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Home My WebLink About2652 LA GRAN VIA; ; CB010975; Permit✓,¾ 7_,,?,,0 ( City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03/12/2001 Miscellaneous Permit Permit No:CB010975 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2652 LA GRAN VIA CBAD MISC 2162503300 $0.00 TARON RESIDENCE Subtype: REPAIR Lot#: 0 REPAIR ROOF RAFTERS W/LADDER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/12/2001 MDP 03/12/2001 03/12/2001 Applicant: TARON FAMILY SURVIVOR'S TRUST 01-03-97 TARON FAMILY SURVIVOR'S TRUST 01-03-97 2652 LA GRAN VIA CARLSBAD CA 92009 Total Fees: $30.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: 2652 LA GRAN VIA CARLSBAD CA 92009 Total Payments To Date: $0.00 REPAIR FINAL APPROVAL Date: 61/,2./o/ ) ) 3686 03112/01 0002 n Balance Due: Clearance: $30.00 $0.00 $30.00 $30.00 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 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 vou have nreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otheiwise exoired. _, ., FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C) \ -C, 2S- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Business Name (at this address) /4Q, ,;:Z;I S'rzvTH #:'2 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms t~ .. /f!4· AAG.E . ''. ,',' ;; Name Address City State/Zip Telephone# Fax# rii:~ifil(i!ij~¢'A~,ri i•[:EJ::li11\r~!itor.; itf'Ail•l\\''foi,c:6iiira!>ior•·· w'E:i)~ml•r'.'•iiEl'i,i,.,;iiiotb.wi!~ri: ·nffl'.t ?il'.it:;.·;.·•· Name Address City State/Zip Telephone# (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, 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 1!1,•I,;llli'!lllltil\S,<"@MlllfiJliiti!lil•,, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D 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 worker's compensation insurance carrier end policy number are: Insurance Company______________________ Policy No. Expiration Date _______ _ (THIS 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 person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worken' compensation coverage Is unlawful, and shaU subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1$100,000), In addition to the cost of compensation, damages as provided for In Section 3708 of the Labor code, Interest and attorney's fees. SIGNATURE. __ __,,----,--------,------------------------------------------------------------DATE ________ _ 1:z~J-~~~~ilPlePIBll)~~ltlON:~<-:Ji:/\i'.,:: ::i::€,;/t!:Ci~:;:ii;!;.i:f:·'.1-, t::f:;;'.~kt,\0£}1:::1{11:;:1.·1wl1:;;:ti~f~j!~ffe'-'.c'k~E:':'i\'.!:¾'1':;'.:;1,:;;c::; I hei'eb~~ :h!t__! ~m--"empt from the Contractor's License Law for the following reason: [}"' I, as OW'iiefoftllf1,roperty 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 improvemElnts are not intended or offered for sate. 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 contractor(sl licensed pursuant td the Contractor's License Law). D , . 2. 3. I am exempt under Section ______ Business and Professions Code for this reason: / I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO e I have not) signed an application for a building permit for the proposad work. l•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 I 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).:_ -----------c~~---~~~=~--------------------------------- WROPERTY OWNER SIGNATURE~~ C-,/~ DATE .3-/.;,_ -CJ f fCQ~ftd!(1'.Se~;n-p~JCt8W6,WRU/Q~rif11_t,bJt413':l!E~{f$~N'.lt«ffl!?MJ~t;:\;tf0i;~:':i:l'.-:; -1:::,~· :2\~ti'&£'.1f:~;;\;i!,2l:J¥l~i/;£f!'i0f!i1\il;1~?f".i/,~:,:;:i< 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 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? D YES D 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 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. :s1:ll7CQNSTRlicriliiliE~i\lDfl'lo,A(!ENdY,, 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). LENDER'S NAME---,----------------------------- j(\;;;pfAPift[OAfiT,'(:t~flfljj/1,fll)NJ'.;, 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 Gitt 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 5'0n 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 !imitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from 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 comma~ for a perio~f 180 days (Section 106.4.4 Uniform Building Code). YAPPLICANT'S SIGNATURE C°\ (L( ~ ) c.::., .__T ~ DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/11/2001 Permit# CB010975 Inspector Assignment: JC Title: TARON RESIDENCE Description: REPAIR ROOF RAFTERS W/LADDER Type:MISC Sub Type: Job Address: Suite: Location: 2652 LA GRAN VIA Lot 0 REPAIR I 41, b l 1 APPLICANT TARON FAMILY SURVIVOR'S TRUST 01-03-97 Owner: TARON FAMILY SURVIVOR'S TRUST 01-03-97 Remarks: GARAGE REPAIR INSPECTION --- Phone: 0000000000 Inspector: ,!.C , 0 Total Time: Requested By: NA Entered By: CHRISTINE CD Description Act Comments 14 Frame/Steel/Bolting/Welding .llE. .l!L &f{r,,L ± Associated PCRs Inspection History Date Description 06/08/2001 14 Frame/Steel/Bolting/Welding 03/15/2001 14 Frame/Steel/Bolting/Welding Act lnsp Comments CA JC WILL RESCHEDULE FOR WEDNES. CO JC SEE ATTACHED NOTICE