HomeMy WebLinkAbout2868 VIA CONQUISTADOR; ; CB013848; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-24-2002 Patio/Deck Permit Permit No: CB013848
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2868 VIA CONQUISTADOR CBAD
PATIO
2225922700 Lot #: 0
$1,51 1.00 Construction Type: NEW
MUCKE RES-195 SF DETACH PATIO
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/17/2001
RMA
12/18/2001
12/18/2001
PD
Applicant:
BHI BUILDERS MUCKE LARS H&SANDY C 1957 )7 /24/02 x,02 '.)l.
5620 PASEO DEL NORTE
CARLSBAD CA 92008
619 972-4043
Total Fees: $68.54
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
TOT AL PERMIT FEES
2868 VIA CONQUISTADOR
CARLSBAD CA 92009
Total Payments To Date: $52.83 Balance Due:
$31.41
$0.00
$20.42
$0.00
$1.00
$15.71
$0.00
$0.00
$0.00
$68.54
CG!:-"
$15.71
FINAL APPROVAL
Date: fQ~ 7-i_ ---OV Clearance: -------
NOTICE: Please ta CE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as ·tee actions." 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 1mTIFIED 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 h' h • I • • i h • • ir
02
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORIYIATION / /
FOR OFFICE USE O~ J
PLAN CHECK NO . lfirJ/0 ?ft./ j>
EST. VAL. /51/
Plan Ck. Deposit _______ .,....._
Validated By __ --1----........ ----;,q,,.."l."--
Date, __ .....,,y'f--f--l--/-~~~~--
2-JS{e 1, V {A Ct?Zn:ff Uf SI g, olo c
Address (include Bldg/Suite #I Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
2-Prop~ed Use
#of Stories # of Bedrooms # Bathrooms
2. CONTACT PERSON (If different from applicant)·
Address State/Zip Telephone# Fax#
3. 0 Agent for Contractor ~, SU"
Name Address City
94
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
Any violation of ction 7031.5 by any applicant for a permit subjects the plic~ to a civil ll flalty of not more than fivl! hundred dollars ($5001).
~Se ~ /1/Pri -e__ 0 -S
Name Address City
License Class -~f3..,__ ______ _
Designer Na 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:
O 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.
0 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: -~ /2 O/ -/ _ r) t:J'CI 2
Insurance Company ~;r7}9-re ::;5/Alb Policy No. tJ05 00() 0"J z._'.,{ () Expiration Date O r
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI
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 la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($10 00). In additio to the cost of compensation, dama\ea as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE._--f½>--....._::--:,~..:::::::.---------------DATE /2 -/ /S -Q (
7. OWNER-BUI
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).
O 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 t he Contractor's License Law).
O 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 t he 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 (firml 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 (hiredl the following persons to provide the work indicated (include name/ address / phone number / type
of work I:. ____________________________________________________________ _
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? 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\! 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 u r 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 com need within 180 day the dale of such permit or if the building or work authorized by such permil is suspended or abandoned
at any time after lhe work is com ed for a period of 1 ys (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE ,d.:1"..._ ______ ..:::::::;;;~:::::::::..,. ______ ....l_______ DATE
YELLOW: Applicant PINK: Finance
....
City of Carlsbad Bldg Inspection Request
For: 10/21/2002
Permit# CB013848
Title: MUCKE RES-195 SF DETACH PATIO
Description:
Type:PATIO Sub Type:
Job Address: 2868 VIA CONQUISTADOR
Suite: Lot 0
Location:
APPLICANT BHI BUILDERS
Owner: MUCKE LARS H&SANDY C
Remarks: REINSPECTION
Total Time:
CD Description Act Comments
15 Roof/Reroof
(EEJ1t!lc
Associated PCRs/CVs
lnsi;1ection Histo!)'.
Date Description Act lnsp Comments
Inspector Assignment: PD ---
Phone: 7608037152
Inspector:
Requested By: JOHN
Entered By: GIOVANNA
10/17/2002 19 Final Structural co PD NO APPROBED PLANS OR RECORD CARD ON SITE
10/16/2002 15 Roof/Reroof WC PD
07/25/2002 14 Frame/Steel/Bolting/Welding co PD SEE NOTICE ATTACHED
06/14/2002 19 Final Structural co PD
12/19/2001 11 Fig/Foundation/Piers AP PD PATIO COVER
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