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Home My WebLink About1420 PINE AVE; ; CB992826; PermitCity of Carlsbad 07/28/1999 Miscellaneous Permit Permit No:CB992826 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: • 1420 PINE AV CBAD MISC 2050204900 $1,200.00 BRADLEY I BLANE Subtype: OTHER Lot#: 0 FREE STANDING FIREPLACE TO CITY SPECS Applicant: GS DREAMSCAPING ' 4045 HARBOR DR CARLSBAD, CA 92008 619-729-1549 Total Fees: $60.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: Status: ISSUED Applied: 07/28/1999 Entere~ O"'Mm'/99 0001 01 02 Plan Approved: 07/28/19!tQPRHT 60-00 Issued: 07/28/1999 Inspect Area: $60.00 NOTICE: Please take NOllCE that approval ~ )'OID" project lndudes the 'I on' of fees, dedlcatklns, reservations, or cxher exactions llareafJ3r calectively rem-ad to as 'fees/exactbns.' You hENe 90 days from the date this permit was Issued ti protest IJll)OSl!!on of these fees/exactions. If you protest them, you must follow the protest procedures set forth il Government Code Sectioo 66020(a), and file the protest and any other requred Information with the City Managel' for processi1g In accordallC0 with Carlsbad Mu rid pal Code Sectloo 3.32.030. Failure to flmely fo!bw that procedure wfll bar any subsequent legal action to attack, review, set aside, vokl, or annul their lmposltlon. You are herel:r/ FURTHER NOTIFIED that your r\Jht to protest the specified fees/exactions !X)ES NOT APPLY to water and sewer connection fees and capcdy changes, nor plannilg, zcri'lg, gradilg or other slmllar appl1catlon processing or service fees In connection with this project NOR lXlES IT APPLY i> any fees/exacflons of which have ous been a NOTICE slmllar to or as ~ which the statute of llmltatloos has otherwise red. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ____ _ Cl1)'-0F CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL. _________ _ Plan Ck. Deposit--------- Validated By __________ _ Date._~~~~~~~~~~~~~~ Address (Include Bldg/Suite I) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of umts AsselSSor' s Parcel I Existing Use Proposed Use o-X Ur;pc;--&'t C '¥'~ Description of Work SO. FT. #of Stories I of BedroorM · II of Bathrooms Name Address City Stete/Zlp Teli,phone # Fax II ,3 .• ~NT-. ~omractor'· ro·,,-~--;for Ce>1rtn1C10r· :::o:owner710"A~:c,.,r;tor'&vna:".:-.:< .. \-=-, "';"· .. .:-;~.:::;~·~ ~ ·:-'. ·/ 'i':,, 1 --. , •. • .. G,s Wc!!~~:.6~:""··-.. . . -i -~w --·-' -. ·-·., s--• 7W77,o-1n; Name Addrl!SS City State/Zip Telephone I Name ~ Addrell8 City Stet p Telephone I (Sec. 7031.6 Business end Professions Code: Any City or County which requires II permit to construct, elter, Improve. demolish or repair any structure, prior to Its Issuance, also requires the applicimt for such permit to file e signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending Vo(rth Section 7000 of Division 3 of the Business end Professions Code] or that he Is exempt therefrom, 11nd the b~ for the alleged exemption. Any violation of Section 7031. 6 by any applicant ~r II permit subJecu the applicant to II civil penalty of not more then five hundred oilers [ $ 600]). :A \r: · o C> -l Address City State/Zlp Telephone I Stllte License# b$3S( j'. License Class C., -"2,.') City Buslneaa License I / /-=f 89 I B Designer Name Address City State/Zip Telephone State License I---------- • 6. '· WORKERS' COMPENSATION: . . . , ~ ..._' • •• : • .._, 1-... -, ... .. ... J ~. • • \ Workers' Compensation Decler11tlon: I hereby affirm under penalty of perjury qrni of the following decil!flltlons: 0 I have and wlll maintain e certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perform11nce of the worlc for whlch this permit Is wiued. _.l3,:-" I have end will m11int11in workers' compenSlltion, 11s required by Section 3700 of the Labor Code, for the performance of the work for which thls permit Is Issued. My worlcer's compeneetlon insurance carrier end-policy number ere: J j lnsur11nce Company ~old'M., {:fACn I z.. Polley No. r,Jr,..,c.,.$5Q'S'C;;:,9oo Expiration Date '3 _ -z.7 ]i;>oc:;> (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) I 1 D CERTIFICATE OF EXEMPTION: I certify thllt in the performance of the work for whlch this permit is Issued, I shell not employ any person In any manner so as to become subject to the Workers' Compenaatlon L11ws of CllllfomJ11. WARNING: Failure to HCU'8 workers" companaation coverage la unlawful, and Ultll aubJact en employer to crlmn8I penaltlea 811d clvi flnu up to 01U1 hundred thousand doDllrll ($100,000), ht ackltion to the COit of compenAtlon, damagea M prowled for In Seation 3708 of the Labor code, intwNt and attorney'I fNa. SIGNATURE ______________________________ _ 7. OWNER-BULDER.DECLARATION· .• ·. ... . . . .... -. •. .. . •. , . •. .. ·,: .• ' · : _ • "''.~.:-·_~ :._;::·,,::, ._ :: ·.-:·-.. -'..' .::-:: ' I hereby affirm thllt I am exempt from the Contr11ctor'11 License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compen1111tion, wm do the work and the structure 111 not Intended or offered for 1111le (Sec. 7044, BU11inass and Proflll!Sions Code: The Contrllctor'a 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 IUch lmprovementll ere not Intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner-bullder will have the burden of proving that he did not build or Improve for the purpoee of eale). 0 I, as owner of the property, am exclusively contr11cting with licensed contfllctors to conatruct the proJect (Sec. 7044, Business and Prof8Slllons Code: The Contractor's License Law does not 11pply to an owner of propeny who bullds or Improves thereon, and contracts for such projects with contnlctor(s) ncellll8d pursuant to the Contractor's License Law). D I am exempt under Section ------BU11iness and Profl!Sllions Code for this r1111Son: 1 . I personally plan to provide the major labor 11nd materials for conatructlon of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed en application fore building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name I address I phone number I contractors license number): 4. I pl11n to provide portlOl'lll of the worlc, but I hllve hlred the following person to coordinate, aupervlse end provlpe the m11jor work (Include name / address I phone number I contractors liCllrllle numberl=---------------------------------------------- 6. I will provide some of the work, but I have contracted (hlred) the following persons to provide the worlc Indicated (Include name I addr1111S / phone number I type of worlc):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE_~~~~~~~~- ,COM~THIS.SECTION FOR NOIUIESID1!NT1fU: BUILDING ~·ONi.'(:: .·. ;'...,, ~'~.":..: '-: .. · • :-' T I .. - Is the applicant or future building occupant required to submit II buslnesa plan, acutely hazardous rrniterlals reglstr11tlon form cir risk management end prevention program under Sections 26606, 26633 or 26634 of the Presley-Tanner HazardOUII Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtllin II permit from the air pollution control dlstrict or air qualtty m11n11gement district? D YES O NO Is the f11clltty to be constructed wlthln 1,000 fllllt of the outer boundllry of II school site? 0 YES D NO IF ANY OF THE ANSWERS ARE YES, A ANAL 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 POU.UTION CONTROL DISTRICT. rf ', ,, .·..,. I hereby efftrm that there Is a construction lendlng agency for the performance of the work for which thls permit Is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS·------'-------------------- 19 .. · . · APPLICANT CERTJACAitON~.:._:.:_:· :-~ ~=~7;_::-_,~j-~ 2C-:~ -.... -~ ~' , ~; ::-. .'.{ .:· ~·.=-1~·: ·_:~ r:. .. :\.::.<· -.:/·\ ~:~:....~:. ~ ,.~·~J~ .... I certlfy that I have re11d the appllcatlon end stllte that the above Information Ill correct end that the Information on the plans Is accurate. I agree to comply with ell City ordinances end State leWll relating to building construction. I hereby authorize representatives of the Cttt 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 UABIUTIES, 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 eXCIIVlltions over 6'0" deep 11nd demolltlon or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Bulldlng Official under the provlalons of this Code shan expire by llmltatlon end become null and void If the bulldlng or work authorized by such J)llrmlt Is not commenced · days from the date of such pBrTTllt or If the building or worlc 11uthorlzed by such permit Is SUSJH!nd&d or abandoned at any time 11fter the work le co eriod of 180 daY11 (Section 106.4.4 Uniform Building Code). j APPLICANT'S SIGNATURE DATE ryz_e, / 99 I YELl.OW: Aoollcant PINK: Fin11nce "'' ~ -City of Carlsbad Inspection Request For: 8/11/99 Permit# CB992826 I Inspector Assignment: SR --- Trtle: BRADLEY I BLANE Description: FREE STANDING FIREPLACE; TO CITY SPECS Type:MISC Sub Type: OTHER Phone: 0000000000 Job Address: 1420 PINE AV Suite: Lot 0 Location: APPLICANT GS DREAMSCAPING Owner: HARVEY BRADLEY P&BLAYNE Remarks: FIREPLACE FOOTINGS Total Time: CD Description Act Comments Inspector: 39' Requested By: NA Entered By: CHRISTINE 61 Footing ~-,--------- Inspection History Date Description Act lnsp Comments ' 816/99 11 Ftg/Foundatlon/Plers CO SR NOT PER CITY SPECS 814/99 61 Footing CO SR 8/3/99 11 Ftg/Foundatlon/Plers CO SR NOT READY FOR INSPECTION /\. /\ , , •I "Z '-1-1 ~z. 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