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Home My WebLink About139 CHANNEL RD; ; CB033301; Permit12-01-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No: CB033301 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: PARK CARE P 0100592008 760 729-0890 139 CHANNEL RDCBAD PATIO 2146000802 Lot#: $2,932.50 Construction Type: TORRI RES-DECK 230 SF W/SLIDER & LIGHT W/SWITCH 0 NEW Status: ISSUED Applied: 12/01/2003 Entered By: KMT Plan Approved: 12/01/2003 Issued: 12/01/2003 Inspect Area: Plan Check#: Owner: TORRI ANNINA E 139 CHANNEL RD CARLSBAD CA 92009 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $45.79 $0.00 $29.76 $0.00 $1.00 $0.00 $0.00 $20.00 $0.00' $96.55 Total Fees:$96.55 Total PaymentsTo Date:$0.00 Balance Due:$96.55 9761 12/01/03 0002 01 02 96-55 DA' SIGNATURE. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad,' CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit i Validated Date _L 33O / Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total tt of units Assessor's Parcel ttDC Use Proposed Use Description of Workrtev OooZ, 2. CONTACT PERSON (if different from applicant) SQ. FT. r LI L' #of Stories tt of Bedrooms tt of Bathrooms Name Address City j3f APPLICANTC „ "EiJjContraotor . Q Agent for Contractor _Q Owner, D'Agent for Owner State/Zip Telephone tt Fax i Name Address .' jJLl- > /3 •^-e. ( TVf City State/Zip Telephone # Name Address City State/Zip Telephone tt (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 Codel or that he is exempt therefrom, and the basis for the alleged exemption. /Any violation of Section 7031 .5.by any applicant for a permij.subjects the applicant to 16 civil.penalty of notmqfe than *iye hundred dollars [$500]). Name ,- _*•"" Address , ( City State/Zip Telephone tt State License tt //7 5 O J License Class ^~ •*— f City Business License # I*2-O S3 Cj?~~7 Designer Name Address State License tt City , State/Zip Telephone [6"., WORKERSinrCOMPENSATION * ,;„, ,' .' ' * - l «, 'R Workers' Compensation Declaration: I hereby affirm 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. Q 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 _ (THIS3ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) &[ 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 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 ($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.. owiffllillllllicliilTiON : " , " '.-•„. . * ' ,-!-'-:. -_ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). Q 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). . . • - T~l 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 C|NO 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 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 DATE [COMPLETE THIS SECTION fOR NON-RESIDENTIAL BUILDING PERMITS .QNLY- „ 1,. ,.„ ,,.,,,.,,;.:. ,C- ,....,.,„. -.<..-„ },.,. . . 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? O YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? |~| YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C] YES l~l 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. &.. CONSTRUCTION LENDING AGENC^ ..A..; ,,k '.':.'.. .... ^kll. , ',."__ ."„....„__ c^.. _' , ,., _.J * _-„ :.„,., I hereby affirm that there is a construction lending agency for the performance of the work .for which this permit is issued (Sec. 3097(0 Civil Code). LENDER'S ADDRESSLENDER'S NAME !9." APPLICANT'CERTfFICATlOTT" K " -' '~ "' . ~J „ ' . *""• 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 City 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 Jpr a/$ri9d of 180 da] APPLICANT'S SIGNATURE -1<5&4:4.Uniform Building Code). DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/02/2004 Permit* CB033301 Title: TORRI RES-DECK 230 SF W/SLIDER Description: & LIGHT W/SWITCH Inspector Assignment: PY 139 CHANNEL RD Lot Type: PATIO Job Address: Suite: Location: APPLICANT PARK CARE Owner: TORRI ANNINA E Remarks: Sub Type: Phone: 7603105188 Inspector: Total Time: CD Description 19 Final Structural Requested By: NA Entered By. CHRISTINE Act/) Comment "r Associated PCRs/CVs Inspection History Date Description Act Insp Comments 12/22/2003 11 Ftg/Foundation/Piers 12/19/2003 11 Ftg/Foundation/Piers 12/18/2003 11 Ftg/Foundation/Piers 12/04/2003 11 Ftg/Foundation/Piers AP PY GATE CODE 0041 NR PY GATED COMMUNITY - LOCKED OUT CO PY SEE NOTICE ATTACHED NR PY City of Carlsbad Bldg Inspection Request For: 12/18/2003 Permit* CB033301 Title: TORRI RES-DECK 230 SF W/SLIDER Description: & LIGHT W/SWITCH Inspector Assignment: PY 139 CHANNEL RD Lot Type: PATIO Job Address: Suite: Location: APPLICANT PARK CARE Owner: TORRI ANNINA E Remarks: Sub Type: Phone: 7603105188 Inspector: Total Time: CD Description 11 Ftg/Foundation/Piers Act Comment Requested By: NA Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 12/04/2003 11 Ftg/Foundation/Piers NR PY CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION RERMIT NO. (760) 602-2700 1635 FARADAY AVENUE IM r V2 / ./ ^ FOR INSP FOR F CALL (760) 602-27^5. RE-INSPECTION FEE DUE?YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER