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Home My WebLink About175 CHINQUAPIN AVE; B; CB031313; Permit05-07-200?,, Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No CB031313 Building Inspection Request Line (760) 602-2725 175 CHINQUAPIN AV CBAD St B RESDNTL Sub Type 2060700200 Lot # $7 000 00 Construction Type Reference # 0 Structure Type 0 Bathrooms GENOVESA RES PLUM- ELEC MECH WALLS NEW SLIDERS WINDOWS RAD 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# Plan Check* ISSUED 05/05/2003 CB 05/07/2003 05/07/2003 Applicant DONNGENOVESE 2210 RUNNING SPRING ENCINITAS CA 92024 436 2598 Owner BLACKWELL LANA 2210 RUNNING SPRING PL ENCINITAS CA 92024 Building Permit Add I Building Permit Fee Plan Check Add I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee * Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add I Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add I Pot Water Con Fee Reel Water Con Fee $76 59 Meter Size $0 00 Add I Reel Water Con Fee $49 78 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $1 00 PFF $0 00 PFF (CFD Fund) $0 00 ~ License Tax $0 00 License Tax (CFD Fund) $0 00 Traffic Impact Fee $0 00 Traffic Impact (CFD Fund) $0 00 Sidewalk Fee $000 PLUMBING TOTAL" $0 00' ELECTRICAL TOTAL $0'00 MECHANICAL TOTAL $0 00 ., Housing Impact Fee ,,$0 00 Housing InLieu Fee Housing Credit Fee $0 00 Master Drainage Fee $0 00 , Sewer Fee Additional Fees t TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $3400 $2000 $2800 $000 $000 $000 $000 $000 $000 $209 37 Total Fees $209 37 Total Payments To Date $49 78 Balance Due $15959 4562 05/07/03 0002 01 02 CGP 159-59 Inspector lOTT FINAL APPROVAL Date Clearance NOTICE Please take NOTICE fnat approval of your project includes the Imposition 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 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 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 4 CITY'OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO^ffb EST VAL -1OOQ, Plan Ck Deposit Validated By < Date Address (include Bldg/Suite #) CGF"^9-78 Legal Description Lot No Subdivision Name/Number Unit No Phase No Total ft of units Proposed USB/•/ / ,/ Telephone ft Fax ft '"Sst Name Address City State/Zip Telephone # ROPERTY OWNER?nn 2.2-10 43fe-2S^g - StBte/Zjpf Telephone * LCOMPANYjfNAME " (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 dollais [$500]) Name State License # Address City State/Zip Telephone ft License Class City Business License ft Designer Name State License ft Address City State/Zip Telephone •J \ °Vs/p Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations d 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 d 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) d 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 "OWNER BUIQjeRpSBESSRAlioTiiP 7111 Illr""" j/5' - • '-M3L ^""'Sffsmmi:..... _"1!il --1*' *K-Y" I here)>v affirm that I am exempt from the Contractor s License Law for the following reason Qf 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 l~| YES l""lNO 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) OWNER SIGNATURE S^l O2> MMPLETEiffilS SEJpTIOJLFOR*/VO/VSfS/0£W77/U, I Is the applicant or future building occupant required to submit 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? d 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? d YES d NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? d YES d NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEI TING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT !8^^COptRUCTlON LlNDING AGENCY ~ " T^k,. Wh" 1L ***p ! ^lH TgT > ^ v""" I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION <x&i,$ „ » i! » IIP' i sS "" """ *JI 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspendi d or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) ^APPLICANT s SIGNATURED /) <9>L4«-^ 'HITE File YELLOW Applicant PINK Finance J ^ DATE City of Carlsbad Bldg Inspection Request For 06/10/2003 Permit* CB031313 Title GENOVESA RES-PLUM- ELEC-MECH Inspector Assignment PY Description WALLS NEW SLIDERS-WINDOWS WOOD&DRYWALL- REPAIR,HEATERS Sub Type RADType RESDNTL Job Address 175 CHINQUAPIN AV Suite B Lot 0 Location APPLICANT D'ONN GENOVESE Owner Remarks OR 436-2598 Phone 7605339175 Inspector Total Time Requested By DION Entered By CHRISTINE CD Description Act Comment 19 Final Structural (Tf P 29 Final Plumbing 39 Final Electrical 49 Final Mechanical \ Associated PCRs/CVs Inspection History Date Description Act Insp Comments 05/28/2003 17 Interior Lath/Drywall AP PY 05/21/2003 16 Insulation PA JE CORRECTIONS LIST ON BACK OF CARD 05/21/2003 24 Rough/Topout AP JE 05/21/2003 34 Rough Electric PA JE