: 8582777666 Job Address: 1363 NIGHTSHADE RD Suite: Lot 0 JIJt.f'\J Location:Inspector: APPLICANT SKYLINE SUNROOMS Owner: AUGER MARTIN R&CHRISTINE D Remarks: TotalTime: Requested By: SARA • Entered By: ROBIN CD Description A t , Comment 19 Final Structural ,C..• Associated PCRs/CVs Inspection History Date Description Act Insp Comments