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HomeMy WebLinkAbout2328 PASEO SAUCEDAL; ; CB993082; Permit.. 08/17/199-'J City of Carlsbad Patio/Deck Permit Permit No:CB993082 Building Inspection Request Line (760) 438-3101 Job Address: 2328 PASEO SAUCEDAL CBAD Permit Type: Parcel No: Valuation: Reference #: PATIO 2552724400 $1,421.00 Lot#: 0 Construction Type: VN Status: Applied: Entered By: Plan Approved: Issued: ISSUED 08/17/1999 MOP 08/17/1999 08/17/1999 Project Title: FRANCIS RESIDENCE Inspect Area: 196 SF PATIO COVER PER SPECS Applicant: ACACIA CREDIT FUND 5-A LLC C/O RICK MALOUF 400 EVAN BUREN ST #650 PHOENIX AZ 85004 Total Fees: $57.10 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee TOTAL PERMIT FEES Inspector: SR Owner: ACACIA CREDIT FUND 5-A LLC C/O RICK MALOUF 400 EVAN BUREN ST #650 301.7 08/17/99 0001 01 PHOENIX AZ 85004 C-PRMT Total Payments To Date: $0.00 FINAL APPROVAL Date· \\/ffi/ep_ Balance Due: $34.00 $0.00 $22.10 $0.00 $1.00 $0.00 $0.00 $0.00 $57.10 $57.10 Clearance: ______ _ NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collective\y 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 tt-e protest and any other required information with the City Manager for processing in accordance with Car1sbad 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 capact~ 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 vou have oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT. APPLfCA TION FOR OFFICE USE ONLY PLAN CHECK NO. 'fJ->D32- CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ 1. PROJECT INFORMATlgbl ::l ;,1 & f'" " ..:, .'.:,a,-,xe,14 C 1st G ;;"f Address (include Bldg/Suite #) Business Name (at this address) S,"' k /Z.,;de ~ d,.,.,e /,' Legal ascription Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 'J.5S- AsseRor's _Parcel # ~ --~·J -00 Existing Use I' . Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONT ACT PERSON (if different from applicant) Name 3. APPLICANT (J\tl I...P..:s L Name 4. Address 0 Contractor O Agent for Contractor J Owner a., fR-ti.1\/~1:. ;:rs=>$ 1"'14,eu Address Address 5. CONTRACTOR -COMPANY NAME City D Agent for Owner S ....,, ,,.d...L C 4-G t,),1d City City State/Zip Telephone# Fax# Telephone# State/Zip Telephone# (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 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 [$5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance ot the work tor which this permit is issued. My worker's compensation insurance carrier and pohcy number are: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ i S SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) CERTIFIC_ATE 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 ecome subJect to the Workers' Compensation laws of California. WARNING; Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to c_riminal penalties and civil fines up to one hundred thousand dollars 1$100,0001, in addition to the cost of compensation, damages as provtded for in Section 3706 of the Labor code, Interest and attorney's fns. SIGNATURE________________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law tor the following reason: Q.. 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 ~~-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). 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). 0 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. ( YES ONO 2. I (have/ 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/ phone number/ 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 / phone number/ 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/ phone number/ type of work): ___________ _..,~-----~----------------------------------------- PROPERTY OWNER SIGNATURE-~-,1-1.1,LCJ/~·-·(..1.'.'.:,,..,!!-s=-""---------------DATE ________ _ 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 permit from the air pollution control district or air quality management district? 0 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 AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY ! hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i} Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATLON 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 all City ordinances and State laws relating to building co·nstruction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD 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: 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 it 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 such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). kPLICANT'S SIGNATURE --------------------------DATE ------------- WHITE: File YELLOW: Applicant PINK: Finance • City of Carlsbad Inspection Request For: 11 /22/99 Permit# CB993082 Title: FRANCIS RESIDENCE Description: 196 SF PATIO COVER PER SPECS Type:PATIO Sub Type: Job Address: 2328 PASEO SAUCEDAL Suite: Lot 0 Location: APPLICANT ACACIA CREDIT FUND 5-A LLC Owner: FRANCIS MICHAEL R&BARBARA J Remarks: Total Time: Act Comments Inspector Assignment: SR --- Phone: 7608155755 Inspector: s~ • Requested By: CHRIS Entered By: CHRISTINE CD Description 19 Final Structural ~~~ Associated PCRs Inspection History Date Description 11/17/99 11 Ftg/Foundation/Piers 11/16/99 11 Ftg/Foundation/Piers Act lnsp Comments AP SR CO SR NOT WIDE ENOUGH <;Lo fE.., . / / I • / l'f ) / , •C.(;f,•,~:v .. , . "is- AUG 17.8 ity of CARLSBAD BUILDING DEPT. 0 C~ rJ!l ~ ~ + \.J