HomeMy WebLinkAbout1273 VERONICA CT; ; CB061821; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-26-2006 Patio/Deck Permit Permit No: CB061821
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1273 VERONICA CT CBAD
PATIO Status:
Parcel No: 2145510300 Lot#: 0
NEW
Applied:
Valuation: $4,095.00 Construction Type: Entered By:
Reference #:
Project Title:
Applicant:
HENDERSON: 255 SF PATIO PER
CITY SPECS
NORTH COUNTY DECK AND PATIO
SUIT L
1338 NORTH MELROSE 92083
760 941 -5326
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'! Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Owner:
HENDERSON STEVE&ELIZABETH
1273 VERONICA CT
CARLSBAD CA 92011
ISSUED
06/26/2006
JMA
06/26/2006
06/26/2006
$61.19
$0.00
$39.77
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$101.96
Total Fees: $101.96 Total Payments To Date: $101.96 Balance Due:
Inspector: M ~ FINAL APPROVAL
Date: -~ '-l <:>'-Clearance:
$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
fees/exactions of which you have previously been given a NOTICE similar to this or as to which the statute of limitations has previously otheiwise expired
~e.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
,. PROJECT INFORMATIQN
/ 12-73 Yeroo i&:a c ·rt ..2._~ll
FOR OFFICE USE ONLY
PLAN CHECK No.CB0'2 f ~2.(
EST. VAL. -3 r2..S'"
Plan Ck. Deposit ______ _
Validated}! c.J n:e=:
Date r:;_f_2:(p{3L
/ Address (include Bldg/Suite #) C:s r:\ ~ b ga( ' Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work ,,,.o~ ~~r/J #of Stories # of Bedrooms # of Bathrooms
2. CQNTACT PEf'!SONjlf different from applicant)
/ Wt; Linda f<.:yari 1~e N, Melrose
Name Address
Dr 1 '1¼L., Vt .c.:,ta,
City
CA °22PPi2>
State/Zip
({ro) '4:1 -2 3 2l:,
Telephone # Fax #
3. APPLICANT O Contractor O Agent for Contractor • 0 Owner O Agent for Owner
Name Address City State/Zip Telephone#
4. ~-Pl!,OPERTY OWN!;i:1 -( . ,,,,, '?t-eve H-encf~r'5on ,~me ~ *'2 Name Address
6. CONTAACTOR -COMPANY NA~.~
City State/Zip 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
exemption. Any violatio. n of Section 7031.5 by Any applicant for a P,ermit subjects the applicant to a civil penalty of not more thaoie. hundred dollars ($5001). lortb Countv lh-..,\:'... ; ratio 1~ iJ. M~,r~Pr-\/1c.:,ta ~ c,ue3 w) q41-153 2b
State License # 38~6 Address ' ~ City State/Zip Telephone #
License Class __ f?ac. ________ _ City Business License# j:Z./~±5f>
Designer Name Address City State/Zip Telephone
State License # __________ _
8. .WO~ERS' COMPE~SATION
' Wo,s· 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 perform~nce of ihe work for which this permit is
issued. My worker's compensation insurance i:arrier and policy number are:
Insurance Company , 1 QI c,, J YI V\
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
Policy No. 31t,-I 51-2oo5 Expiration Date jo-ol-Oi,
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 shall subject an employer to criminal penalties and civil fines up to one hundred \.. j . th. ousand dollars ($100, I. in addition he cost of compensation, damages as provided for in .S.ecti.o n 3706 of the Labor code, interest and attorney's.fees. I' s1GNATURE, __ ....,....,f:P.~~LL...-1.~-p;J~~--------------DATE l,rU--o 0
li :-".J>.wrm1-B1,11 ~ 'oec1.4R~1Q14~ ,_ .~ -"= 1 ~-: =~" ... _ "' .,~ . ...,7·-,~~;r--,
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
id"' 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. ( (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 _______________________ _
iCOMPL~TE THI:; SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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? 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.
~ .... ~9!4:;;.Tf\Ugm>N l,.Ef!QJNG1'9.!;NJ;:Y
I hereby affirm that there_js a construction lending agency for the performance of the work for whicl\. this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ----c-----------
\9:_ AePL.lCANt.CEFITIFIC~TIOl'JI , 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 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
/
uthorized by such permit is not commenced w~hin 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
t any time after the work is commen for a period of 180 ays (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE -~P,~d.:::~~--Jl.....o:"fP~/.J,,!.~----------DATE fl? -26 -o b
YELLOW: Applicant PINK: Finance
• City of Carlsbad Bldg Inspection Request
For: 07/25/2006
Permit# CB061821
Title: HENDERSON: 255 SF PATIO PER
Description: CITY SPECS
Type: PATIO Sub Type:
Job Address:
Suite:
Location:
1273 VERONICA CT
Lot 0
APPLICANT NORTH COUNTY DECK AND PATIO
Owner: HENDERSON STEVE&ELIZABETH
Remarks:
Total Time:
CD Description Act Comment
19 Final Structural ~
29 Final Plumbing ~
39 Final Electrical :b-Final Mechanical 49
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
lns12ection Histor:y
Date Description Act lnsp Comments
07/07/2006 11 Ftg/F oundation/Piers AP MC
07/07/2006 14 Frame/Steel/Bolting/Welding WC MC
Inspector Assignment: MC ---
LL'Yl 13-S
Phone: 7609415326
Inspector: MG
Requested By: GEORGE
Entered By: CHRISTINE
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