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HomeMy WebLinkAbout2224 CORTE CICUTA; ; CB990417; Permit01/29/1999 City of Carlsbad Patio/Deck Permit Permit No CB990417 Building Inspection Request Line (760) 438-3101 Job Address Permit Type Parcel No Valuation Reference # Project Title 2224 CORTE CICUTA CBAD PATIO 2552625200 Lot # 0 $870 00 Construction Type VN PATIO W/ELEC Status ISSUED Applied 01/29/1999 Entered By MDP Plan Approved 01/29/1999 Issued 01/29/1999 Inspect Area Applicant SIERRA MESA 917 HAWTHORNE CARLSBAD CA 92009 760-632-6211 Owner SHEA HOMES-LTD PARTNERSHIP 10721 TREENAST3200 ••9213i~--x.\/,,>'//5923 01/29/99 0001 01 02 \ C-PRMT 57."9 Total Fees $5799 r Total Payments To Date ,;x\ $0 00 , V .'Balance Due --•. ' u '" x '--i $5799 1 ,— '• ! (i 0 / Building Permit ; V- --''' ' ; Add'l Building Permit Fee ; ; Plan Check \ • :..i:'"---. Add'l Plan Check Fee ' 'v \ Strong Motion Fee Renewal Fee Add'l Renewal Fee \ /;'.- , Other Building Fee \ \\ ^, ••- -. •• -.-.^ ..::;:,.•-"•••" ,#' \ ,.' i '%. ^ ., ,^' {T}\ • " x \ \ ,N\, •4->--'" /// /'?>\ \ v. Ji $2242 :'/"" f ;-;' :f --1 •''''"/ ,: '••--"-••' $000 / i/ A u qr | /r''CV;// $1457 '•"--:-• i ill ••' / <'-i\--j/ ! $000 , -Vs ..-: ';.-.- ;- y -•-'' / /$1 oo /' / ^ \-lr:-; ;-- •'"' ./ / $0 00 li'.-.HF-O --.Tel) x- ' •' -• ^ $000 "'--...,. ^2 ,,.-•""" ''."5\\'V:;> / $200° TOTAL PERMIT FEES $5799 Inspector FINAL APPROVAL Date 2-Clearance NOTICE Please take NOTICE (flat approval of your project includes the Impo ition 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 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 capactiy 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 CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 ^PROJECt jNFORMATtOlNl 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 Use Proposed Use Tio rx.N/6n, I 2.0 Description of Work SQ FT #of Stones ff of Bedrooms # of Bathrooms Address 33%SS®RI388l!SeSS&fX3& Name Address »gfiR!r«r^ Ay/lte ^-ntLU 3* City ' State/Zip Telephone t^:sm Name Address .'•"nriAmtZXifv »rji'»JlH^^^^r^-^ *y?:?~M®Z!*r?:';*Vv''->,£3W?£!*~- *~r*.^<^.:£p*s>,i!***.T *SJ*!•^COMPANY'lMAMl^i-xMaef&rr^a^^^ City State/Zip Telephone # i •• (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 [$500]) Name State License tf Q Address License Class C_>~ £-* ' City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # fc-. WORKERS' COMPEN$ATIOM:r^;r;?Wf3^« Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations "{jL. 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 Q 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 Cj Tl^-TiJ? (&<^J7~), Policy No r~3 S /Z-^ yo Expiration Date C-ffiJTir-JOJ^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 thai) subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to the coot of compensation damages as provided for in Section 3706 of the Labor code Interest and attorney s fees SIGNATURE DATE 7 *^^I hereby affirm that I am exempt from the Contractor s License Law for the 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) D < 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) , 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 Q YES QNO 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 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? Q YFf Q 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 Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D 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 '*2iilC8N^UCT^k ,.s-;,,:?i:i> -fl:-*-, "*•:'.£;^ -• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS :., _ •:•-!--f^^: ;— 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 constructs I hereby authorize representatives of the CitV of Carlsbad to enter upon the above rnemoned P,nno»VJ«'nSPeC1i0n PUrP°S8S ' ALS° AGREE T0 SAVE 'NDEMNIFY 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 ™S PERMIT OSHA An OSHA permit is required for excavations over 5 0" deep and demolition or construction of structures over 3 stories in height ' " ' Bui|dmg Official under the provisions of this Code shall expire by limitation and become null and void if the building or ommenced within 365^ays from the date of such permit or if the building or work authorized by such permit is suspended pod oMSO days (Section 106 4 4 Uniform Building Code) -T~ r~. ^% X7 /O I APPLICANT S SIGNATURE ^ 'HITE File YELLOW Applicant PINK Finance City of Carlsbad Inspection Request For 2/23/99 Permit# CB990417 Title PATIO W/ELEC Description Inspector Assignment PY 2224 CORTE CICUTA Lot 0 Type PATIO Sub Type Job Address Suite Location APPLICANT SIERRA MESA Owner SHEA HOMES LTD PARTNERSHIP Remarks Phone 7606326211 Inspector Total Time CD Description 19 Final Structural 39 Final Electrical Requested By NA Entered By CHRISTINE Act Comments Inspection History Date Description Act Insp Comments 2/1/99 31 Underground/Conduit Wiring AP PY COMPENSATION INSURANCE FUND P 0 BOX 7854 SAN FRANCISCO CA 94120 7854 28 782 WORKERS' COMPENSATION INSURANCE PAYROLL REPORT 40035500012569703000000125600401981001988098274 SO R 2EXP SIERRA-MESA CONSTRUCTION 6840 DRAPER AVE. LA JOLLA, CALIF 92037 GROUP 035 9 POLICY 001256 - 97 3 098274 PAYROLL PERIOD 4/01/98 TO 10/01/98 8 104 SEE INSTRUCTIONS ON REVERSE - DO NOT PERFORATE If zero payroll write NONE on all pages Sign Date and return white copies of all pages SO R -2 EXP SIERRA-MESA-CONSTRUCTION ..,J)40,15>8 100198 035 ODJ_25_6 97 CLASS CODE NO 5183 5187 5185 5186 5190 5140 5201 5205 5213 5222 5225 5403 5432 5446 5447 DESCRIPTION OF WORK DONE SEE REVERSE IF ADDITIONAL CLASSIFICATION NEEDED PLUMBING/REFRIG WAGES PAID TO $19.99 PER HR PLUMBING/REFRIG WAGES PAID FROM $20.00 PER HR AUTO SPRINK INSTALL WAGES PAID TO $20.99 PER HR AUTO SPRINK INSTALL WAGES PAID FROM $21.00 PER HR ELECT WIRING INSIDE WAGES PAID TO $20.99 PER HR ELECT WIRING INSIDE WAGES PAID FROM $21 00 PER HR CEMENT WORK FLAT WAGES PAID TO $17.99 PER HR CEMENT WORK FLAT WAGES PAID FROM $18.00 PER HR CONCRETE CONST 4kC8WTf ^T> *8IDG iJlftf0fEi^^Li-|NST ^SfSISTl^rS!?!1^ PER HR ^••CAJRPf H^^Y "sCQMMCJJGi AL i Mw,f \jflfiE?Stn?m?t« 99 M WAGES' PArb^FROM "$20 Itemize payroll below only for corporate officers, general part- ners, LLC members or relatives (farm only) not excluded by enrinrcAmant YOUR POLICY WILL BE SUBJECT TO CANCELLATION IF THIS REPORT AND PAYMENT ARE NOT PER HR 00 PER HR PAYROLL OF EMPLOYEES OVERTIME EXCESS * TOTAL PAYROLL * RECEIVED BY 10/11/98 INTERIM RATE 12 37 5 12 11 08 9 48 10 77 5 15 14 00 7 65 12 67 15 41 18 67 32 42 11 08 18 15 8 17 PREMIUM (MULTIPLY PAYROLL BY INTERIM RATE THEN DIVIDE BY 100 TO DETERMINE PREMIUM DUE) GROSS PREMIUM * ******** MODIFICATION **** I 1 CHECK MUST BE ENCLOSED FOR THIS AMOUNT NAME TITLE DESCRIPTION OF WORK DONE CODE NO PAYROLL $ IS PAYROLL INCLUDED ABOVE ? YES NO YES NO YES NO I (we) certify that the above reported payroll accurately reflects the total wages, salaries, and other compensation paid to all employees (including unlicensed contractors or contractors without W C coverage) during the period covered WILLFUL UNDERREPORTING OF SUCH AMOUNTS IS A VIOLATION OF CALIFORNIA FRAUD STATUTES SIGNATURE PREPARING NAME AND OF PERSON REPORT +• TITLE AREA CODE PHONE NO ADDRESS WHERE PAYROLL RECORDS ARE KEPT (include ZIP CODE)DATE SCIF 6224L (REV 11 97) PAGE # 4 -SEE OVER OLD DP224 JAN 2 9 1999 ,-ity G; CfV\L6'd/\D '3UiLDiNG DEPT exb iv ' J c