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Home My WebLink About2897 SEGOVIA WAY; ; CB020172; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-15-2002 Patio/Deck Permit Permit No:CB020172 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2897 SEGOVIA WY CBAD PATIO Lot#: 0 Status: Applied: Valuation: 2552803500 $1,450.00 Construction Type: NEW Entered By: ISSUED 01/15/2002 MDP 01/15/2002 01/15/2002 Reference #: Project Title: Applicant: ASPERLAG RESIDENCE 200 SF PATIO & GAS LINE ANDERSON'S LA COSTA NURSERY 400 LA COST A AV ENCINITAS CA 92054 760-753-3153 Plan Approved: Issued: Inspect Area: Owner: 8827 01/15/02 0002 01 CGP ASPERSLAG ROBERT&OBRZUT KATHRYN J 3208 SITIO ROSALIA CARLSBAD CA 92009 Total Fees: $77.05 Total Payments To Date: $0.00 Balance Due: $77.05 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 TOT AL PERMIT FEES Inspector: Jt,.L,f e, · ~ Date: FINAL APPROVAL 'f/1,/"v ' $29.73 $0.00 $19.32 $0.00 $1.00 $0.00 $0.00 $27.00 $0.00 $77.05 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 capactiy changes, nor plannin9, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any lees/exactions of which 11ou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. 02 77-05 ' PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ,. PRQ.ieCT 'INFQRMA TION V14 w~ FOR OFFICE USE ONLY PLAN CHECK NO. o0 -l ~ EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date, ______________ _ Business Name (at this address) Legal Description. Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms II of Bathrooms i.'-~li~c:,P~R~~1~:r:tf~OPPJl•,;Qo l-A c:osrA t\-llt CAI Ls b.:.d €:Ir-<\'Z.-01..'f 3:,oro3 8'1'10 Name Address 3. APPLICANT □ .. contractor O,Agent.for·co~ctor O,0wnl~ Name 4. 6. CONTRACTQR •· COMPAN'I' NAMl Address City State/Zip Telephone# Fax# 0 Ag·ent:for Owner City State/Zip Telephone II City State/Zip Telephone# (Sec. 7031.5 Susin•lil• 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars f$600J). 1'11\, lfE t:11t't$H-'(00 t..A~'i-A All€ l..€\.C.ADlA C..11\-°l:Z,ot.4 :'ll.o :3:S"!> :}15 3 Name Address City State/Zip Telephone II Stata u,enSB# ·;JO 4 I.~ 3 Ml ~E t\14$. I::\ License Class l-1 '\ City Business License II \ 42.. 0 J 1.-2-S, 4 DO u.· (.o~TA AVIE' l£\/Ut0 I~ C.4 "11.0'2..'t i "o it!."3 1,, s-~ Address City State/Zip T elephona Designer Name State License # _________ _ 8. WORK~RS' COr,<IPEN,SATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have end will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. )it' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are~ .J fvtJ 0 Insurance Company '!It Ac Ti;: COMfENSA:T 10~ 'I N~fl-""'11'olioy No. \ (,D 1$ (:, '+':J -D \ Exp;,ot;on Date S-\ -1) '2- ITHIS SECTION NEED NOT SE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 0R LESSI D 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 Lews of California. WARNING: FaUure to ■ecure workers' compensation coverage 11 unlawful, and 1h1II subject an employer to criminal penalt~• and clvll fines up to one hundred thousand dollara lf100,000), In addition to the cost of compenaatlon, damages•• provided for In Section 3708 of the Labor code, Interest and attorney's fees. SIGNATURE _______________ -,-____________ OATE ________ _ 7. OWNER•BtllLDER'llECLARA'.1'.ION I hereby affl~m that I am exempt from the Contractor's License Law for the following re~son: 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 Ucense 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 ere not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the c;,wner-builder,will have the burden of proving that he did not build or improve tor the purpose of sale). 0 I, as owner of the property, am exclu1ively contracting with licensed contractors to construct the project !Sec. 7044, Business and Professions Code: The Contractor's License Law does not •~ply to an oWneir of property who builds or improves thereon, and contracts tor 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 ~rovide the major labor and m•terials for construction o~ thti proposed property improvement. D YES ONO 2. I (have / ~ave not) signed an application for I building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license number): 4. l plan to provide portions of the work, but I have hired the following person to coordinate, supervfse and provide the major work (include name/ address / phone number/ contractors license number): ________________________________________________ _ 6. 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): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE•THIS SECTION.FDR NON-RESIDENTIAL BUILDINl)'PlRMITS'ONI.V 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 25605, 25633 or 26534 or the Preslev•Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant r.aqulred-to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facilit\' to be conStructed within 1,000 f~et of the outer boundary of a school site? 0 YES D NO IF ANY OF THE ANSWERS ARE YES,·-,. FINAL CERTIFiCATE OFOCCUPANCY 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. Bi CON.STRUJ:TION'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'S ADDRESS. ________________________ _ ·9, APPLICANT CERTIFICATION I certify that I have read the application and atate 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 tor excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued the bulldlng Offi la! under the provisions of this Code shall expire by !imitation and become null and void it the building or work authorized by such permit is not co mence ith' 18 ays 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 lo a p 1 days (Section 106.4.4 Uniform Building Code). OATE ____________ _ WHITE: File YELLOW: Applicant PINK: Finance ·-· City of Carlsbad Bldg Inspection Request Permit# CB020172 Title: ASPERLAG RESIDENCE Description: 200 SF PATIO & GAS LINE For: 04/10/2002 Type:PATIO Sub Type: Job Address: 2897 SEGOVIA WY Suite: Lot 0 Location: APPLICANT ANDERSON'S LA COSTA NURSERY Owner: ASPERSLAG ROBERT&OBRZUT KATHRYN J Remarks: Total Time: CD Description Act Comments 31 Underground/Conduit-Wiring WC Inspector Assignment: RCB Phone: 7607030484 Inspector: /f C... /? Requested By: ANDERSON LA COSTA NURS Entered By: CHRISTINE pl_ 'f Fi N AL. e L V"'7S;.,,/C.-,4P .....:....F,~1 M_'R_L.. __ /l)_o____c._, ///'----'-SP:._._c,,____:_,4-'----,e.'---=1)----'o=--IV--=S-=''---'-T----"e"-----I!'L. r/,/1/~t STl?t1c.Tt1t?,'liL /Ip Associated PCRs Inspection History Date Description 04/05/2002 19 Final Structural 04/05/2002 29 Final Plumbing Act lnsp Comments CO RC LAG BOLTS ON LEDGER NOT 16 IN O.C. AP RC -e"'i~ l)~'tf,~ APPR<)'ED BY 64.; (;,o-> \ \ '-'-~" :,,__ ~ 0.e... 0"'-~t..r 'b ~r...dr- ,5 f JAN 1 5 2002 Ciiy of CARLSBAD BUILDING DEPT._ O ~ Sy-~5 g P.,~ .... ? s' J_d""s(,~ --........, ----......... ' l0 JC ~o woe J.. ?cJ-;o~ve..f Ho\.lS~ ,4.s ~E:i ~ () trJC-€ 2..i,~ 5C:~C>\JI A vJ ~I QA-yU.C-,. ~ ,\ !) I C../t 4t-Z.00 t\ I I I ( 'f1V'e t It I I"-}"'i /,,..e.. I 2. 'S_ I ANDERSON'S LA COSTA NURSERY 400 LA COSTA AYE. ENCIITAS CA. 9202-4 (790) 1'H153 o\-\l'l__ ~ u