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Home My WebLink About1373 CYNTHIA LN; ; CB003233; Permit09/Q1/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No:CB003233 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Titte: 1373 CYNTHIA UN CBAD PATIO 1562307900 Lot#: 0 $1,560.00 Construction Type: NEW ENCLOSE 2ND STORY DECK-130 SF W/ELECTRIC FOR LIGHT & RECEPT Status: ISSUED Applied: 09/01/2000 Entered By: RMA Plan Approved: 09/01/2000 Issued: 09/01/2000 Inspect Area: Applicant: AMERICAN AWNING STE115 336 RANCHEROS DR SAN MARCOS CA 92026 760-744-8610 ELINEA 09/01/00 0001 01 02 C-PRHT Total Fees:$80 $80.28 Building Permit Add'l Building Pe Plan Check Add'l Plan Check Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee TOTAL PERMIT FEE Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project Includes the 'Imposfflon' 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 tt«se fees/exactions. If you protest them, you must foNcw the protest procexlures set forth m Government Ckxle Se processing in accordance with Carfsbad 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 NOTtRED that your right to protest the spBdfWfses/axacfloTO DOES NOT APPLY to walw ctongre.rKxplannir^, zoning, gradir^ or oto^ NOR DOES IT APPLY to any feas/exacttonsd which you have previously been t^ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address (include Bldg/Suite tt) FOR OFFICE USE OISI1Y PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By_ Date Business Name (at this address) Lot No.Subdivision Name/Number SMC./., Unit No.Phase No.Total # of units !»iiiitei»^^i Address < ' City State/Zip Telephone* Name 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 fora permit subjects thaapptican* to a civil penalty otnqt more than five hundred dollars J$ 500]). Name Address State License # "7/5 003 License Class jB •"• Designer Name Address State License # City / State/Zip Telephone # / City Business License # / r^.& Ll f *2) City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. Q' 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 A^C^R fo _ Policy No. ^J UlAO Hi 3*J I Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to sentre/workers! compensation coverage is unlawful, and »haH tubject an employer to criminal penalties and civil fines up to on* hundred , /°///oO thousand dollars ($ 1 0O SIGNATURE __ to the ca^t of compensation, damages as provided for in Section 3706 of th* DATS code, interest and attorney's foes. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). Q 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 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. Q YES QNO 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 I contractors license number); 4. 1 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 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): . PROPERTY OWNER SIGNATURE DATE 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. S^MitNiM^^ ^'- £$.'?'••}•'&•: 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 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 City 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 commenoed wtthin 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after the work is commence^ror/ period dff\ 80 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance APPLICANT'S SIGNATURE DATE 9// lot'ft City of Carlsbad Bldg Inspection Request For: 11/3/2000 Permit# CB003233 Title: ENCLOSE 2ND STORY DECK-130 SF Description: W/ELECTRIC FOR LIGHT & RECEPT Inspector Assignment: RB 1373 CYNTHIA LN Lot Type: PATIO Sub Type: Job Address: Suite: Location: APPLICANT AMERICAN AWNING Owner: RAMIREZ JOSEPH B&MADELINE A Remarks: AM PLEASE Phone: 7607448610 Inspector: Total Time:Requested By: NA Entered By: CHRISTINE 34 39 CD Description Rough Electric fif* Act Comments ' Associated PCRs Inspection History Date Description Act Insp Comments 11/1/2000 19 Final Structural CO RB 11/1/2000 39 Final Electrical CO RB NEED GFCI @ RECEPTACLES ACORD,. CERTIFICATE OF LIABILITY INSURANCE 11/9/99 AON Risk Services, inc. of Northern California One Market, Spear Tower, Suite 2100 San Francisco. CA. 94105 Tonya MIHer (415) 512-5835 American Awning Co. c/o American Employers Group 839 Mitten Ro*d Burflnqame. CA 94010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OH ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE United Pacific insurance Company COVERAGES >VTI» LIB. T t if rni icies OF INSURANCE LISTED BELOW HAVfi BEEN ISSUED TO THE WSUREO NAMED ABOVE FOR THE POLICY P^niCU INDICATED NOT wmif 1 AWINOAWV rtEouincMFNr iffm on CONDITION OF ANY- CONTRACT on OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE -SSUFP HI MAY renTAIN. THE INSURANCP AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 1 HE TERMS. EXCLUSIONS *NP COWltiO»*P O*" ?(•(••• I'OL'CIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. F6U5V EFFECTIVETtK Of IH9UP*MCf roucy WtWCR tlAL UAftlLltr Cl AIMS MAPI!OCCUn t.llii An •we* MM AfTUtSrCfl: £ i ILOC ««** A(I?O *n owNen AUTO* wiitnui. MI Agios t'fl'PD AufOS WNFD AUTOS DAT* IMMrtHWVVl 1(MlteLIMITS EACH occunncwct PnC DAMAfit (Any «•>« i.-e> MSP px* (« X *nv iNJL-nv PnODUCTS • COM».OP AGO f (Ea •ttHM'Xi ROPw riM.H.'fly (P»F pTTH>r>t tNJltRY Afjy AUTO nrrrNtHirt x NWA0141341 10/1/99 AUTO ONL* - E« OTHSI THAN E* Af;' f AGGREGATE t . we fTAty- nTFj ; ifrf>Y MMtis. en 10/1/00 n. EACH ACCIDENT c 1,000,000 I «.L. DISEASE • 6A E'-'rifCC « 1,000,000 I B.L DISEASE . POUCY L'Mlf } 1,000,000 P(SCWIPTION of OrtftAtWNSAOCATtOMS/VSHIClES/lXClOSIONS ADDED BY CMDOBSeMENT/SPECUU. PftOVttlOMB Coverage Is provided for all classifications and codes approved (or (he policy including the Alternate Employees Endorsement, American Awnfng Co., 336 Rancheros Drive, Suite 1 1 5, San Marcos, CA. 92069-0000 CERTIFICATE HOLDER AODtnONAL INfeURCD; MSUflCIt LCfCGn:CANCELLATION American Awning Co. 336 Rancheros Drive, Suite 115 San Marcos, CA. 92069-0000 SHOULD ANY V THB A»0VB OSFCWBID POLrctBS 98 CANCEllS0 «FO<>( TH OAT« THERtOF. THE IWU1W W5UBEW Win FTOFavOB TO MUtt. 3Q MOTKB TO Tlffi CEBTIRC1TE HOtOEH NAMf D TO H4F. LC", RUT Fan \\ir 10 P IMPOSE NO OPIWATION ON LtABarTY OF ANY KIND UPON '*<• tM5L'»f«» 1*9 001549000 ACORO 25-S (7/97)ACORD CORPORATION 1918 Id 666T 9T 'T : 'ON 3NOHd QNINHW