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Home My WebLink About2224 CORTE ANANAS; ; CB120558; Permit03-30-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Pernnit No: CBl20558 Building Inspection Request Line (760) 602-2725 Job Address: Pemiit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2224 CORTE ANANAS CBAD MISC 2552614400 $0.00 Subtype: Lot#: OTHER 0 Status: ISSUED Applied: 03/30/2012 FOX RES- BUILD 10' FIREPLACE PER CITY SPECS / GAS & ELECT TO BBQ AND FIREPLACE Entered By: Plan Approved: Issued: Inspect Area: Applicant: STEIGERWALD DOUGHERTY INC Owner: FOX RICHARD A&CATHLEEN R LSM 03/30/2012 03/30/2012 POBOX884 92075 858 259-5100 2224 CORTE ANANAS CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES FIREPLACE GAS & ELECT $118.00 $60.00 $0.00 $178.00 Total Fees: $178.00 Total Payments To Date: $178.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: /AV^^*-Clearance: NOTICE: Please take N()TICE tnit approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively refened to as fees/exactions." TOU 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 Cartsbad 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 senrice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions ot which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired. ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No.(l^ / 2-0^3^ Est. Value Plan Ck. Deposit Date SWPPP JOBADDRESS ^^T* ' 11 AT» IDUACC« I # nn iKirrc I M nrnon Z55 - 26»/ - tit4 - 00 CT/PROJECT# # OF UNnS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: (nc/ude Square Feet ofAHected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLApE NOQ AIR CONDITIONING YES I INO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME (Primary Contact) APPUCANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CHY BUS. LIC.# (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 pursuantto the provisions of the Contractor's License Lavir (Chapters, commending with Section 7000 of Division 3 ofthe Business and Professions C^de} 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 ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affimi under penalty of peijuiy one ofthe foiiowing declarations: Bl have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. I have and will maintain woriters' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. My workers' compensation insurance earner and policy number are: Insurance Co Z&KJttH lN€>Ut2AMt^ ClM^t^H Policy No. "Z-Ol \k>\'}AO\ Expiration Dale '-Zo I'2. This section need not be completed if the pemiit 1$ for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfonnance California. WARNING: Failure to secure workers' compe| addition to the cost of compensation, damages as provid( CONTRACTOR SIGNATURE O W N E R - B U I L D E R DECLARATION issued, I shaii not employ any person In any manner so as to become subject to the Workers' Compensation Laws of shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In ''code. Interest and attorney's fees. •AGENT DATE ^. •^fi. I '2-- / hereby affirm ttat / am exempf from Contractor's Ucense Law for ffie foltowing mason: I I I, as owner ofthe property or my employees with wages as their sole compensation, will do the work and the stnicture is not intended or offered fbr sale (Sec. 7044, Business and Professions Code: The Contractor's Lk^nse Law does not apply to an owner of property who buikls 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 sokl 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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(8) licensed pursuant to the Contractor's License Law). I I I am exempt under Section _ .Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for constmctton of the proposed property improvement ^^Yes FTNO 2.1 (have / have not) signed an appiication for a buikiing pennit for the proposed work. 3.1 have contracted with the foMng person (fimn) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the folkiwing person to coordinate, supenrise and provide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of worit): ^PROPERTY OWNER SIGNATURE •AGENT DATE COIVIPLETE THIS SECTION FOR N O N - R E S I • E N T I A L BUILDING PERIVIITS ONLY Is the applicant or future buikiing occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Sectkins 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? •|Yes ^^No Is the applicant or future buikiing occupant required to obtain a pemiit from the air pollution control district or air qualitv management district? Qves Q No Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site? nves IINO 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. CONSTRUCTION LENDING AGENCY I hereby affinn that there is a constmction lending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the applicafion and State that the above Infomiation Is conect and that the InfbirnaUon on the plans is acc^ I hereby authorize representative of the City of Carlsbad to enter upon the above mentkxied property for inspecfon purposes. I ALSO AGFiEE TO SAVE, INDEMNIFY AND KEEP HAFMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pennit Is required for excavatkms over S'C deep and demdltfen or constmctkm of stmctures over 3 stories in height EXPIRATION: Every permit Issued by the Buiding Ofikaal under the^pmienroHhleCfjdMhall expire by llmitatkm and become null and void if the bulking or vwrit authorized by such permK is not commenced within 180 days from the date of such permit or if the buikiing or worit a|iraized by such pernwisiuspepded or abandoned at any time after the worit is commenced fbr a period of 180 days (Sectkm 106.4.4 Unlkxm Building Code). ^STAPPLICANT'S SIGNATURE DATE Inspection List Permit^: CBl 20558 Type: MISC OTHER FOX RES- BUILD 10' FIREPLACE PER CITY SPECS / GAS & ELECT TO BB Date Inspection Item 07/11/2012 69 Final Masonry 07/11/2012 69 Final Masonry 05/24/2012 11 Ftg/Foundatlon/Plers 05/24/2012 23 Gas/Test/Repairs Inspector Act Rl PY AP PY AP PY AP 05/24/2012 31 Underground/Condult-Wirin PY 05/23/2012 23 Gas/Test/Repairs MC AP CO Comments SETBACK NEED CITY APPROVAL NO ACCESS, LEFT CARD Wednesday, July 11, 2012 Page 1 of 1 FOX RESIDENCE BACKYARD FIREPLACE AND BBQ Owners Project Location Legal Description A.P.N. 2224 Corte Ananas Carlsbad, CA920Q9 Lot 268 of Carlsbad Tract NO 88-03-02 Arroyo La Costa, Unit 2 in the City of Carlsbad, County of San Diego State of Califomia, Map 13386 Filed 12-20-96 255-261-44-00 Front: 20'-0" from PL: Sideyards 5'-0" from PL Rear lO'-O" from PL