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Home My WebLink About1081 GOLDENEYE VW; ; CB032133; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-01-2003 Patio/Deck Permit Permit No: CB032133 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1081 GOLDENEYE VW CBAD PATIO 2121802200 $1,736.00 Lot#: 0 Construction Type: NEW OMORI RES-224 SF PATIO COVER ATTACHED & OPEN LATTICE COVER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: OMORI GREG Y&HONG OMORI GREG Y&HONG ISSUED 08/01/2003 CB 08/01/2003 08/01/2003 1081 GOLDENEYE VW CARLSBAD CA 92009 476-9834 1081 GOLDENEYE VW CARLSBAD CA 92009 -0936 08/01. .. /03 0002 01. 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: $58.37 Inspector: Total Payments To Date: $0.00 $34.77 $0.00 $22.60 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $58.37 Balance Due: $58.37 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 fees/ex ctions of whi h ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN cHEcK No. cvo 22. J;o CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ ~ Plan Ck. Deposit--------- Validated By-lo~..:::.::;........------- Date · 8: {-0 =-, Lot ?-, Subdivision Name/Number Total I of units M~;der,,e,~ Proposed Use Description of Work lot Stories II of Bedrooms I of Bathrooms .. .... ,., 51(nu..._ -N~am[Lje~.:J..----'~~I.L.L..---...J.~.f.,l,L-~Al....'1d~dr~eLs~s-U.f.4,il:L..-.IL.f.J,t.iai. ___ .r...,a.,:"-L~:Z,C*===----'-'::!....:....-Lc_~..=...,,c'--'~---::~L..:~-L:,X-..:;:........_--::F~a-x~,:=--:-· [3-~lf.Y.QA~(.~.O ~Co[ltrltr,. i.cO ~Ago,u:ro[:Coritr11;tor 5A:zht A..8 a ~,cw .... Q(owner-• n City State/Zip Telephone II Name Address City S.tate/Zip Telephone II (6:0::CON1'.AACT08!.COMPANY.lNAMl .. ,,. """"" .... _ 1sec. 7031.5 Business 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 7031.5 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 II State License II _________ _ License Class----------City Business License # -------- Designer Name Address City State/Zip Telephone State License # ----------[&-. -WORl{ERS' COMPENSATION•;:'°'-.... ~,..,-, ....... ...-.,,., .. , '' ' 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 Code, for the performance of the work for which this permit Is issued. O 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 ($100) OR LESS) O{ 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 Laws of California. WARNING: F.Uure to aecure workers' compensation coverage Is unlawful, and shall subject en employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000). In addition to the cost of compensation. damages es provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE 11:';.l'f[o.wNER:au_iuidi:0EciJARAr1ot'tl...i; . • t · ·, · -:.:-. ,.... ~' =:;::;:;;;:;;;;:;-:;::;;;::;;;;;;;::;;;:;;::;;;;~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Ill 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 Coda: 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 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). 0 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 mejor labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted _with the following person lfirml to provide the proposed construction (Include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (include name I address I phone number I contractors license number):---------------------------------------------- ·5, I will provide some of the work, but I hav contracted (hired) the following persons to provide the work indicated !include name I address I phone number I type of work):~-----------.,,,.,,---_..,,.,,,.. ______________________ _, _______________ _ DATE 8.q/tJ:S ~ .... -"· 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 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future b~ilding 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 feet of the outer boundary of a school site 7 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. [e7=~~STRUCTION LENDIN~f~GENCY 1 ·" * ' • •, 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 ADDRESS ________________________ _ 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 Cit\' 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 for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building OHicial under the provisions of this Code shall expire by limitation and become null and void If the building or work rf..... 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 \J . at any time after the work is com'"-ed for :eeriod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE /fu ~. DATE 8J'j/p3 · , City of Carlsbad Bldg Inspection Request For: 10/16/2003 Permit# CB032133 Title: OMORI RES-224 SF PATIO COVER Description: ATTACHED & OPEN LATTICE COVER Type: PATIO Sub Type: Job Address: 1081 GOLDENEYE VW Suite: Lot Location: APPLICANT OMORI GREG Y&HONG Owner: OMORI GREG Y&HONG Remarks: PATIO INSPECTN Total Time: 0 CD Description Act Comment Inspector Assignment: JM Phone: Inspector: '~~ Requested By: NA Entered By: CHRISTINE 14 !ting/Welding /JG __________________ _ µ_-----C/!J~~-f21Z-~~~~~~~ Associated PCRs/CVs Inspection History Date Description 09/05/2003 11 Fig/Foundation/Piers 09/05/2003 11 Ftg/Foundation/Piers Act lnsp Comments AP JM OK TO POUR 3 FTGS AP JM AP ON 9/5