HomeMy WebLinkAbout1250 VERONICA CT; ; CB043737; Permit\ I. C\. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
oM9-2004 Patio/Deck Permit Permit No: CB043737
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1250 VERONICA CT CBAD
PATIO Status:
Lot#: 0 Applied:
Valuation:
2145512300
$11,032.00 Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant:
BURNS RES-1,379 SF LATTICE
PATIO COVER
SKYLINE SUNROOMS
8075 ALVARADO RD
LA MESA, CA 91942
619-469-9556
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:
BURRIS TRUST 08-27-97
1250 VERONICA CT
CARLSBAD CA 92009
ISSUED
09/29/2004
KMT
09/29/2004
09/29/2004
$1 15.09
$0.00
$74.81
$0.00
$1.10
$0.00
$0.00
$0.00
$0.00
$191.00
Total Fees: $191 .00 Total Payments To Date: $0.00 Balance Due: $191 .00
2173 09/29/04 0002 01
CGP
FINAL APPROV£L
Date: J-/f -O 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
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
02
191-00
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY Of CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECro.(1..&243 7 37
EST. VAL. / , D3;;t...
Plan Ck. Deposit~
VaHdatod By ~
1 Date Xi rsq
1. PROJECT INFORMATIQN \250 vetoJ ,m
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
a-14:-00t-aa-oo
Assessor's Pai;cel # \(1 Existinq~. ~ 4J 45i Proposed Use
atuYlin, 1rotr\'C)G1 OlJOC SO. FT. #of Stories # of Bedrooms # of Bathrooms
Na~ Address
dt ca gd(t5 01q • gqu · 5 oITT
City
0 Agent for Owner
State/Zip Telephone # Fax #
0 Owner 555
Name City State/Zip Telephone#
0a ~ 1{d) .q10 · (dUbl.a
Name Address City State/Zip Telephone#
,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
ion. Av\ violati of Section 7031.5 by any applicant for a permit subjects he pplicant to a civil penalty oar m~iv ~e.d dollars ~$500)).
Name City State/Zip Telephone #
State License# (@W--4:> License Class --~~------City Business License# _______ _
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:
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 ~~~i~ insurance carrier and policy number are: I \ t L
Insurance Company ~ ,\ \ r, Policy No.1-QoBoWBlO l Expiration Date \ \ 0\ 0"1
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
O 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
thousand dollars ($ 0 ition to the cost of compensation, damages as provided for in Section 3706 of the La or co e, interest and attorney's fees.
SIGNATURE V DA TE ---'--F----'-+--'.L'-'le-----
7. OWNER-BUil
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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 :ontracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an :wner 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 ______ fJusiness 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 O 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 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-RESIOENTIAL 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? 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(1) 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\' 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 WA Y 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
authorized by such permit Is not commenced within 180 days from the date of such permit or 1f the building or work authorized by such permit{i suspended or abandoned
at any time after the work Is commenced f r pe o of ys (Section 106.4.4 Uniform Building Code). , ,r, . 0
APPLICANT'S SIGNATURE -----4--"'L-...lLJ.4.l~~~----------------DATE __ q..___001 __________ _
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 03/15/2005
Permit# CB043737
Title: BURNS RES-1 ,379 SF LATTICE
Description: PATIO COVER
Type: PATIO Sub Type:
Job Address: 1250 VERONICA CT
Suite: Lot 0
Location:
APPLICANT SKYLINE SUNROOMS
Owner: BURRIS TRUST 08-27-97
Remarks: please take out City set of plans
Total Time:
CD _D_e_s_c-ri-p-tio_n ________ 112__ Com ment 19 f;nal Structural -~
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: PD ---
Requested By: NA
Entered By: CHRISTINE
11/12/2004 19 Final Structural
10/13/2004 11 Fig/Foundation/Piers
NR PC no card or plans on site
AP PD
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APN# 1-.\'-I -55, -2,~-QO
Lot# I "6
Tract Name:
(
I '<.'' I , ) Proposed: I7 x 5'1 ){1\)(L\I
f \j\lJ/lWOOQ P,1...v .,.,._ ~Tl(.t:. f'~r,o (O•l~'l
Electrical: Oves GZl No
ICBO# Z to1..( p
Contractor:
Skyline Sunrooms
5710 Kearny Villa Rd.
San Diego, CA 92123
Lie. # 637226
Drawing Scale:
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