HomeMy WebLinkAbout131 CHANNEL RD; ; CB023242; Permit"7990I .c. > .• a
10-28-2002
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Patio/Deck Permit Permit No: CB023242
Building Inspection Request Line (760) 602-2725
Job Addr.ess:
Permit Type:
Parcel No:
Valuation:
Reference •#:
Project Title:
Applicant:
PARK CARE
P 01005 92008
.760 729-0890
131 CHANNEL RD CBAD
PATIO
2146000804 Lot #: 0
$2,952.00 Construction Type: NEW
MILLER RES-144 SF PATIO &
144 SF DECK & GAS TO FIRE PIT
Status: ISSUED
Applied: 10/28/2002
Entered By: RMA
Plan Approved: 10/28/2002
Issued: 10/28/2002
Inspect Area:
9841 10/28/02 0002 01 02
Owner:
MILLER STEVEN D&DEBORAH
131 CHANNEL RD ''.
CARLSBAD CA 92009 ,
103-55
Total Fees:$103.55 Total Payments To Date:$0.00 Balance Due:$103.55
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee-
Strong Motion Fee ,,'•;"-
Renewal Fee
Add'l Renewal Fee i-, ,,
Other Building Fee
Additional Fees -
TOTAL PERMIT FEES
-, ;$45.79
$0.00
$29.76
, $0.00
$1.00
- $0.00
$0.00'
.$27.00
$0.00
$103.55
Inspector:
FINAL APPROVAL
Date:Clearance:
NOTICE: Please tapNOTCE trafwraval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." YdWnave 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 serortMi Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with (JaftSDad Municipal Code Section 3.32.0.30. 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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO. (Jtf).n^ • )L
EST. VAL.J Q
Plan Ck. Deposit
Validated By_
Date IS) J P.
I *-" / ^A/? f
Address (include Bldg/Suite #)Business Name (at this address)
Description
2. CONTACT PWSONXif different from applicant)
Name * Address
3, APPLICANT^ O'cantractor K Q Agent'for! Contractor
^ /oo^
City State/Zip Telephone # Fax #
Address City State/Zip Telephone ff
4. PROPERTY OWNERfa A.
State/Zip Telephone #Name Address City
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
exejjnptior). Any violation of Section 70j} 1.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS 5001]
*0 iboyLtGO'Z' - Ct^l^^Ji tA-ToX-
Name
State License #
Address
License Class
City State/Zip
City Business License # \_
ilephone #
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:
LO 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.
l~l 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 (j, [ \^,/~T~ Policy No. . Expiration Date__
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
l~l 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-covarane is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100.MOI. JiradcfeflrTto the cost of compensation, damages as provided for in Section 3706 of the Labor-code .^interest and attorney's fees.
SIGNATURE ^^ "^ ' DATE 7 & f'*IflV^—'
7. OWNER-BUILDER DECLARATION ....
I hereby affirm that I am exempt from the Contractor's License Law for the following reason: '
[U 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).
PI 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). "'""-->*,.^ •' • .
l~l 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. (~1 YES QNO
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):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR /VCW-«£S/O£/vr//4i 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? Q 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? l~l YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. 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 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,
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_daje-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 (or a pejtod 0/ljiUlayrTSection 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant , PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 03/07/2003
Permit* CB023242
Title: MILLER RES-144 SF PATIO &
Description: 144 SF DECK & GAS TO FIRE PIT
Inspector Assignment: SR
Type: PATIO Sub Type:
131 CHANNEL RD
• Lot
Job Address:
Suite:
Location:
APPLICANT PARK CARE
Owner: MILLER STEVEN D&DEBORAH
Remarks:
Phone:
Inspector:
Total Time:
CD Description
19 Final Structural
23 Gas/Test/Repairs
29 Final Plumbing
Act Comment
Requested By: EARL
Entered By: CHRISTINE
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
10/29/2002 11 Rg/Foundation/Piers AP SR
10/29/2002 23 Gas/Test/Repairs AP SR