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Home My WebLink About2045 CORTE DEL NOGAL; ; CB044197; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-11-2005 Miscellaneous Permit Permit No CB044197 Building Inspection Request Line (760) 602-2725 Job Address 2045 CORTE DEL NOGAL CBAD Permit Type MISC Subtype REPAIR Status ISSUED Parcel No 2130610900 Lot* 0 Applied 11/19/2004 Valuation $2,500 00 Entered By MDP Reference* Plan Approved 12/09/2004 Issued 11/19/2004 Project Title SEA SILVER Inspect Area PD SLAB & ASPHALT REPAIR DUE TO FIRE LINE BREAK Applicant Owner TEYSSIER LEONARD&MONICA FAMILY TRUST 10-14-92 TEYSSIER LEONARD&MONICA FAMILY TRUST 10-14-92 C/O ATOMIC INVESTMENTS C/O ATOMIC INVESTMENTS 3200 B4-2 HIGHLAND AVE 3200 B4-2 HIGHLAND AVE NATIONAL CITY CA 91950 NATIONAL CITY CA 91950 Miscelaneous Fee #1 PERMIT Miscelaneous Fee #2 Additional Fees $12000 $000 $000 TOTAL PERMIT FEES $120 00 Total Fees $12000 Total Payments To Date $12000 Balance Due $000 BUILDING ^rv -X, _IN STORAGE ATTACHED FINAL APPROVAL Inspector ^—' Date T ' ( ^ *V 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 'lees/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 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO £) V \\ EST VAL Plan Ck Deposit . Validated By _ Date _ Business Name (at this address) Lot No Subdivision Name/Number Description of Wi # of Bedrooms # of Bathrooms zr^pNSCTPiR^iN^jfj^renFSwffiifiijiO^tJSLttf M Name Address |3'- ^APPLICANT J!]j^tracitor':?J(;MvAgerit:tor:CQhtractQr City 'n State/Zip Telephone #Fax# (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 Contractors 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 SectiorH703l 5 by any applicant for a permit subjects the applicant to,a civil penalty of not more than five hundred dollars [$500])y frName State License #. stteveu c.. Address License Class Ai City State/Zip City Business License #. Telephone # Designer Name , Address City State/Zip Telephone # State License # / C>£ j&\ ffS" [e^jSoRKER's COMPENSATION" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 Jp** 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 apditlon to the cost of compensation, damages are provided for in Section 3706 of the Labor Code, Interest and attorney's fees SIGNATURE I DATE 0ER DECUARATriON;:.,_ ; :^._.^. . ,,'.^-;._ . ^ ... ...„:,. ^..- .. ; j;aAi ^._ ...... :*:-.,. - ..-•- • 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 d 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) )p 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 Contractors 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 D YES D 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 / /ontractors license number) 5 I will provide some of the work, but I havg_contracted (hir.ed) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 COiMPLETETHg SECTION TOR /J^BK/DEArTOL BUILDING PERMITS toNLY ", * .'.'."",. . Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES )f 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 ^j NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES 4[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 [8 ClpNSTRUCTIQN LENpING AGENCY "" ","" "" ' ' ' [' "r" " ""_'" """ -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(1) Civil Code) LENDER S NAME Mg" _ LENDERS ADDRESS :9.;;S:iA>Pii!CANtiCERTIFiCATIpN,;.. ."-., '* , ;".. .1,, '...,;.' ",".,,. . ";„, ."""„'"'."". ' ,",. '"'' , ,, '":%• . ' 'ill;:. "": "*-.,.. "''"- .,., • 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, JUDGEMENTS, 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 of 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 1 80 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 for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE IS //^""l --- _ DATE I' ll' City of Carlsbad Bldg Inspection Request For 04/08/2005 Permit* CB044197 Inspector Assignment PD Title SEA SILVER Description SLAB & ASPHALT REPAIR DUE TO FIRE LINE BREAK Type MISC Sub Type REPAIR Phone 6199J571869 Job Address 2045 CORTE DEL NOGAL Suite Lot 0 Location Inspect APPLICANT TEYSSIER LEONARD&MONICA FAMILY TRUST 10-14-92 Owner TEYSSIER LEONARD&MONICA FAMILY TRUST 10-14-92 Remarks Total Time Requested By DAVID Entered By CHRISTINE CD Description Act_ Comment 19 Final Structural Associated PCRs/CVs Inspection History Date Description Act Insp Comments 12/10/2004 11 Ftg/Foundation/Piers AP PD SLAB REPAIR 12/10/2004 12 Steel/Bond Beam AP PD O m