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Home My WebLink About2183 AVENIDA TORONJA; ; CB042258; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Dec k Perm it Building Inspection Request Line (760) 602-2725 Permit No: CB042258 Job Address: Permit Type: PATIO Status: ISSUED Parcel No: 2552616100 Lot #: 0 Applied: 06/07/2004 Valuation: $1,519.00 Construction Type: NEW Entered By: MDP Reference #: Plan Approved: 06/07/2004 Issued: 06/07/2004 Project Title: BORTFELD RESIDENCE Inspect Area : Plan Check#: 2183 AVENIDA TORONJA CBAD PATIO COVER, ICBO # 2228P Applicant: SUN BOSS CORPORATION 2313 HALL AVENUE 92509 909 782-2360 Owner: BORTFELD MARK&PATRICIA 2183 AVENIDA TORONJA CARLSBAD CA 92009 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 Additional Fees TOTAL PERMIT FEES $31.41 $0.00 $20.42 $0.00 $1 .oo $0.00 $0.00 $0.00 $0.00 $52.83 Total Fees: $52.83 Total Payments To Date: $0.00 Balance Due: $52.83 3811 06/07/04 0002 01 02 CGP 52.83 PERMIT APPLICATION .I . FOR OFFICE USE ONLY PLAN CHECK NO.OCC' zz@ Plan Ck. De$sit Validated By EST. VAL. I c - 17 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Unit No. Phase No. Total # of units Exising Use Proposed Use '0 (five/ 26P.\&Li &tl essor's Parcel # SO. FT. #of Stories # of Bedrooms # of Bathrooms 6 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 Codel 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 Name Address city Statelzip Telephone # State License # Designer Name Address City Statelzip Telephone t more than five hundred dollars [$500]). SI in t3chs CO(2Q ,4313 PkiL\ ./'h v. ciast$ C4@?- ?W-33@ 31 c> L 1 CC License Class C b\ 1 a. -)-+ City Business License # rwv 0 of the work for which this permit is issued. 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 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 Zued. My worker's co Policy No. \q& Expiration Date ' /@s 2 Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS1 0 to become subject to the Workers' Compensation Laws of California. 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred in addition to thqcost of coppensation. damages as provided for in Section 3706 of the Labr cage, intapst and attorney's fees. I hereby affirm that I am exempt from the Contractor's License Law forxe following reason: 0 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). 0 Contractor's License Law does not apply to an owner of pursuant to the Contractor's License Law). I am exempt under Section Code for this rea 1. I personally plan to provide the ma operty improvement. 0 YES ON0 2. 3. 4. number I contractors li 5. I will provide 1, as owner of the property, am exclusively contractin I (have I have not) signed a I have contracted with the a building permit for the prop person (firm) to provide the prop (include name I address I p contractors license number): of work): f / DATE i PROPERTY OWNER SIGNATURE IS SEcndN FOR Is the applicant or future building occupant required to submi program under Sections 25505, 25533 or 25534 of the Presle Is the applicant or future building occupant required to obtain a r pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of th chool site? YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CER UIREMENTS OF THE OFFICE OF EMERGEN AND THE AIR POLLUTION CONTROL DISTRICT. rdous materials Account Act? CCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE LENDERS NAME 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 Citw 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 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 commen APPLICANT'S SIGNATURE tion 106.4 4 Uniform Building Code). (xmm WHITE: File YELLOW: Applica City of Carlsbad Bldg Inspection Request For: 06/09/2004 Permit# CB042258 Inspector Assignment: 7- Title: BORTFELD RESIDENCE Description: PATIO COVER, ICBO # 2228P Type: PATIO Sub Type: Job Address: Location: 21 83 AVENIDA TORONJA Suite: Lot 0 APPLICANT SUN BOSS CORPORATION Owner: BORTFELD MARK&PATRICIA Remarks: Total Time: Phone: 9097822360 Insuector: J’m Requested By: Entered By: KAREN CD DescriDtion Act Comment 14 FramdSteeUBoltingAWelding a Associated PCRsKVs Inspection History Date Description Act lnsp Comments SK POLICYHOLDER COPY STATE P.O. B 7, SAN FRANCISC0,CA 94142-0807 COMPENSATION INSUIP&NCE '* - F u N~D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01 -2004 WO2W GROUP POtlCY NUMBER: 0018 182-2W4 CERTIFICATE IO 69 CERTIFICATE EXPIRES: 01-01-2005 01-01-2004/01-01-2005 CONTRACTORS STATE LICENSE BOARD SK ER: LICENSE m10674 SACRAMENTO 0.0.: SK CA. 95826 P.O. BOX 26000 INCEPTION DATE: Ol-Ql-WQ4 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 30days' advance written no This certrficate of insurance is I 5UN BOSS GORP0