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Home My WebLink About2855 RANCHO CORTES; ; CB042803; Permitcc 1 -llin£, City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-19-2004 Patio/Deck Permit Permit No: CB042803 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2855 RANCHO CORTES CBAD PATIO Status: Parcel No: 2226602600 Lot #: 0 Applied: Valuation: $1,116.00 Construction Type: NEW Entered By: Reference #: Project Title: Applicant HAMER JERRY HAMER RES 144 SF PATIO COVER GAS/ELEC STUBS 2855 RANCHO CORTES CARLSBAD CA 92009 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: HAMER JERRY 2855 RANCHO CORTES CARLSBAD CA 92009 ISSUED 07/19/2004 SB 07/19/2004 07/19/2004 $24.69 $0.00 $16.05 $0.00 $1.00 $0.00 $0.00 $47.00 $0.00 $88.74 Total Fees: $88.74 Total Payments To Date: $0.00 Balance Due: $88.74 FINAL APPROVAL DATE'zj__~LFARANCE SIGNATURE , ~----- 6931 07/19n,, 0002 n 02 CGf> :jfl .74 PERMIT APPLICATION FOR OFFICE USE O~ Gjl,i? PLAN CHECK No.C'il L(,Z UJ CITY OF CAfqLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __ t:........,.__I....L./-=b"---- Address (include Bldg/Suite #) Legal Description ssessor's Parcel# t--- CO Uc::~ .. SO. FT. >" Business Name (at this address) Unit No. Phase No. Total II of units Proposed Use #of Stories # of Bedrooms II of Bathrooms \ la;~o'.tffACJru>J;FJ§Ql!l!(l(~.;.iil1fi9r&!!PP~nttl:JJ 'J,t~l.'~i'i"~itf.1~1'!~~.:',i(:..'< :~A •~,f,. ,, k 1, dfi,V'\;;J$!,;•,1 a,:,., ~·14:it, .. , •·• • · ·.:.: 'J., .• , ·c Name Address City State/Zip Telephone II Fax II @1L~~1~:•11!l}.¢e~~~n(,p~A,t~~~;fj~;~•=~;; ,-.•~~9AD~-J fg9 ;_ 1l-8~• i ~.~!!~~==~·:=::~=:;;s!\:::'::. ::=::;~;,~. :::i?::::i:::::',:;~: 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 tor 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 II _________ _ ~~~:'~~~~P~~~~~~~!~~~b~~~t~-,~~~:*9fa~;"~1 p;,;~~~~o~; ~';';~;· fot~:;~~t ~~~j~~:;i~~s: ,,:;,J 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 tor which this permit is issued. O 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 _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) V CliA'flFleAT! 01' !,CEMPTION: 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 ~acoma subject to the Workers' Compensation Laws of California. · i WARNING: Failure to aacura workars' compenaatlon covarage 11 unlawful, and ahell 1ubject an employer to criminal penaltie■ and civil finH up to one hundred thou,and dollara 0,000), I ddltion to the coat of compenaation, damagH a, provided for in Section 3706 of the labor code, lnterHt and attorney'• fee,. SIGNA-'Tt/R:E:=:=~1=;#~~~~::::::________________ DATE ::Z I f o "-f ~QY.iij_efilllt ''it""".. cffA'BitllG.fti ~~L~£,t{~~~f¥.k~~~~'l \,~±tiifr~ti!F::~· K~~,:',\il:FJ.~:~·~\;t-";;~ ;~\r;::_:,ft¥1·lt~h;.,,(f~'.-:.~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: rg" 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 {s;c, 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 (Sac. 7044, Business and Professions Code: The Contractor's License Lew 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 e>1ampt 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 constructipn (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):. __________ -==-""'""----r-~---------------------------------------- PROPERTY OWNER SIGNATURE ~.....,1.1--J.~Y~~~==-----.:..._ ____ _ [pQMP.rol.~1!1~:~~~TIPft:FQP,~N.~fi, 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 26606, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?· 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? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A Flr~.;1L CERTlflCATE C!' OCCUPANCY ~y NOT BE ISSUED UNLESS THE APPLICAl'jT HAS MET OR.IS P.,'IEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. !!El;! &.Q.~~I!lU.~IJQ'.~.;1,;_~g!!i_G~.~~-c;Y.;~~~'~.'{•;;;\;.','-::&~1'.~~:::l!:.;.~,:'~~!:i:::~;~:L:.. ,.~ •. :.. .. .':..:,.~--· .:..:~ )....,, .. ---~-. .. . . • : : ~-- 1 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, ________________________ _ tiJ' · ' ~P.Pl:J~ANiT~l8ml:CA1i..Q~,t~~~&~~.ii~:J.~;,,.;.,,Q~~~~~~~~~m~•,:, !!t'i:i~<,1-~;-. ~~\-.;,;:.:~, ,, · '.';...;J:-,,, <~ a· -'\,:;, , .... , • +::s -,j,_,._ ~.:;,., 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 j authorized by such permit is not commenced within 1 BO days from the date of such permll or If the building or work authorized by such permit is suspended or abandoned at any time after lhe work is co need for a p 10d of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~....,..;f:.._...,le.~-;J...J~~~===-------------DATE 7 -/ '1 -0L-j WHITE: File YELLOW: Applicant PINK: Finance ., City of Carlsbad Bldg Inspection Request For: 08/06/2004 Permit# CB042803 Title: HAMER RES 144 SF PATIO COVER Description: GAS/ELEC STUBS Type: PATIO Sub Type: Job Address: 2855 RANCHO CORTES Suite: Location: APPLICANT HAMER JERRY Owner: HAMER JERRY Remarks: AM, PLEASE Lot 0 Inspector Assignment: JM --- Phone: 7604381582 Inspector: Total Time: _____ Requested By: JERRY HAMMER Entered By: CHRISTINE Act Comment ~t _______ _ CD Description 19 Final Structural 29 Final Plumbing t ~~,~~~ Associated PCRs/CVs lns12ection Histo!Y Date Description Act lnsp Comments 07/21/2004 14 Frame/Steel/Bolting/Welding NR JM patio cover not complete 07/21/2004 23 Gasrr est/Repairs AP JM 07/21/2004 31 Underground/Conduit-Wiring AP JM