HomeMy WebLinkAbout1509 TURQUOISE DR; ; CB091719; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-15-2009 Miscellaneous Permit Permit No: CB091719
Building Inspection Request Line (760) 602-2725
Job Address: 1509 TURQUOISE DR CBAD
Permit Type: MISC Subtype: OTHER Status:
Parcel No: 2122005300 Lot #: 0 Applied:
Valuation: $0.00 Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: MELLICK RESIDENCE
REMOVE WINDOW AND INSTALL DOOR & LIGHT@ M,ASTER
Applicant: Owner:
ISSUED
10/15/2009
MOP
10/15/2009
10/15/2009
MELLICK EDWIN G&SANDRA M FAMILY TRUST 12-13-02 MELLICK EDWIN G&SANDRA M FAMILY TRUST 12-13-02
1509 TURQUOISE DR 1509 TURQUOISE DR
CARLSBAD CA 92011 CARLSBAD CA 9201 1
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$85.00
PERMIT
ELECTRIC
Total Payments To Date: $85.00 Balance Due:
HJILL> i'-iG
_ !N srn
1-AT
Clearance:
$65.00
$20.00
$0.00
$85.00
$0.00
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
«~ Building Permit Application Plan Check No. ocr--\7 \°\
1635 Faraday Ave .. Carlsbad. CA 92008 Est. Value
1 ~ CITY 0 F 760-602-2717 / 2718/ 2719
CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date I
JOB ADDRESS / Qt)' I SUITE#/SPACE#/UNIT# IAPN uo -S3 -00 , u I qutl{"' J Jl. Iv~ <'.:.Sf:10 ~.?O, 2-IZ--
CT/PROJECT #
I LOT#l77 I PHASE# I # OF UNll s I # B;:;:OOMS # BATHROOMS
2 'fi'
I TENANT BUSINESS NAME ·I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) .
~Slo,/.(J,;,,.,... 6F 5;,).,,,~ "j le,• ~,t-L --fp e ll1 ,;. .... , '2~ w,,,Jo .. ~ Ol'e.r1,;,~ ~ re..mov•"s ':l'f', PAI.I,._,
IJlfA,l.. (}/\)£ C l,(.,fL e.:f -f /) bL r" U f>CJ~ ~ nev e~:-{v,or 1..,,1..( ~ :s...,: ,,~ ,1-54/lttJ
Locd-1 ~ /S th._. /;.,,. s -f-.fk,,r-~ S,n5I~ ,F,....,./1:) rL..61d'-C..,c... '" ""1q-(,,r_,-~.Ir~ o
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
I
AIR CONDITIONING I FIRE SPRINKLERS
YES □ #_ NO □ YES O NO O YES O NO 0
CONTACT NAME (If Different Fom App/leant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE I FAX
EMAIL EMAIL
PROPERTY OWNER NAME 6( ' CONTRACTOR BUS. NAME "''" o-,..J s~, .. 111~11,aC
ADDRESS ADDRESS /6r:,ff -f,<./4"' " , s l>/lt.
CITY ~ STATE ZIP CITY STATE ZIP
\..W6~ Ctl-C/2..b l (
PHONE
7 1,0 _ q5,0 ·07.S-7 'FAX PHONE I FAX
EMML . EMAIL f..d ..... 't:. I hil. e re."'" ,.,,. ( • Ct,...--
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.#
(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 sil(ned 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]).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of lhe following declarations:
D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Cece, for the performance of the work for which this permit is issued.
D I have and will maintain workers' compensation. as required by Section 3700 of the Labor Cece, for the performance of the work for which this permil is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that In lhe performance or the work for which this permil 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 shall 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.
~ CONTRACTOR SIGNATURE □AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for lhe following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do lhe work and lhe structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's
License Law does not apply lo an owner of property who builds or improves thereon. and who does such work himself or lhrough 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 lhe burden of proving that he did not build or improve for the purpose of sale).
□ I, as owner of the property, am exclusively contracting with licensed contraclors lo construcl lhe project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves lhereon, and contracts for such projecls with contractor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section _____ Business and Professions Code for this reason:
1. I personally plan lo provide lhe major labor and materials for construction of the proposed property improvement. □ Yes □ 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/ phone / 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 / contractors· license number):
5. I will provide some of the work, but I have conlracted (hired) lhe following persons to provide the work indicaled (include name I address I phone / type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
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? O 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.
of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Address
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 la~ relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above menooned property for inspect.on 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 limitaoon and become null and void if the building or 'Mlrk authorized by such permit is not commenced within
180 days from the date of such permit or if the building or'Mlrk authorized by such permit is suspended or abandoned at any time after the 'Mlrk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~ LJ _~ _N$ APPLICANT'S SIGNATURE DATE
UNSCI-IEDULED BUILDING INSPECTION
INSPECTOR Py I
PERMIT # D 9 --l 1 l ~ -PLAN CHECK# ___ _
JOB ADDRESS __ l 5_5b_q _-_, u_R----=---.:::Q -.....;;:;u _o __.:..\ _.&_~ ________ _
DESCRIPTION _________________ _
CODE DESCRIPTION ACT COMMENTS
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