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Home My WebLink About124 BREAKWATER RD; ; CB044295; PermitCity of Carlsbad 12-01 -2005 Job Address: Penit Type: Parcel No: Valuation: Reference #: Project Title: 1635 Faraday Av Carlsbad, CA 92008 Patio/Dec k Perm it Building Inspection Request Line (760) 602-2725 Permit No: CB044295 Applicant: MONTELLO GEORGE 124 BREAKWATER RD CBAD PATIO Status: 21 46000404 Lot #: 0 Applied: 11/30/2004 $4,472.00 Construction Type: NEW Entered By: SB Plan Approved: Issued: HENSLEY RES 344 SF NEW ROOF Inspect Area: DECK Plan Check#: 471 5 60TH ST SAN DIEGO CA 921 15 61 9 229-0642 Owner: HENSLEY BRADLEY 124 BREAKWATER RD CARLSBAD CA 92009 Building Permit Add'l Building Permit Fee Plan Check Addl Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $61.19 $0.00 $39.77 $0.00 $1 .oo $0.00 $0.00 $0.00 $0.00 $1 01.96 Total Fees: $101.96 Total Payments To Date: $39.77 Balance Due: $62.19 FINAL APPROVAL Inspector: Date: 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 'feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 feedexactions 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 feeslexactions of which YOU have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has Dreviouslv othetwise exDired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Business Name - (at I FOR OFFICE USE ONLY Legal Description A Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Prooosed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms MPAN (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 Codel 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 Statelzip Telephone # State License # License Class City Business License # n3 39.77 Designer Name Address City State License # 0 of the work for which this permit is issued. 0 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 1$1001 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 secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penatties and civil fines up to one hundred thousand dollars ~$100,000). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. 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 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 DATE RAT~ON 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). 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 1. 2. 3. 4. number I contractors license number): 5. of work): I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number I type Business and Professions Code for this reason: UNO PROPERTY OWNER SIGNATURE DATE IS SECTION FOR ffON-RESlDENTXAL BUILDIN 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 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO 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 CER 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 Citv 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 Official under the provisions of this 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 the date of such Dermit or if the buildina or work authorized bv such oermit is sumended or abandoned at any time after the work is commenced f APPLICANT'S SIGNATURE DATE ection 106.4.4 Uniform Building Code). KHITE: File YELLOW: Applicant PINK: Finance August 22,2005 GEORGE MONTELLO 4715 60M ST SAN DIEGO CA 92115 RE: APPLICATION DATE: 11/30/2004 PLAN CHECK #: CB044295 ADDRESS: 124 BREAKWATER RD EXPIRATION DATE: PERMIT TYPE: PATIO DESCRIPTION: HENSLEY RES 344 SF NEW ROOFDECK You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: “Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee.” In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. Project Abandoned - I will pick up the plans within 10 days Project Abandoned - Plans may be destroyed If you have any questions, please contact the Building Department at (760) 602-273 1. Karen Garbry Building Department . 0 0 3 -b