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Home My WebLink About2630 HALF DOME PL; ; CB020147; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-11-2002 Patio/Deck Permit Permit No:CB020147 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2630 HALF DOME PL CBAD PATIO Status: ISSUED 01/11/2002 RMA 01/11/2002 01/11/2002 Parcel No: Valuation: Reference #: 1675111600 $1,721.00 Lot#: 0 Applied: Construction Type: NEW Entered By: Plan Approved: Issued: Project Title: CARLSON RES-222 SF PATIO Inspect Area: Applicant: OCEANSIDE FENCE 4035 OCEANSIDE BLVD OCEANSIDE CA 92056 760 941-5388 Total Fees: $58.37 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Inspector: Owner: CARLSON GARRY M&CHRISTINE M 2630 HALF DOME PL CARLSBAD CA 92008 8628 OV11/02 0002 01 02 Total Payments To Date: $0.00 FINAL APPROVAL Date: ~oj'°/4 "2 Balance Due: Clearance: $34.77 $0.00 $22.60 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $58.37 CGP 58-37 $58.37 NOTICE: Please take NOTICE that 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 specdied fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy 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 oreviousl" been 11iven a NOTICE similar to this or as to which the statute of limitations has nreviousl" otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 p FOR OFFICE USE ONLY PLAN CHECK NO. C/{o-.2.cJ I Lf 7 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __ ~r--+'--,-,<J.j_«-1.,+-..___ Date. ___ __.f'-f/_/._.t+/~t>~1--~•---r ' Business Name (at this address) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Assessor's Parcel # 12'.l. d-dd--Description of Work Pc1i:o C0 Y -e < < ') p-R ""- SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON ·(If .different from appUcant) " Name Fax# 3. APPLICANT jtcontraotor 0 Owner Name Address City State/Zip Telephone# Pt,-. . Address City State/Zip 5. CONTRACTOR • COMPANY· NAME (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 tor such permit to tile 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 applicant for a permit ubjects the a licant to a civil pena of not more than five hundred dollars 1$5001). ,/\ Telephone# Name 3 State License # 3---i Lf 0 License Class __ {:>LO"'--------City Business License I _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have end 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. workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is d ·cynumber are: l-\ -Q"3 ompa · Policy No .. ____________ _ Expiration Date, _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) ~ 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 c e workers' compensation coverage la unlawful, and aheU subject an employer to criminal penalties and civil fines up to one hundred ), In addition to the co ompenaatlon, damagH as provided for in Section 3706 of the Labor code, Interest and ettomey·• fee•. DATE ) -I I ' 0 3 7. I hereby affirm that I am exempt fr m the Contractor's License Law for the following reason: 0 l, as owner of the property r 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). 0 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. 0 YES ONO 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 I 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): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE'THIS SECTION-FOR NON•RESIDENTIAL BUILDING-PERMITS ONLY 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? 0 YES O NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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 LENDING AGENCY 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, ________________________ _ 9. APPLICANT CERTIFICATION 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 Citt 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 · ding 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 commen d w hin 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned APPLICANT'S SlGNATU at any time aher the work is commenc for period of 180 days (Sectio 106.4.4 Uniform Building Code). DATE ) -I I -O a,, YELLOW: Applicant PINK: Finance -~-----•--.~,--------- City of Carlsbad Bldg Inspection Request For: 01/15/2002 Permit# CB020147 Title: CARLSON RES-222 SF PATIO Description: Type:PATIO Sub Type: Job Address: 2630 HALF DOME PL Suite: Lot 0 Location: APPLICANT OCEANSIDE FENCE Owner: CARLSON GARRY M&CHRISTINE M Remarks: Total Time: CD Description 19 Final Structural Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7609415388 Inspector: f (2___ --- OCEANSIDE FENCE & PATIO 1338 N. Melrose Dr. #L Vista, CA 92083 L,c... ~ .3'8940'8 - p \ C)t . , \ C-;0.1 ~ c.~\ I~°"' d--~'?:>O H~\ ~ do~e Pt-. ~ t I > ¼ c.& ~ Y 3 4 -~ I '?.> 6- pr-opa::.-<dl G(H"' P.,r Po,• ;::, Co v.Jt:" - r·