HomeMy WebLinkAbout1370 LAS FLORES DR; ; CB051568; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-02-2005 Patio/Deck Permit Permit No: CB051568
Building Inspection Request Line (760} 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1370 LAS FLORES DR CBAD
PATIO
Lot#: 0 1561107000
$1,792.00 Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
Project Title:
Applicant:
SMERDU PATRICE
SMERDU RES 224 SF ALLUM PATIO
COVER ICBO # 2621 P
1370 LAS FLORES DR
CARLSBAD CA 92008
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
Owner:
SMERDU PATRICE
1370 LAS FLORES DR
CARLSBAD CA 92008
Issued:
Inspect Area:
Plan Check#:
ISSUED
05/02/2005
SB
05/02/2005
05/02/2005
$34.77
$0.00
$22.60
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$58.37
Total Fees: $58.37 Total Payments To Date: $0.00 Balance Due: $58.37
7235 05/02/05 0002 01 02
CGP 58-37
Inspector: j~ 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 '1ees/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 infonnation 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 rtght 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 r h flim· r I
FOR OFFICE USE ONLY /~b
PLAN CHECK NO. ~OS (:)
PERMIT APPLICATION EST. VAL. f7~ Z,
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Address (include Bldg/Suite#)
P,,,u;d' b a-0~
Business Name (at this address)
Legal Description J~(., 11 0
Assessbr's Parcel #
Lot No. Subdivision Name/Number 70 ,('.)0
Description of Worl< SQ FT
--;2: Z 'i d c?5 C) #
2. CONTACT PERSON (If d~t from ippl~
Name Address
Name 'ffl'"~c..~ ~.t_ddress
4: l'IIOPIR'n OWNIR
Unit No. Phase No.
~). -S.Fb
Proposed Use
# of Bedrooms
e?72--Z6Z I P
J(u~:r,»f,, n,-0 .. ,.1 /tf«r"'"t.. Sn&t<L:l>lAo
Name _____ ' Address Oty State/Zip T efephone #
& CONTltACTOII • COMPANY NAIii
Total# of units
# of Bathrooms
Fax#
11,Q -1):j .110'3
(Sec. 7031.5 Business and Profesalone Code: Any aty or County which requires a permit to construct, alter, impr<M!, 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 ap icant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)).
D
Name State/Zip
State License # [ I Q I Ce .J-License Class _________ _ City Business License# __________ _
Designer Name Address City State/Zip Telephone#
State License# _______ _
L WON<llt'8 COIIPINIAli&t -----
Worl<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
a 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 le Issued.
a I have and will maintain worl<er's compensation, as required by Section 3700 of the labor Code, for the performance of the worl< for which this permit is Issued. My
worl<er's compensation insurance carrier and policy number are:
Insurance Company _______________ Policy No. ___________ Expiration Date _________ _
SECTION NEED NOT BE COMPLE11!D IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100] OR L&SS)
CERTIFICATE OF EXEMPTION: I certify that In the performance of the worl< for which this permit is Issued, I shall not employ any person in any manner so as to
e subject to the Worl<ers' Compensation Laws of Celifornla.
WARNING: Fallu,. to Heu,. work.,.." compensation coverage Is unlawful, and shall subject an employer to crtmlnal penaltles and cMI fines up to on• hUndl'9d thousand
dollars(S100,000), In addltlOn to the cost of c:ompensatlOn, damages.,. proYlded for In section 3706 of the Labor Code, Interest and attorney's INs.
SIGNATURE=-:;;:::;;::::;~~;;;;:;;;::=-------===--------:=== DATE. ____ -=====-~
• ,-'I, •• l I .... 0 I •
I hereby affirm that I am exempt from the Contractor's license Law for the following reason:
O I, as owner of the property or my emplo)'ees with wages as their sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractor'& Lloense 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 :,-ear of
completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
~s owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto~s
License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(&) licensed pursuant to the Contractor's
License Law).
a I am exempt under Section _______ Business and Professions Code for this rea&on:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. a YES O NO
2. I (havehlave not) signed an application for a building permit for the proposed worl<.
3. I have contracted with the following person (firm) to provide the proposed construction (include name I address/ phone number I contractors license number):
4. I plan to provide portions of the work, but I have hired the ro1Iowing person to coordinate, supervise and provide the major worl< (include name I address/ phone number I
/ontractor& lloenee number): -----------------------------------------5. I will provide some of the worl<, but I have contracted (hired) th rollowlng persons to provide the work indicated (include name/ address I phone number I type of worl<):
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
eoiilPLffl 1NI UC1ION FOR IIOII-MWlfflAL !Mil DING ,_ff'I ONLY
ts the applicant or Mure building oocupant required to 1ubmlt a businett plan, acutely hazardous materials registration for or risk management and prevention program under
Sections 25505, 25533 or 2553-4 of the Presley-Tanner Hazardous Substance Aooount Act? □ YES □ NO
Is the applicant or future building oocupent required to obtain a permit !tom the air pollution control district or air quality management district? □ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CEln'l'ICATE OF OCCUP'ANCY MAY NOT BE ISSUED UNLEM ™E APPLICANT HAS MET OR IS MEETING ™E
REQUIREMENTS OF ™E OFFICE OF l!MEftOENCY SERVICES AND ™E AIR P'OLLIITION CONTROL DISTRICT.
I. CONl111UC110N LINDING A08C't
I hereby affirm that there is a construction lending agency for the performance of the WOik for which this permit Is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME__________________ LENOER'SAOORESS ___________________ _ .. ~
I certify that I haw read the application and state that the above Information is oorrect 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 crrv OF CARLSBAD AGAINST ALL UABLmES, JUDOl!MENTS, COSTS AND
EXPENSES WHICH MAY IN Atff WAY ACCRUE AGANST SAID CITY IN CONSEQUENCE OF ™E GRANTING OF ™IS PERMIT.
OSHA: An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structurea owr 3 stories In height
EXPIRA 11ON: Every permit Issued by the building Official under the provhllons of this Code shall expire by llmlteUon and become null and void If the building or WOik authorized
by such permit is not commenced within 180 days !tom the date of such permit or if the building or WOik authorized by auoh permit is suspended or abandoned at any lime after
the work is commenced for a :!i=::06~ f APPLK:ANT'SS~NATURE ~ ~ O,TE s -,,;;: -<?,S
WHITE: Flle YELLO\N: Applicant PINK: Finance
m.'..·· .. ~.-. ~~--.; -City of Carlsbad Bldg Inspection Request
For: 0~005
t,,3 Permit# CB051568
Title: SMERDU RES 224 SF ALLUM PATIO
Description: COVER ICBO # 2621 P
Type: PATIO Sub Type:
Job Address: 1370 LAS FLORES DR
Suite:
Location:
APPLICANT SMERDU PATRICE
Owner: SMERDU PATRICE
Remarks:
Total Time:
CD Description
Lot 0
Act Comment
Inspector Assignment: ~
Requested By: PATRICE
Entered By: CHRISTINE
19 Final Structural ~--------
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
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