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Home My WebLink About2668 SAUSALITO AVE; ; CB043671; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No: CB043671 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2668 SAUSALITO AV CBAD PATIO 1675612500 $9,672.00 Lot#: 0 Construction Type: NEW KIMBALL RES 744 SF ALLUM. PATIO COVER PER ICBO # 2621P Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 09/23/2004 SB 09/23/2004 09/23/2004 Applicant: NORTH COUNTY DECK & PATIO KIMBALL RAYMOND&MICHELLE TRUST 01-09-04 1338 MELROSE DRIVE VISTA 92083 760 941 5326 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 Total Fees: $165.49 2668 SAUSALITO AVE CARLSBAD CA 92008 $99.69 $0.00 $64.80 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $165.49 Total Payments To Date: $0.00 Balance Due: $165.49 1B1.1 09 /23/04 0002 01 CGP Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmposi n' 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 fe s/exa i n f which ou h r vi I been i NOTICE similar t hi r t hi h h atute of Ii i ions h s r i I o herwi 165,, W FOR OFFICE USE ONLY PERMIT APPLICATION · CITY. OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHE'9 ~O. OL15~ t/ EST. VAL. b 1z. Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use I of Bedrooms I of Bathrooms Fax I Name < Address ' City State/Zip Telephone I :~~~nw~:~;;~('d~P.r~~:~~w.t:~,~lt:<;~~·~~;]~~;~:2".l~-~%'.:'~ ,."~ii:s;·~~~~:'.~~i•.~~~:~Q~~~!i, .. ~~r.aem~NiND~,-rJ~~~:-ii~~.,~"1~~:~~rt:~~ir ~~::t xj;~~ f; :":S~J:' . . · ~./'.·,~.:-t':'.'f;a1iZfa~~~t:.~~~1£t_~~tt~-:~rfi1~ .. ~~11.~1~:~ CSec. 7031 .6 Business and Professions Coda: 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 end Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Sect,jon 7031 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [ t600)1. /\I n c"JY>-Ce, t:,oL D -u .\::-, P,,, T, o Name 9 Address /2 City State/Zip Telephone I State License I JS d I 3 d ~ License Class __ _...,b)...______ City Business License I /-Z. / 3 o6 L.. Designer Name Address City State/Zip Telephone State License I _________ _ fi1'~iBhBSllC_0Me,jN.$'AIJQN);f?t:wfir;:.;UJ.:. • .;.:E>!:: ... :..J.i.;;.:..;J:,,.:;;.," • :,., '"· , ,,,,r.,\:,.~,;fa:::_\(.t:t:,, . ,, ·•· • .. , , !), __ ,,1;;1:1tt~...::,,.'.tt 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 3 700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and will maintain workerJS' compensation, IS 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 ~rrier and policy number are: 3tf'l 't)'f -J ,1 Insurance Company$::J4J'.-< F.Jcdz Policy No.____________ Expiration Date f O -I -o S-- ITH1s SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESSI 0 CEi:TIFICATE OF i:XEMPTION: I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any m~nner ~o as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to worlten' compenaatlon coverage la unlawful, and shall subject an amployer to criminal penaltlea and clvll finH up to one hundred thouund dollar• ($100, , In llddltlon to the t of compenaatlon, damage• u provided for In Saction 3706 of t'},fabor code, lnterHt and attorney's fHa. SIGNATURE ---DATE ..:x.,_·-d 3 ' 0 y 1111DW . . .. · · ; ar~-· ~-~~~~~t.t[t~~~~Fi~It~~ri;:~A~i%Ii~~~~ik~~afi1It~f~.l~~~:tll~rt\f~~~~ I hereby affirm that I am exam from the Contractor's Ucense Law for the following rea■on: 0 I, H owner of the property or my employHs with wages as their sole compensation, will do the work and the structure is not Intended or offered for Hie CSec. 7044, Buslneu and ProfHslons Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon, and who does auch work himself or through his own employeea, provided that auch improvement• are not intended or offered for sale. If, however, the building or improvement la sold within one year of complatlon, the owner-builder will have the burden of proving that he did not build or improve for the purpose of 11lel. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project CSec. 7044, Business end Profeaslona Code: The Contractor'• Ucenae Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(al licensed purauant to the Contractor's Ucenae Lawl. 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide th• major labor and materials for construction of the propoaed property improvement. 0 YES ONO 2. I Chave / have not) signed an application for a building permit for the proposed work. 3. I have contracted .with the following person Cfirml to provide the proposed construction Cinclude name / address / phone number / contractors license numberl: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work Cinclude name / addreas / phone number/ contractors license numberl:, ______________________________________________ _ 6. I will provide some of the work, but I have contracted Chlredl the following persons to provide the w~rk Indicated Cinclude name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ kiiMR,llHHiJt§.ECit<ft\ir~Qffif!,Q/!W..$i/).f.i:7M'/,;:9i,!,l~Q!Nffl.llMhtl~QN!;Y:t:f~.IJ.;~:~!'.,:i;;.s.::i.,~1bbi·1l~~~·,ei,~liW1-(,i!lieJAGii~~~,i!.:iiiJ~i:•\ii:ii~~~~~m.'t11i~"jj~.Jl!J.ij Is the applicant or future building occupant required to submit • business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25633 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"'ll.,nstructed within 1,000 feet of the outer boundary of a school site? 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 CO~TROL PISTR!CT. t1m ®:N1m~t~J19.:~~ttP.Jj~~Ji:Q.~N.~j~J.~~~r..~~M~t·:';:}~.:ic(k".::k~.rJ~t~t~¼ia~1~:.~,:£t;~~~=;:~QktL. d,i;~~::s·:~~:'~i:~:{;j;CJ~L ~· l~J·:;._:, .. i._~;,.~.L=d"~::.~;:i~~-.~-L:~~.,~~% ::~·:~:~::,,~:t.S,:Jj-~:~~-~~~~1~-~~~:;J~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 3097Ci) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ i ~~tP.U.CANtii:iBJiifJC.Allo.Ni~~~tGJ'~~1:~~t~~v·,;~~~;~,:~:~i,;::,,1J~~~~~.,\~b:,.tt<:·~'i;.,.~1~~~>~~~.~:i~~~~i~~i{~t~.r1:t;;";i.r----;:~lii.:..!'1~::,~-~,·:-·~,J~l).f;f4~Iwt,;j~i~titc:~i~~~;& 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 la required for excavations over 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the ilding Official under the provisions of this Code shall expire by limhation and become null and void If the building or work authorized by such permit Is not comme ithln 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 comtoiancal'Udr a period of 180 days lion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE'-=,,....::_µ~-¥:;____;::::..,.o::--1f--------------------DATE _,5?.___-.... J-_;3=----t)__,,__Y ___ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/13/2004 Permit# CB043671 Title: KIMBALL RES 744 SF ALLUM. Description: PATIO COVER PER ICBO # 2621P Type: PATIO Sub Type: Job Address: Suite: Location: 2668 SAUSALITO AV Lot 0 Inspector Assignment: Phone: 7609415326 Inspector: JkA OWNER KIMBALL RAYMOND&MICHELLE TRUST 01-09-04 Owner: KIMBALL RAYMOND&MICHELLE TRUST 01-09-04 Remarks: Total Time: CD Description Act Comment Requested By: LARRY Entered By: CHRISTINE 19 Final Structural ~------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments