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HomeMy WebLinkAbout1186 MARIPOSA RD; ; CB030244; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB030244 Job Address: Permit Type: Parcel No: Valuation: Reference#: Building Inspection Request Line (760) 602-2725 1186 MARIPOSA RD CBAD MISC 2122211200 $3,125.00 Subtype: OTHER Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/23/2003 NEW 01/23/2003 01/23/2003 JM Project Title: BAKER RES OUTDOOR FIREPLACE GAS/ELEC-SPA&BBQ ELEC· FOUNTAIN&SINK "7._/~72 ,... .l5. )2 Applicant: CEG 344 MAIN STREET VISTA CA 92084 726-3360 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $150.00 Inspector: Owner: BAKER DAVID B&KATHRYN D FIRE PLACE GAS/SINK/ ELEC 1186 MARIPOSA RD CARLSBAD CA 92009 Total Payments To Date: $136.00 $89.00 $61.00 $0.00 $150.00 Balance Due: Clearance: $14.00 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 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. NOA DOES IT APPLY to any X i n f h V ' I T imil r wh' ' n h . h rwi FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C\?>a3 0ZL17 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit._ _______ _ 273 Validatr By Date - Business Name (at this address) Addiirt-de Bldg/Suite#) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories Address City State/Zip Telephone# (Sec. 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). C-_t?§ L Ana5LA-11e '?, 1/({ hfOl✓i./ ;,-lA'SIJJ C-14 qze'( Y 71,o 7.:<t:,-J.J-6 ~ Name & Address City State/Zip Telephone # State License # 7 0 / 3 / 2= License Class C.--;l 7 City Business License # I Z-./I 3.3 Address City State/Zip Telephone D of the work for which this permit is Issued. ~ 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 f.;sued. 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) 0 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: Failure to aecure workera' compensation coverage I• unlawful, and •hall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the coat of compensation, damage••• provided for In Section 3706 of the Labor coda, Interest and attorney's faea. SIGNATURE DATE fl, Wtt~f!.:!lUILOE!U)ECLARA'L I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 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). O 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. 0 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 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 I phone number/ contractors license number) .. •_----------------------------------------------- 5. 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):. ________________________________________________________ _ 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 26505, 25533 or 25534 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? 0 YES O NO D YES D NO ~~~· ~~.,:_ ~ ,¼ 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). " 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 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 o struction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions 1s Code shall expire by limitation and become null and void if the building or work authorized by such permit Is not commenced within 180 days from lhe da ermi · e building or work authorized by such permit is suspended or abandoned at any ti~ after the work is commenced for ouao d m orm Building Code). / APPLICA -~-=::::::__.,..._-A.,L...____________ DATE ti/th../ .23 z_oc, _3 I YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/22/2003 Permit# CB030244 Inspector Assignment: JM --- Title: BAKER RES OUTDOOR FIREPLACE Description: GAS/ELEC-SPA&BBQ ELEC-FOUNTAIN&SINK Type: MISC Sub Type: OTHER Job Address: Suite: Location: 1186 MARIPOSA RD Lot APPLICANT CEG 0 Owner: BAKER DAVID B&KATHRYN D Remarks: Total Time: Phone: 7608010044 Inspector: J\1\1\ Requested By: DAVID Entered By: CHRISTINE CD Description Act Comment 29 Final Plumbing K--------------------- 39 Final Electrical -/-- ~~ -J--~~~~ Associated PCRs/CVs lns1:1ection Histor,,: Date Description Act lnsp Comments 02/07/2003 68 Fireplace/Tie Straps AP JM OK TO GROUT 02/05/2003 11 Fig/Foundation/Piers AP JM OK TO POUR -FPLACE TO BE 11 FT HIGH 01/24/2003 21 Underground/Under Floor WC JM 01/24/2003 23 Gas/T esVRepairs AP JM BBQ, FRPLC & SPA EQUIP 01/24/2003 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY