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Home My WebLink About2421 LA COSTA AVE; C; CB062841; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' ' 10-03-2006 Miscellaneous Permit Permit No: CB062841 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2421 LA COSTA AV CBAD St: C MISC Subtype: REPAIR 2162405523 Lot#: 0 $0.00 MARSELLA HOA-REPLACE GUARD RAIL@DECK Owner: JON WAYNE CONSTRUCTION JUREWITZ LEE I Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 2580 FORTUNE WY VISTA CA 92083 2421 LACOSTAAVE#C CARLSBAD CA 92009 760 727-2494 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $60.00 PERMIT FEE Total Payments To Date: FINAL Date: $60.00 Balance Due: 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 NOTICE that approval of your project includes the "lmpositi n" off s, 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. !f 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. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.CJ/(c2/:l.// CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL _________ _ Cd Pia~ Ck. Deposit ~ Validated By ~'~ Date /()/4,../44 ~ Business Name (at this address) ~d~res~ linclude Bldgj"Zl;. / lA c.o~ra t\J~ . Legal Description ~ Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Wloo,Gcu.A-~ Assessor's Parcel # Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms ~, l>)flor ra:t~ut.~ , Sl\\lC.O f,-.fl.\4-4 ~,fl.S # of Bathrooms -t ,rom l!P~l Cf ~q d""4 • 3 \ -- Name 3. APP.lJCANT c.. Name 4._ ' PROPERTY OWftl!:R Name ~-.CON.[AACil"OR • .COMPANY ~E Address or =r' 0 OwJler l.T\~b Address Address City 0 Agent tor Owner ~ :nl(l'\)w(: City City State/Zip Telephone II Fax II State/Zip Telephone# State/Zip Telephone II ·-(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 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 exemp i~ c.y (~~f Section 7031.6 by anc~ilor ~~it sub~e applicant to a civil p ;alty of :i mor1:\t,i,8 hun1~ollars ($5001). Name ddress City State/Zip Telephone II State License II 4-,).. \ S C\ License Class !;3 City Business License II l Z-Z.O Z.Z. 0 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WQJU<.ERS; COJJ1Pffi$ATION .;, .J ~ + Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 1Zf" 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 7 the work for which this permit is issued. ~ I h~va 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 ('""-J\ (.NAG: ! 'f!S<a QC.,J,rDii"S, Policy No. WC. '" 'l,-\ II C\ Expiration Date \ J \ } 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 performance of the work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. - WARNING: Fal o aecure workers' compenaetlon coverage Is unlawful, and ahaU subject an employer to criminal penalties and civil finH up to ona hundred ,000), In addition f,!h• cost of compensation, damages u provided for In Section 3706 of the Llbor f ode, lntarHt and attorney's fee a. SIGNATURE L.....,.--.,'.Ol'.J!.4Al,_ ,-• DATE \ () _ Z,. j Q (D '1. OWNER,JUILPU QEC!,A~TIQN -" I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 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). 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 License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contrector(sl 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. D YES ONO 2. I (have/ have notl 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):. _________________________________________________________ _ PROPEflTY OWNER SIGNATURE ________________________ DATE _________ _ COMPl,fTE,...THl$1$1:CTION fO!I flf)fi.:,IESIDEl{TIA,L_ IIUILDINQ PER~IT$ ONI. Y ,.. .-, ""--•-..-. ; ,. , • ._, 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district 7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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. II. ___ ,~9N$TRUCTION ~NDING AGENCY. 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). ',-t t?.; l , ,f.ft\: ¥' t, 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. 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 CARLSBAO 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 5'0' 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 d s f m the date of such permit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is c m ced for a p ri d of 1 (Section 106.4.4 Uniform Building Code). \ APPLICANT'S SIGNATURE ---,~~~~~~~_JL_~.l_========------DATE __ ,<:)___,)._2_}_0__:(e:z::... __ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 04/30/2007 Permit# CB062841 Title: MARSELLA HOA-REPLACE GUARD Description· RAIL@ DECK Type MISC Sub Type REPAIR Job Address Suite: 2421 LA COSTA AV C Lot: 0 .__) Inspector Assignment: J N'- Phone: 9492444553 Location Inspector: OWNER JUREWITZ LEE I Owner: Remarks: Total Time: Act Comments ---- Requested By: DAVE Entered By: JANEAN CD Description 19 Final Structural ~------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments