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Home My WebLink About2873 SEGOVIA WAY; ; CB031705; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-20-2003 Patio/Deck Permit Permit No: CB031705 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2873 SEGOVIA WY CBAD PATIO Lot#: 0 2552804100 $1,071.00 Construction Type: NEW ., rv Lu i-rt\'C«w.J Status: Applied: Entered By: Reference #: Plan Approved: ISSUED 06/20/2003 CB 06/20/2003 06/20/2003 Project Title: Applicant: KOLE RES-84 SF ALUMINUM PATIO COVER-DETACHED/OPEN LAT ICBO:2228P Owner: Issued: Inspect Area: Plan Check#: KOLE WILLIAM&VERA A KOLE WILLIAM&VERA A 2873 SEGOVIA WAY CARLSBAD CA 92009 944-6955 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: $38.97 2873 SEGOVIA WAY CARLSBAD CA 92009 Total Payments To Date: $0.00 $23.01 $0.00 $14.96 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $38.97 Balance Due: $38.97 7933 06/20/03 0002 01 CGP 02 38.97 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.l--P.,O 3/ ""70S CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By_tc,,..;.~""'-------- Date (.(}-2 o ~().3, '/~fA ~~~"'";,,o~ul Lot No. Subdivision Name/Number Unit No. Legal Description Phase No. Total II of units f-------=-----,------,,...------.-----...u Proposed \,Jse Name 1 d Name Address City S.tate/Zip Telephone II ,13~~~~~~~~~~ (Sac. 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, commanding with Section 7000 of Division 3 of the Business and· Professions Coda) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Name Address City State/Zip Telephone II State License II _________ _ License Class _________ _ City Business License II _______ _ Designer Name State License II Address City State/Zip Telephone rc1 •KwltsmINJ•~· ~~~&~.k~.i.t~~t'llf~~iZ~,~•mm~.mF~•~ 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 Coda, 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 Coda, 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 _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is Issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to Hcure worker1' compen■atlon coverage i• unlawful, and ahall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar• ($100,000), in addition to the coat of compenaatlon, damegH aa provided for in Section 3706 of the Labor code, Interest and attorney'• fees.· ~::::::~i~~~~~~~·;h:~·Con::c:~~~~~-~~~D.m~B~-~~~Jl~~l~~ ~ 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 (Sac. 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 <?r 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). QI 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. ~ 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 parson (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 soma of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): -:fr:-- . PROPERTY OWNER SIGNATURE /4,_)art t(~i.£___;--DAT5 /, 1 2,.b,-l) j !.i2.1li.wt~ffi!~tffl~~~i:r~:'.Nlllf§ffl1.~imlffi.Af!'Uft:L~~a~•~~1~ir.:ag~v..:;1im~:tt~~1~.;.~~~-k~t'[:k.1·;,fti.'ll! 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 26634 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? O 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 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. fi!, , W.tl~1tl\1:1~J\i:@~M!iiff{fill{!iJ!:m -~~a~~~'.ft.~WW~f.r~~r~~r!.1~~%ifi':!.1i~i~~Y:~i!'!);:~~::£$ii~~~Ji~~;~,il.~:r1:!f"4f>'J~~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sac. 3097(i) Civil Code). LENDER'S NAME _______________ LENDER'S ADDRESS. ________________________ _ r.f~t,m~NIJ'.i'.m!i~a~'imtttJm..~.i~~tr~~••t"'~~~J.Y:~1t~~•irm~~l&'t;l[~•~~1~Jm~m1J I certify that I have reed the application and state that the above information is co~rect 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 ALS.0 AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 6'0" 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 Y authorized by such permit Is not commenced within 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any !Irr •118r the work is commen ed for a per' ;,f 11J> days (Section 106.4.4 Uniform Building Code). APPLICA ., SIGNATURE 1 t!J"(,,,t__-. . ' DATE k ~ 2_ CJ .. ~ 3 WHITE: File YELLOW: Applicant PINK: Finance