HomeMy WebLinkAbout1350 HILLVIEW CT; ; CB050275; Permit~ r ~~. \() City of Carlsbad
l) · , ' 1635 Faraday Av Carlsbad, CA 92008
01-28~!:(\ tJ2f<, ~ Patio/Deck Permit Permit No: CB050275
' \)""-Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1350 HILLVIEW CT CBAD
PATIO Status:
Lot#: 0 Applied:
Valuation:
2052105400
$4,890.00 Construction Type: NEW Entered By:
ISSUED
01/28/2005
MOP
01/28/2005
01/28/2005
Reference #:
ProIect Title:
Applicant:
OCEANSIDE FENCE
SHELDONE RESIDENCE
326 SF PATIO, CITY SPECS
4035 OCEANSIDE BLVD
OCEANSIDE CA 92056
760 941-5388
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:
SHELDONE FAMILY TRUST 01-15-02
1350 HILLVIEW CT
CARLSBAD CA 92008
$61.19
$0.00
$39.77
$0.00
$1.00
$0.00
$000
$0.00
$0.00
$101.96
Total Fees: $101.96 Total Payments To Date: $0,00 Balance Due: $101.96
0561 01/28/05 0002 01
CGP
,,'
-
Inspector:
,p
Date: I Clearance:
NOTICE: Please take NOTICE at 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 lees/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
fees/exactions of which ou have reviousl been iven a N TICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired
02
101-96
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY ,-..
PLAN CHE~ N0.6 S::· 'Z., 7 ':,
EST. VAL. ~ r~ Q
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 # /?a;_,.,J,,> CA: ,_,1..(_,A.,,_,
Description of Work
Existing Use 5"2.G
Proposed Use
SQ. FT. #of Stories # of Bedrooms # of Bathrooms
Telephone#
Name State/Zip Telephone#
(ii. CONTRACTO~ ~y: NAMJ
(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
exem1on. ~:y violation of Section 7031/ by iny applicant 'm:r:rmit subjects t:5:ilLnV/~f:penaltyC;,.,:ot q~an five h?~::°O~oo/a~ [$s-Ol
Address City State/Zip Telephone #
State License # -=::...::e....,_4-.=..=.___ License Class --'~<-------City Business License # / ~ / J' Ou, J....
Designer Name Address City State/Zip Telephone
State License # .:;-:;;:::;:;:;;::-=z:---
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.
O 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 cor!]pensation insurance c rrier and policy number are:
Insurance Company 5 L Policy No, S 4 J( -O'-f 0 00 0 / S' ) Expiration Date /() ~ / -0 5
{THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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.
O 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).
O 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).
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):. ________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _
[@Mfl,.ID;..THl$§,§_CI!9N,FOR /ll)f!l:~SIDENIJM, B!,!ll,,~MIJ..l:QNL,:!1¥.-.....,......, -----
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 be2onstructed 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.
[l!,-~QHU!!.UCI!QR!-ENDING A<l::~-.,,c""v.._,,.._"""""'.....,.,....,.,___ ------
1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec, 3097(il Civil Code),
LENDER'S NAME ______________ _
~-PPLIC~l~IQeu.-..-------
1 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 if the building or work
authorized by such permit Is not commenced within 1 BO 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 (Section 06.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE /-2---7 1-QS
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 02/10/2005
Permit# CB050275
Title: SHELDONE RESIDENCE
Description: 326 SF PATIO, CITY SPECS
Type: PATIO Sub Type:
Job Address:
Suite:
Location:
1350 HILLVIEW CT
Lot
APPLICANT OCEANSIDE FENCE
0
Owner: SHELDONE FAMILY TRUST 01-15-02
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment: BN ---
Phone: 7609415326
Requested By: NA
Entered By: CHRISTINE
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Associated PCRs/CVs
Inspection History
Date Description
01/31/2005 11 Fig/Foundation/Piers
Act lnsp Comments
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sunroorm and concrete.
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1338 N. Melrose Dnve. Ste. L
Vista, CA 92083
CA License #0!H9!£ "J ~Cf'-JO?
Phone: 760-941-5326
Fax: 760-941-5153
Email: ghesse@ncdeck.coin
George Hesse
Vice President
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