HomeMy WebLinkAbout1010 HOME AVE; ; CB011357; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05/18/2001 Patio/Deck Permit Permit No:CB011357
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1010 HOME AV CBAD
PATIO
Lot#: 0 2031301100
$2,000.00 Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
04/10/2001
RMA
04/10/2001
04/10/2001
JC
Issued:
Project Title: LOUGH RES-200 SF PATIO Inspect Area:
REPLACE WINDOW W/DOOR & LIGHT
Applicant:
LOUGH MICHAEL J
Owner:
LOUGH MICHAEL J
1010 HOME AVE
CARLSBAD CA 92008
1010 HOME AVE
CARLSBAD CA 92008
Total Fees: $83.91
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
Total Payments To Date: $52.83
FINAL APPROVAL
Inspector: _y";......,._C.-=--Date: ~/4/4 I
9773 05/18/01 0002 01
CGP
Balance Due:
$38.13
$0.00
$24.78
$0.00
$1.00
$0.00
$0.00
$20.00
$0.00
$83.91
$31.08
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 penn~ 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 Calsbad Municipal Code Section 3.32.030. Failure to timely fol~w that procedure will bar any subsequant 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 11ou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exnired.
O'> ...
31 .. ()8
PERMIT APPLICATION
FOR OFFICE USE ONLY
PLAN CHECK NO. LM'b/L~
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
,7 J1 11<-I Business Name (at this address)
# of Bathrooms
2. 9Z--IJf)58 "t:J-1Zq'-
Name State/Zip Telephone# Fax#
3. APPLICANT
Name City State/Zip Telephone#
4. PROPERTY OWNER ~-Name 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 statem · licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of t ess and Professions Code) or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by a · or a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)).
Name City State/Zip Telephone#
City Business License # _______ _
Address City State/Zip Telephone
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a cert1fic~ate of consent to self-insure for w rkers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
D I have and will maintain worktr1--ion, quired by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensatio~J,1 a c and policy number are:
Insurance Company ------:::;.,,,,,.e:::....-------------Policy No.____________ Expiration Date _______ _
ONE HUNDRED DOLLARS ($1001 OR LESS)
MPTION: I certify that in the performance of the work for w hich this permit is issued, I shall not employ any person in any manner so as
o the Workers' Compensation Laws of California.
allure to secure workers' compensation coverage is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred
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.
S NATURE______________________________ DATE
--.,L WNER-BUILDER DECLARATION _ :---=. =;::;;::;:::;::::;;:::;::;::::::::::::;:..._
y affirm that I am exempt from the Contractor's License Law for the following reason:
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).
D 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).
D
1.
2.
3.
I am exempt under Section Business and Professions Code for this reason: ~
I personally plan to provide the major labor and materials for construction of the proposed property improvement. ES ONO
I (have / have not) signed an application f or a building permit for the proposed work.
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
-..,{PROPERTY OWNER SIGNATURE ---;4it~ £~ }(?ATE ~CJ -z> I of work): ~ /
/COMPLETE THIS SECTION FOR NON-RESIDENTIAL~Jd ~
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\t 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 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 if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for a period of 18 days tion 106.4.4 Uniform Building Code). AL/_ I -j
~PPLICANT'S SIGNATURE ----~,f,,C/,r,Aa,,£.e,4,,'~,c:;_-,,;...,..---,S,'E::,EM-"f-J""-4------Y-DATE C/ r· /o t)
('-PINK: Financ/ '\.
City of Carlsbad Bldg Inspection Request
For: 06/05/2001
Permit# CB011357
Title: LOUGH RES-200 SF PATIO
Description: REPLACE WINDOW W/DOOR & LIGHT
Type:PATIO Sub Type:
Job Address: 1010 HOME AV
Suite: Lot
Location:
APPLICANT LOUGH MICHAEL J
Owner: LOUGH MICHAEL J
Remarks:
Total Time:
CD
19
Description
Final Structural
0
Act Comments
Inspector Assignment: JC ---
Phone: 7607292629
Inspector: ~ C
0
Requested By: N/A
Entered By: ROBIN
4e
As,oc;,,., PCRs ¥-----------------------
lnsgection Histo(Y
Date Description Act lnsp Comments
06/01/2001 19 Final Structural NR JC
05/18/2001 19 Final Structural PA JC DECK NOT WINDOW
05/03/2001 14 Frame/Steel/Bolting/Welding AP JC
05/01/2001 14 Frame/Steel/Bolting/Welding co JC SEE ATTACHED NOTICE
05/01/2001 19 Final Structural co JC
04/20/2001 11 Ftg/Foundation/Piers AP AR FOOTINGS ONLY
04/20/2001 14 Frame/Steel/Bolting/Welding WC AR
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