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HomeMy WebLinkAbout154 SYCAMORE AVE; ; CB022668; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB022668 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference#: Project Title: Applicant: 154 SYCAMORE AV CBAD MISC 2041210600 $0.00 FRENCH RESIDENCE REBUILD EXISTING DECK FRENCH CLARENCE L JR&JEAN R TRS 1545 CREST DR ENCINITAS CA 92024 Subtype: REPAIR Lot#: o Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/08/2002 MOP 09/08/2002 09/08/2002 FRENCH CLARENCE L JR&JE~ftTtJ9i/09/02 0002 01 1545 CREST DR ENCINITAS CA 92024 CGP Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: PERMIT Clearance: $60.00 $0.00 $0.00 $60.00 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 specitied 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 02 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.{::Lr ~ e • CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ Business Name (at this addressl Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Tota I # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# ,t• iiJiifli~icit,ftJ'.:: 'El tfonttimtrit -,, ,,ia:)~gent'fi!i/Fc~iiirii~t• ; E::ow~iih": •• m • Agerit•frir: owner- Name Address City State/Zip Telephone# -fi~Y;'!1:~Y'"0i!;i-;:;/lc,--· ' ---·---:-:·1:sr/·c;:.;;;~;,:.-kve -. ~rb ~iJ ----r)odk . ~_j fl ~ 3c:i, i 7 Name Address City State/Zip Telephone# ist1;(FijdJi,ll\ijjliQ/t(iij-)I•cpriijpAi',iy,;,AMi::".l' :;•·::•-::,:,;:,ce:;:\•'•::er:,•,-;;:•--'' !Sec. 7031.5 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 tnat 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 crass _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License# _________ _ :iJj:\,i:'.WQjijf(ertstCoMPENSA.t'JOiii::' :-::a,;: .;;-, ,,,-,,:, :.~·-'.,i'"' 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 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) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issL1Bd, 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 shaH subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {$100,000), In addition to the cost of compematiOn, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. ~;:;-;~;:R-.t-,a-i;i_il::_t:se--lt-.,-. .,-ec_'t_-'A' -.. Fi_A_'l'-10-iil--::-,,-,:::--.:c:_t_;_:':_:·--.-\•-•--'.i-;:,-_r_:,_::---... --,;'_/_:;i_/_;;:'_;:_•---a:-•--;c-.--.-------.--y-,-,-'.--------DATE--------- 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: ~ 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 ~ec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, end 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 ______ Busir1ess and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of thll proposed property improvement. 0 YES ONO 2. I (have/ have natl signed an application for a bu'ildmg 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 numbarl: 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 worl<, but I have contracted (hired) the following persons to provide the work indicated !include name/ address/ phone number/ type of work): ___________ .,,..-----:::r-~---------------------------------------- ~~::;t~~;;~.~~~:~~~ENOSi,r,;;,,.~5ij~PE:ll~NLY,,•:<.:•' . -· . Is the applicant or future building occupant required to submit e 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? D 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 constructed within 1,000 feat 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. :'a'i\\•t.'cQN$t:itQ'cffldJ'i•:teNci1iiiQ'.:-"'Gi!NqY,:\\\-::\:c;,-S\i·'·•:t;,: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 3097(il Civil Cod el. LENDER'S NAME ______________ _ iij(ff.fr'':t:Al'!i.i:tlt:'ANT}CER'ru;rc»;ti'oiii: \(~_[; 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 mentloned 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 issued by the building Official under the provisions of this Code shall expire by limitation and become null and void ii the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authori:;rnd by such permit is suspended or abandoned ~ ~I any time after the work is co need !Q!:_a period of 1 days (Section 106.4.4 Uniform Building Code). ~PPLICANT'S SIGNATURE =-:..,,i:.-:!oo:l'e:::::J..--(;-:,,.,:1,.a.-...~_...::..-_________ DATE~ ? 2-LX;Z WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB022668 Title: FRENCH RESIDENCE Description: REBUILD EXISTING DECK For: 10/15/2003 Type: MISC Sub Type: REPAIR Job Address: Suite: Location: 154 SYCAMORE AV Lot 0 APPLICANT FRENCH CLARENCE L JR&JEAN R TRS Owner: FRENCH CLARENCE L JR&JEAN A TRS Remarks: Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 7604343017 Inspector: ----- Requested By: BRIAN Entered By: CHRISTINE 19 Final Structural a ______ _ Associated PCRs/CVs lns12ection Histo[Y Date Description Act lnsp Comments 02/26/2003 19 Final Structural NR JM 10/07/2002 15 Roof/Reroof AP RF DECK FASTENING OK 10/04/2002 14 Frame/Steel/Bolting/Welding AP RF 10/04/2002 15 Roof/Reroof NR RF