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HomeMy WebLinkAbout1663 CORTE ORCHIDIA; ; CB030870; Permitex03-25-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No CB030870 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1663 CORTE ORCHIDIA CBAD PATIO 2159502300 Lot# 0 $2,522 63 Construction Type NEW MACIAS RES/ 325 5 SF ATTACHED OPEN LATTICE PATIO COVER- CITY SPEC Applicant RICARDEZ ROBERTO&MACIAS VERONICA 1663 CORTE ORCHIDIA CARLSBAD CA 92009 583-6900 Status ISSUED Applied 03/25/2003 Entered By CB Plan Approved 03/25/2003 Issued 03/25/2003 Inspect Area Plan Check# Owner RICARDEZ ROBERTO&MACIAS VERONICA 1171 03/25/03 0002 01 1663 CORTE ORCHIDIA CGP CARLSBAD CA 92009 02 76-55 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $4579 $000 $2976 $000 $1 00 $000 $000 $000 $000 $7655 Total Fees $7655 Total Payments To Date $000 Balance Due $7655 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NO/Ofe that aftJovaTof your project includes the "Imposition" of fees^aedications, reservations, or other exactions hereafter collectively referred to as "fees/exact&fe" You flaj/e 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 fortlLlTi 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/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 ; 3 PROJECT INFORMATION" FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date ~3^ Address (include Bldg/Suite #)Business Name (at this address) LegaJDescriptipn C2. n - Subdivision Name/Number Unit No Phase No Total # of units Assei Existing Use /5/-Z-- Proposed Use # of/BedroomsDescription of Work SO FT #of Stories # of Bathrooms ONTACT PERSON (if diff from appBcant)r Name 3 '." Address .H?Cbntractoro/x City Kr! B.. CD ;:Agent-i for "Oyvher State/Zip Telephone Fax* Name Address City State/Zip Telephone # •• .;._;, ;iv.: rnr\ H 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001) Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name State License # 6 Address City State/Zip Telephone 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 [~1 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) l~| 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 penalties 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 SIGNATURE DATE 7 Si OWNER-BUILDERJ>ECLARATION ;:f" " " '':/'' .: 'S" nV" "J v :,. '. ... : :'" * *f '' ' ™:-;: ^': ? i^! ! / I hereby affirm that I am exempt from the Contractor's License Law for the following reason / l~l 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) D I am exempt under Section Business and Professions Code for this reason o- 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement TS^YES flNO 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 / 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) -ROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR /VOW-/?FS/Of/Vr/Xli BUILDJNG PERMITS ONLY V ,?, riu::L?*;:lJl, :::'...••• ,C^sljri j>,h 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? fj YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES f] NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l YES l~| 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 !8 ^CONSTRUCTION; LENDJNG AGENCY . J.S ;_;.••. '"-r;. '^|/,..iS,4 J ••.. r, J. ^.?Kfl..~.-f ,,&: ;4r : •' • :: ":., .. -.; ,•"•'- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER S NAME LENDER S ADDRESS 9 :; ^PLICANTj^ERtJFiCAtiON %" \!-"S\,f... V'" ":. S"';;" '.rf "•"""• '"•• ";''"'l W"-; -';:' •=:."" -">. '< ^fy~--- ,f~i?:. " "T -:>vs y~.- 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 permit or if the building or work authorized by suclp permit is sjffspended or abandoned at any time after the work is commenced for a period of 180 days (Sectionioe 4 4 Uniform Building Code) 'PLICANT'S SIGNATURE (yS(_/'iQO jf jf^3-? / / *(JU£jU&O DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 07/11/2003 Permit* CB030870 Title MACIAS RES/ 325 5 SF ATTACHED Description OPEN LATTICE PATIO COVER- CITY SPEC Inspector Assignment JE 1663 CORTE ORCHIDIA Lot 0 Type PATIO Sub Type Job Address Suite Location APPLICANT RICARDEZ ROBERTO&MACIAS VERONICA Owner RICARDEZ ROBERTO&MACIAS VERONICA Remarks CAN YOU FINAL' Phone Inspector Total Time CD Description 19 Final Structural Act Comment 4fl Requested By CHRISTINE Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 03/27/2003 11 Ftg/Foundation/Piers AP JE APPROVED BY !.-«••« 2 5 2003 City of CaRLSoAD BUILDING CRPT