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HomeMy WebLinkAbout2280 CAMINO ROBLEDO; ; CB011046; Permit03/16/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No:CB011046 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2280 CAMINO ROBLEDO CBAD MISC Subtype: 2552704100 Lot#: $0.00 BARR RESIDENCE FOOTINGS FOR FUTURE PATIO OTHER Status: ISSUED 0 Applied: 03/16/2001 Entered By: MDP Plan Approved: 03/16/2001 Issued: 03/16/2001 Inspect Area: Applicant: BARR SALLY A 2280 CAMINO ROBLEDO CARLSBAD CA 92009 03/16/01 0002 01 02 CGP 30-00 Total Fees:$30.$&.00 Balance Due: $30.00 Miscelaneous Fee Miscelaneous Fee1 TOTAL PERM IT R $30.00 $0.00 $30.00 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 arid 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, PERMIT APPLICATION CITY OF C&RLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK Nofijl EST. VAL. Plan Ck. Deposit Validated By Address (include BIdg/Sulte f) Legal Description . Lot No. Subdivision Name/Number "306 Business Name (at this address) 'Unit No. Phase No. Total 9 of units Assessor's Parcel Existing Use Proposed Use Description of Work $ of Bedrooms 9 of Bathrooms Name Address City State/Zip Telephone 9 Fax 9 Name Address City 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 thet 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 snd Professions Code] or that he is exempt therefrom, snd 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 I*600l). Name State License Address License Class City State/Zip City Business License * Telephone 9 Designer Name State License 9 Address City State/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 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 Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [MOO] OR LESS) G 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, end shell subject en employer to criminal penalties and dvfl fines up to one hundred thousand dollars (9100,000), In addition to the coat of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE . DATE I hereby affirm that I am exempt from the Contractor's License Lew for the following reason: 5Q_ 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 ssle (Sec. 7044, Business and Professions Code: The Contractor's License Lsw 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 ssle. 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 1, 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 Lsw). C] t am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor snd materials for construction of the proposed property improvement. Q YES QNO 2. I (navey have not) signed an application for a building permit for the proposed work. 3. 1 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): , 6. 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 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 2650S, 25633 or 25634 of the Presley-Tanner Hazardous 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 is issued (Sec, 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have reed the application and state that the above information is correct and that the information on tha plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City 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 excsvations over S'O" 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 1 60 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/01/2001 Permit# CB011046 Title: BARR RESIDENCE Description: Inspector Assignment: AtL Sub Type: OTHER 2280 CAMINO ROBLEDO Lot 0 Type: MISC Job Address: Suite: Location: APPLICANT BARR SALLY A Owner: BARR SALLY A Remarks: WALK ON THE BOARDS -STAY OFF THE SAND Phone: 7606032565 Inspector: Total Time:Requested By: SALLY Entered By: CHRISTINE CD Description 11 Ftg/Foundation/Piers Act Comments Associated PCRs Inspection History Date Description Act tnsp Comments