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Home My WebLink About2104 COSTA DEL MAR RD; ; CB032194; Permit08-13-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB032194 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2104 COSTA DEL MAR RD CBAD MISC Subtype OTHER Lot# 0 $10,00000 LA COSTA RESORT SITE WALL & TRELLIS ALONG ESTRELLA DEL MAR RD Status Applied Entered By Plan Approved Issued Inspect Area Applicant CUSIKMIKE 2100 COSTA DEL MAR RD CARLSBAD 92009 760219-4209 TOTAL PERMIT FEES Owner ISSUED 08/07/2003 MDP 08/13/2003 08/13/2003 Miscelaneous Fee #1 PERMIT Miscelaneous Fee #2 Additional Fees $12000 $000 $000 $12000 Total Fees $12000 Total Payments To Date $000 Balance Due $120 00 1915 08/13/03 0002 01 0? CGF- 120-00 FINAL APPROVAL INSP. CLEARANCE. DATE 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 Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Usa Proposed Use Description of Work SO. FT KiiCPWf ACT PERSON,(if different if ronVapplicant) •'...,., .•:,.' f #of Stones # of Bedrooms # of Bathrooms Name Address ;3 .^:JApP|iCANlftxn;Bbntfactor;^;Q;^entSor..ContractoriL:-,,Q OWnerS City Aent for Owrier' State/Zip Telephone tt Fax # State/Zip Telephone ffNameAddressCity Name Address City State/Zip Telephone # (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 ($500)) Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 0 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 |~| 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) PI 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 .:;v •"•'•?•';. "•*"... <;•;> ...:\:.t':- ~''':'::-"-'- ;v'h •,••• '.-.:"- y-- "'•" ' . -V"" ' :- ... :.":' " '-: " : • ". 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason \S 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) l~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 Q YES [UNO 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 ONLY;, j ? h';;^ 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l 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 l8i"-;i; CONSTRUCTION LENDING-AGENCY .,- ' < ', :':.' ':- ; ; ,..-,. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER'S ADDRESS •9J°" APPLICANT CERTIFICATiON .. ,: ;:"•"••':••• • ' -' ':i: ,..':• f- * ...,.!' "f"s; .'•':•-7 ,; ':. • ':-': ••'• !"'.::. 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 CitV 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 stones 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 hy 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 tin- 'ler the work is commenced fq.r a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICA SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 10/06/2003 Permittf CB032194 Title LA COSTA RESORT Description SITE WALL & TRELLIS ALONG ESTRELLA DEL MAR RD Inspector Assignment RB Type MISC Job Address Suite Location APPLICANT CUSIKMIKE Owner Remarks Sub Type OTHER 2104 COSTA DEL MAR RD Lot 0 Phone 7608995628 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical w Requested By KIM Entered By KAREN omment Associated PCRs/CVs Inspection History Date Description Act Insp Comments 09/18/2003 24 Rough/Topout CO RB ND PLNS FOR ADDING SHOWERS & DRAINAGE 09/18/2003 66 Grout AP RB ON COMPLETE WALL 09/16/2003 66 Grout PA RB OK FOR 6 FT SIN WALLS ONLY 09/15/2003 66 Grout NR PS PER KIM 09/09/2003 11 Ftg/Foundation/Piers AP RB City of Carlsbad Bldg Inspection Request For 09/18/2003 Permit* CB032194 Title LA COSTA RESORT Description SITE WALL & TRELLIS ALONG ESTRELLA DEL MAR RD Inspector Assignment RB Type MISC Job Address Suite Location APPLICANT CUSIKMIKE Owner Remarks Sub Type OTHER 2104 COSTA DEL MAR RD Lot 0 Phone 7608995628 Inspector Total Time CD Description 66 Grout Requested By KIM Entered By CHRISTINE Act Comment //si nri Associated PCRs/CVs C*r Inspection History Date Description Act Insp Comments 09/16/2003 66 Grout PA RB OK FOR 6 FT SIN WALLS ONLY 09/15/2003 66 Grout NR PS PER KIM 09/09/2003 11 Ftg/Foundation/Piers AP RB CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE LOCATION PERMIT NO TIME I / /--c. fts a& f •Zhot^r- (3 x- s ) ( g^ P'rxsdf' 7 ^ ^ - / rf)C:// LS. FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT _ _\YES PHONE BUILDING INSPEC CODE ENFORCEMENT OFFICER ® City of Carlsbad Bldg Inspection Request For 09/16/2003 Permit* CB032194 Title LA COSTA RESORT Description SITE WALL & TRELLIS ALONG ESTRELLA DEL MAR RD Inspector Assignment MISC Job Address Suite Location APPLICANT CUSIKMIKE Owner Remarks Sub Type OTHER 2104 COSTA DEL MAR RD Lot 0 Phone 7608995628 Inspector Total Time CD Description 66> „ Grout ,t Comment Requested By KIM Entered By CHRISTINE f" Associated PCRs/CVs Inspection History Date Description Act Insp Comments 09/15/2003 66 Grout NR PS PER KIM 09/09/2003 11 Ftg/Foundation/Piers AP RB <7C^ efa*H CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE 3 TIME LOCATION PERMIT NO «P- FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? _ i YES FOR FURTHER INFORMATION, CONTACT PHONE BUILDING INSPECTI CODE ENFORCEMENT OFFICER ® _J ^ sr f bJ -nc J °l 9 o o 05> H o m (f) % r~ oO mz f~O S m 5en 2^^ sm o C >> o Dm