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HomeMy WebLinkAbout1549 REGATTA RD; ; CB021507; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-17-2002 Patio/Deck Permit Permit No: CB021507 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1549 REGATTA RD CBAD PATIO Lot#: 0 2150715100 $2,707.00 Construction Type: NEW SIMPSON RESIDENCE 318 SF PATIO COVER ICBO #2228P Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: SKYLINE SUNROOMS SIMPSON FAMILY TRUST 11-09-95 ISSUED 05/17/2002 MDP 05/17/2002 05/17/2002 8075 ALVARADO RD LA MESA, CA 91942 319-469-9556 1549 REGATTA RD CARLSBAD CA 92009 7361 05/17/02 0002 01 CGP Total Fees: $76.55 Building Permit Add'I Building Permit Fee Plan Check Add'! Plan Check Fee Strong Motion Fee Renewal Fee Add'! Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Ins ector: Total Payments To Date: $0.00 Balance Due: Clearance: $45.79 $0.00 $29.76 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $76.55 $76.55 NOTICE: Please take NOTICE t t approval of your project includes the Mlmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.~ ou 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 prooessing in accordanoe 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, ~r planning, zoning, gradi~ or other similar application processing o_r seivice fees in connection wi~ t~is ~roject. NOR. DOES IT A~PLY to. any 02 76 .. 55 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. ()7--L(O] EST. VAL. '-1 L-0] Plan Ck. Deposit ________ _ Validated By __________ _ Date ___ ~~...-..:......;4-0'L_..;::c._ __ _ 1-,&J~INFEA,.n,\ BP Address (include Bldg/Suite #) Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Name 3. 4. ~?!??fWNER _ . / ~SIM~ Name 5. CONTRACTOR • COMPANY NAME State License# ~-'} ™ Designer Name State License # _________ _ 6. WORKERS' COMPENSATION Address State/Zip Telephone# City State/Zi~ '2.£( TeleP.hone # City Business License # 4/ J City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Fax# 0 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. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which t ·s permit is issued. My worker's compensation insurance carrier an policy number are: . / M--T,(?0 . . ~ Insurance Company ::._.~,,,,_~:-i•-J:~"'::Jc:.~~~Ci,.:_."l.,.'!!:.,;_--,:...-=-4--L..:~:......-------Polley No . ..,/j..._.~-~-f...!---+-~---~-+ .... ----Expiration Date 6 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLi.!Rs ($100) OR LESS) O 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: Fa· rs' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand d rs ($1 to the cost of compensation, damages as provided for In Section 3706 oft labor ode, intere t and attorney's fees. SIGNATURlc:::=~~~~lil~J-~~~=-=-=-=-=-=-=----------,--,----,--,----===-DATE .:_1"'~'-',r'-#-..,,.. _ _,__..._,L-_.___--=Z..... 7. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 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 contractorls) 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 / 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 Is 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? 0 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 Cit\! 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 b the build' cial 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 no ed wit s from the date of such permit or if the building or work authorized by su permit i suspended or abandoned at any lime after the work is 180 ys (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNA TU DATE WHITE: File YELLOW: Applicant PINK: Finance • City of Carlsbad Bldg Inspection Request For: 05/31/2002 Permit# CB021507 Title: SIMPSON RESIDENCE Description: 318 SF PATIO COVER ICBO #2228P Type:PATIO Sub Type: Job Address: Suite: Location: 1549 REGATTA RD Lot APPLICANT SKYLINE SUNROOMS 0 Owner: SIMPSON FAMILY TRUST 11-09-95 Remarks: Total Time: CD Description Act Comments Phone: 6197335159 Inspector: ---- Requested By: JULIE Entered By: CHRISTINE 19 Final Structural ¥------ Associated PCRs Inspection History Date Description Act lnsp Comments