HomeMy WebLinkAbout1363 NIGHTSHADE RD; ; CB041907; PermitCity of Carlsbad
1635 Faraday AV Carlsbad, CA 92008
0520-204 Patio/Deck Permit Permit No: CB041907
Building Inspection Request Line (760) 602-2725
Job Address: 1363 NIGHTSHADE RD CBAD
Permit Type: PATIO Status: ISSUED
Parcel No: 2156412900 Lot #: 0 Applied: 05/20/2004
Valuation: $2,961.00 Construction Type: NEW Entered By: SB
Reference #: Plan Approved: 05/20/2004
Issued: 05/20/2004
Project Title: AUGER RES82 SF ALLUM PATIO Inspect Area:
COVER ICBO #1841 P Plan Check#:
Applicant: Owner:.
SKYLINE SUNROOMS ' AUGER MARTIN R&CHRISTINE D
8075 ALVARADO RD - 1363 NIGHTSHADE RD
LA MESA, CA 91942 .-) CARLSBAD CA 92,009
619-469-9556
/ $4579 Building Permit
Add 'I Building Permit Fee'
Plan Check / ..
.
\ . /-.
/
1$0.00
\ -'($29.76',
Add'I Plan Check Fee/ •
I
1, \ . ..$0.00
Li $1.00 Strong Motion Fee \ - : $0.00 Renewal Fee 1 ., / ¶ - - / '$0 00 - Addi Renewal Fee
Other Building Fee
\\
./$0.00
Additional Fees . . . .f -
TOTAL PERMIT FEES '/ *
/1 ; $76.55
Total Fees: $76.55 Total Payments;To Date: • ' $0.00 Balance Due: $76.55
\ \ -
-'.5'
4667 0/20'04 0002 Ot 02
42
'.5 76 '3 -
FINAL APPROVAL
Inspector: ' Date: ((t 91;iCJ 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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv otherwise excired.
FOR OFFICE, USE ONLY -.
PLAN CHECK NO.C"3 /a7
EST. VAL.
Plan Ck. Deposit - S
Validated B -' S
Date 2-404
address)
Unit No. - 'Phase No. TOtaI # of units
Business Name (at this
Le,
I Nane
....
Name Address City - State/Zip Telephone #
0!LRJ9fl C0MPAYJL -
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structured 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
exam n olatoo,,c79W2 %I p3l .5 yppl aPPlicar a civil penalty o/ot rF;sthfive dtJ1$Sllj.
f'Ii I J %11;11141111 SJ 11,0 I CVII I 'V.1111/1 I I P&J II Il I U • /WW
Name -(J (6'lz"JA . ,' . Address . .,. , City - . State/Zip Telephone #
State License # '''•"U . License Class. City Businêss'License #
Designer Name . Address , . City State/Zip Telephone
State License
qLKEcMiSiIpN.
Workers' Compensation Declaration: I hereby affirm underpenaltyof perjury one of the following declarations:
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 wh h this 'permit is
carrier and policy number are:
c- 7 Policy No. lOulI'O1 ins
Expiration Date u1ot'
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not eploy Tany person in any manner so as m
to become subject to the Workers' Compeisation Laws of California.
WARNING: Failure to secure wor r ' compensation coverage is unlawful, -and shall subject an employer'to criminal penalties and-civil fines up to one hundred
thousand dollars ($ OikiO a d - n to the cost of compensation, damages as provided for in Section 37,06, of the Lor clIe, I terest and attorney's fees.
SIGNATURE ' . ' . -, - - - DATE('i1P..01
ÔWERiThL E AAfIO
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
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).
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. 0 YES ONO
'2. I (have 1 havinót) signed an application for's 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 follàwing 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 . - - - Y DATE
*
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 0 NO
Is the applicant or future building occupant required.to obtain a permit from the air pollution control distridt or air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 ,YES - 0 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 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
APPLIC fJ 'AT ION'
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 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 withi180 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 comme ad of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE " S -
. " - ' DATE
WHITE: File YELLOW: Applicant PINK: Finance - -- - - - -
City of Carlsbad-Bldg Inspection Request
For: 06/14/2004
Permit# CB041907 Inspector Assignment:
Title: AUGER RES82 SF ALLUM PATIO
Description: COVER ICBO #1841 P
Type: PATIO Sub Type:
Phone: 8582777666
Job Address: 1363 NIGHTSHADE RD
Suite: Lot 0 JIJt.f'\J
Location:Inspector:
APPLICANT SKYLINE SUNROOMS
Owner: AUGER MARTIN R&CHRISTINE D
Remarks:
TotalTime: Requested By: SARA
• Entered By: ROBIN
CD Description A t , Comment
19 Final Structural ,C..•
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments