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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 !'I • ,3.3S r Piaf PfaN