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HomeMy WebLinkAbout2858 RANCHO DIAMONTE; ; CB012098; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No:CB012098 Building Inspection Request Line (760) 602-2725 Job Address: 2858 RANCHO DIAMONTE CBAD Permit Type: Parcel No: PATIO 2218113000 Status: Lot#: 0 Applied: Valuation: $2,930.00 Construction Type: NEW Entered By: ISSUED 06/19/2001 JM 06/19/2001 06/19/2001 Reference #: Project Title: Applicant: PARKER, DAVID 4911 REFUGIO AV CARLSBAD, CA DERWOOD-COV PAT 378 SF GAS & ELEC TO BBQ Plan Approved: Issued: Inspect Area: Owner: TOLL LAND XXIII LTD PARTNERSHIP 2100 W ORANGEWOOD AVE #180 ORANGE CA 92868 2458 06/19/01 0002 ·:n Total Fees: $123.55 Total Payments To Date: $0.00 Balance Due: $123.55 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 Additional Fees TOTAL PERMIT FEES Inspector: $45.79 $0.00 $29.76 $0.00 $1.00 $0.00 $0.00 $47.00 $0.00 $123.55 Clearance: _____ _ NOTICE: Please take NOTIC at approval of your project includes lhe "Imposition' of fees, dedications, reservations, or olher exactions hereafter collectively referred to as 1ees/exactions." You have 90 days from lhe date lhis permit was issued to protest imposition of these fees/exactions. If you protest lhem, you must follow lhe protest prooedures set forth in Government Code Section 66020(a), and file the protest and any olher required information wilh lhe City Manager for prooesslng in aocordanoe with Cansbad Municipal Code Seeton 3.32.030. Failure to timely follow lhat prooedure 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 olher sif™lar application prooessing or service fees in connecton ,.lh this project NOR DOES IT APPLY to any fees/exactions of which au have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. i .... :s FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No .(,{lo/Mf& CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ 1. PRO~CT INFO~T{ON 28<::>'§ ToNe.:H Address (include Bldg/Suite #) Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # o r Proposed Use LOU~\ 31 F T, # of Bedrooms # of Bathrooms ;i . CONTACT PEIJ,SON (!f djffere{lt from 11ppllcant) Name Address t!;,t Comractor O Agent for Contractor O Owner i?Al'<.\<B.(2, C.-A-C,LSMl<) I Address City 0 Agent for Oy,,ner City Name Address City 5. (,QNl]3ACTQR: CO,.,_PANY ~AME State/Zip Telephone # Fax # State/Zip Telephone # 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 exemp ·on, 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 ($5 ]). t '2-:---E:... · rvt-C. f<..C S A-C> S'l'i> - Name Address City State/Zip Telephone # State License # 2oCf 5 e> \ License Class--==-------City Business License # I '2...ob I Q,;,L Designer Na"!'e Address City State/Zip Telephone State License # _________ _ 6. WOIU((RS' COMP~N.SAT(ON ~ ers' 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 workers' compensation as provided by Section 3700 of the Labor Code, for the performance ~e work for which t his permit is issued. _,18( 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_____________________ Policy No.____________ Expiration Date _______ _ SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 come subject to the Workers' Compensation Laws of Ca · ornia. WARNING: Failure to sec e workers' com thousand dollarJ ( $, 100 00 , in ddition to unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred SIGNATURE·-----4-j-J,-"'Cl..,_,,.""'-,.,_---;r-..=...::::,e:_ ___ ===--------=--- 7, OVl(Nl;F!-BUIJ..DE 0ECLAR~TION . damages as provided for in Section 3706 of terest and attorney's fees. DATE O / I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with w ages 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). 0 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. 0 YES O NO 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 t o provide portions of the work, but I have hired t he 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 ______________________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS QNLY Is t he 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 Act7 0 YES O 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 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 tha work for which this permit is issued (Sec. 3097(i) Civil Code), LENDER'S NAME_______________ LENDER'S ADDRESS. ________________________ _ 9, APPLICANT CERTIF.ICATION 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 wit h all City ordinances and State laws relating to building construction. I hereby aut horize 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 " dee and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit iss · · f this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not permit or if the building or work authorized by such permit is suspended or abandoned at any time after lhe work is Uniform Building Code). DATE PINK: Finance ,, ~ City of Carlsbad Bldg Inspection Request For: 10/17/2001 Permit# CB012098 Tille: DERWOOD-COV PAT 378 SF Description: GAS & ELEC TO BBQ Type:PATIO Sub Type: Job Address: 2858 RANCHO DIAMONTE Suite: Lot 0 Location: APPLICANT PARKER, DAVID Owner: MURRAY DURWOOD R&LLOYD MARY C Remarks: Total Time: CD Description Act Comments 19 Final Structural & 29 Final Plumbing ~w 39 Final Electrical Associated PCRs lnsgection History Date Description Act lnsp Comments 06/25/2001 11 Ftg/Foundation/Piers AP PD 06/22/2001 11 Ftg/Foundation/Piers NR AR NO PLANS 06/20/2001 11 Ftg/Foundation/Piers WC AR Inspector Assignment: PD --- Phone: 7607041809 Inspector: ----- Requested By: DERWOOD Entered By: CHRISTINE 06/20/2001 21 Underground/Under Floor AP AR GAS AND ELEC ONLY 06/20/2001 31 Underground/ConduitMWiring AP AR 06/20/2001 53 Electric/Conduit/Wiring WC AR _f3BQ. (-16/ > I Jo..c. u. ~ z; I l I I I ,5 ✓-7" [ '-' --r-r ,r " , . I' r ----I V q