HomeMy WebLinkAbout1014 BEACON BAY DR; ; CB012502; PermitCity of Carlsbad
VW2- 1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
07/25/2001 Patio/Deck Permit Permit No:CBOI 2502
Job Address: Permit Type: PATIO Status: ISSUED
Parcel No: 2145300800 Lot #: 0 Applied: 07/25/2001
Valuation: $2,790.00 Construction Type: NEW Entered By: CB
Reference #: Plan Approved: 07/25/2001
Issued: 07/25/2001
Project Title: LAWRENCE RES/360SF ATTACHED Inspect Area:
1014 BEACON BAY DR CBAD
OPEN LAlTlCE PATIO COVER
Applicant: JANSEN LAWRENCE T&MlCHELE H
1014 BEACON BAY DR
CARLSBAD CA 92009
5679 07/25/01 0002 01 02
CGP 76 55 ENCE TaMlCHELE H
1014 BEACON BAY DR CARLSBAD CA 92009
Total Fees: $76.55 Total Payments To Date: $0.00 Balance Due: $76.55
Building Perrnit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'l Renewal Fee Other Building Fee
Additional Fees
TOTAL PERMIT FEES
I i
FINAL APPROVAL
Inspector: @&&&&: Date: ?Jz:)o Clearance:
NOTICE: Please take NOTICE that approval of your project indudes the 'Imposition' of fees, dediitians, reservations, or other exactions hereafter collectively referred to as 'fdexactions.' You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest Ihem, you must
foHow the protest pmedures set fwth in Government Code Section 66020(a), and file the protest and any other required information with the Ci Manager for
processing in acwrdance 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 fdexadions DOES NOT APPLY to water and swer connection fees and capacliy changes, nor planning, zoning, grading or other similar application procesing or mice fees in connection with this project NOR DOES IT APPLY to any
feedexactions of which you have previously been given a NOTICE similar to this, or as to which the staMe of limitations has previously othenvise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
/ FOR OFFICE USE ONLY
PLAN CHECK NO&O
EST. VAL.
Plan Ck. Deposit
Name Address City Statelzip 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, cornmending with Section 7000 of Division 3 of the Business and Professions Codel 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 156001).
Name Address City StateIZip Telephone Y
State License Y License Class City Business License Y
Designer Name Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued.
0 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 [$lo01 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: Fallure to secure workers' compensation coverage is unlawful, and shall aubject en employer to criminal penalties and civil fines up to om hundnd
thousand dollan (8100.000~. in addition to the cost of compensation, damagea as provided for in Section 3706 of the Labor code, interest end attomey'a fees.
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
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
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
1, 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 /x Se . 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
1.
2.
3.
4.
am exempt under Section
personally plan to provide the major labor and materiels for construction of the proposed property improvement. 0 YES ON0
(have I have not) signed an application for a building permit for the proposed work.
have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number / contractors license number):
Business and Professions Code for this reason:
~~ ___ ___~
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 I contractors license number):
PROPERTY OWNER SIGNATURE
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
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
0 YES 0 NO
0 YES 0 NO
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097li) Civil Code).
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
authonzed by such permit is
at any time alter the work is
of this Code shall expire by limitation and become null and void if the building or work
4 Uniform Building Code).
h permit or if the building or work
/APPLICANT'S SIGNATURE DATE
City of Carisbad Bldg Inspection Request
For: 03/28/2002
Permit# CBOl2502 Inspector Assignment:
Title: LAWRENCE RESl360SF ATTACHED
Description: OPEN LATTICE PATIO COVER
Type: PATIO Sub Type:
1014 BEACON BAY DR Job Address:
Location:
Suite: Lot 0
APPLICANT JANSEM LAWRENCE T&MICHELE H
Owner: JANSEN LAWRENCE T&MICHELE H
Remarks:
Phone: 7606038779
Inspector: X&
Total Time: Requested By: LARRY
CD Description Act Comments
Entered By: CHRISTINE
Associated PCRs
Date Description Act lnsp Comments