HomeMy WebLinkAbout1301 CHINQUAPIN AVE; ; CB031778; Permit06-30-2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Patio/Deck Permit Permit No CB031778
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
1301 CHINQUAPIN AV CBAD
PATIO
2061403700 Lot#
$7 456 00 Construction Type
0
NEW
HOVIS RES 462 PATIO COVER
FIRE PLACE WORK SHED 150 SF ALL PER CITY SPECS
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Plan Check#
ISSUED
06/30/2003
SB
06/30/2003
06/30/2003
Applicant
HOVIS JOHN H&WILLIAMS BARBARA J
1301 CHINQUAPIN AVE
CARLSBAD CA 92008
Owner
HOVIS JOHN H&WILLIAMS BARBARA J
1301 CHINQUAPIN AVE
CARLSBAD CA 92008 8565 06/30/03 0002 01
CGF>
02
ā¢140 08
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
$8429
$000
$5479
$000
$1 00
$000
$000
$000
$000
$14008
Total Fees $14008 Total Payments To Date $000 Balance Due $14008
FINAL APPROVAL
DATE CLEARANCE
SIGNATURE
PERMIT APPLICATION
M
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL ~~7i f
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor s Parcel #Existing Use Proposed Use
icription of Work jEKbi^XT
āiā /*"ā¢» vi^n«T\JO ^J*sV"eU-> , ,_^- _vr-,
CONTACT PERSON (if Afferent from appli
# of Bathrooms
Name A'ddres'sl I / 'City
3 APPLICANT Q Contractor Q Agent for Contractor Q Owner Q Agent for Owner
State/Zip Telephone # Fax #
Name
4 PROPERTY OWNER
Address City State/Zip Telephone #
Telephone #Address City State/ZipName
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 [$500])
Name
State License #
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name Address City State/Zip Telephone
State License #
C WORKERS COMPENSATION
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
O 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
|~| 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
1 hereby affirm that I am exempt from the Contractor s License Law for the following reason
Q 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)
J0" 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 l~l YES [UNO
2 Oh"av^' nave 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 worJt^Dut I haVe contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work) s\^ / ^_ /"
OWNER SIGNATURE DATE
\ COMPLETE THIS SECTION FOR NON-MmB&inAL BUILDING PERMITS ONLY
Is the applicant or future building occup\nt required to submit a business plan acutely hazardous materials registration form or risk management and prevention
program under Sections 25505 25513 or\25534 of the Presley Tanner Hazardous Substance Account Act? Q YES l~l NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' fj YES O
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES Q 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
NO
T
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 City 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 stones in height
EXPIRATION Every perminssugcMjy*thel Ouildlng 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 (Wcommenced^Within 180 days from the date of such permit or if the building or work authorized by such permrgs suspended or abandoned
at any time after the work is cxjmnienced fof a period of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE
WHITE File YELLOW Applicant PINK Finance
DATE
City of Carlsbad Bldg Inspection Request
For 01/06/2004
Permit* CB031778
Title HOVIS RES 462 PATIO COVER
Description FIRE PLACE WORK SHED 150 SF ALL PER CITY SPECS
Inspector Assignment JM
1301 CHINQUAPIN AV
Lot 0
Type PATIO Sub Type
Job Address
Suite
Location
APPLICANT HOVIS JOHN H&WILLIAMS BARBARA J
Owner HOVIS JOHN H&WILLIAMS BARBARA J
Remarks
Phone 7609304086
Inspector Jv\A
Total Time
CD Description
19 Final Structural
Requested By JOHN
Entered By CHRISTINE
Act Comment
Associated PCRs/CVs
Date
09/16/2003
09/16/2003
08/20/2003
08/15/2003
08/14/2003
08/14/2003
08/13/2003
08/13/2003
08/11/2003
07/15/2003
07/15/2003
07/15/2003
Inspection History
Description Act
19 Final Structural NR
68
66
15
66
68
68
97
14
11
31
68
Fireplace/Tie Straps
Grout
Roof/Reroof
Grout
Fireplace/Tie Straps
Fireplace/Tie Straps
T 24 H Cap Consultation
Frame/Steel/Bolting/Weldmg
Ftg/Foundation/Piers
Underground/Conduit Wiring
Fireplace/Tie Straps
NR
AP
AP
PA
we
we
PA
AP
AP
PA
we
Insp
JM
JM
JM
JM
JM
JM
JM
JM
JM
JM
JM
JM
Comments
OK TO
OK TO
GROUT
COVER
OK 1ST LI FT
SHED
OK TO
FRAME OK VERIFY CORRECT AB washers @
POUR SHED FIREPLACE AND PATIO COVER
final
FOOTINGS