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Home My WebLink About1293 SHOREBIRD LN; ; CB043453; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 09-02-2004 Patio/Deck Permit Permit No: CB043453 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1293 SHOREBIRD LN CBAD PATIO Lot#: 0 2157800900 $4,004.00 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: ISSUED 09/02/2004 SB 09/02/2004 09/02/2004 Project Title: DANA RES 308 SF PATIO COVER PER CITY SPECS Owner: Issued: Inspect Area: Plan Check#: Applicant: KIMO'S LANDSCAPING DANA FAMILY TRUST 01-28-88 511 FIRST ENCINITAS, CA 92024 619-436-0359 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: $101.96 1293 SHOREBIRD LN CARLSBAD CA 92009 Total Payments To Date: $0.00 FINAL J~P~~VA~ Date: L f '/ {) $61.19 $0.00 $39.77 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $101.96 Balance Due: $101.96 0354 09 102104 0002 01. CGp Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f s/ x · n f whi h v r viou I n iv n N imil r o this or whi h h f limit h I h rwi e ir 02 101-96 t'OR OFFICI: U~ UNL Y PERMIT APPLICATION PLAN CHECK NO ao,..,(°1<-lS) EST. VAL. q;;'-'/ -CITY OF-CARLSBAD BUILDING DEPARTMENT .1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit~ Validate ~ I Date_.......,-+-~l,l',,''-"-l,--------- l1ll?lllliOIG l::Z,<\3 S~\rd Address (include Bldg/Suite II < •· .~t:a....ii~ , \<, M .. cl S \.a-nd$.CA.R \ ~ Business Name (1t this addressl legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Proposed Use lot Stories I of Bedrooms I of Bathrooms (Sec. 7031.6 Buslneu and Professions Code: Any City or County which requires I permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file I signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of bivislon 3 of the Business and P.rofesslons Code) or that he Is exempt therefrom,. and the basis for the alleged exam tlon. Any violation of Section 7031.5 by any applicant for a permit subjects 1p licant to• civil penalty of not more than five hu red d l■rs ($60011, ~~~L=~~V-'·J.llo4-....:..'=1/4o=--10i~u;;;...£~=J\L.U~s=~,....,....~~...L...::.o~~.u.Ao,~~o::..a.,_-~02 Address City State/Zip Telephone I State license I _l-\...:...\=--K)...,__.&.J .... ~,c;;:;---license Class _(=---,Z.:-=-J__,_ ___ _ City Business license I \J..C 3':i\"J Designer Name Address City State/Zip Telephone State License I $a.,M~ Workers' Compensation Decleratlon: I hereby affirm under penalty of perjury one of the following decl1r1tlons: 'SJ, 1 have and will maintain a certificate of consent to self-Insure for workeri compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which thl1 permit Is Issued. lJ I hive and will maintain workers' compensation, ea required by Section 3700 of the Labor Code, for. the performance of the work for which this permit Is Issued. My worker'alompenaatlon Insurance carrier and policy number~ Insurance Company IA~~ '4~45,.-• -Polfcy No3~j ::Z,J,}i -dj I Expiration Date 'i/1 / o> r• (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR USS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thl1 permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation· laws of California. WARNIN0: F..._ to _. worltan' compenutlon covenige la unlawful, and lhllll IUbject ., employ• to criminal penalties and clvM fine• up to one hundred thousand ma.a (U00,000), In addition t~tlon, clamagea es provided for In Section. 3708 of the labor code, ln\9;Ht and.. attorney•• fN•-. s10NAwR~~ ~ oATE 2-'--c~ . -~ -lfffflJlfF!t:i:iS~lJ~~.J} ·1 hereby affirm that I am exempt from the Contractor's license Law for the following reason: O I, 11 owner. of th• property or my employees with wages as their 1018 compensation, will do the work and the structure is not Intended or offered for sale (Sec. 7044, B119lneu 1od Profe1sio.n1 Code: The Contractor's Ucense law dou not apply to an owner of property who builds or improves thereon, and who does 1uch work hlmaelf or through his own employees, provided that such Improvement■ are not Intended or offered for sale. If, however, the building or improvement is 1old within one year of completion, th• owner-builder will have the burden of proving that he did not build or Improve for. the purpose of'salel, 0 I, 11 owner of the property, am exclusively contracting with licensed contractor• to construct the project (Sec. 7044, Business and Profeaslons Code: The Contractor'• Ucenee Law doe1 not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractcir(1) licensed pur1uant to the Contractor'• license law) • . 0 I am exempt under Section ____ _,__ Buslnes1 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 / hava not) 1lgned an 1ppllc1tlon for a building permit for the proposed work. · 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/ contractora licenae number): ________________________ ~---------------------- 6. I will provide 1ome 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 ~~-~NilliliM1uimll , I• the applicant or future building occupant required to 1ubmit • busineaa plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 26633 or 26634 of the Preslev-Tanner H1zardou1 Sub1tence Account Act7 -· 0 YES O NO 11 the applicant or future building occ_upant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO la the facility to be constructed within 1,000 feet of the outer boundary of a school aite7 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ~fi~WWi~vBA~-~~!!l.E\Ifflfwl'IR:il.?J%: .. {;,;i~rJ:1;,'ti;l..;i'k& &il~fa1 •. i~;;:ft.121, ,';;;\ :!j fl;l•/W •. ~ifljfil;) .~t!':li~~;~'.Ll I hereby affirm that there is a construction lending agency tor the performance of the work tor which this permit Is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS ..r. ,f I.certify that I have read the application and 1t1ta that the above Information 11 correct and that the Information on the plans is accurate. I agree to comply with all City ordlnancea ind State law, relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for Inspection purpo1111. I ALSO 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 GRANTIN0 OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over s•o• deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued by the building Official under lhe. provisions of lhls Code shall expire by limitation and become null and void II lhe building or work authorized by such permfl Is not commenced within 180 days from the date of such permit or If lhe building or work authorized by such permit Is suspended or abandoned at any time after lhe work Is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~*/ ~ WHITE:deYELLOW: "Applicant PINK: Finance DATE City of Carlsbad Bldg Inspection Request For: 11 / 1 6/2004 Permit# CB043453 Title: DANA RES 308 SF PATIO COVER Description: PER CITY SPECS Type: PATIO Sub Type: Job Address: Suite: Location: 1293 SHOREBIRD LN Lot APPLICANT KIMO'S LANDSCAPING 0 Owner: DANA FAMILY TRUST 01-28-88 Remarks: Total Time: Inspector Assignment: PD --- Phone;,z2 lnspe~-2- Requested By: DAVID Entered By: JANEAN CD 19 Description Act Comment Final Structura~~~---~ £-_-------------------- Associated PCRs/CVs Inspection History Date Description 09/21/2004 11 Ftg/Foundation/Piers Act lnsp Comments AP PD