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HomeMy WebLinkAbout1533 REGATTA RD; ; CB000932; PermitCity of Carlsbad 03/15/2000 Patio/Deck Permit Permit No:CB000932 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1533 REGATTA RD CBAD PATIO Lot#: 0 Valuation: 2150715500 $942.50 Construction Type: NEW Reference #: Project Title: BERRY RESIDENCE 130 SF PATIO, GAS PIT & BARB-QUE Applicant: CORNERSTONE CONSTRUCTION 1770 GILLESPIE WAY 619 449-7754 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/15/2000 MDP 03/15/2000 03/15/2000 Total Fees: $68.18 : ; • • w '.lbtal Payments To Dale:'" $0.00 ~ ; · · * ;Q411!Qce Due: $68.18 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 TOTAL PERMIT FEES Inspector: e f • 'i .... .j < t, 0 '1 : 't .. " \ •• 4 \t·,, " ;::, 1 • f + , f' •" .. ,0 ~ !)ATE Srl>:oP FINAL APPROVAL Date: . . ' .. . ·~ • # ' . "' ••• ,4.35 x® +•,t"4tQ.OO ;.-; ;. :,;-!:trs.83 ·~,,•·· ;~,. :-$0.00 • · $1.00 $0.00 $0.00 $27.00 $68.18 PERMIT Clearance: 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 specified 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 oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 68-18 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave ., Carlsbad, CA 92008 '1. PRO;JE;CT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. ()6 • Cf'~'? EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Business Name (at this address) ~ Legal Description Lot No. Subdivision Name/Number Unit No. f units Proposed Use # of Bedrooms # of Bathrooms ~- Name ,3. APPLICANT ~ontractor Name Address 4. Name Address ts. CQNTMCTOR • CQ.MPAf!IY, NM,'lj: City 0 Owner D ~gent for Qwner City City State/Zip S.tate/Zip Telephone# 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 Code] or that he is exempt therefrom, and the basis for the alleged exe'"on. ,t.ny violation of S · n 7031.5 by an applicant f a permit subjects the appli_canyto a civil penalty of not more than five hundred dollars $50 ). Cc)£,,, .G; ~ ;; -C/✓ , -r: £:. Name State License # _z'--+y-~"'--"3;"-=~-6 __ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENS~TION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ 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. 0 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 com..B,o/,!sation insurance rier and poli y number are: , tLLl Insurance Company 5:,'/ (!: Policy No. /T/0 2 U -7,}ixpiration Date c:2{? 0/ Z~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 0 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. ation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred s of compensation, damages as provided for in Section 3706 of the Labor c~d} j terest and attorney's fees. DATE /5,,,,,,, d/2? 2<'.:) c;}"2) I hereby affirm that I am xempt 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). 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 Sect ion ______ 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 O NO 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 I 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 ______________________ _ COMPLl;TE THIS SECTION FOR !JON-RESIDENnAL BUILDfNG f!ERl\l!!T§ O!'i!.V:---••""""""--- 1s 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 7 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, C9NSTRUCTION LENDING AGENCY ""· I hereby affirm that there is'a construction lending agency for the performance of the work for which t~is permit is issued (Sec. 3097(i) Civil Codel. 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 const ruction. 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. authorized by such permit is n at any time after the work is c APPLICANT'S SIGNATURE DATE YELLOW: Applicant. PINK: Finance ' City of Carlsbad Bldg Inspection Request For: 3/16/2000 Permit# CB000932 Title: BERRY RESIDENCE Description: 130 SF PATIO, GAS PIT & BAR B-QUE Type:PATIO Sub Type: Job Address: Suite: Location: 1533 REGATTA RD Lot 0 APPLICANT CORNERSTONE CONSTRUCTION Owner: BERRY KRISTI L Remarks: PATIO AND GAS PIT INSPECTION Total Time: CD Description Gf__ Comments 11 Ftg/Foundation/Piers 23 Gas/Test/Repairs -M- Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: \L Phone: Inspector: Requested By: PIERRE Entered By: CHRISTINE -------------· ··••·--· ---..