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Home My WebLink About2251 CAMINO ROBLEDO; ; CB990798; Permit03/02/1999 City of Carlsbad Patio/Deck Permit Permit No:CB990798 Building Inspection Request Line (760)438-3101 Job Address: Permit Type; Parcel No: Valuation: Reference #: Project Title: 2251 CAMINO ROBLEDO CBAD PATIO 2552715300 Lot#: 0 $2,472.00 Construction Type: NEW COV'D PATIO 341 SF Applicant: LORCO 4488 SALISBURY DR CARLSBAD CA 92008 619-434-8945 Status: ISSUED Applied: 03/02/1999 Entered By: JM Plan Approved: 03/02/1999 Issued: 03/02/1999 Inspect Area: 6970 03/02/99 0001 01 C-PRMT &DONNA L DO 02 Total Fees:$87.34 ce Due: 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 TOTAL PERMIT FEES 87-34 $87.34 2.33 0.00 .01 0.00 $1.00 $0.00 $0.00 $0.00 $87.34 Inspector: FINAL APPROVAL Date Clearance: 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 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 previoushLbeen 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 FOR OFFICE USE ONLY PLAN CHECK NQ. EST. VAL. Plan Ck. Deposit Validated By , Date__ <? -7 <y/y 2227 ^/ '7 Address (include Bldg/Suite *) Legel Description Assessor's Parcel # Description of Work Business Name (at thia address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units . Existing Use ~~Z,//f fl**Z!§d UM SO. FT. *of Stories f of Bedrooms f of Bathrooms Neme State/Zip Telephone #Faxf m*A-5<s>AJ Neme Address City State/Zip Telephone # (Sec. 7031.6 Bueiness end Professions Code: Any City or County which requires s permit to construct, alter, improve, demolish or repair any structure, prior to Its Issuence, also requires the epplicent for such permit to file e signed statement that he is licensed pursuant to the provisions of the Connector's License Lew (Chapter 9, commending with Section 7000 of Division 3 of the Business end 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 then five hundred dollars [1500)). Name State License #559 Z^S Address -rp_ License Cless ^ City State/Zip City Business License * Telephone 9 Designer Name State License # Address . City Stste/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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 ie 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 end policy number ere: InsurencaCompany Policy No. Expiration Date (THIaVtiECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) ^Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is issued, I shell not employ any person in any manner so es to become subject to the Workers' Compensation Laws of California. WARNING: FeHur* to •ecuee/workers' compensation coverage Ie unlawful, end ehal subject en employer to criminal penalties and dv8 fines up to one hundred thousand dollars (»100,OOOl/biej)dMon to the cost of compensation, damages «s provided for In Section 3706 of the Labor opde.ilnjBrwt end ettomey'e fees. SIGNATURE /f^ ____ DATE * I hereby affirm that I am exempt from the Contractor's License Lew for the following reason: . Q I, as owner of the property or my employees with weges as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Busineee end Professions Code; The Contractor's License Law does riot 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 ere 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). Q I, ae owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end contracts for such projects with contractor^) licensed pursuant to the Contractor's License Lew); Q I em exempt under Section Business end Professions Code for this reeson: 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 plsn to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (include name / address / phone number / contractors licenee number): . , _ 5. I will provide some of the work, but I heve contracted (hired) the following persons to provide the work indicated (include name / address / phone numbsr / type of work): ..._, „ . ', , _. PROPERTY OWNER SIGNATURE DATE Is the applicent or future building occupant required to submit a business plan, acutely hazardous material! registration form or risk management and prevention program under Sectione 26506, 26633 or 25634 of the Presley-Tenner Hewrdoue Substance Account Act? Q YES 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit la issuefJ (Sec. 30970] Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have reed the application end state thet the above information ie correct and that the information on the plans is accurate. I agree to comply with ell City ordinances and State laws releting to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the ebove 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 exca\ EXPIRATION: Every permit Issued by the By work authorized by such permit is not comr or abandoned at any time after the work ia * APPLICANT'S SIGNATURE ^___^ ions over S'O" deep end demolition or construction of structures over 3 stories in height. Iding Official under the provisions of this Code shell expire by limitation end become null end void if the building or cod within 365 days from the date of «uch permit or if the building or work authorize/ by such permit is suspended a period of 180 days (Section 106.4.4 Uniform Building Code). DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 5/20/99 Permit* CB990798 Title: COV'D PATIO 341 SF Description: Inspector Assignment: PY Type: PATIO Sub Type: Job Address: 2251 CAM1NO ROBLEDO Suite: Lot 0 Location: APPLICANT LORCO Owner: MASON JOHN W&DONNA L Remarks: Phone: 619-434-8945 Inspector: Total Time: CD Description 19 Final Structural Act Comments Requested By: LORCO Entered By: CHRISTINE Inspection History Date Description Act Insp Comments 3/10/99 11 Ftg/Foundation/Piers AP PY ^*V cS.^?L .s^Scrt r^V1 V®>