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Home My WebLink About2844 CAMINO SERBAL; ; CB163765; PermitPrint Date: 04/13/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2844 Camino Serbal BLDG-Commercial 2552812300 $6,448.59 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial Permit www.carlsbadca.gov Work Class: Patio Status: Lot#: Applied: Reference#: Issued: Construction Type: Finaled: Bathrooms: Inspector: Orig. Plan Check#: Plan Check#: Description: PORTER: NEW 373 SF ATIACHED PATIO COVER, 150 SF ATIACHED TRELLIS, NEW FIRE PIT Owner: Contractor: Permit No: CB163765 Closed -Withdrawn 10/05/2016 03/07/2017 03/07/2017 TRUST PORTER FAMILY 2008 TRUST 07-11-08 RIVERS LANDSCAPE CONSTRUCTION BUILDING PERMIT FEE $2000+ PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL SB1473 BUILDING STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $140.16 Total Payments To Date: $0.00 1175 Industrial Ave, Ste M Escondido, CA 92029-1431 760-504-4091 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $140.16 $88.35 $49.00 $1.00 $1.81 Ii·,'· Ii jl 1: ·~~~~~~~~~~~~~~~~~~~--, •. : FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BU1LDING OFIRE 0HEALTH OHAZMAT/APCD Plan Check No. c:... Est. Value b 3 '-f Plan Ck. Deposit Ccicyof Carls Dad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Date l O '8 L Cp SWPPP JOB ADDRESS SUITEt/SPACEt/UNITI APN CT/PROJECT# LOT# PHASE# # OF UNITS # BATHROOMS CONSTR. lYPE OCC. GROUP DESCRIPTION OF ,WORK: Include Square Feet of Affected Area(s) , over remo111<+-f ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anl 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 tiers' Compensation Declaration: I hereby affirm under penalty of pe,ju,y 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 w°fi)_~penr, as required by Section 3700 of the Labor Code, for the performan.;;f the wo7J which this 'to is issued. My workers' compensation ins:;_ranr:i ;a_rner rd policy number are: Insurance Co. s . 4" e f I re. Policy No. "i..A {) 1..71 0 Expiration Date I z / 7 . I ~ i section need not be completed tt the permit is for one hundred dollars ($100) or less. 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 alttomia. 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, da ges a provided for in Section 3706 of the Labor code, Interest and attorney's fees. NS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for 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 himseW 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). 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(s) licensed pursuant to the Contractor's License Law). D 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. 0Yes 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone 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 I phone I 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 I address I phone I type of work): NS PROPERTY OWNER SIGNATURE 0AGENT DATE \ \o / COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 pennit 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 site? 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 AJR POLLUTION CONTROL DISTRICT. I oertify that I have read the application and S1alB thattheabole information Is correct and that the infonnatlon on the plans Is accurale. I agree ID comply with all City ordinances and S1ale laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon !he aoove mentioned l)'Operty i:Jr inspection purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSeAD 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: kl OSHA pennlt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories il height. EXPlRA TION: Every pennlt issued by !he Building Official under !he provisions of this Code shall expire by Imitation and berome nuU and vokl if the buik:ling or oork authorized by such pennit is not rommenred 'Mlhin 180 days 1mm the date of such pennlt or if the bui ing or oork authorized by such pennlt is suspended or abandoned at any time after the Y.Ork is rommenred for a pe · of 180 days (Section 106.4.4 Unifoon Buik:ling Code}. ~ 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@carlsbadca.gov or Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE FAX EMAIL DELIVERY OPrlONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: CJ CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) ZIP MAIL/ FAX TO OTHER: ________________ _ A5 APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. LIC. No. o ASSOCIATEDCB#------------ o NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE (~ (6 /t<o lo[,t /!C. lo /2.s/11.o Final Inspection required by: Q Plan QCM&I Q Fire SW 01SSUED I acv. Approved _ Date. -., -"" BUILDING ID'~ -111/L ·"' I.JI PLANNING I .fC,i(f IA, 1), ENGINEERING FIRE Expedite? y N DIGITAL FILES Reaulred7 y N HazMat APCD Health FormsfFees Sent Rec'd Due? By Encina y N Fire y N HazHeaithAPCD y N PE&M y N School y N Sewer y N Stonnwater y N Special Inspection y N CFO: y N LandUse: Density: lmpArea: FY: Annex: Factor: PFF: y N Comments Date Date Date Date Building IO{P-lllr. Planning 10/117," lo{u,-/,b \ll-,~J \(;, Engineering Fire Need? DDone DDone DDone DDone