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Home My WebLink About2411 LA COSTA AVE; A; CB062825; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-03-2006 Miscellaneous Permit Permit No: CB062825 Building Inspection Request Line (760) 602-2725 Job Address: 2411 LA COSTA AV CBAD St: A Permit Type: MISC Subtype: REPAIR Status: Parcel No: 216240553' Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: MARSELLA HOA-REPLACE GUARD RAIL@DECK Applicant: JON WAYNE CONSTRUCTION 2580 FORTUNE WY VISTA CA 92083 760 727-2494 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: PFEIFER KRISTINA M 2411 LA COSTA AVE #C CARLSBAD CA 92009 Total Fees: $60.00 Total Payments To Date: $60.00 Balance Due: Inspector: Clearance: ISSUED 10/02/2006 RMA 10/03/2006 10/03/2006 $60.00 $0.00 $0.00 $60.00 $0.00 NOTICE: Please take NOT Et at 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f Ix i f i I N Tl hi r whi h h flimi h h I FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK NO. C/J /J' 2/'-2..;_ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit A Validated By • , ~ Date I/') Ii,, lo I. r1 I .•d~ras, linclu~di!f'l]J. U\ U)'!.M l'\Jie; • Legal Description ~ Lot No. 4 Business Name lat this oddrossl ivision Name/Number Unit No. Phase No. Total # of units Wlt\12BCU.A: .l::!9!'!' Assessor's Parcel I Existing Use Proposed Use I of Bathrooms Name Address City State/Zip Telephone# Fax I D~\~i:a(:Wft•.f \I 1'1,~~ 7lo01;,., ;14q4 Name Address Name Jfo,iI,~IIJ,GOMIIAN!l''NAMI' '. Address City State/Zip Telephone I City State/Zip Telephone I (Sec. 7031.6 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 ha 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 exemp iw Cy c~~f Section 7031.5 by a~uor ::i~it sub~e applicant to a civil p nalty of t mor\\'iotir hun.;~ollars 1$6001). Name City State/Zip Telephone # State License I a.\,.,~\ Sq License Class J3 City Business License I l Z-ZO Z.Zo Designer Name Address City State/Zip Telephone State License # __________ _ e,,, ,,WOR!Uslllil'COMl!lll$All01f,;!,I, .. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 1lf" I have and will maintain a certificate of consent to self•insure for workers' compensation as provided by Section 3700 of the Lpbor Code, for the performance 7 the work for which this permit is issued. 6-. I h~ve 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 <'1'1-.1\ C.Wflc: • M~ OC.,l'fO;:S, Policy No. we. J'\ 'J.. 11, '\ Expirotion Doto I h ) 01 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [♦100[ OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the pertormance 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: FIU~secure workllrs' compensation coverage Is unlawful, and ahall subject en employer to crlmlnal penalties and civil fines up to one hundred thousand dol&ars • ,000), ln addition f2.!h8 cost of compensation, damages as provided for In Section 3706 of the :bor !°::e, Interest and attorney'• fee•. SIGNATURE t4P,l. ,.... a DATE \()Jz_ J.9 (o '.7,'.fz :;'_OWN~~i'~-QIIAM'ttort'f~'"' ,,, ·', .. ,, : , t"iltt; ~ 'tf:f,f._•i:;~-~~f:r;,;iJj:., 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 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 Ucense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's Ucense 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. 0 YES ONO 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 J 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 _________ _ :<:OMPtfP!mllli!l!Wn0!\11RiR:~RIUltolNClil'l,RMITil:OlilLY::: 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 25634 of the Preslay•Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant roquired to obtain a permit from ths air pollution control district or air quality management district7 D YES O NO la the facility to be constructed within 1,000 feet of the outer boundary of a 5chool site? 0 YES D NO If ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. ,J!,,,,,,l,QNSTRU<:TIO,N'Lffll!IN<,,4<\!lENC't I hereby affirm that there is a con5truction lending agency for the performance of the work for which this permit Is issued (Sec. 3097111 Civil Code). LENDER'S NAME _____________ _ 'tj .. ~A.;A1!'NC:Alfl!fCERTIIICA1101'£ti!:1,£<: · ,,.;'.:i,;:i,h\ ._; J, ii,/ ··LS·· LENDER'S ADDRESS, ________________________ _ I certify that I have read the application and state that the above information is correct and that the information on the plans la accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 excavations over 5'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 c enced within 180 s f m 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 c m cad for a (Section 106.4.4 Uniform Building Code). DATE _ _:_la__JILC-z..=,,i)_:o=-:(e...,_ __ _ WHITE: Fila YELLOW: Applicant PINK: Finance Inspection List Permit#: CB062825 Type: MISC Date Inspection Item 05/14/2007 19 Final Structural 01/09/2007 14 Frame/Steel/Bolting/Weldin Thursday, November 29, 2007 REPAIR lnspec_tor Act PY AP PY AP MARSELLA HOA-REPLACE GUARD RAIL@DECK Comments Page 1 of 1