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Home My WebLink About2839 AVENIDA VALERA; ; CB951359; PermitBUILDING PERMIT Permit No: CB951359 09/27/95 14:58 Project No: A9501979 Page 1 of 1 Development No: ' Job Address: 2839 AVENIDA VALERA Suite: Permit Type: PATIO/DECK 3890 09/27/95 #Or 01 32 Parcel No: 216-461-37-00 Lot#: C-WT 46 " QG Valuation: 1 , 100 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: 100 SF RAISED DECK Applied: 09/27/95 Apr/Issue: 09/27/95 Entered By: RMA Appl/Ownr : MOERSCH, RANDALL 619-598-0916 3188 ORAAVO TERRACE VISTA, CA 92084 *** Fees Required **A ected & Credits *** Adjustments: .oo Total Fees: .oo 46.00 ....................... Fees : Fee description Ext fee Data ------------------ ----------------- Building Permit 27.00 Plan Check 18.00 * BUILDING TOTAL 46.00 Strong Motion Fee 1.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 I PERMIT APPLICATION City of 'Carlsbed Building Depnrtmmt 2075 Las Palms Dr., Carlsbed, CA moo0 (619) 438-1161 L From List 1 (see back) give code of Permit-Type: For Residential Proiects Only: From List 2 (see back) give ......................................................... Code of Structure-Type: PLAN CHECK NO. I Net Loss/cain of Dwelling Units 2. PRClJECTWFORMAllON FOR OPPICE USE ONLY Address F&m Nearest Cross Street VahBuilding or Suite No. Lot No. Subdivision NamdNumber Unit No. Phase No. ht PU 11-5 0 2 Energy Calcs 2 Structural Calcs 0 2 Soils Repo? 0 1 Addressed Envelope CEL SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS \ (Ir airrerent rrom appiicanr) CITY STATE ZIP CODE DAY TELEPHONE CITY STATEc6\ ZIPCODE DAY TELEPHONE 6. CClNTRAClUR NAME (last name first) ADDW%S CITY STATE ZIP CODE DAY TELEPHONE CITY BUSINESS LIC. # (last name tint) CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby aftirm that I have a certificate ot consent to selt-insure lssued by the Director ot lndusnial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified with the Building Inspection Department (Section 3800, Lab. C). lNSURANCE COMPANY POLICY ~0&79bQ EXPIRATION DATE 8 4 \D Certlticate ot Exemption: 1 certlty that in the pertormance ot the work tor whic this permit s issued, 1 shall not employ any person in any manner Compensation Laws of California. Uwner-HUiiaer Ueciaratlon: I hereDy atnrm that I am exempt rrom the wntractors ucense uw tor the roilowing 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 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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractofs License Law does not apply to an owner of property who builds or improves themon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demoliih, 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, commencing 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 [SOO]). 0 0 0 Business and Professions Code for this reason: SIGNATURE DATE COMrn: 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management dsnict? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOFTHE ANSWERS ARE YES, AFINALCER~CATEOFOMAY NOT BE HAS METOR I!S MEEITNG THE IUQWNMENTS OF THE OFFICE OF EMWGENCY SERVICES AND THE AIR PoLUmoN ODNTROL~. I hereby atfm that there IS a c0nstruct)on lending agency for the pertormance of the work for which ths permit s issued (Sec OYES 0 NO 0 YES 0 NO OYES 0 NO AFIWJULY 1,1989 uNLessTHE"T UCllUN U~UINU I clvll Cod e). LENDER'S NAME LENDER'S ADDRESS 1 certlty that 1 have read the applicatlon and state that the above intormatlon IS correct. I agree to comply with all clty ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned propetty for inspection purposes. IALSOAGREETOSAVEI"IPYANDKEEPHARMLESSTHECllYOFCARLSBAD~~~AU.~~~MENTS,OOSIS AND EXPENSES WHICH MAY IN ANY WAY ACCXLJE ACAlNST SAlD CllY IN OONSJQUIBJCE OF THE GRANTING OF THls PERMlT. OSHA: An OSHA permit is required for excavations over 5'0" 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 limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by e after the work is commenced for a period of 180 days (Section 303(d) Uniform Building code). APPLICANTS SI WHITE. File YELLOW: Applicant PINE Finance Q i riirrr. s e PERMIT# CB951359 CITY OF CARLSBAD INSPECTION REQUEST FOR 09/29/95 DESCRIPTION: loo SF RAISED DECK TYPE: PATIO JOB ADDRESS: 2839 AVENIDA VALERA APPLICANT: MOERSCH, RANDALL CONTRACTOR : OWNER: REMARKS: MW/RANDY/598-0916 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 11 ST Ftg/Foundation/Piers INSPECTOR AREA PLANCKd CB951359 OCC GRP CONSTR. TYPE NEW STE: LOT: p"E: 619-598-0916 PHONE : PHONE: ; INSPECTOR ACT COMMENTS ***** INSPECTIOM HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 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 = A. 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, as required by section 3700 = B. 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 COMPANY POLICY NO. EXPIRATION DATE: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT is FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 = C. workers compensation laws of California. Signatur Date 9 -37-4 &- Warning: Failure to secure workers’ compensation coverage is unlawful, and shall be 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. March 3, 1995 2075 Las Palmas Dr. Carlsbad, CA 92009-1 576 (61 9) 438-11 61 - FAX (61 9) 438-0894 @ .. . 4" L