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Home My WebLink About2909 SEGOVIA WAY; ; CB020493; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-15-2002 Miscellaneous Permit Permit No:CB020493 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: PARKER, DAVID Building Inspection Request Line (760) 602-2725 2909 SEGOVIA WY CBAD MISC 2552803200 $0.00 Subtype: OTHER Lot#: 0 ZASLOW -FOOTINGS FOR FUTURE PATIO COVERS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ZASLOW NORMAN H&ANNE G ISSUED 02/15/2002 JM 02/15/2002 02/15/2002 4911 REFUGIO AV CARLSBAD, CA 2909 SEGOVIA WAY CARLSBAD CA 92009 1057 02/15/02 ~iji:fl .. 1. Total Fees: $60.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOT AL PERMIT FEES Total Payments To Date: $0.00 PERMIT Inspector: //M:t.-~ Date: FINAL APPROVAL z../'J...o/o._ I Balance Due: $60.00 $0.00 $0.00 $60.00 $60.00 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 Secuon 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Coda 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 r~ht to protest the specffied fees/exact~ns DOES NOT APPLY to water and sewer oonnection fees and capacuy 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 nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nrevio11slv otherwise exnired. 02 60 .. 00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No-<:::lzSZ-1/fJ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA_ 9~2008 EST. VAL. _________ _ Plan Ck. Depo:::•::.il:.:,~---~---- Validated By_.,.~~-...-+=-l-;...,:,-- Date _______ L::;;i..,µ4''--""'=='--- 1. PROJECT INFORMATION Mr~. l."' s LDvv Address (include Bldg/Suite #) Business Name tat this address) legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Assessor's Parcel# p (o,-\-t.:._, S .i;,., t: · "'--Existing Use Proposed Use Oescriptiok of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON IH different from apP'lcent) b., ,,;q;\ Pc.dl u::: ,(,, ':{ ruvv\w11., pla« Name Address 3. APPLICANT D Contractor D Agent for Contractor O Owner Name Address 4. PROPERTY<°WNER 1r:::\6-1,c..c, ,,.__, Name &. CONTRACTOR • COMPANY NAME City 0 Agent for Owner City Citv State/Zip State/Zip State/Zip Telephone# Fax# 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 ha is exempt therefrom, and the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit suq;ects the applicanJ to a civil penalty of not more than five hundred dollars ($500]1. 4~~ ~ cCV 4,AJ.~ C.. l '-( Co /1... l. W . "IWO \? 1..g cf'('/ /5 ( State License# __ 1'0"\-'-'"--'-~-'---'-1 __ _ License Class __ _,C"-•_'L.;;_1-_;_ __ _ City State/Zip Telephone I City Business License I ( LO C:. ( 6 "Z._ 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: D l have and will maintain a cenificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of 3P9 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 this permit is issued. My worker's compensation insurance carrier and policy number are: ~ / lnsu,ance Company '7:D!:I'i..-: ty,Y D. Pol;cy No. Zt'l -00 l 7,'-!i.-{C[ Exp;rat;on Dote O< _Q f 'Z.OQ 1 [ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 r.EPT,FIC!I.T!?' O!= ~:M'.!::MP·:-;n~~: ! cs· :if·/ that in tht: pe;f,:.,,n;;;-,(.;a, ..,; -.:he .vc.ril. ;.,., wh;;;.;, a1i~ JJ61.iiit is is15,ued, I shall not employ a,,y person in any manner so as to bacoma subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compenHtk,n coverege ia unlawful, and ahall aubject en empJoyer to criminal penaltlea and civil fine• up to one hundred thousand dollar• ($1001 01, In addition to the coat of compensation, damages u provided for In Section 3706 of the Labor code, lntereat and attorney·• fees. SIGNATURE, _ __:'.:::;i::==-------------_:_________ DATE '2-' l ~ -b / 7. OWNER•BUILD DECLARATION t hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the propeny 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 propeny 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 wilt have the burden of proving that he did not build or improve for the purpose of sale). D l, as owner of the propany, 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 propeny 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 tor a building permit tor 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 ponions 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 I 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 I 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? D 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? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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. 3097fi) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION t 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 building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such permit 1s not commenced within 180 days from the date of such permit or If the building or work authonzed by such permrl 1s suspended or abandoned at any time after the work 1s commenced for enod of 180 days (Section 106.4 4 Uniform Building Code) / ! APPLICANT"$ SIGNATURE ----,t.':,II,,_,,,::::::__________________ DATE --'1.14-, ..:lc.:C--1-t,..:O:..cL::c_ _____ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/20/2002 Permit# CB020493 Title: ZASLOW -FOOTINGS FOR FUTURE Description: PATIO COVERS Type:MISC Sub Type: OTHER Job Address: 2909 SEGOVIA WY Suite: Lot 0 Location: APPLICANT PARKER, DAVID Owner: ZASLOW NORMAN H&ANNE G Remarks: Total Time: Act Comments Inspector Assignment: Phone: 7608224878 Inspector: /I CI!> Requested By: NA Entered By: CHRISTINE CD 11 Description Fig/Foundation/Piers .M__tJ...,a..x-'---._-i;:.-'---,,1'-~--------- Associated PCRs Inspection History Date Description Act lnsp Comments ·----- . ', ~ ~ , .-.<'I --~ .. < "t, (J£) ~ I' ;( u ~>g I -:"" ~ ~ (;} ~~ / ~~ ~ ,~~~ I + '-l $) I~ -~~ o~n J c- I () '\ d ;; 7 ~ T I ~ "" ("J'> ,.., -u I +' \ 0 .. ~ ~-I -() \ -~ ''-') v-r \ J -... I \~ /> . ( -1(' " 1----- l "-.,,.... 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