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Home My WebLink About1690 DOCENA RD; ; CB003030; Permit( Lr/ 08/16/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No CB003030 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1690DOCENARDCBAD PATIO 2159103000 Lot# 0 $1,30500 Construction Type NEW BORIS RESIDENCE 180 SF PATIO, GAS & ELECTRIC LINE Status ISSUED Applied 08/16/2000 MDP 08/16/2000 Entered By Plan Approved Issued Inspect Area Applicant FOWARD MOTION LANDSCAPE STE 196 539 TELEGRAPH CANYON RD CHULA VISTA CA 91910 619482-1806 Owner 08/16/2000 e/ii/oo oooi 01 C-PRMT 100,92 BREHM-AVIARA III DEVELOPMENT ASSOCIATES L P 2835 CAMINO DEL RIO S #220 SANDIEGOCA92108 Total Fees $10092 Total Payments To Date $000 Balance Due $10092 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 TOTAL PERMIT FEES $3207 $000 $2085 $000 $1 00 $000 $000 $4700 $10092 Inspector FINAL APPROVAL Ifi/iOfOQDate 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 previously otherwise expired PERMIT APPLICATION , i « 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 Validated By Date 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 tt Existing Use Proposed Use , Descriptw of Work 2 ; , CONTACJ PERSON (if/different from applicant) S (I-• SO. RT #of Stories tt of Bedrooms # of Bathrooms Name Address City S I^AlPPOCANT ,:::;:J5£contractor,!'.;::;D Agent .for Contractor fiOwneir,.,.. d'Agent for Owner ;; ;: State/Zip Telephone tt Fax tt Name A .. PROPERTY OWNER Address City State/Zip Telephone # Name Address City State/Zip Telephone tt B7;; CONTRACTOR- COMPANY NAME ,,^Li, ;•...•-•„..„, .7-."" ... . '. ' - . .' ..•.".' U..Y''-..H, : ....!.. "-.'!,. ' .i,;i,... ::-JCT,.*,, (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 [$5001) Name State License tt C-"^. Address License Class City State/Zip City Business License #" Designer Name State License tt - Address City State/Zip Telephone 16 WORKERS' COMPENSATION ;;: •: . -.. .'' ' f ' : .;p " : '•$*. ^, - Jj ..;•"" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 [~1 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 [$100] OR LESS) d 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 "OWNER-BUILDER DECLARATION .-::*' -.:. ..•-.'. ..4h- ....... "' -:- •/'" ' ..... "; ";vv. lij xt.. ':'-::: - 'SHu "A"r s" '° I hereby affirm that I am exempt from the Contractor's License Law for the following reason d 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) l~l 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) d 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 l~l YES l~lNO 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 BUILDJNG[PERMITST6NLY • / ^{f ... "' , . /!;' * if i : 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? d YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d YES d NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d YES d 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 i8 I'? fcONSTHUCTlbN LENDING AGENCY ' '-:, ,:. „,;.. .^: • ' '.;':ii K ! ;; '' : '"'i.1. '*,. '* '''•*" '• 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 NAME LENDER S ADDRESS :9 APPLICANT CERTIFICATION • - • ,-; V/7.. •. • £.• .. ~' ''... i3> , ,. . •* .* -" ' .-,'• ,:::;•.:• 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 toys 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 far a period oywHJays (Section 106 4 4 Uniform Building Code) . APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 10/6/2000 Permit# CB003030 Title BORIS RESIDENCE Description 180 SF PATIO, GAS & ELECTRIC LINE Type PATIO Sub Type Job Address 1690DOCENARD Suite Lot 0 Location APPLICANT FOWARD MOTION LANDSCAPE Owner BREHM-AVIARA III DEVELOPMENT ASSOCIATES L P Remarks Inspector Assignment SR Phone 6194821806 Inspector Total Time Requested By WILLIE Entered By CHRISTINE CD Description 34 Rough Electric Act Comments Associated PCRs Inspection History Date 9/26/2000 9/26/2000 9/26/2000 8/18/2000 8/18/2000 8/17/2000 8/17/2000 8/17/2000 8/17/2000 Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 21 Underground/Under Floor 23 Gas/Test/Repairs 1 1 Ftg/Foundation/Piers 21 Underground/Under Floor 23 Gas/Test/Repairs 31 Underground/Conduit-Wiring Act AP AP CO we AP AP we NR AP Insp SR SR SR SR SR SR SR SR SR Comments NEEDS TO FINISH CONNECTION AT HOUSE SD COMPENSATION INSURANCE PO BOX 807, SAN FRANCISCO,CA 94101-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 12-01-99 POLICY NUMBER 1525810 - 99 CERTIFICATE EXPIRES 12-01-OO CONTRACTORS STATE LICENSE BOARD ATTN: WORKERS' COMP. UNIT BOX 26000 SACRAMENTO CA 95826 JOB CONTR LIC #744055 INCEPTION DATE 12-O1-99 0 0 SAN DIEGO This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon todays' advance written notice to the employer We will also give you 10 days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms exclusions and conditions of such policies /W^^£?v :~t PRESIPRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,OOO,OOO.OO PER OCCURRENCE STANDARD EXCLUSION INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY EMPLOYER LEGAL NAME FORWARD MOTION LANDSCAPE #196 539 TELEGRAPH CANYON RD CHULA VISTA CA 91910 WHITT, WILLIAM JOSEPH (JR) AND WHITT, CHERI KAY PRINTED 11-17-99 P0409