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HomeMy WebLinkAbout2079 LEMONBERRY LN; ; CB091068; PermitCity. of Carlsbad 1635 Farada'y Av Carlsbad, CA 92008 06-29-2009 Patio/Deck Permit Permit No: CB091068 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2079 LEMONBERRY LN CBAD PATIO Lot#: 0 2550122000 $1,980.00 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: MCCRANEY RES-165 SF ALUMINUM Inspect Area: ENCLOSED PATIO-PER IAPMO REPORT #0115 W/ ELECTRIC Plan Check#: Owner: ISSUED 06/29/2009 RMA 06/29/2009 06/29/2009 CLASSIC LIFESTYLES CONTINUING LIFE COMMUNITIES LLC 30663 CHAMPION CANYON LAKE CA 92587 909-244-4086 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES 1940 LEVANTE ST CARLSBAD CA 92009 $44.98 $0.00 $29.24 $0.00 $1.00 $1.00 $0.00 $0.00 $20.00 $0.00 $96.22 Total Fees: $96.22 Total Payments To Date: $0.00 Balance Due: FINAL APPROVAL Inspector: Date Z:-. rC .... o9 > Clearance: $96.22 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 lo 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 se,vice fees in connection with this project. NOR DOES IT APPLY to any f es/ xaclions f whi h u hav r vi I n iv n a N TICE simil rt this r w i h he tatut of limi · n h City ot· Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Est. Value Fax: 760-602-8558 www.carlsbadca.gov Plan Ck. Deposit Building Permit Application Date JOB ADDRESS SUITE# /SPACE #/UNIT# APN 207 CT/PROJECT# # OF-U"N"IT"S~"#CB"E"D'RO"D"M"S-----t"#'B"AT"H"R"'O"OM=s-~T"E"N"AN"T~B"U'S"'IN"'E"S;S"N"AM""E---------~c"O"N"ST~R~.~TY"'P"E~'O"C"C~. G"R"O"U"P- DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom App/leant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE 7 ()l-/ FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # · WORK.IRS·' COMl"SNSATION Workers' Compensation Declaration: / hereby affirm under penally of perjury one of the following declarations: PATIOS (SF) DECKS (SF} FIREPLACE YES □# __ NO □ APPLICANT NAME ADDRESS CITY STATE PHONE FAX EMAIL STATE CA- EMAIL classi'~ l~ Fes STATE UC.# ·702..2,q v¼ CHI AIR CONDITIONING YES O NO □ ZIP ZIP FIRE SPRINKLERS YES □ NOD "I ZS"!> 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. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perform an ye ol the work for which this permit is issued. My workers· compensation · suranc carrier and policy number are: Insurance Co. $11:\: t'E. FUI\ )'1 Policy No. I,<; (, 3 {, ? 'i EKptration Date )... 2 I. This section need not be completed i! the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, t shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure w kers' compen tion nlawful, a~hall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, dama es as provid for I of the Lalior code, Interest and attorney's fees, J!'! CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my employees wrth 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 thereor,, and who does such work himsell 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). □ I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provi?e the major labor and materials for construction of the proposed property improvement. 0 Yes □ 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 ~nclude name address I phone I 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 I phone/ 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 I address I phone/ type of work): _£S PROPERTY OWNER SIGNATURE DATE ls the applicant or tuture building occupant required to submit a business plan, acutely hazardous materials regis1ration form or risk management and preventio~ program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O No Is the facility to be constructeo within 1,000 feet of the outer boundary of a school site? □ 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. I certify that I have read the application and state that the above lnfonnatlon is correct and that the lnfonnatlon on the plans ls accurate. I agree to comply with an Clfy ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 Build' g Official under the provisions of this Ccxle shall expi~y limrtation and become null and void ff the building or work authorized by such permrt is not commenced within 180 days from the date of such permrt or ff the tiding or work uthorize sue It is suspended o) abandorl€d at any time after the work is commenced for ape~ of 180 _days (Section 106.4.4 Uniform Building Code). J!!S APPLICANT'S SIGNAT~RE Vi _ DATE ? (;;. 7/4 City of Carlsbad Bldg Inspection Request For 09/14/2009 Permit# CB091068 Inspector Assignment: Title: MCCRANEY RES-165 SF ALUMINUM Description: ENCLOSED PATIO-PER IAPMO REPORT #0115 W/ ELECTRIC (PORCH ;IGHT, SWITCH & PLUGS) Type:PATIO Sub Type: Job Address: 2079 LEMONBERRY LN Suite: Lot: O Location: OWNER CONTINUING LIFE COMMUNITIES LLC Owner: Remarks: Total Time: Act Comments Phone: 9512455569 Inspector: (} _{~ Requested By: HOWARD Entered By: CHRISTINE CD 19 Description Final Structural hP _____________ _ 3'?' ··-----/-~_ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments