Loading...
HomeMy WebLinkAbout2831 VIA CONQUISTADOR; ; CB001133; Permit03/28/2000 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: DAV IS, DAVID City of Carlsbad Patio/Deck Permit Permit No:CB001133 Building Inspection Request Line (760) 602-2725 2831 VIA CONQUISTADOR CBAD PATIO 2225921000 $2,755.00 Lot#: 0 Construction Type: NEW INSTALL PATIO COVER 380SF Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: BRENNAN ELIZABETH L ISSUED 03/28/2000 GMF 03/28/2000 03/28/2000 2831 VIA CONQUISTADOR CARLSBAD CA 92009 2831 VIA CONQUISTADOR CARLSBAD CA 92009 Total Fees: $87.34 Total Payments To Date: Balance Due: $87.34 2599 03/28/00 0001 01 02 )0 Building Permit $52.33 C-PRMT 87-34 Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee TOTAL PERMIT FEES Inspector: vA FINAL APPROVAL Date: 9.:,-\ 4-::Ct) Clearance: $0.00 $34.01 $0.00 $1.00 $0.00 $0.00 $0.00 $87.34 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" 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 capactiy 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C.S(X)l\3 3 EST. VAL. ;;;, --:/55 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ________ _ Validated By_..,;;Je-=--'-q--'--______ _ Date ~ / 2'i:t po 1. PROJECT INFORMATION ;?:ESIDE.N>T I~ ~1) o CO'l..t=--~. Address (include Bldg/Suite #) Bi,siR&&& ~larAe (at !bis addres~ "7.-~'3 1 \lit\_ C6t0qV\Yr Av~ ~13A-P ~ 9.c,_i.._u_,_, ____________ _ Legal Description • lot1.lo. Subdivi~n Name/Nur1\ber Unit No. Phase No. Total # of units ~':to ~l\.'-0, \11"-')c, f· :flt 4, 71?4t,[ 'j:)-6/, f.c1' 7 4 Assessor's Parcel # 7 ' r Existing 'use ~roposed Use S1t16L~ /#f/"7'. Description of Work SQ. FT. #of Stories s,.,~ f1,"1•':j # of Bedrooms # of Bathrooms \?es,~ n ~ --re.cu.e..s / f'h--yo 2. CON'(ACT PERSON (If different from ap(iicant) ~ J/.l\v Iv ::>¥ ,5 Z.S;-$1 v,,1 Name Address Gm q,u, 5, TY v0 & • ,~e,~, 1 City 3. APPLICANT 0 Contractor 0 Agent for Contractor 3owner 0 Agent for Owner :vw 12.au\S S"'IO'.!C. Name Address City 4. PRQPER'i;Y OWNER j.?/hJ I ol Dlirv '-5 Name Address City .5. CONTRACTOR -COMPANY NAME C,A. State/Zip State/Zip State/Zip ·~,9-)S7-77,f0 Telephone# Telephone# Telephone# 7t,o 9n-99-b Fax# (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 [$500)). Name Address City State/Zip Telephone # State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORl(ERS' 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. O 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 _____________________ _ Policy No .. ____________ _ Expiration Date _______ _ (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 crimlnal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney·s fees. SIGNATURE.________________________________ DATE _________ _ ;;(__7. OWNER-BUILDER DECLARATION . I hery affirm that I am exempt from the Contractor's License Law for the following reason: [3' 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 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. ~S 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 I address I phone number / contractors license number)=-----==-------=------------------------------------- 5. I will provide some of the work, but I h following persons to provide the work indicated [include name / address / phone number / type of work):, ____________ -r'::....-,-,L-~~#---r::_ ____________________________________ _ DATE __ ~"--'-2.=.s.4,_,...:.()_rz:> __ _ ROPERTY OWNER SIGNATURE --t,,;J,,z::.J..L.l. _ ___.1cc-..._....e:::::::..:!:::..:L.. _________ ......::.">( COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING "ERMITS ONI, Y 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. 6. 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 w ith all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 buildin icial 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 In O days from the of uch permit or if the building or work aulhorized by such permit Is suspended or abandoned at any time after the work is commenced pe • d Oda clion 6.4.4 Uniform Building Code). I ,:>4PPLICANT'S SIGNATURE __ _£_,L.!::::::!d<:~-~-'-~~:::,:::::::::__________ DATE _1::__-_Z_4.:..__-oo ______ _ WHITE: File YELLOW: Appltcant PINK: Finance City of Carlsbad Bldg Inspection Request For: 8/10/2000 Permit# CB001133 Title: INSTALL PATIO COVER 380SF Description: Type: PATIO Sub Type: Job Address: 2831 VIA CONQUISTADOR Suite: Lot 0 Location: APPLICANT DAVIS, DAVID Owner: BRENNAN ELIZABETH L Remarks: PAPERWORK OUTSIDE Total Time: CD Description Act Comments Inspector Assignment: DA Phone: 6199877780 Inspector: y/1- Requested By: DAVID Entered By: ROBIN 19 Final Structural ¥------- Associated PCRs Inspection History Date Description 3/29/2000 11 Fig/Foundation/Piers Act lnsp Comments AP DA