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Home My WebLink About2894 RANCHO CORTES; ; CB033222; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ~0 11-20-2003 Patio/Deck Permit Permit No: CB033222 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2894 RANCHO CORTES CBAD PATIO Status: Parcel No: 2226601200 $1,275.00 Lot#: 0 Applied: Valuation: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: SHI BUILDERS HICKMAN RES-100 SF DECK WITH SLIDING DOOR 5620 PASEO DEL NORTE CARLSBAD CA 92008 619 972-4043 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 Plan Approved: Issued: Inspect Area: Plan Check#: Owner: HICKMAN AF 2894 RANCHO CORTES CARLSBAD CA 92009 ISSUED 11/20/2003 KMT 11/20/2003 11/20/2003 $26.37 $0.00 $17.14 $0.00 $1.00 $0.00 $0.00 $30.00 $0.00 $74.51 Total Fees: $74.51 Total Payments To Date: $0.00 Balance Due: $74.51 9184 11/20/03 0002 01. CGP Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions 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 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 f I i n f hi h v r vi Tl imil r o i hi f limi h I h rwi 02 74-51 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. FOR OFFICE USE ONLY ? 22 2_ PLAN CHECK NO.CL;i) 5 7. EST. VAL. 4 ;2_75,00 Plan Ck. Deposit t/lF Validated By , _ Date /I L-2 ol~ r, Business Name (at this address) Legal Deicription Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms j State/Zip Telephone# Name City State/Zip Telephone# [4. P80PERTY 0='.1: , is(h 8½ .!J0, :kc< Name Pcoe.c2 D< (~t;., · • UsL.,J City S.tate/Zip Telephone# 6. (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 Profetions Code) or that he is exempt therefrom, and the basis for the alleged exe tion. Any violation pf Section 7031.5 b any applicant or a permit subjert~ V,e plicant to a civ· pe atty of not more than five hundred dollars ($5001). • -\ 0 it -C -e_ I\JD.r e Designer Name State License # ---~=-------- Address City State/Zip Telephone (8. WOR!li.!!S' CO..Mf'~N._$.ATION . 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. in ranee c rrier and p licy number are: Insurance Company _ _fj:....!!MA.!.!=:::i..:::L....!::~1.Ql~...l<:~LI51.. _____ _ PolicyNoO O ~-acoloV-1 <..e (THIS SECTION NEED NOT E COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) Expiration Date O /r, / ~ 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($ 0,000), In ad tha cos aat on, damilgea aa provided for in Section 3706 of the Labor cp_dze intereaymd attorney's fees. =--l:,'~=::::::::_~~Z..--------,:----. ________ DATE !l--2-o( 6 3, 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 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). O t, 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 ONO 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 / 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 / address / phone number I type of work):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ [COMe.LET~THIS SECTION FOR IVQl'{•RE!;IDENTIAL !3UJl,.DIN1i {'ER!l/l)JS OI\ILY 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? 0 YES O NO ts 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,_~~T_f!l!,CTIQ!i.1,ENDING AGEtiC-,..,Y._ __ ,._ _ _. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ \9, Aeel'.tC.MIL CERTIF~AJIQ.N 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 t o 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 wi in 180 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 com ced f r riod of 180 days ~ctian··Hl6.4.4 Uniform Building Code). / / APPLICANT'S SIGNATURE --,,!~===:_~::_.::.5;:=.----------------DATE /; (dO(O 3 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/05/2004 Permit# CB033222 Title: HICKMAN RES-100 SF DECK WITH Description: SLIDING DOOR Type: PATIO Sub Type: Job Address: 2894 RANCHO CORTES Suite: Location: APPLICANT BHI BUILDERS Owner: HICKMAN AF Remarks: Total Time: Lot 0 Inspector Assignment: JM --- Phone: 7608034455 Inspector: Requested By: BEN Entered By: ROBIN CD Description Act Comment 19 Final Structural ~------- Associated PCRs/CVs lnsQection HistO!Y Date Description Act lnsp Comments 09/09/2004 19 Final Structural co JM remove drywall screws @ A35s & renail. 07/06/2004 14 Frame/Steel/Bolting/Welding co JM STRUCTURAL FRAME NOT PER PLAN 03/17/2004 19 Final Structural co JM BEAM REQUIRED 01/15/2004 19 Final Structural co JM SEE NOTICE ATTACHED 11/21/2003 11 Ftg/Foundation/Piers co PS FTG ALREADY DONE WINO INSP ·----~-· , ___ ' ------~~-P-, BY: ~ NOV ?, ,J 2G0J City of CARLticlAO BUILDING DEPT. PLANNING DEPARTMENT APPROVAL BY: ,,, DtkRn P02'tiit,½,. DATE: /I t dO { <l> 3o -----------~_y