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HomeMy WebLinkAbout2247 PASEO SAUCEDAL; ; CB984056; PermitB U I L D l N G P E R M I T Permit No: C89&4uSo Project No: A9805281 Development No: ll/24/~l8 09: 1 Paqe 1 of 1 Job Add1.ess: 2247 PASEO .3AUCEDAL Stnt.e: 3757 11/24/98 0001 01 02 C-PRMT 67-00 Permit Type: PATIO/DECK Parcel Nu: 255-260-28-00 Lot#: Valuation: 1,72b Construction Type: NEW Status: ISSUED Applie<l: 11/24/98 Apr/Issue: 11/24/98 Entered By: BT Occupancy Group: Reference#: Description: PATIO COVER 238 SF CITY SPECS Appl/Ownr : CYNTHIA JOHNSON 2247 PASEO SAUCEDAL CARLSBAD CA 92009 Fees Required le le k --------------------------- Fees: AdJustments: Total Fees: Fee description ------------------- Building Permit Plan Check Strong Motion Fee 1e BUILDING TOTAL 942-b842 Collected & Credits k A le --------------------------- .on .oo 67.00 Ext fee Data ------------------ 40.0U 26.00 1.00 67.00 F NAL APPROVAL ~~,.__ DATE ¢; ~ L q -j j CLEAR4NCE~lllllllllllllal------ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPU.CATION • ~ • , ' FOR OFFICE USE ONL,X PLAN CHECK NO._q.,_,.,_!{t+-"--""-"'------ EST. VAL. CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit -,'l=:-,F:::.._---ld,-L-+/ Validated By __ ~~....,...+--,-+--,-,,,- Date _______ __L_'-1-.,P...-=++-H>-- 1. PROJECT INFORMATION J__"2.Y'.J ~a5<PD Address (include Bldg/Suite #) .Sg, LCO di Gu i s b::i c:1.- _.,. Business Name (at this address) 1r"ct ![8'·0-3-2.. Arco>t,"' <--c.. Cc,r 6 Legal Description Lot No. Subdivision Name/Number I Unit No. Phase No. Total II of units l...SS-2.\,o z. Asses$.Q.[s_Parcel # I-" bo Existing Use -Z..38 Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (ff different from applicant) Name Address 3. APPLICANT O Contractor O Agent for Contractor ./1(owner Name Address 4. PROPERTY OWNER ('NtntYJ; IA. :John 6 6Y' • Address 5. CONTRACTOR -COMPANY NAME City 0 Agent for Owner City Q,1 sb.d City State/Zip Telephone# Fax# State/Zip Telephone# ('.A '-j.;)oo9 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 II State License # _________ _ License Class _________ _ City Business License II _______ _ Designer Name Address City State/Zip Telephone State License II _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: t 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. 0 l have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's 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} 0 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 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. SIGNATURE________________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorfs) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code tor 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 c ntracted with the following person (firm) to provide the proposed construction {include name/ address/ phone number/ contractors license number): -,-I 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 / 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/ address/ phone number/ type of work):. __________ ::-------:=:---,..,_~,-----------------------,-,----------- PROPERTY OWNER SIGNATURE --,4t.:;;,_L,~==._#Vl_!__.':'.'._.:_•7 ¥,~~~'.'::::::~-----DATE __ /_/ _-,_;l_,9._-~'j~d"~-- COMPLETE THIS SECTION FOR N ~ Is the applicant or future building occupant required to subm 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? 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 AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I 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 CERTIFICATION 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 construction. 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 AND 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 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 such permit is suspended or abandoned at any time after the work is commence~or a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ', ._1d h+Y, '~ DATE ' ly'HITE: File YELLOW: Applicant PINK: Finance II h }-( 'iY ' City of Carlsbad Inspection Request For: 2/12/99 Permit# CB984056 Title: PATIO COVER 238 SF CITY SPECS Description: Type:PATIO Sub Type: Job Address: Suite: Location: 2247 PASEO SAUCEDAL Lot O.PPLICANT : CYNTHIA JOHNSON Owner: JOHNSON RICHARD P&CYNTHIA M Remarks: Total Time: CD Description Act Comments Inspector Assignment: NF --- Phone: Inspector: Requested By: CYNTHIA Entered By: CHRISTINE 19 Final Structural __A[ ________ _ Inspection History Date Description Act lnsp Comments 11/25/98 11 Ftg/Foundation/Piers AP NF / / / 1/ / / ,,/~ . / A/ / -I J i c-\J I •• " "' ·~ ~--~· . -fJ er----~ 0 j i3 (; .~ ~ r-\J - -0 r-_6 T ::J N ~ NU [ VJ $:. .c l-7 i~ {: ~ ~ --.,.i- -0 " 1) .S. \J '·.-cc . ~· ")' --~-~+-L ·--·• : ..,