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Home My WebLink About1640 BASSWOOD AVE; ; CB132603; Permit10-23-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No: CBI32603 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1640 BASSWOOD AV CBAD PATIO 2050602700 Lot #: $3,985.00 Construction Type: 0 NEW MILLER RES- 416 SF ALUMINUM PATIO COVER-ATTACHED - lAPMO ER # 0195 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check*: ISSUED 10/23/2013 RMA 10/23/2013 10/23/2013 Applicant: NORTH COUNTY DECK AND PATIO 448 W CITRACADO PKWY ESCONDIDO CA 92025 760-497-8396 Owner: BASSWOOD TRUST C/O FERN MILLER 1640 BASSWOOD AVE CARLSBAD CA 92008 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Green BIdg Standards (SBl473) Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $68.07 $0.00 $47.65 $0.00 $1.00 $1.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $117.72 Total Fees: $117.72 Total Payments To Date; $117.72 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions." You have 90 days from the date this pemiit 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 vou have previouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: OPLANNING nENGINEERING DBUILDING OFIRE nHEALTH •HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: bullding@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date (Vh^ill OUT SWPPP JOBADDRESS . /L^ I) n^^S UyDCfA- SUITE#/SPACE#/UNrr# • APN —• - CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /ncfude Sifuare Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YEsD* No| 1 YESQNOQ YES| | NO| 1 APPLICAjlT NAME (Prlmarj^Contact; APPLICANT NAME (Secondary Contact) ADDRESS ^ ^ Cljy^ • STATE ^ ZIP CITY STA* / ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPEWY OWNER NAME ^ ' 1 1 CONTRACTOR BUS. NAME y) , Y> , . ADDRESS " . . ADDRESS / , ^ ^ CITY^ . ~ STATE ZIP CITY STATE flP ff ~ PHONE -7^0 ^^/.l FAX PHONE FAX EMAIL " " EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STAIE LIC.# CLAK CITY BUS. UC.# (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 ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professtons 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)). $' COMPENSATION Workers' Compensation Declaration: / hereby affimi 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 perfomiance of the work for which this permit is issued. I have and will maintain woilters' compensation, as requited bv Sectiop 3700 of the Labor Code, for the perfonnance of the wort for which this pemiit is issued. My workers' compensation insurance earner and policy number are: Insurance Co. ^atfl^^SI^^ ^iO-^ .Uyijj(Z ^"^^ Policy No. *^ ^ Expiration Date / Q ~ / "/^ K))*lei Thjs section need not be completed if the permit is for one hundred dollars ($100) rf- lessJT/x,^ C-iS'^^'r ' I I Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit is issued, I snail not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. 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 providedJgy^Sectisi(i4706 of the Labor code, inter^^nd attomey's fees. JSS CONTRACTOR SIGNATURE, • AGENT DATE owNsR'ByiLoeit DECLARATION / hereby affirm that I am exempt from Contractor's License Law for the foltowing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 v»ho 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 I I, as owner of the property, am exclusively contracting 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 improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement QYOS I iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wori(, but I have hired the following person to coordinate, supervise and provide the major wori( (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 the wori( indicated (include name / address / phone / type of work): jSSpROPERTf OWNER SIGNATURE QAGENT DATE COMPtlTE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? Yes No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? Yes No Is the facility to be constmcted viithin 1,000 feet of the outer boundary of a school site? Yes 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. ;C O N S TROCTION LENDINtS AGENCY 1 hereby affirm that there is a construction lending agency for the perfbnnance of the worl( this permit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address tic AH T CERTIFICATION I certify that I have read the application and state that the above infomiation is conect and that the information on the plans Is accuiatB. I agree to comply with all Cily ordinances and State laws relating to building constniction. i hereby authorize representative ofthe City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGIREE TO SAVE, INDBVINIFY AND KEEP HARMLESS THE CFTY OF CAFiLSBAD AGAINST ALL LIABILrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA permit is required for excavations owr 5'0' deep and demolition or constmction of shJdures over 3 stories in height. EXPIRATION: Every pemnit issued by the Building Oflicial under the provisbns of this Code shall expire by limitation and become null and void if the building or wori< authorized by such pemnit is not commenced within 180 days from the date of such permit or if the building or viort( authorized by such pemtejyspended or abandoned at any time after the vwrt( is commenced fbr a period of 180 days (Section 106.4.4 Unifbmn Building Code). >€5'APPLICANT'S SIGNATURE DATE /O - ^-3--/3 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildina(S)carisbadca.gov or Mall the completed fomi to City ot Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION .ef APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB132603 Date Inspection Item 05/22/2015 19 Final Structural 05/22/2015 19 Final Structural 03/12/2014 19 Final Structural Type: PATIO Inspector PD PD Act Rl AP CO MILLER RES- 416 SF ALUMINUM PATIO COVER-ATTACHED - lAPMO ER # Comments PM PLEASE Tuesday, May 26, 2015 Page 1 of 1