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Home My WebLink About2271 CAMINO ROBLEDO; ; CB041562; Permit05-40- City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB041562 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2271 CAMINO ROBLEDO CBAD MISC 2552726600 $3,125.00 Subtype: Lot#: OTHER 0 BRUCE RES-FIREPLACE > 6 FT.GAS TO FIREPLACE.ELECTTO FOUNTAINS PILLARS Applicant: WILLOW LANE GROWERS 753 REQUEZA ENCINITAS CA 92024 760-753-4595 Status: ISSUED Applied: 05/10/2004 Entered By: RMA Plan Approved: 05/10/2004 Issued: 05/10/2004 Inspect Area: Owner: BRUCE ROBERT C Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $136.00 Total Fees: $136.00 Total Payments To Date:$0.00 Balance Due:$136.00 1738 05/10/04 02 inspector: FINAL APPROV Date:Clearance: NOTICE: Please take NOTICefhat 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. PERMJT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK KvCjQ £> EST. VAL. Plan Ck. Deposit Validated B Date Business Name (at this address) Lagal Description Lot No. Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Us*Proposad Use Nsma Address City State/Zip Telephone #Fax* 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 Coda) 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 [$500]). Name Address +* _. City State/Zip Telephone # State License t f\) T"O ^ i License Class r Citv Business License # /5l / ^ ?.2- "^ Designer Name •-. Address State License f 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. G 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) """ *&f 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 o1 CatHomia. WARNING: FaHun to eacura workers' compensation coverage Is unlawful, and ahai subject an •mplovw to criminal penalties and dvH fine* up to one hundred /thousand dollars (* 100,000), fcLrtdttton tojhe cost of compensation, dajiMqRte^jiDrovidadArJii Sectioh 3706 of theLabor coda. Interest and attorney's fMa. "^SIGNATURE "4>k^vtJX^^~t ^~ C ^^T7^~ I±3lATE ** bdKttttumiubCdfa 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, win do the work and the structure Is hot 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). O 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). Q t am exempt under Section Business end Professions Code fa* 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 / 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): i_i[j 5. \ 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. 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 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 such permit is suspended or abandoned any time after the work Is commenced for a period of 180 days (Section 106.4.4 Unit ^ 71APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant City of Carlsbad Bldg Inspection Request For: 10/06/2004 Permit* CB041562 Title: BRUCE RES-FIREPLACE > 6 FT,GAS Description: TO FIRE PL ACE, ELECT TO FOUNTAINS, PILLARS Inspector Assignment: PY 2271 CAMINO ROBLEDO Lot 0 Type:M!SC Sub Type: OTHER Job Address: Suite: Location: APPLICANT WILLOW LANE GROWERS Owner: BRUCE ROBERT C Remarks: Phone: 7609447385 Inspector: Total Time: CD Description 29 Final Plumbing 39 Final Electrical Requested By: N/A Entered By: ROBIN Act Comment Associated PCRs/CVs Inspection History Date Description 05/18/2004 23 Gasflest/Repairs 05/18/2004 31 Underground/Conduit-Wiring 05/12/2004 11 Rg/Foundation/Piers 05/12/2004 23 Gas/Test/Repairs Act Insp Comments AP PY AP PY CO PY SEE NOTICE ATTACHED CO PY SEE NOTICE City of Carlsbad Bldg Inspection Request For: 05/12/2004 Permit# CB041562 *^ Title: BRUCE RES-FIREPLACE >J6 FT,GAS Description: TO FIREPLACE,ELECT TO FOUNTAIN* PILLARS 2271 CAMtNO ROBLEDO Lot 0 Type:MlSC Sub Type: OTHER Job Address: Suite: Location: APPLICANT WILLOW LANE GROWERS Owner: BRUCE ROBERT C Remarks: Total Time: CD Description 11 Ftg/Foundation/Piers 23 Gas/Test/Repairs Inspector Assignment: Phone: 7607534695 Requested By: MARILYN Entered By: CHRISTINE Act Comment Associated PCRs/CVs Inspection History Act Insp CommentsDate Description (760) 602-2700 1635 FARADAY AVENUEBUILDING DEPARTMENT FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? .Lj YES FOR FURTHEEHNFORMATIONt CONTACT '- PHONE CODE ENFORCEMENT OFFICER