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Home My WebLink About2711 LLAMA CT; ; CB160654; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-19-2016 Miscellaneous Permit Permit No: CB160654 Job Address: Permit Type: Parcel No: Valuation: Reference#: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2711 LLAMA CT CBAD MISC 2154200700 $2,000.00 Subtype: REPAIR Lot#: 0 MOSKOWITZ: REPLACE EXISTING Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: FACIA BOARDS ON ALL SIDES OF HOUSE DUE TO TERMITE Owner: ISSUED 02/19/2016 SLE 02/19/2016 02/19/2016 E J GRAY CONSTRUCTION MOSKOWITZ BARRY & RITA 2013 TRUST 9687 CARTA LN El CAJON CA 92021-2561 619-733-1984 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $65.00 Inspector: 2711 LLAMA CT CARLSBAD CA 92009 PERMIT/INSPECTION Total Payments To Date: $65.00 Balance Due: Clearance: $65.00 $0.00 $0.00 $65.00 $0.00 NOTICE: Please take NOTICE that approval of your project inclJdes the "Imposition" of lees, dedications, reservations, or other exactions hereafter collectively referred to as "lees/exactions." You have 90 days from the date this pennlt was ~sued to protest imposition of these lees/exactions. II you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other require<! infonnation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to time~ follow that procedure will bar any subsequent legal action to attacl<, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified lees/exactions DOES NOT APPLY to water and sewer connection lees and capacity changes, nor planning, zoning, grading or other similar application processing or seNice fees in connection with this project. NOR DOES IT APPLY to any i . T . i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE Ccityof Carlsbad JOB ADDRESS I CT/PROJECT# LOT# EXISTING USE APPLICANT NAME ,... ADDRESS CITY PHONE EMAIL Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SU\TEt/SPACEt/UNITt Plan Check N Est. Value Plan Ck. Deposit N # F UN\TS # BEDROOMS # BATHROQ S TENANT BUSINESS NAME GARAGE (SF) PATlOS (SF} ,2A"'f STATbl"I--ZIP STATE 'U7Z,--/ C!.A- FAX FAX A.Jr,' STATE ZIP FAX STATE UC.# □HEALTH QHAZMAT/APCO SWPPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YESONoO ,rz_ ZIP z..06 e-;; ZIP U)Z,/ (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 D1visior] 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olatlon Of Section 7031.5 by any applicant for a permtt subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaratbns: Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by. Section 3700 of the labor C.Ode, for the performance of the work for which this permit is issued. ~have and will maintain workers' compensatl~ as ~red by Section 3700 of the labor Code, for the performance of the work for ?h this permit is issued. My workers' compensation insurance earner and policy number are: Insurance Co. ~ 1, r z-::: 1-\.J ~ Policy No. 9a5'c<>tll -1 r: Expiration Date , ... z.z. -, 7 J.!!1§.secl.ion need not be completed if the permit \s for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfo nee of the work for which this pe · ls issued, I shal\ not employ any person in any manner so as to become subject to the Workers' Compensation laws of Ga\ifomia. WARNING: Fallure to secure workers' pensation coy!j~~lawf , and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000~ in addition to the cost of compensation, da for · 37 of labor code, Interest and attorney's fees. 8$ CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractor's Ucense Law for the fol!owing 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 are not intended or offered for sale. 11, however, the buildirg 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). \, as owner of the property, am ex.elusively contracting with l~nsed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property woo builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license law). 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 QYes 0No 2, I (have I have not) signed an application for a building permit for the proposed work. 3, \ have contracted with the following person (firrn) to provide the proposed construction (include name address I phone/ 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 I phone I contractors' lcense number): £ I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone / type of work): 1$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or futl!re building occupant required to submit a business plan, acutely hazardous materials registration fcrm or risk management and prevention piwam under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous SubS\ance Account Acr? □ Yes □ No \s the applicant or Mure building occupant required to obtain a permit from the air pollltion control district or air quality management district? O Yes □ No \s lhe facility to be constructed within 1,000 feet of the outer boundary Of a school site? 0 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I haY8 mad the application and stam that the above Information Is correc:tand tt,atthe lnfonnation on the plans Is ac:cvrate. I agree to complywitfl all City ordinances and State lav.s relating to building constructton. I hereby aulh:lrize ~ntative of \he City of Carlsbad to en Er uJXJn the a'oove menliol'led JXOpefty br lnspedioo purposes. l ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE Cl TY OF CARL$Bl\D AGAINST NJ. LIAfllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRU AGAINST SAID CITY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pemifi is required for excavations OlJel' 5'0' deep and demolttkm or trudion of s s over 3 stories in height. EXPIRATION: Every permit issued by the Buildng Oflk:ial lhe provis=ons of · all expi \imitalion and beoome nu\l and vot:l K the bui'dng or v.ork authorized by sudl permit is not oommenced wthin 180days frcm !he date of sudl permit or if the · · g or lhorized by it· us or abandooed at any time aflerthe mrk is oommenood fcx a perioo of 180 days (Secoon 100.4.4 Uniform Building Code). ,.@S" APPLICANT'S SIGNATURE DATE • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carl5badca.gov or Mail the completed fonn to City of Carts bad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING AD RESS CITY STA.TE ZIP CITY STA.TE Carlsbad CA PHONE FAX EMA.IL OCCUPANT'S BUS. UC. No. OELNERY OPTIONS PICK UP: □ CONTACT {Listed above) D OCCUPANT (Listed above) ci CONTRACTOR (On Pg. 1) MAIL TO: □ CONTACT (Listed above) D OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _______________ _ AS APPLICANT'S SIGNATURE o ASSOCIATED CB#•------------ □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB160654 Type: MISC Date Inspection Item . ·-_ _ _ _ 02/23/2016 14 Frame/Steel/Bolting/Weldin 02/23/2016 19 Final Structural Tuesday, February 23, 2016 REPAIR Inspector Act RI AEK Fl MOSKOWITZ: REPLACE EXISTING FACIA BOARDS ON ALL SIDES OF HOUS Comments Page 1 of 1