HomeMy WebLinkAbout1190 MARIPOSA RD; ; CB154044; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-20-2015 Patio/Deck Permit Permit No: CB154044
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1190 MARIPOSA RD CBAD
PATIO
2122211100 Lot#: 0
$1,747.00 Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
Project Title:
Applicant:
NAVARRO RES-144 SF PATIO COVER
DETACHED-OPEN LATTICE, GAS & ELECT TO BBQ
Owner:
Issued:
Inspect Area:
Plan Check#:
STONEBROOK LANDSCAPES NAVARRO JASON O&LAURA I
414 CAMINO HERMOSO
SAN MARCOS CA 92078
760 445-4242
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
1190 MARIPOSA RD
CARLSBAD CA 92011
ISSUED
11/20/2015
RMA
11/20/2015
11/20/2015
$39.90
$0.00
$27.93
$0.00
$1.00
$1.00
$0.00
$0.00
$76.00
$0.00
$145.83
Total Fees: $145.83 Total Payments To Date: $145.83 Balance Due:
Inspector:
FINAL AP£:OVAL
Date-/;.,• • /J Clearance:
$0.00
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re'en,,j to'"' 'fees'exa:fu"s." Yw 1-EM, 9'.ldays fromttedatellis pimit >185-tol)cteslirrpositic:n dll'esefees'~ If )OOl)ctesl lmT\ )00 rru;t
fdlo.vtte i,aest proo::wes set fa1h in G<Mlrrrrert Qxle Sedioo 60020(a), ard filette iroest ard rrr; dher r,q.Jred infamiioo wth tte aty M!raJE, fO"
proressir,;i in =adalcewth Calste:I Mridpa Qxle Sedioo :132.IID. Falcra to tirrely fdlo.vtta ;:nx,ed.re wll ta" rrr; sw;ecµrt lega ooioo to atta:k,
reJiew, set aside, \<lid, c:, anJ tteir irrposition.
Yw ae raelJ; F\RT1-ER I\OT1FIED that -ps aj1 to iroest tte specified fees'""1Ui01S DCB, l>OT _,,__ Y to"'31er ard &Ma' a:media1 fees ard ~
cta-ges. nc:, plmr,;i, mrg. 11"ir>a c:, d/B" sinilar ,wiaiioo ~ c:, senocefees in cxrnac:tioo wth 11is inject. ~ DCB, IT_,,__ Y to art/
I dv.h . been . al\OT1CE . "l,r 1li '"'to "chtte Ii . I-as . dherwse
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
Ccityof
Carlsbad
JOB ADDRESS
CT/PROJECT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
f) SUITEf/SPACEI/UNIT
# BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
□BUILDING
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF)
□FIRE □HEALTH
SWPPP
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING FIREPLACE
YESD Nc0 YES0No0
F\RE SPRINKLERS
vesONoO
APPLICANT NAME .....-<:"
Primary Contact ;, \.A.AN oRTA--C> PROPERTY OWNER
ADDRESS ADDRESS 1-\. \
CITY STATE ZIP CITY STATE ZIP
C A--'i ::W'¥'8
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY
PHONE FAX
EMAIL
STATE LIC. #
(Sec. 7031.5 Business /ilnd Professions Code: Any City or County which requires a permit to construct, alter, impro , 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 70_00 of Division 3 of the Business and Professions Code} orfhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
rs' Compensation Declaration: / hereby affirm under penalty ofp6fjury one of the fol/owtng declarations:
have and wlll 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.
have and wlll maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the work for which this oermit is issued. My workers' compensation ins ce rrier and policy
number are: Insurance Co. ::f~ '""f, Y LA,..-.. 'J:.rJ( ( O, Policy No. --.:;-{, v,,,~&, l J(.'} '3p :} Expiration Date -<----11---'1'4-WIL--
lb§.section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws Of
Galifomia WARNING: Failure to secure workers' compensati erage Is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars (&100,00Dt In
addition to the cost of compensation, damages as provided for on 3706 of the Labor code, interest and attorney's fees.
8$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
D
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 himseH 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 bu11d or improve for the purpose of sale).
l, 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 b'Jilds or improves thereon, and contracts for such projeclS with contractor(s) licensed pursuant to the Contractor's License Law).
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. OYes ONo
2, I (have/ 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 construclion (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeivise and provide the major work (include name I address/ phone/ 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 I phone I type of work):
Jt5 PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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? Yes No
Is the applicant or future build\ng occupant required to obtain a permlt from the air pollution control district or air Quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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.
CONSTRUCTION LENDING AGENCY
APPLICANT CERYIFICATION
I osrtffythat I have read the application and state that the aOOYe lnfomlation Is conectand that the information on the plans ls accurate. I agree to comply with all Cflyordinances and State 1av4 relati'lg to bullding construction.
l hereby authorize rep-esentative of the City of Carlsbad to enter ul)Jn the a\xlve menOOned ~perty br in~n purp,:ises. 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 CONSEOOENCE OF THE GRANTING OF THIS PERMIT.
OSHA: MOSHA permtt is required for excavations over S'O' deep and demoliOOn or construction ofs1ructures over 3 stories in height
EXPIRATION: Every permit ISSued by the 0.Jilding Oflk;ial under the provis.Klns of this C.ode shall expire by limitaOOn and become null and VOO ff the building or oork aulhoriZed by such permit is not commenced v.ithin
180days from the date of such permit or if the 001 · permit is suspended or abanOOOed at any time after the wk is commenced for a riod of 180 ays (Sect.On 100.4.4 Unibrm Building Code).
,6$ APPLICANT'S SIGNATURE DATE
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email bujlding@carlsbadca.gov or Mail the completed form to City of Garlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPrlONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT {Listed above)
MAIL/ FAX TO OTHER: _______________ _
,-5 APPLICANT'S SIGNATURE
ASSOCIATED CB# ____________ _
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
. .
Inspection List
Pennit#: CB154044 Type: PATIO
Date lnsp~ctio_11_ltem
12/08/2015 19 Final Structural
12/08/2015 29 Final Plumbing
12/08/2015 39 Final Electrical
12/08/2015 89 Final Combo
11/23/2015 11 Fig/Foundation/Piers
11/23/2015 23 GasfTesl/Repairs
11/23/2015 31 Underground/Conduit-Wirin
Tuesday, December 08, 2015
Inspector Act
PD AP
PD AP
PD AP
RI
PD AP
PD AP
PD AP
NAVARRO RES-144 SF PATIO COVER
DETACHED-OPEN LATTICE, GAS & ELEC
Comments -----------------
Page 1 of 1
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NOV 20 ~15
APPROVED BY:. c'i
ISSUED BY _----H()J-"'--'-----
II~ o MAR.t PosA R v.
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