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HomeMy WebLinkAbout2578 DISCOVERY RD; ; CB072494; Permit09-26-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB072494 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 2578 DISCOVERY RD CBAD MISC Subtype 2131301600 Lot# $000 KLEIN RES FOOTING FOR FUTURE LATT PATIO CVR 12X16 OTHER 0 Status Applied Entered By Plan Approved Issued Inspect Area Applicant KLEIN JEFFREY H&PASION-KLEIN MARIA V 2578 DISCOVERY RD CARLSBAD CA 92009 ISSUED 09/26/2007 KG 09/26/2007 09/26/2007 Owner KLEIN JEFFREY H&PASION-KLEIN MARIA V 2578 DISCOVERY RD CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $6500 $000 $000 $6500 Total Fees $65 00 Total Payments To Date $6500 Balance Due $000 Inspect FINAL APPROVAL Date /I'/"* 7 Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition1 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 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 1635 faraday Ave . Carlsbad CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 Building Permit Application PHASE it I n OF UNITS c BEDROOMS" f* BATHROOMS JOB ADDRESS 'C'f/PROJECTS" DESCRIPTION OF WJ)RK N rfefl W^ [Sec 7031 S 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 allegeil exemption Any violation of Section 70315 by any applicant for a permit sublets the applicant to a civil penalty of not more than five hundred dollars {$500}) ' ••'• ';! ••?v-;j;.-->.-. Workers Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations O 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 Ihe performance of the work for which this permit is issued 0 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 workers compensation insurance carrier and policy number are Insurance Co Policy No Expiration Date This section need not be completed if Ihe permit is for one hundred dollars ($100) or less O Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney's fees JS$ CONTRACTOR SIGNATURE DATE / hereby affirm thst I am exempt from 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 TheConlraclors 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 thai 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) Cl I as owner of the property am exclusively contracting with licensed contractors lo construct the pro|ecl (Sec 7044 Business and Professions Code The Conlraclors License Law does not apply to an owner of property who builds or improves Ihereon and conlracls for such pro|ects with contractor(s) licensed pursuant to (he Contractor s License Law) I am exempt under Section Business and Professions Code for this reason 1 I personally plan lo provide Ihe major labor and materials for construction of the proposed property improvement Cl Yes D No 2 I (have / have not) signed an application for a building permit for Ihe proposed work 3 I have contracted wilh the following person (firm) lo provide the proposed construclion (include name address / phone / contractors license number) 4 I plan to provide portions of the work but I have hired Ihe following person lo coordinate supervise and provide the mapr work (include name / address / phone' contractors license number) 5 I will provide some of Ihe work but I have conlraclod (hired) Ihe following persons lo provide Ihe work indicated (include name / address / phono / type of work) n ) PROPERTY OWNER SIGNATURE DATE Is the applicant or fulure building occupant required fo submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 2£>533 or 25534 of the Presley Tanner Hazardous Substance Account Acf D Yes D No Is Ihe applicant or future building occupant required to oblam a permit from the air pollution control district or air quality management district? Cl Yes O No Is Ihe facility lo be constructed within 1 000 feet of Ihe outer boundary of a school site? O Yes O No IF ANY OF THE ANSWERS ARE YES EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT j I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) ! Lenders Name Lenders Address 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 rhereby authorize representative 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 excavations over 5 0 deep and demolition or construction of structures over 3 stones in height 180 days from the date of such permit or if the building or work authonzed by such permit ^suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) .^APPLICANT S SIGNATURE /M^^^. {/DATE City of Carlsbad Bldg Inspection Request For 09/27/2007 Permit* CB072494 Title KLEIN RES FOOTING FOR FUTURE Description LATT PATIO CVR 12X16 Inspector Assignment 2578 DISCOVERY RD Lot 0 Type MISC Sub Type OTHER Job Address Suite Location OWNER KLEIN JEFFREY H&PASION-KLEIN MARIA V Owner KLEIN JEFFREY H&PASION-KLEIN MARIA V Remarks DID NOT SAY WHAT TYPE OF INSPECTION Phone 7609290405 Inspect Total Time Requested By MARIA Entered By CHRISTINE CD Description 14 Frame/Steel/Boltmg/Weldmg 4(L Act Comments i/J Ls Comments/Notices/Holds Y Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments