HomeMy WebLinkAbout1163 Oak Ave; ; CB012372; PermitPrint Date: 12/18/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1163 Oak Av
BLDG-Residential
2050205200
$206,468.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: Single Family Detached
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: RESDNTL-SFD SINGLE FAMILY RESIDENCE SFD 2347 SF, GAR 439 SF, DK 211 SF
Total Fees: Total Payments To Date:
Status:
Applied:
Issued:
Fina led:
Inspector:
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 FURTH ER NOT! Fl ED that your right to protest the specified fees/exactions DO ES 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CB012372
Closed -Withdrawn
07/12/2001
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
Validated By_,.,<F--><-:--=-+---=--+--,-.,---
Date _______ -*'.,._.,_..i,q_--4"'4---
Address (include Bldg/Suite #) Business Name (at this address)
I I id OBI! Ov&Ju.tJ , UU!LSIJA}. ep cp«)i 4524 07 /12/01 0002 01 02
Legal Description Lot No. Subdivision Name/Number Unit No. Phase NCGF>fotal # of u"69. 48 l>oLKAfl YfJ.AJJ'D ms qq-~3 I
Assessor's Parcel #
2-0S'-02()-t,I
Existing Use 1//1/ Proposed Use 5 FD
Description of Work S Fl>
SINl,JJ;. F-/ltnlL'i IJ;s,oe,nAL bWI.IU-14&
SO. FT. cJ_
S FO ~J'l7 ~ 'JJt./1
#of Stories # of Bedrooms '1,.1 S
})~( I{= ;; I/
# of Bathrooms
2. CONTACT PERSON (If different from applicant)
:?A-h'.E
Name Address City
3. APPLICANT D Contractor O Agent for Contractor ~ Owner O Agent for Owner
mtV?'/ e. bOLJ(A~ / ./)61.(~lAS E . LAjLA#JD 1/1 3 d-111<' AVE (]l)~l.$8/JD
State/Zip Telephone # Fax #
State/Zip
flq(lj71.f· 65:J.O
Telephone#
SAh>E=
Name Address 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 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 City State/Zip Telephone#
State License # ----------License Class----------City Business License # --------
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 as 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 tor the following reason:
)i! 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
(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 I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I 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 I address I phone
number I 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 I address I phone number I type
ofwork):. __________ -,------=----~--;:;---:.--:,,,~-:.,.,.----,.---,.,._------:,---.--------------
PROPERTY OWNER SIGNATURE _Jf_/JJ.~~a~~~~~+~~~t'Z~~--,.c;,&~~::...:,d
COMPLETE THIS SECTION FOR NON-RE
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 the provisions of this Code shall expire by limitation and become null and void ii 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 180 days ction 106.4.4 Uniform B · ing Code).
APPLICANT'S SIGNATURE __,/!J~'41-~e~.p_~~~/__/L~~~~~~--,"9~~~:::::::~'fZ:_
04/22/2002
DOLKAS & LAYLAND
1173 OAK AVENUE
CALRSBAD CA92008
Re:
Application Date: 07/12/2001 0:00:00
Plan Check #: CB012372
Address: 1163 OAK AV
Expiration Date: 07/12/2002 0:00:00
Permit Type: RESDNTL
Description: SINGLE FAMILY RESIDENCE
SFD 2347 SF, GAR 439 SF, DK 211 SF
You applied to have your plans checked on the date noted above. To date, the related building
permit has not been obtained. The original plan review application will expire as no building permit
has been issued.
Plans submitted and not retrieved from the building department prior to the plan check expiration
date noted above will be destroyed.
The provisions of sections 304 (d) of the Uniform Building Code state:
"Section 304 9d) Expiration of Plan Review
Applications for which no permit is issued within one year following the date of
application shall expire by limitation, and plans and other data submitted for review
may thereafter be returned to the applicant or destroyed by the Building Official.
In order to renew action on an application after expiration, the applicant shall
resubmit plans and pay a new plan review fee."
In order to provide better service, please indicate your handling choice for the plans originally
submitted and return this letter to the Building Department. i
Project Abandoned - I will pick up plans within 10 days I\, f) /1 ( l ~ .6
__ Project Abandoned -Plans may be destroyed. / r·' L
If you have any questions, please contact the Building Department at (760) 602-2718.
Raenette Abbey
Building Department