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HomeMy WebLinkAbout1540 SAPPHIRE DR; ; CB032353; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-22-2003 Patio/Deck Permit Permit No: CB032353 Building Inspection Request Line (760) 602-2725 Job Address: 1540 SAPPHIRE DR CBAD PATIO Status: Permit Type: Parcel No: 2122010500 $1,785.00 Lot#: 0 Applied: Valuation: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: RYAN VINCENT B RYAN RES 140 SF 2ND STORY DECK PER CITY SPECS W/ FRENCH DOOR 4401 ANGELO ROSA ST LAS VEGAS NV 89135 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 Plan Approved: Issued: Inspect Area: Plan Check#: Owner: RYAN VINCENT B 4401 ANGELO ROSA ST LAS VEGAS NV 89135 ISSUED 08/22/2003 SB 08/22/2003 08/22/2003 $34.77 $0.00 $22.60 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $58.37 Total Fees: $58.37 Total Payments To Date: $0.00 Balance Due: $58.37 2581 )8/22/03 '.).Q(U 01. LuP Inspector: FINAL Date: 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 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 f in f hi h h I Tl ·1 hi r Iii h i I FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK N4o'J L)-5_) EST. VAL. /, 7 &~ ' CITY OF.CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit--~------- Valida~y =5ti) Date ~ ZZ (o-:> 1 . .J!89j.lCJ lfllfj)RM~TION ~.j 15 <I a 2/{/f/?//1.L-E ,} Address (include Bldg/Suite #) CJAeL~~ C'/1 9 ..2~t7 o/ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units # of Bathrooms Name Address City State/Zip Telephone# Fax# [3. ·APPLICANT O Contr.ac_tor O Agent for Contractor O Qwner O _Agent for Q-wner Address City State/Zip Telephone# ts. CONTRACTOR. COMPANY NAM.E. (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 dollars ($500)). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name State License # Address City I hereby affirm under penalty of perjury one of the following declarations: State/Zi'p Telephone O 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. O 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 [$1001 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. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shell 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 1,._,,_0Wf!m•!IUILP._ER D_!:CLARATION . ' , . • &-• I h_e~ffirm that I am exempt from the Contractor's License Law for the following reason: l2f" I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure 1s 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). D 65 2. 3. I am exempt under Section ______ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit tor the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I 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 I address I phone number/ contractors license number):. ______________________________________________ _ 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 f work):. __________ -,--r-----::c-----,,.--,----,>'T'!I--------------------------------- DATE X' r--~::Z...-03 Is the applicant or future building occupant required to submit a bu ess 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. /a-:-!:;ONSTRUCTION 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 ________________________ _ '~-· APPLJCA ... T CER.TIFJCA TION 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 by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work X'lhorized by such permit is not commenced within 180 days from the date of such permit or 11 the building or work authorized by such permit 1s suspended or abandoned any t11 after the work is com need for a period of 180 days ction 106.4.4 Uniform Building Code). PPLIC/ ''S SIGNATURE • . DATE e= < k 2,~ 0:::--.! YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/15/2003 Permit# CB032353 Title: RYAN RES 140 SF 2ND STORY DECK Description: PER CITY SPECS W/ FRENCH DOOR Type: PATIO Sub Type: Job Address: Suite: Location: 1540 SAPPHIRE DR Lot APPLICANT RY AN VINCENT B Owner: RY AN VINCENT B Remarks: Total Time: 0 Act Comment Inspector Assignment: JM --- Phone: Inspector: JvJ'.- Requested By: RYAN Entered By: CHRISTINE CD Description 19 Final Structural ~------- Associated PCRs/CVs lnsiJection Histo[Y Date Description Act lnsp Comments 09/25/2003 14 Frame/Steel/Bolting/Welding PA JM DECK FLASHING OK 09/22/2003 14 Frame/Steel/Bolting/Welding NA JM 09/03/2003 11 Ftg/Foundation/Piers AP JM OK TO POUR (2) FOOTING • GATE CODE 5454