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Home My WebLink About2733 LEVANTE ST; ; CB100126; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-29-2010 Miscellaneous Permit Permit No: CB100126 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2733 LEVANTE ST CBAD MISC Subtype: REPAIR 2162203700 $0.00 HIGGINS RES-REPAIR ROOF@ GARAGE APPROX 150 SF Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: RDA DESIGNS HIGGINS BARBARA J (DP) PO BOX40 CARLSBAD 92018 760 685 4197 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $65.00 10050 MOORPARK ST TOLUCA LAKE CA 91602 PERMIT FEE Total Payments To Date: $65.00 FINAL APPROVAL Date &.,. ,:2... -CZ1 Balance Due: Clearance: ISSUED 01/20/2010 LSM 01/29/2010 01/29/2010 $65.00 $0.00 $0.00 $65.00 $0.00 NOTICE: Please take NOTICE that dpproval 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 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 X I n fwhi h VI t n iv n N Tl whi h h t f limi i n I h IWi ~-«1~ ~ Cl'TY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. Est. Value Plan Ck. Deposit CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Date ;;>a I co JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT# LOT# #BATHROOM TENANT BUSINE S NAME CONSTR. TYPE O . GR UP DESCRIPTION OF WORK: Include Square Feet of Affected Area(•) "<.,,_.r,;=-: f':::EP, //;2-. e,,, 5D GARAGE (SF) PATIOS (SF) DECKS (Sf) FIREPtACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES D NO □ YES □ NOD CONTACT NAME (ff Different Fom Applicant) APPLICANT NAME ADDRESS CITY CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. UC.# (Sec. 7031.5 Business and P_rofesslons 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 {$500}). WORKERS' COMPENSATION Workers' Compensation Declaratlon: / hereby affinn under penalty of perjury one of the following declarations: 0 I have and wlll 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 pennit is issued. 0 I have and wlll maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ____________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed if the pennit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this pennit 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. ,f!5 CONTRACTOR SIGNATURE □AGENT OATE OWNER-BUILDER DECLARATION I hereby affinn that I am exempt from Contractor's License Law tor the following reason: □ 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 \l. 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). ir-,1, 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{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 improvemenl □ Yes □ No 2. I (have/ have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I oft 'ork, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): but I have contracted (hlred) the following persons to provide the work indicated (include name/ address/ ph n,e, _,.,, ,-, □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 1s the applicant-Of future building occupant required to submit a business plan, acutely hazardous materials registration fonTI or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tamier,Hazardous Substance Account Acr? D Yes □ No Is the applicant or future bu1lding occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec. 3097 (1) C1v1I Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above lnfonnatlon Is correct and that the lnfonnation on the plans Is accurate. I agree to comply with all Cify on:linances and State laws relatlngto bulldlng construction. I hereby aulhorize "'presenlalive of~• City of Carlsbad lo 8/ller upon the above mentioned property fur i1spection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LL'IBILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Ari OSHA pennM is required fa" excavations over 5'0' deep and demolition or oonstruC:000 of structures over 3 stories in height. EXPIRATION: Every pe,mi issued by the Bui~ing Official under the provisons of lhis Code shall expre by imialion and becorro nuH and void ff ~• bui~ng or wor1< aulhOlized by such pemit • not conmenced 1Whi1 180 days from~• dale of such pemit or!~• buDdi,g orwori< a · by such tt • suspended or abandoned at any time after~• wor1< • commenced ilra period of 180 days (Section 106.4.4 Unifoon BuDdiig Code). A5 APPLICANT'S SIGNATURE DATE //;R.&P,(,b City of Carlsbad Bldg Inspection Request For: 02/02/201 0 Permit# CB100126 Title: HIGGINS RES-REPAIR ROOF@ Description: GARAGE APPROX 150 SF Type:MISC Sub Type: REPAIR Job Address: Suite: Location: 2733 LEVANTE ST Lot: APPLICANT .RDA DESIGNS Owner: LUJAN CRUZ (DP) 0 Remarks: ROOF REPAIR INSPECTION Total Time: CD Description Inspector Assignment: RB --- Phone: 7606854197 Inspector: ---- Requested By: RON ALVAREZ Entered By: CHRISTINE 15 Roof/Re roof Act /I Comments s4 /-' _____________ _ --~~-J}/!- ----~--- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments