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Home My WebLink About128 MAPLE AVE; ; CB041457; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 r'QJC~~ 09-1h004. \L Patio/Deck Permit Permit No: CB041457 \ '·1 y\re(0\\~ Building Inspection Request Line (760) 602-2725 Job Address: 128 MAPLE AV CBAD Permit Type: PATIO Parcel No: 2042340906 Lot#: 0 Status: Applied: Valuation: $918.00 Construction Type: NEW Entered By: Reference #: Project Title: Applicant: HEDRICK RES-72 SF DECK PER CITY STANDARDS HEDRICK MICHAEL C&LUZVIMINDA E 128 MAPLE AVE CARLSBAD CA 92008 480-221-6919 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 Plan Approved: Issued: Inspect Area: Plan Check#: Owner: HEDRICK MICHAEL C&LUZVIMINDA E 128 MAPLE AVE CARLSBAD CA 92008 ISSUED 04/29/2004 KMT 09/17/2004 09/17/2004 $21.33 $0.00 $13.86 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $36.19 Total Fees: $36.19 Total Payments To Date: $13.86 Balance Due: $22.33 1408 09/17/04 0002 01 CGP Inspector: FINA~ AP~ROVAJ.-, Date: Lt-'-<----0 \ 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 NOTIFIED that your right to protest the specified fees/exactions DOES 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 f exain fwhi hvervi I TIEimilr thisor whichh tuteoflimitinh 02 22 .. :.33 FOR OFFICE USE ONLY PERMIT APPLICATION CITY QF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHE~K NO. CBDlf /Lf 5'7 EST. VAL. 4f>91 g-; OO Plan Ck. Deposit :Jt f 3,8(.o Va1;om By I e.mt:: Date d'.] O¼ eROJECT INFO~MAT[OP{ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number pf units l .)2 Assessor'Jtarc\ll # .!l ~ tJ. f') oi.O'f' .... g,,.17 .... 0,-<>' XDet!;~il;t>R. J)eelf 1,c,1'. CONTACT PER§OI\I !Jf dlfferenUrom alant) Existing Use SQ. FT. 77::Y~ Name Address !3. APPLICANT O Contractor O Agent for Contractor O Owner Address u111 iJ. ,,, 1! sf. #of Stories City 0 Agent (or Owner City # of Bedrooms State/Zip State/Zip # of Bathrooms Telephone# Fax# Telephone# 13. 36 NTRACTOR • COMPAI\IY N Address City S.tate/Zip Telephone # P::-A t~~D -8<4· -0"1f.p1 (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 ($500)). Name Address City State/Zip Telephone# State License # __________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ fa. 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 wotk 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) O 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 worker,' 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 tees. SIGNATURE.______________________________ DATE 11. QWNER-BUILPtO..DECl,ARATl(?.N • ,;-:--:;;;;-:-::;;;::::::=::::::::;;;::;;;;::;:;::, __ ,.,.,,,,...~....,,.,"'"""' I hereby affirm that I am exempt 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 (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 gd 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The ntractor'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). O 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/ 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 / 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): ,---... A ----\---n "j"";f: PROPERTY OWNER SIGN~ J)X A~ C ~-a.2-: DATE 1/:-21-2 0 t>J..j [COMPLETJ: THIS SECTION FOR NJ)N: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? 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 t o beCOnstructed within 1,000 feet of the outer boundary of a school site 7 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. !!I I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30g7(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9. APPLICANT CE~TIFICATION 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\' 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 y time attar the work is co ed for a eriod of 1~d y (Section _106 . .4 Uniform Building Code). 6 LICANT'S SIGNAT E ----.tL~~~e:!:~_:~~•~~~~~~-------DATE 1: ' 21 ,. 2 l)O tf: WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/03/2005 Permit# CB041457 Title: HEDRICK RES-72 SF DECK Description: PER CITY STANDARDS Type: PATIO Sub Type: Job Address: Suite: Location: 128 MAPLE AV Lot 0 APPLICANT HEDRICK MICHAEL C&LUZVIMINDA E Owner: HEDRICK MICHAEL C&LUZVIMINDA E Remarks: Total Time: Act Comment Inspector Assignment: PC --- Phone: 7609291929 Inspector: £ Requested By: MICHAEL Entered By: CHRISTINE CD Description 19 Final Structural #----- Associated PCRs/CVs Inspection History Date Description 04/05/2005 11 Fig/Foundation/Piers Act lnsp Comments AP PC ~□□ t!O □ □ 2'(□□ PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW .CHECKLIST Plan Check No. CB O l/ / '( £:,. Address /7,-8 Mflfl£ ,9f Planner/V/lK.f <:'[ll/}/\/6 Phone (760) 602-__ t./'""h ....... z .... s,<...._ ____ _ APN: 'JbC( l-"3'1.._.M ()6, Type of Project & Use: ________ Net Project Density:·---~~-D=U,.,IA:,.:C"-- Zoning: ,t-J General Plan: /!!.If Facilities Management Zone:-@--- CFD (in/out) #_Date of participation: ____ Remaining net dev acres: __ _ Circle One (For non-residential development: Type of land used created by this permit: ____________________ --/ Legend: ~ Item Complete D Item Incomplete • Needs your action Environmental Review Required: YES __ NO -4-TYPE ___ _ DATE OF COMPLETION: _______ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES __ NO~= ?1 APPROVAURESO.NO. ______ DATE ~~~ PROJECT NO. ________ _ OTHER RELATED CASES: __________________ _ Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: _______________________ _ Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES )< NO __ CA Coastal Commission Authority? YES__ NO Y . If California Coastal Commission Authority: Contactlhf"m at -7575 Metropolitan Drive, Suite 103, · San Diego CA 92108-4402; {619) 767-2370~ Determine status (Coastal Permit Required o Exem t): Coastal Permit Determination Form already com d? YES__ NO __ If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-Up Actions: 1) Stamp Building Plans as "Exempr or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. lnclusionary Housing Fee required: YES NO>( (Effective date of lnclusionary Housing Ordinance -May 21, 1993.) Data Entry Completed? YES __ NO __ (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing YIN, Enter Fee, UPDATE!) Site Plan: H:IADMIN\C:OUNTEA\BldgPlnchkReVChklst Rev 9/01 }ef □□ □□□ ~□ Ar□□ □□□ □□□ ef~ 1. Provide a fully dimensional site plan drawn to scale. Show:. North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes). • 2. Provide legal description of property and assessor's parcel number, Polley 44 -Neighborhood Architectural Design Guidelines 1. Appiicability: YES. ____ NO X 2. Project complies YES NO Zoning: 1. Setbacks: ~ ~ Front: Required Shown Interior Side: Required Shown 1 Street Side: Required ,o Shown [ Rear: Required ><= Shown Top of slope: Required Shown I 2. ure setbacks: ~ Required Shown C,O~'=, Required Shown Required Shown Required Shown Required Shown 3. Lot Coverage: Required Shown 4. Height: Required Shown 5. Parking: Spaces Required Shown NaTS&wJV • (breakdown by uses for commercial and industrial projects required) I Residential Guest Spaces Required · Shown _____ _ dattional -mmentLfJ Pie/Me f/l)IJ jde, \<:C tt. le Cl/ad st-le soliju.f f2R12peiij}· a,re atso o.dl ft12Vid.Qd~ t±a.pfEtU3 -ffiia1f ±he ,(free/-,(Lili: .rel: laa.ZE 1$ encroached by 3 Med-. 112,:s:utlYl+ dv Chdf./ei u. Y6 1 avch,fecb±i"a.J appvt+ent1nri2S ate a.lttn;ved ,Jo encvai?fi 2. fee+ @'j ~ OKTO ISSUE AND ENTERED APPROVAL INTO COMPUTER _.._fv½ _ ___._.7~-DATE H:\ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 -~ N -----, ----_-_-_-_-_-_-_-_-_-_ ---11 I 1·---I ~s>'--~fl II I I I II 11 PROPOSED 1, ' I OECK II I II l 1C -0" -, IJ I II i 6'-0" -II r-II § [ ;;; I EXISTING II ~ w PATIO II I~ FENCE II ,. ., t.j er a if II ', I I PARKING ".---- I r---S'-1 7116"----, APPROVED :"'>V <;l!J I I SEP 17 2004 Crty of CARLSBAD BUILDING DEPT DRIVEWAY SITE PLAN - HEDRICK DESIGN & REMODELING THIS IS AN ORIGINAL DESIGN AND MUST ALL DIMENSIONS &l izE DESIGNATIONS SCALE: DATE DESIGNED FOR: NOT BE RELEASED OR COPIED UNLESS GIVEN ARE SUBJEQ' TO VERIFICATION START MICK & LUCY HEDRICK 1 2735 Hamline Ave. (651) 633-9620 office APPLICABLE FEE HAS BEEN PAID OR ON JOB SITE AND /t()JUSTMENT TO FIT 128 Maple Ave. Roseville, MN 55113 (651) 697-1810 fax JOB ORDER PLACED JOB CONDITIONS. 1 REV Carlsbad, CA 92008 lLIS-,