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HomeMy WebLinkAbout2739 ARGONAUTA ST; ; CB011821; PermitJ zq 05/21/2001 Job Address: Permit Type: Valuation: Parcel No: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Patio/Deck Permit Permit No:CBO 2739 ARGONAUTA ST CBAD 21 541 00300 PATIO Lot #: Status: ISSUED 0 Applied: 05/21/2001 $4,425.00 Construction Type: NEW Entered By: MDP Plan Approved: 05/21/2001 Issued: 05/21/2001 FlFER RESIDENCE 300 SF FREE STANDING PATIO Inspect Area: 1182 1 Applicant: HILLS LANDSCAPES INC 140 ENClNlTAS BLVD 760 944-9306 ENClNlTAS CA 92024 Owner: FlFER SCOTT R&SHANNEN L 2739 ARGONAUTA ST Total Fees: $101.96 Total Payments To Date: $0.00 Balance Due: $101.96 Building Permit Add‘l Building Permit Fee Plan Check Add‘l Plan Check Fee Strong Motion Fee Addl Renewal Fee Renewal Fee Other Building Fee Additional Fees $61.19 $0.00 $39.77 $0.00 $1 .oo $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $1 01.96 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK N0.01 - - !'ax( I EST. VAL. ofr y3-5 Plan Ck. Deposit Validated By -T"- Date t-/21/ 01 1. PROJECT 1NFDRMATlON Address linclude BldglSuite 11) Business Name [at this address) 5339 &MWI,fl Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of unite Arssssor's Parcel t Existing Use Proposed Use Description of Work SO. FT. ,-p7 #of Stories X of Bedrooms X of Bathrooms 2. CONTACTPERSON Wdffsi4nt hom~ap$ilbantl ,..: , , , ., , .. ., ,. . .. ,, .. Name 6. CONTRACTOR. COMPANY NAME [Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to COnStwCt, alter, improve. demolish or repair any StrUCtUre, prior to its is~uance. 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 Codel 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 1950011. Address , , . . . . . City .. , Statelzip Telephone # , ,, , ,, .,. ,.. ,,.,, , ...,. .,. ,,. . ,. .. ," &6L k, Lmw . /dC /#V g?u&/v,m Rut7 #.33- &vc c4 4 &/?ZW mu. > .> Name State License X Oesigner'NName State License # 26 o CkZ 6. WORKERS'CDMPENSATION Workers' Compensation Declaration: i hereby affirm under penalty of perjury one Of the following declarations: 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. I have and will maintain workers' compensation, 85 required by Section 3700 of the Labor Code, for the performance Of the work for which this permit is Insurance Company Policy No. L5-B 5i3Q- 00 Expiration Date 4' -/y" OL -6 5 ' Address r3-z7 B4~966 License class cI- Z ? City Business License X /Z OW0 ,I City Ststelzip Telephone City Statelzip .Telephone 1) 9+?,,i CjJos Address ,, My worker's compenSation insurance Carrier and policy number are: [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l?jlOO1 OR LESS) 0 CERTIFICATE OF EXEMPTION: I cenify 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 tinea up to one hundred thousand dollars (5100.0OO1. in addition to the Cost of compensation. damages as provided for in Section 3706 Of the Labor cad% interest and attorney's fees. SIGNATURE 7. OWNER-BUILDER DECLARATION 1 hereby affirm tha I am exempt from the Contractor's License Law for the following reason: I, as owner >>the property or my employeeS with wager as their 5018 compensation, will do the work and the StrUCtUre is not intended or offered for sa18 DATE %. . , ,, ,, , , ,, Business and Professions Code for this reason: 4. I plan to provide portions of the work,& I have hired the following pareon to coordinate. supervise and provide the major work linclude name I address I phone number I contractors license number): 5. i will provide some of the work. but I have contracted Ihired) the following persons to provide the work indicated lincluds name I address I phone number I type of work): PROPERTY OWNER SlGNAT RE COMPLETE~THIS SECTION @&P,DN-RESKENfiAL EUILDINQ.PEU~ITG'O~Cvi.,i' ;":. ' .,I ~' DATE ,, . program under Sections Amaunt Act? 0 YES 0 NO 1s the facility 10 be .., , ,. , LENDER'S NAME LENDEWS ADDRESS 9.. APPLICANT CERTIFICATION. City ordinances and State laws relating to building Construction. 1 hereby authorize repreSentativeS Of the City of Carlsbad to enter upon the above mentioned 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 ell JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID ClTY IN CONSEOUENCE OF THE GRANTlNG OF THIS PERMIT. property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE ClTY OF CARLSEAD AGAINST ALL LIABILITIES. OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or COnStlUCtion of Structures over 3 Stories in height. EXPIRATION: Every perm81 issued by the building Ofticial under the provisians of this Code shall expire by limitation and became null and void if the building or wark authorlred by such permit is not commenced within 100 days from the dale of Such permit or if the building or work authorized by such permit is suspended or abandaned at any lime after the work is 0 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE Y-f@- Ly .. WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/09/2001 Permit# CBOI1821 Title: FIFER RESIDENCE Description: 300 SF FREE STANDING PATIO Type: PATIO Sub Type: Job Address: 2739 ARGONAUTA ST Suite: Lot 0 Location: APPLICANT HILLS LANDSCAPES INC Owner: FIFER SCOTT R&SHANNEN L Remarks: Inspector Assignment: RCB Phone: 7606442993 Inspector: fl c 8 Total Time: Requested By: HILLS LANDSCAPE Entered By: CHRISTINE CD Description Act Comments 19 Final Structural FlNdl. Associated PCRs InsDection History 07/31/2001 19 Final Structural Date Description Act lnsp Comments 07/10/2001 11 FtgIFoundationlPiers AP RC OKTO POURPIERS CO RC SEAL UNDERGROUND ELEC CONDUIT TO PREVENT WATER FROM ENTERING STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION L - 01