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HomeMy WebLinkAbout2321 CAMINO ROBLEDO; ; CB992522; Permit07/08/1999 City of Carlsbad Patio/Deck Permit Permit No:CB992522 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2321 CAMINO ROBLEDO CBAD PATIO 2552725900 Lot#: $928.00 Construction Type: CO PATIO 128 SF 0 NEW Status: ISSUED Applied: 07/08/1999 Entered By: JM Plan Approved: 07/08/1999 Issued: 07/08/1999 Inspect Area: Applicant: LORCO 4488 SALISBURY DR CARLSBAD CA 92008 619-434-8945 Total Fees: $41.18 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 P PARTNERSHIP 00 A 07/08/99 0001 01 02 Due: 4.35 .00 5.83 0.00 $1.00 $0.00 $0.00 $0.00 $41.18 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 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 1. PROJECT INFORMATIONWT FOR OFFICE USE ON PLAN CHECK NO. EST. VAL Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name let this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total * of units Assessor's Parcel Proposed Use Description of Work SQ.FT.#of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Name 3. APPLICANT Address City Address City State/Zip Telephone »Fax # State/Zip Telephone *Name 6. CONTRACTOR- COMPANY NAME (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, dbmmending with Section 7000 of Division 3 of the Businew and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any viotatiorrotftection 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name State License # Address License Class City State/Zip City Business License 9 Telephone # Designer Name Address City State/Zip Telephone State License # 6. WORKERS' COMPENSATION 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. n I have andwill 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 wdfker's compensation insurance carrier and policy number are: lnsuranoe*Lompany A Policy No. Expiration Date (THl 'SECTION NEED NOT CERTIFICATE OF EXE! ""to become subject to the W WARNING: Failure to a thousand dollars ($100.000 SIGNATURE 7. (Sec. 704-4, Business end Pi I COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) 'ION: 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 ;ers' Compensation Laws of California. workers' compensation coverage i* unlawful, and shaH subject an employer to criminal penaltias anfa dvil fines up to one hundred the cost of compensation, damages n provided for In Section 3706 of the Labor ••£, Uteifftt £gf>t|»aney'* fwa. DATE "* / H biaddij^nrro OWNER-BUILDER DEC JkRATION hereby affirm that I am ex mpt from the Contractor's License Law for the following reason: I, as owner of the prc terty or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale fessions Code: The Contractor's License Law does not apply to en 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 yaar 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, 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 contractors) licensed pursuant to the Contractor's License Law). Q I am exempt under Section _ Business and Professions Code for this reason: 1 . I personalty plan to provide the major labor and materials for construction ot 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? D VES 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued tSec. 3Q97G1 Civil Code). LENDER'S NAME LENDER'S ADDRESS __^ 9. APPLICANT CERTIFICATION 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. |l hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE/JlNDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAM ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5*0" dfap and demolition or construction of structures over 3 stories in hei id void if the building or lit is suspended EXPIRATION: Every permit issued fay the Building Official undir/the provisions of this Code shall expire by limitation and become lull a work authorized by such permit is not commenced within 365 or abandoned at any time after the work is commenced for a APPLICANT'S SIGNATURE ie date of such permit or if the building or work authoriz HBO days (Section 106.4.4 Uniform Building Code), "jf ___ DATE d by WHITE: File YELLOW: Applicant PINK: Finance uch City of Carlsbad Inspection Request For: 8/24/99 Permit* CB992522 Title: CO PATI0128 SF Description: Inspector Assignment: SR 2321 CAMINO ROBLEDO Lot 0 Type: PATIO Sub Type: Job Address: Suite: Location: APPLICANT LORCO Owner: SHEA HOMES LTD PARTNERSHIP Remarks: Phone: 7604348945 Inspector: Total Time: CD Description 19 Final Structural Act Comments nV Requested By: LORCO Entered By: CHRISTINE Inspection History Date Description Act Insp Comments 7/14/99 11 Ftg/Foundation/Piers AP SR