HomeMy WebLinkAbout150 WALNUT AVE; UNIT 6; CB153174; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-29-2015 Patio/Deck Permit Permit No: CB153174
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
150 WALNUT AV CBAD St: 6
PATIO Status:
Lot#: Applied:
Valuation:
2041230800
$2,503.00 Construction Type:
0
NEW Entered By:
Reference#: Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Project Title: THE BEACH PALMS-CONVERT 127 SF
PATIO COVER TO 2ND STORY DECK, CONVERT 8 FOOT WINDOW TO 8
FOOT SLIDER-TO ACCESS DECK FROM LIVING ROOM
Applicant:
SMITH FAMILY TRUST 10-12-01
7172 AVIARA DR
CARLSBAD CA 92011
31 0 569-3980
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Owner:
SMITH FAMILY TRUST 10-12-01
7172 AVIARA DR
CARLSBAD CA 92011
ISSUED
09/25/2015
RMA
09/29/2015
09/29/2015
PD
$52.50
$0.00
$36.75
$0.00
$1 .00
$1 .00
$0.00
$0.00
$65.00
$0.00
$156.25
Total Fees: $156.25 Total Payments To Date: $156.25 Balance Due:
Inspector:
FINAL APPROV'}l,.
Date: .;2 • ii: C, • I b Clearance: _____ _
$0.00
f\OTICE: Rease ta<e f\OTICE Iha~ a '.PX ~ed irch . .des tre "ln,mtioo'' a fees, dedcaticn;, resav.:ticns, cr ctrer exocticns hereata-cx:Jledivay
referred to as ''feeslexa:iicns." Yoo have 00 day., frcrn tre date tlis pemit 'MIS issued to pctest in,mticn cJ these feeslexa:iicns. If~ pctest then\ ~ rrust
fdlo.v tre pct est p-cadres sa lath in Co.lemrai OxJe Secticn Em20(a), a'd file tre pctest a'd any ctrer req..ired infcnralicn wth tt-e Oty l\fera;Jer fcr
p-cnlSSirg in ~ wth Ca1sba:J M.rici~ Oxle Secticn 3.32.030. Faih . .re to tirrely fdlON trat pam..re 'I.ill ta-any SlbieqJert legal acticn to atta::l<,
reviev-1, sa aside, vtid, cr anJ their in,mticn.
Yoo ere hereby R.RTJ-ER f\OTIAED that ~ rigt to pctest tre specifioo feeslexa:iicns OCES N'.Jr />PPL Y to wa.er a-'d reNi:Jf ro-redicn fees a'd ~
ctmges, ra plrnrg, zairg, ga:irg cr dhlr sirrilcl" cqlicaicn p-cnlSSirg cr servioe fees in ro-redicn wth tlis ~ed. r--.rn OCES IT .Aff'l... Y to any
feeslexocticnsciwich have "OI..ISI beEri ·VEJ1a f\OTICEsirrilc1"toths crastowichtt-estalleali ·tc.ticnshas ·OI..ISI ·se 'red.
THE FOLLOWING APF'ftOVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE
{'cicyof
Carlsbad
JOB ADDRESS
DESIGN PROFESSIONAL
ACOR SS
CITY
PHONE
EMAIL
STATE
FAX
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
CONTRACTOR BUS. NAME
ADDRESS
ZIP CITY
PHONE
EMAIL
STATE UC.# STATE UC.#
Est. Value
STATE
FAX
Cl.ASS
ZIP
ZIP
CITY BUS. UC.#
FIRE SPRINKLERS
YESO NO□
(Sec. 7031.5 Business and Professions Code: Any Ci\ll or County which requires a permit to construct, alter, improve, demolish or repair anl 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 !hat 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)).
WORKERS ' COMPENSATION . --' ~ ~
WO<l<ers' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations:
8 I have arid will maintain a certificate of consent to self-insure for worl<ers' compensation as provided by Section 3700 of the Labo< Code, for the performance of the v.QII< for which this permit is issued.
I have and will maintain worl<ers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the worl< for which this permit is issued. My worl<ers' compensation insurance calrief and policy
number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _
~ section need not be completed n the permit Is for one hundred dollar.; ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the worl< for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Worl<ers' Compensation Laws of
Calttomla. WARNING: Failure to secure worl<ers' compensation coverage Is unlawful, and shall subject an employer to crlmlnal 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 lees.
Ji:! CONTRACTOR SIGNATURE □AGENT DATE ---,. . --.,.~ -~
OWNER -BUILDER DECLARATION . . .
I hereby affirm that I am exempt from Contracfors Ucense I.aw for the following reason: 12st;, as owner of the property or my employees with wages as their sole compensation, win do the worl< 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 himsett or through his own employees, provided that such improvements are not intended or offered for
safe. If, however, the building or improvement is sold within one year of completion, the owner-builder wiU have the burden of proving that he did not build or Improve for the purpose of safe). D I, as owner of the property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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).
□ , 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. Yes O No
~ve not) signed an application for a building permit for the proposed work.
3'rir.rve'contracted with the following person (firm) to provide the proposed construction (include name address I phone I 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 v.QII< (include name I address I phone I contractO(S' license number}:
5. I win provide some of the v.QII<, but I have contracted (hired) the f~pe the worl< indicated (include name I address I phone I type of worl<):
JtS PROPERTY OWNER SIGNATURE □AGENT DATE
. .
.. ,.:w,t;e.~• r~~"":.tP'.-"~:l"~c:''17'""''!-'.'~u-....,..."llll'1'~oW''tos;;: ''" .,.~~ .. ~~"J:11:~,..,..,,,,.t"-, -"~ ~•.,,..~~~-,r~.~-.a· f"' .. ~.,,.y,~ .. ~-".:.,_~_..._,.,"'ll'W'f"""'(._,~
COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY ~-.-....,> • ...-..:,_..,-~•v-,(•ff~A-toJJL~t..,,,,,•;,11', ~••/-•.,_,(..,,,;. ~~~\'lf;~•~,-•~_.,,a.•= f;(,' _. .... ._-;,.::.__,"lk.A~~1'''.;_ .... ._n..,_:., •--.ct,"'°4 }' .. ,,,.,, ,_ 0<,'(I.;.._.. *,4'l'li.',.,_ .. ~
Is the applicant or Mure 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 Ar;(I Yes No
Is the applicant or Mure building occupant required to obtain a permit from the air pollution control dislrict or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I haw read the application and state that the allow lnfonnation Is correct and that the lnfonnation on the plans is accurate. I agree to oornply \\ith all City ordinances and State laws relating to boil ding construction.
I hereby aulhorize representative of lhe City of Carlsbad kl enter u~ lhe above mentioned property ilr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KE8' HARMLESS THE CITY OF CARLSBAD
AGA.INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN mY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA perml is requred ilr excavations over SO' deep and demolioon or c:oostrucooo of slruclures over 3 sklries il height
EXPIRATK>N: Every permit issued by lhe Euikling Offtial underlhe • • of this Code shallexpi'e by lillitation and beoone nul and -.oo W the buikling ocv.oik aulhorized by such permit is notcommenred 'Mlhil
100 days from lhe dale of such permit oc ttlhe bu' v.oik au • such permit;~ oc abanooned at any lime afterlhev.oik isoommenood ilra • of 100days ( 100.4.4 Unoorm Euikwlg Code).
~ APPLICANT'S SIGNATURE ,ID:) DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
C E II T I F I C /\ f E 0 f OCCUPANCY / C o rt ,n c r c , d I /> r o J c c t '. 0 :, I.,, l
Fax (760) 602-8560, Email building@carlsbadca.gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELMRY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1.)
ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1.) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
..16 APPLICANT'S SIGNATURE DATE