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Home My WebLink About2862 RANCHO CORTES; ; CB043123; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No: CB043123 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2862 RANCHO CORTES CBAD PATIO Status: Parcel No: 2226600400 Lot #: 0 Applied: Valuation: $6,222.00 Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: ALVERSON RES 488 SF DECK Inspect Area: PER CITY SPECS, REMOVE WINDOW ADD DOOR /ELEC Plan Check#: Applicant: ALVERSON GARY □&ANITA M 2862 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 Owner: ALVERSON GARY □&ANITA M 2862 RANCHO CORTES CARLSBAD CA 92009 ISSUED 08/06/2004 SB 08/06/2004 08/06/2004 $76.59 $0.00 $49.78 $0.00 $1.00 $0.00 $0.00 $20.00 $0.00 TOTAL PERMIT FEES $147.37 Total Fees: $147.37 Total Payments To Date: BUILDING PLANS /IN STORAGE V-ATTACHED $0.00 Balance Due: $147.37 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ON~ /]_I Z7'Z PLAN CHECK NO. C.:~o~ ✓ -;/ EST. VAL. b2 ;-z. u 1. PROJECT INFORMATION Business Name (at this address) lot No. Subdivision Name/Number Unit No. Phase No. Total # of units tt~~I Proposed Use )r15s;t7;L / '\j'escription of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms ----2. CONTACT PERSON (if different from applicant) Name Address _3. APPLICANT O Contraotor ~ /Name ~)-~ A,4. if PER 0~ ER ~Y\\t<- 0 Agent for Contractor O Owner Name Address 5. CONTRACTOR • COMPANY NAME City 0 Agent for Owner City State/Zip State/Zip Telephone# Fax# 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 # State license # _________ _ license Class _________ _ City Business license # _______ _ 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: O 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 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) O 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 coda, 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: 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). 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement# YES ONO I (have / have not) signed an application for a building permit for the proposed work. 1. 2. 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, b following persons to provide the work indicated (include name I address / phone number / type of work): _________ 7 _7"""+--.C~=--,--F--f-J~---:---:--:-------------:~+--""T-1---,-------- PROPERTY OWNER SIGNATURE /-~~q,'1l.(,..r,,.U.~~~~!.:!:~~~~~..!....l...--- COMPLETE THIS SECTION FOR 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 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"$ 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 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 issue y 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 no om encoo w· hin 180 da the date of such permit or if the building or work authorized by sue permit is suspended or abandoned at any time after the work is mme d for. 0 d ection 106.4.4 Uniform Building Code). Q {) APPLICANT'S SIGNATUREL~:Zl.d.!\..~~~'-=~i2:.~~~~~~~~~------DATE _ _:O~J....!,~5:./.-~./----- YELlOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/06/2005 Permit# CB043123 Inspector Assignment: JM --- Title: ALVERSON RES 488 SF DECK Description: PER CITY SPECS, REMOVE WINDOW ADD DOOR /ELEC Type: PATIO Sub Type: Job Address: 2862 RANCHO CORTES Suite: Lot 0 Location: APPLICANT ALVERSON GARY D&ANITA M Owner: ALVERSON GARY D&ANITA M Remarks: Total Time: CD Description Act Comment Phone: Requested By: NA Entered By: CHRISTINE 19 Final Structural ¥----- Associated PCRs/CVs lns(1ection Histoty o'-( -'?:>l I 3 Date Description Act lnsp Comments f~ 10/12/2004 18 Exterior Lath/Drywall AP JM SIDEYARD DOOR REQUIRES LIGHT 09/21/2004 14 Frame/Steel/Bolting/Welding AP JM (2) DECK DOORS 09/21/2004 34 Rough Electric AP JM (2) LIGHTS f~ ? 08/27/2004 14 Frame/Steel/Bolting/Welding AP JM DECK 08/27/2004 34 Rough Electric AP JM 08/26/2004 14 Frame/Steel/Bolting/Welding co JM GUARD RAIL TO RIM JOINT 08/12/2004 11 Ftg/Foundation/Piers AP JM (5) POSTS ..c..~ ~'Flb:;i::i:;:;::i::;::;::;::;:;:::;:;::;::;:;::;::;:;:;:;:;J I i)u>t\\;.,,c~ / / ~/ll•NCe 1 ht,l "-----------,------- , e,._:f (!,l+i.LD I I /I / S\'Av II " I I-. --I aJaJ1222-,,c-~r-.. 0 /lfAP .it at3-KU . 1l)c. .i ;11«3 -9 //3 ;,..,•· . .v, j J~ vJ J\'j I l'l_ n' _ ~_df_.-----~~~'t::--r--------tt