HomeMy WebLinkAbout2157 TWAIN AVE; ; CB043902; Permitv\\\!3:Q I \c_ 1s3s?!,!r.y~~~!~!.~.~!~2ooa
10-20-2004(})~~ Patio/Deck Permit Permit No : CB043902
~~1~ Building Inspection Request Line (760) 602 -2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2157 TWAIN AV CBAD
PATIO
Lot#: 0 2081810100
$7,976.00 Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
10/15/2004
RMA
10/20/2004
10/20/2004 Issued:
Project Title: SHUTE RES-997 SF PATIO W/MASON Inspect Area:
COLUMNS.GAS TO FIREPLACE & FUTURE BBQ,ELECT TO Plan Check#:
Applicant:
D P REYNOLDS CORP
33682 CALLE CONEJO 92675
949 493-3359
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
Total Fees: $187.08
Inspector: ~<-
Owner:
SHUTE HENRY L&MARY A
2157 TWAIN AVE
CARLSBAD CA 92008
$84.29
$0.00
$54.79
$0.00
$1.00
$0.00
$0.00
$47.00
$0.00
$187.08
Total Payments To Date: $0.00 Balance Due: $187.08
3753 10/20/04 0002 0.1.
CGP
Clearance: ______ _
NOTICE: Please take NOTICE that approval of your project includes the 'lmpo ition" of fees. dedications, reservations, or other exactions hereafter collectively
referred to as •tees/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 /exa ti ns of which ou hav reviou I b n iv n a NOTICE simil rt this or as whi h h ute of limitations ha r vi sl therwi e ex ired.
02
197 -08
FOR OFFICE USE ONLY
PLAN CHECK NO. ('jj o H 3 °10~ PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By ___________ _
Date /0 ~ 15'-0 Y
Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel #
~ escript on of Work
Pl'?_POSed Use / (l ~ue -e ee , t-1r-
of Bedrooms # of Bathrooms -
~ame
3. APPLICANT O Contractor O Agent for Contractor O Owner O Agent for Owner ~IS~" 72. CONTACT SON (if different from applicant)
<<i-<6:M:>r'.' 1.-ALP :rl21~51btv ~A:zt A::U£'(rA-2G):O ;:;"!0-.J 'f;,u~ c.A--,")u,2C
Name Address ~ty State/Zip Telephone#
l-~ PROPERTY OWNER
Name
5. CONTRACTOR • COMPANY NAME
(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 l$5001).
v:?, rzJY-la;;;,.PS :?>~ <AIJ ciz. ~ c?fO:? ~Cf,,i>, a::... ':!I ?,,t.'"K '1'2.l':l -¼i 3::-::I~S-., I~ ddress $ Coty State/~ / Jetpphone #
? oZc!>':) IO License Class A: (i?,Z7 G 12 City Business License# qlf'le t:o I
J ~J· ~
Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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 this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company ~ n:J> LM,JD l Y,/s . Policy No._____________ Expiration Date. _______ _
(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.
WARNING: Failure to cure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
00), i o the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
DA TE 9,-22,..c:>f
m 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 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-RESIDENnAL 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 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. 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'1 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 building ici under the provisions of this Code shall expire by limitation and become null and void if the building or worl<
authorized by such permit is not com ced wit • s from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is com d forM:>Pf'.i~~ 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE -1--H;iU";..c.,lr;..;;~ ~6"r-----------------DATE %--28,0f/
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 04/22/2005
Permit# CB043902 Inspector Assignment: RB
Title: SHUTE RES-997 SF PATIO W/MASON
Description: COLUMNS,GAS TO FIREPLACE & FUTURE BBQ,ELECT
TO FOUNTAIN
Type: PATIO Sub Type:
Phone:
Job Address: 2157 TWAIN AV
Suite: Lot 0
Location: Inspector:
OWNER SHUTE HENRY L&MARY A
Owner: SHUTE FAMILY REVOCCABLE TRUST 11-26-04
Remarks:
Total Time: Requested By:
Entered By:
CD Description Act Comment
13 Shear Panels/HD's ~
23 Gas/Test/Repairs (jQ
68 Fi~~e/Tie Straps 0iL I
1-,,,'L 1:£ ;f/4 (riaLtv6 IA.p 1(
Associated PCRs/CVs
lns12ection Histor'i
Date Description Act lnsp Comments
03/17/2005 68 Fireplace/Tie Straps CA RB BY OWNER
03/16/2005 23 Gas/Test/Repairs WC JM
---
-----
HENRY
CHRISTINE
I
C/4A/J
03/16/2005 29 Final Plumbing co JM FLEX LINE OUTDOORS FIREPLACE TALLER THAN 6FT
12/21/2004 19 Final Structural AP RB ON PA TIO COVER ONLY
11/29/2004 31 Underground/Conduit-Wiring AP RB CONDUIT ONLY
11/29/2004 34 Rough Electric WC RB
11/23/2004 21 Underground/Under Floor WC JM
11/23/2004 23 Gas/Test/Repairs AP JM BBQ FIREPLACE LESS THAN 6FT
11/23/2004 31 Underground/Conduit-Wiring NR JM
11/18/2004 11 Fig/Foundation/Piers WC RB
11/18/2004 66 Grout AP RB GROUT FOR COLUMNS (SEE NOTICE FOR FIREPLACE)
11/15/2004 11 Ftg/Foundation/Piers AP RB 9 FTGS PLUS FIREPLACE FTGS
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