HomeMy WebLinkAbout2719 YORK DR; ; CB062524; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-06-2009 Patio/Deck Permit Permit No: CB062524
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
2719 YORK RD CBAD
PATIO
1673924200
$800.00
Lot#:
Construction Type:
0
NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Project. Title: HASAN RES-REPLACE DECK SURFACE
WffREX . BUILD NEW PATIO OVER DECK
Inspect Area:
Plan Check#:
Applicant:
HASAN LIVING TRUST 11-11-04
2719 YORK RD
CARLSBAD CA 92010
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Re'lewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Owner:
HASAN LIVING TRUST 11-11-04
2719 YORK RD
CARLSBAD CA 92010
ISSUED
09/05/2006
RMA
09/05/2006
09/05/2006
TP
$1 7.97
$0.00
$11 .68
$0.00
$1 .00
??
$8.99
$0.00
$29.00
$0.00
$68.64
Total Fees: $68.64 Total Payments To Date: $68.64 Balance Due:
lnspectorL 2 · •
FINALA~VAL
Date: ~ ~ Q Clearance: ______ _
$0.00
t-iOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed 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
f /ex ti n f which u h ve r vi I n iv n a NOTICE similar to thi r a to which th tatu f limitati n has reviousl oth rwise x ir
PERMIT APPLICATION
FOR OFFICE USE ONLY
PLAN CHECK NO. {;li o6 J.5:Zt.f
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ------,-----
Validated B~y_v-+---:--f---.-W-TJ'-==--
Date, __ ...!::;1--,,-...;-:+-...s-...J.,'-I-.._------
1. PROJECT INFORMATION
1-:::) \ 9'-'to C \<....
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description lot No. Subdivision Na me/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use
Description of Work SO. FT.
~t.f ~~~ R~u.J oO l ~ ~ '""~~ 2. CONTACT PERSON (if different from applicant)
.....
#of Stories
0 ); ) s \ , sa c <Z', e
Name So-..,,__ ~c.,._.C:-,..a-_"""'-Address 'S,.c--v-J""--'-City
3. APPLICANT O Contractor O Agent for Contractor ~ner O Agent for Owner
Name C--. \. ~ Address --:::;.o-..""-"°'--~°'--4. PROPERTY OWNER
City
Name Address City
5. CONTRACTOR -COMPANY NAME
Proposed Use
State/Zip Telephone# Fax#
State/Zip Telephone#
State/Zip Telephone#
(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 l icense # _______ _
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.
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:
Insurance Company______________________ Policy No. ____________ _ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
0 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 ($100,000), in addition to the cost of compensation, damages es provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE________________________________ DATE
7. OWNER-BUILDER DECLARATION --=========--~----~
I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ~ 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
tf'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 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. 0 YES ONO
2. I (have / have not) signed an application for a building permit tor 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 ___ q__~\,_5...._\_~2~~c.., O b
COMPLETE THIS secr10N FOR NON-RESIDENTIAL e'u1toKPiRMITS ONL v ~
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 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 building Official under lhe provisions of this Code shall expire by limitalion and become null and void if the building or work
authorized by such permit is not commenced within 180 days f om the date of such permil or if the building or work authorized by such permit is suspended or abandoned
at any lime after the work is cgi __ iee,d for a period of 180 s (Seclion 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 04/30/2009
Permit# CB062524
Title: HASAN RES-REPLACE DECK SURFACE
Description: W/TREX : BUILD NEW PATIO OVER DECK
Type: PATIO Sub Type:
Job Address: 2719 YORK RD
Suite: Lot: 0
Location:
OWNER HASAN LIVING TRUST 11 -1 1-04
Owner: HASAN LIVING TRUST 11 -11-04
Remarks: A M PLEASE
Total Time:
CD Description Act Comments
Inspector Assignment: TP ---
Phone, p •••
Inspector: -
Requested By: SAM
Entered By: CHRISTINE
19 Final Structural _ff/!_ ________ _
Comments/Notices/Holds
Comment Added patio. Originally stated he was just replacing deck floor. Today said he was also replacing rafters.
Associated PCRs/CVs Original PC#
lnsQection Histo[Y
Date Description Act lnsp Comments
04/03/2007 19 Final Structural co TP SEE JOB CARD
02/02/2007 14 Frame/Steel/Bolting/Welding WC MC
02/02/2007 92 Compliance Investigation PA MC QUESTIONS ABOUT DECK RAIL POST CONNECTION
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