HomeMy WebLinkAbout1150 CAPE AIRE LN; ; CB053519; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-07-2005 Patio/Deck Permit Permit No: CB053519
Building Inspection Request Line (760) 602-2725
Job Address: 1150 CAPE AIRE LN CBAD
Permit Type: PATIO Status: ISSUED
Parcel No: 2061402500 Lot#: 0 Applied: 10/07/2005
Valuation: $2,460.00 Construction Type: NEW Entered By: MDP
Reference*: Plan Approved: 10/07/2005
Issued: 10/07/2005
Project Title: JOHNSON RESIDENCE Inspect Area:
164 SF DECK 9 FRONT YARD Plan Check*:
Applicant: Owner
JOHNSON WILLIAM&VICKI 2004 TRUST 04-19-04 JOHNSON WttJJAM&VICKI 2004 TRUST 04-19-04
1150 CAPE AIRE LN 1150 CAPE AWE LN
CARLSBAD CA 92008 CARLSBAD CA 92008
Building Permit $45.79
Add'l Building Permit Fee $0.00
Plan Check $29.76
Add'l Plan Check Fee $0.00
Strong Motion Fee $1.00
Renewal Fee $0.00
Add'l Renewal Fee $0.00
Other Building Fee $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $76.55
Total Fees: $76.% Total Payments To Date: $76.55 Balance Due: $0.00
_ BUILDING PLANtsHI , _^fN STORAGE
SMVld OHIO! J HB ^/_ ATTACHED
US RNALAPPROVAI-
Inspector: p ' - Date: ['\ L*V } 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 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 NOTIRED that your right to protest the specified lees/exactions K)ES NOT APPLY to water and sewer connectiw fees a
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 vou have orevtouslv been aivsn a NOTICE similar ID this, or as to which the statute of limitations has orevtouslv otherwise exoired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO
EST. VAL. *2^ *^(0O
Plan Ck. Deposit.
Validated By
Date
Business Name (at this address)
Name Address City
D Agent f or Own8r
State/Zip Telephone #Fax*
Name Address City State/Zip Telephone tt
I
r
ifj 7/0:
Telephone #Name Address City State/Zip
r'5,'""M'^-'*^?»W!-*'*~*s*'*****r'ls'<r'
(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 ($5001).
Name Address
State License * License Class
City State/Zip Telephone #
City Business License #
Designer Name Address
State License *
-V£ : ' . •,- '
City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q 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.
Q 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 1*100] OR LESS)
JZK. 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 securariwrarbtrs' compensation coverage Is unlawful, and shaH subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,OOpWn addition to the cost of compensation, damages as provided for in Section 3706 of the Labor yode. Interest and attorney's fees.
gir.MATimc /s.^{f{y ~2_ DATE.
I hereby affirm that I amwtempt 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
& 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).
CD 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).
CD I am exempt under Section Business and Professions Code for this reason:
1.
2.
3.
YESI personally plan to provide the major labor and materials for construction of the proposed property improvement. J2TY
I (have / have not) signed an application for 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
of work):
PROPERTY OWNER SIGNATURE
t, ' , "•' »•<,,
Is the applicant or future building occupant required to submit^ 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? CD YES CD NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code).
LENDER'S NAME LENDER'S ADDRESS
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 CitV 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,
OSHA: An OSHA permit is required for excavations over S'O" 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 theftete 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 forfe-period oM80 day^ (Snlion 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE lMjJ£j£-v & 'f^f^—~~ DATE _,
/WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 11/01/2005
Permit* CB053519 Inspector Assignment: BN
Title: JOHNSON RESIDENCE
Description: 164 SF DECK @ FRONT YARD
fo
Type: PATIO Sub Type:
Phone: 6198843169
Job Address: 1150 CAPE AIRE LN
Suite: Lot 0
Location: Inspector:
APPLICANT JOHNSON WILLIAM&VICKI 2004 TRUST 04-19-04
Owner: JOHNSON WILLIAM&VICKI 2004 TRUST 04-19-04
Remarks:
Total Time: Requested By: WILLIAM
Entered By: CHRISTINE
CD Description Agt jComment
19 Final Structural
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
10/31/2005 19 Final Structural CA BN
10/19/2005 11 Ftg/Foundation/Piers AP BN