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Home My WebLink About1667 CHAMISAL CT; ; CB142670; Permit10-14-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Miscellaneous Permit Permit No: CB142670 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type; Parcel No: Valuation: Reference #; PC#: Project Title: 1667 CHAMISAL CT CBAD MISC 2157300706 $0.00 PCI30051 MACIE: DECK REPAIR TYPE 2 REPAIR Subtype: REPAIR Lot #: 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/14/2014 JMA 10/14/2014 10/14/2014 PD Applicant: JOHN WALSH Owner: MACIEJEWSKI MARY A 5015 CAMINITO EXQUISITO SAN DIEGO CA 92130-2851 858-539-6040 1667 CHAMISAL CT CARLSBAD CA 92011 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $35.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date:/V^f^//V Clearance: NOTICE: Please take NOTICE that approval of your project includes fhe "Imposition" oTfees, dedications, reservations, or other exactions hereafter collectively refen'ed 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 IVIanager 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired. ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: QPLANNING nENGINEERING •BUILDING nFIRE OHEALTH nHAZMAT/APCD ^ City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov Plan Check No.(^g> (6f. Zi^qQ Est. Value Plan Ck. Deposit Date ]OIN\,^ SWPPP JOB ADDRESS . t f—. SUITE«/SPACE#/UNIT# APN - CT/PROJECT # ^ L0T# PHASE # |# OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) C-^.:sy>9 ^^d^/c^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESfltf N0| 1 YES QNO Q YES| j N0| | APPLICANT NAME yy/t \ • _^ —T ' Primary Contact/ ' 1 fi,^ f f^-EL^ 1 PROPERTYOWNER ADDRESS^ ' ADDRESS CITY STATE ZIP PHONE FAX EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAM^ _ ^ y I _ ADDRESS ADDRESS ^ _ ^ ^ ' ' CITY STATE ZIP CITY , 4 STATE ^ ZIP_ PHONE FAX PHONE / FAX EMAIL STATE LIC. # STATE Uia# CLASS CITY BUS. UC.# (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 applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKER S i,i»,i,|i:,i,^^,Tio •I Workerelilompensation Declaration: / ftereby afc under penalty ofpeijury one ofthe following declarations: I have and will maintain a certificate of consent to seif-insure for worisers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worif for which this permit is issued, • have and wili maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the worl< for which this permit is issued. My workers' compensation insurancecamer and policy number are: Insurance Co._ •Thj^section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the perfomi Califomia. WARNiNG: Failure to secure woriiers' coit Policy No, Expiration Date sation insurancecanier and policy This si I I Certificate of Exemption: I certify that in the perfomiance of the work for which this pennit is issued, I stiall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of addition to the cost of compensation, dair JS^ CONTRACTOR SiGNATURE pn coverage is unlawful )ctiog^Q£«f1lfn:abor code, interest and attomey's fees. ^^<GENT id shall su^ct an employerto criminai penaities and civil fines up to one hundred thousand dollars (&100,000), in DATE //•// /" BUI fO i*:. o-f C t A'R A t i;( • • / tereby affirm that I am exempt from Contractor's License Law for the following reason: 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). 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), I I I am exempt under Section Business and Professions Code for this reason: 1,1 personally plan to provide the major labor and materials for construction of the proposed property improvement, ^]Yes I iNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed constmction (inciude name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (inciude name / address / phone / type of work): ^eTpROPERTY OWNER SiGNATURE QAGENT 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quaiity management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLiCANT HAS i«ET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AiR POLLUTiON CONTROL DiSTRiCT. I hereby affirm that there is a constniction lending agency for the performance of the work this permit is issued {Sec. 3097 (i) Civil Code). Lender's Name Lender's Address i certify that i have read the appiication and state thatthe above information is conect and that the intorniation on the plans Is accuiate. i agree to complywith aii City oidinances and State iaws relating to building construction. I hereby authorize repnesentative ofthe City of Garlsbad to enter upon the above mentioned pnoperty 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 pemnit is required for excavations over 5'0' deep and demolition or constructkin of stnjctures over 3 stories in height, EXPIRATION: Every permit issued by the Building Offfcial under the provis'ons ofthis Code shall expire by limitatbn and become null and vokl if the buikiing or work authorized by such pemit is not commenced within 180 days from the date of such pemiit or if the buikiing or work authorized by such pemiit e suspended or abandoned at any time after the wori< is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). jS^APPUCmVS SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildlnQ(5)carlsbadca.qov or Mali the completed fomn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Oniy) CONTACT NAiVIE OCCUPANT NAME ADDRESS BUiLDING ADDRESS CITY STATE CiTY STATE ZiP Carlsbad CA PHONE FAX EiVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB142670 Type: MISC REPAIR MACIE: DECK REPAIR TYPE 2 REPAIR Date Inspection item Inspector Act Comments 10/28/2014 19 Final Structural -Rl GC: 4444 10/28/2014 19 Final Structural SP F.I 10/22/2014 18 Exterior Latti/Drywall -Rl GC:4444 10/22/2014 18 Exterior Lath/Drywall SP AP 10/21/2014 14 Frame/Steel/Bolting/Weldin -Rl GC:4444 10/21/2014 14 Frame/Steel/Bolting/Weldin SP AP Tuesday, October 28, 2014 Page 1 of 1