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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 ,I ,) I! -r I ·······~q·· •• ~,····· t,.j' i ·-!' . , i -·-·· .. ;-_, .. ! ... , ----- .,, ' fL 0 '.~ i ~.c..~.,_et."b: I J I Hm. phone Eno\ s,i -wrn b 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: ' If , I ";: '?:)o ·············•··· .. ··•···,-~~-fJ<--· w-..~ . . - .t ' \ ~,\ -:y '