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HomeMy WebLinkAbout2219 PASEO SAUCEDAL; ; CB992955; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 c~J11 · 02/05/2001 Patio/Deck Permit Permit No:CB992955 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: MICHELE MCLAIN Building Inspection Request Line (760) 602-2725 2219 PASEO SAUCEDAL CBAD PATIO 2552603500 $3,000.00 Lot#: 0 Construction Type: NEW YARZA RES-250 SF DECK-2ND STRY Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 1424 N TWIN OAKS VALLEY RD SAN MARCOS CA 92069 STRASHOON IVAN&FIONA 2219 PASEO SAUCEDAL CARLSBAD CA 92009 760 7 44-1628 ISSUED 08/09/1999 RMA 08/09/1999 08/09/1999 DA Total Fees: $163.34 Total Payments To Date: $137.34 Balance Due: $26.00 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: FINAL APPROVAL Date g/;/4; ' $52.33 $0.00 $34.01 $0.00 $1.00 $0.00 $0.00 $76.00 $163.34 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exacUons hereafter collectively 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 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 capactiy 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 nreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otherwise exn1red ,. PERMIT.APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. 5Auc..c P.L Address (include Bldg/Suite #) Legal Description Subdivision Name/Number 1.-', '> -1.-" t) -'500 Assessor's Parcel # ,2; CONTACT PERSON'(if:dltterent from applicant) Name Address City 3. APPLICANT D Agent for: Contr8ctor D Owner O Agent for Owner FOR OFFICE USE ONLY PLAN CHECK NO. q1~1Ss EST. VAL. _________ _ Validated i"Jil--ir----;c-,-,..L-l~---- Date._-t4if-"hK,H'V-------- Phase No. Total # of units 2- # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# Nllt.l-/EL€ 0 Contrilctor M,L.,.1,.j 14-z.4 rJ.:o,J,,,l qAl<S '{AU.ET /l_D. .s,A,-, MllU.toS, CA Staie/Zip Name Address City Telephone # 4. Pf:IOPERTY OWNER [.£C.F;t../ A '-( A Q...1,-A Cflf2L58,Jl.l> Name Address City State/Zip Telephone# $,, i~ONTIIAllT0iffdOMPAN¥NAME {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 issuan also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Ucense Law !Chapter , mmending with Section 7000 of Division 3 of the Business and Professions CodeJ or that he is exempt therefrom, and the basis for the alleged An ·olation of Section 7031 .5 by any a.p.plic P~ for a permit s bjac.ts lhe pplic t to ,a civil penalty of not more than five hundred dollars [ $500}). Designer Name State Ucense # _6,=~~Z,~7'~7~1~- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: Telephone /f-rrAc.H tU) owing declarations: D I have and will maintain a certificate of consent to self-insu of the work for which this permit is issued. ion as provided by Section 3700 of the Labor Code, for the performance □ Insurance Company Expiration Date /2 -2, 1./ .. 9'f □ MPTION: I certify that in the performance of the work for which this pe the Workers' Compensation Laws of California. WARNING: F • re to secure workers· compensation coverage is unlawful, and shall subject an employer t iminal penalties and civil fines up to one hundred thousand dollats ($ 00,000), in addition to the cost of compensation, damages as provided for in Section 3706 o SIGNATURE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 t, 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). 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. 0 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 / 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 ______________________ _ DATE _____ .,_ ____ _ dllt.WWm'l'Ais'seeflliN'~oA NON-RESIDEN11A' 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? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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. 30970) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANTCERTIFICATION 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 Cit\' 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 5'0u deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by t e 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 no c mmenced 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~t~'-"~tn'-"'Ollmw,~n~c•~d!!.,!:fo period o 180 days (Section 106.4.4 Uniform Building Code). DATE BJ1lqor APPLICANT'S SIGNATURE- WHITE: File YELLOW: Applicant PINK: Finance • FOR OFFICE USE ONLY PERMIT .APPLICATION PLAN CHECK NO. ____ _ CIT.Y OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. ______________ _ 1. PROJECT INFORMATION Address {include Bldg/Suite #) Business Name (at this address) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total# of umts Assessor's Parcel # Existing Use Proposed Use Description ot Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (if different from applicant) Name Address City State/Zip Telephone# Fax# 3. APPLICANT O Contractor O Agent for Contractor D Owner D Agent for Owner Name Address Citv State/Zip Telephone# 4. PROPERTY OWNER Name Address City State/Zip Telephone# 5. CONTRACTOR -COMPANY NAME (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 ex~ption. 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)). t;:.ND~GS Cc,,sf-rvd,-.,/ '(60c.h,(VJvttl'w 4,,,. C,4iUSO,W CA 'l.l-O~I 7b0-7Z.<f-/'l9S- Name Address City State/~,..._ TeJephone # State License # ~7'--=S"'---'<-/-'3=-'lc:c_5'____ License Class 6 City Business License #~ \ ,r czc:X f3 //3 / 'i) 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: 0 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, 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 '5T,#'i C0/11/{dfA'/,;;n J;v,.,,,,,4,u< ;:_,ti Policy No. /(fS"/b/J -9'1 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Expiration Date_-"S'-----'-/_-_O_iJ __ _ D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal p_enalties and civil fines up to one hundred thousand dollars ($ 00,000.!,Jn a~dition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fee■. SIGNATURE -z.nL DATE f-/J-<f'l 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, wilt 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). 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. D 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 ! have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number 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/ address/ phone number/ type of work):. ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 coristruction. I hereby authorize representatives of the Cit'( 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 :"k is co~e~ced for a period of 180 days (Section 106.4.4 Uniform Building Code}. APPLICANT'S SIGNATURE ~~ ~ DATE _____________ _ WHITE: File YELLOW: Applicant P!NK: Finance City of Carlsbad Bldg Inspection Request For: 06/12/2001 Permit# CB992955 Inspector Assignment: DA Title: YARZ.A RES-250 SF DECK-2ND STRY Description: Type:PATIO Sub Type: Job Address: 2219 PASEO SAUCEDAL Suite: Location: APPLICANT MICHELE MCLAIN Owner: YARZ.A CECILIA Remarks: AM PLEASE Lot 0 41, f5P I I Phone: Inspector: Total Time: Requested By: NA --- Entered By: CHRISTINE CD Description 19 Final Structural Act Comments /3..i _____ _ Associated PCRs lnsgection Histor:. Date Description Act lnsp Comments 02/0412000 15 Roof/Reroof AP PD 0210412000 19 Final Structural NR PD 0210112000 15 Roof/Reroof NR DA NEED ACCESS 1011511999 14 Frame/Steel/Bolting/Welding co SR ND TO PUT ON COLM CAPT@CONN 09/2411999 11 Ftg/Foundation/Piers AP SR 09/2111999 11 Ftg/Foundation/Piers co SR NOT WIDE ENOUGH (FTG)