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HomeMy WebLinkAbout2433 LA COSTA AVE; A; CB062809; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-03-2006 Miscellaneous Permit Permit No: CB062809 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2433 LA COSTA AV CBAD St: A MISC Subtype: REPAIR 21624055()t Lot#: 0 $0.00 MARSELLA HOA: DECK GUARD RAIL REPLACE/REPAIR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: JON WAYNE CONSTRUCTION BOSCO FAMILY TRUST 06-11-98 2580 FORTUNE WY VISTA CA 92083 760 727-2494 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $60.00 2128 SUBIDA TER CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $60.00 Balance Due: Clearance: ISSUED 1010212006 JMA 1010312006 10/03/2006 $60.00 $0.00 $0.00 $60.00 $0.00 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 pem1it 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 x i n fwhi h i I n i n N Tl E imil r hi r whi h limi i r vi I FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.03£ ':Lfb7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. Deposit --.-,-..,.-,-------- Validated By sJ YV\1\:- Date (0 /~ \ Q:Q__ 4.ddresJ linclude Sldqt_Suite #I I ,.. /" __ f""6. aA , • .-• . d::/ ·3 3 -n . '-'+ U>':i,, .... nv ... Business Name (at this address) Legal Description Lot No. Subdivision Name/Number M Unit No. Phase No. Total # of units Existing Use Proposed Use # of Bedrooms # of Bathrooms Name Address State/Zip Telephone# Fax# (tc~or. or,4S Name 4;::,t!t1,-lll'•fl'.!¥"0W1111!lt: Qf~l.T\~°:;"' •.•· ...... . \J \1,~(1). • . 1r.o 1;,., _q.q Name :li.:!,-;:CQ!llifRAQil"OR,:;;11QMPllN'I"-:.:, Address City State/Zip Telephone# S.tate/Zip Telephone I (Sec. 7031.6 Business and Professions Coda: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requi,es the applicant for such permit to file a signed statement that he is licensed pursuant to the p1ovisions 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 fo, the alleged axemp iw c.y c~~f Section 7031.5 by: anC~wCO' :.,jermit sub~• applicant to a civil p ;alty of :-mor1\.'iallie hun7~ollars ($5001). Name ddress City State/Zip Telephone # Statellcense# &.1,.,l,.,\$9 UcenseClass (3 CltyBusinesslicense# \Z-Z.OZ..Zo Designer Name Address City State/Zip Telephone State License # _________ _ t, .. ·:,WORKER$'.COMl!INSATIO!II\;(::"• Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decla,ations: 1lf" 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. ,a. I h~ve and will maintain worke,s' 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: lnsuranca Company t'""1\ G.Nfl<:: • 'f'!S~ 0C,Jj!i0.S. Policy No. WC. ,'\ 'J,.. I 1, '\ Expiration Data I h ) 01 ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 Iii& to become subject to the Workers' Compensation Laws of California. · WARNING: F~••cure work.,.' compensation coverage i. W\lawful, and ahal subject an employer to crlmlnal penaltfaa and civil flnea up to one hundred thousand dollar■ $ ,000), ln addition ~the coat of compenaadon, damage■ u provtded for ln Section 3708 of the ~bar!°:•• Interest and attorney'■ feea. SIGNATURE t.4Al, ,..._ DATE \OJZ.JP{p fl,. ,c>.jOWN-\iU~EC~'ltOJfi:;,;:,/· ~,..~ -~.:·. , /ii'i':r,i:~-"?.K'!7.•;:; ;,;:,i:,;:ff+i.::-:: · 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 thei, sole compensation, will do the work and the structure is not intended or offe,ed for sale {Sec. 7044, Business and Profession■ Code: The Contractor's License Law does not apply to an owner of p,operty who builds or improves thereon, and who does such wo,k himself or through his own employees, provided that auch improvements are not intended or offered for sale. If, how ave,, 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 p,operty, 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 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 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 I 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 _________ _ CQMP!;ITEITHIIJISECTIQ!ll)fOftll!~l!Jll:IIINQil'ERMIJS'O!IILY:'.-: .::,~,.;:,.,:,iii!, ',,i;'.c~'.( ,.,. r;c.. · .. ,>,. i•; Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention prog,am under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acti' 0 YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district,' 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAV 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 L£1\1D1NQ:.I\G£NCY 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). 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 constructi~. I hereby authorize rep,esentetives of the Citt of Cartsbad 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 5'0" 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 tf the building or work authorized by such permit Is not enced within 180 sf 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 ed for a p ri of 1 (Section 106.4.4 Uniform Building Code). ' APPLICANT'S SIGNATURE WHITE: Fila YELLOW: Applicant PINK: Finance DATE __ l_<=>__.!_2..__,_}-=o::....:,Cpc...._ __ City of Carlsbad Bldg Inspection Request For 04/30/2007 Permit# CB062809 Title MARSELLA HOA: DECK GUARD RAIL Description REPLACE/REPAIR Type MISC Sub Type: REPAIR Job Address: 2433 LA COSTA AV Su1tff Location: A Lot: 0 OWNER BOSCO FAMILY TRUST 06-11-98 Owner: Remarks: Total Time CD Description Act Comments Inspector Assignment: Phone: 9492444553 Inspector: Requested By: DAVE Entered By: JANEAN 19 Final Structural f:e _____ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments