HomeMy WebLinkAbout143 CHANNEL RD; ; CB033364; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
-04-2003 Patio/Deck Permit Permit No: CB033364
Building Inspection Request Line (760) 602-2725
Job Address: 143 CHANNEL RD CBAD
Permit Type: PATIO Status: PENDING
Parcel No: 2146000801 Lot#: 0 Applied: 12/04/2003
Valuation: $0.00 Construction Type: NEW Entered By: KMT
Reference #: Plan Approved:
Issued:
Project Title: TORRI RES- 80 SF DECK & GAS & Inspect Area:
ELEC LINES & 6' SLIDER & SWITCH Plan Check#:
Applicant: Owner:
PARK CARE ' FELS ROBERT M&SANDRA M
143 CHANNEL RD
P 0100592008 CARLSBAD CA 92009
760729-0890
Building Permit ; $0.00
Add'l Building Permit Fee ' • $0.00
Plan Check / \,\ <••-.- ', $0.00
Add'l Plan Check Fee : . -, $0.00
Strong Motion Fee , $1.00 ,
Renewal Fee . ., \ $0.00'
Add'l Renewal Fee . ," . $0.00
Other Building Fee "'/ $47.00
Additional Fees ^; >-; ,-'\ $0.00 ;
TOTAL PERMIT FEES . . - $48.00 !
Total Fees: $48.00 Total Payments To Date: i'' $0.00 Balance Due: $48.00
0200 12/04/03 0002 01 02.. -:••• • CGP
Inspector: ^ Date: ^ f 0(frT 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 previously otherwise expired.
PERMIT APPLICATION
CITY OF". CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
tU PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK
EST. VAL.
Plan Ck. Deposit
Validated By .
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
Description of Work SQ.FT.#of Stories tt of Bedrooms # of Bathrooms
2. CONTACT PBRSONilif different from applicant)\<f/
Name .
3, APPLICANT (3*Contraotor
Name
'*. Jt,ROPERTY-OWNER ,o\r<r<
Address
. D Agent for Contractor
Address
//3 dA*
Q Owner D
y/v-Cxl (-&.
Name Address
5. , CONTRACTOR - COMPANY NAME
City
Agent for Owner
City
City
State/Zip
State/Zip
State/Zip .
Telephone # Fax. #
Telephone #
Telephone tt
(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]).CA- <%£a)Q •
Name
State License tt
Address
License Class :~.X7 City State/Zip
City Business License #
Telephone i
to?
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:
l~l 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 _ ._ _ _ Policy No. _ __ Expiration Date _
(THIS^SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
f&T 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 ($1 00,000) An afiditionjfljhe-cost of compensation, damages as provided for in Section 3706 of the Labor coder interest and attorney's fees.
<£^V A^Z? _ ___ _ ___DATE ~\SIGNATURE
7. OWNER-BUILDER DECLARATION . • •
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
[~l 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).
[3 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).
C] I arn 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. Q YES CD NO
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): _ _ . _ _ _j _ • • _
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 NON-RESIDENTIAL 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 C] NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? [H YES Q 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 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 stories in height.
ELXPIRATION: 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 JJijJhiB 1 80 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 fpry^pe/iod^giJ-seTJays (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 03/10/2004
Permit* CB033364
Title: TORRI RES- 80 SF DECK & GAS &
Description: ELEC LINES & 6' SLIDER & SWITCH
Inspector Assignment: JM
143 CHANNEL RD
Lot
Type: PATIO Sub Type:
Job Address:
Suite:
Location:
APPLICANT PARK CARE
Owner: PELS ROBERT M&SANDRA M
Remarks:
Phone: 7603105188
Inspector:. JVW
Total Time:
CD Description
19 Final Structural
23 Gas/Test/Repairs
29 Final Plumbing
Requested By: NA
Entered By: CHRISTINE
Act Comment
Associated PCRs/CVs
Inspection History
Date Description
03/04/2004 19 Final Structural
03/04/2004 23 Gas/Test/Repairs
03/04/2004 39 Final Electrical
02/02/2004 19 Final Structural
12/16/2003 11 Ftg/Foundation/Piers
12/16/2003 23 Gas/Test/Repairs
12/11/2003 23 Gas/Test/Repairs
12/11/2003 31 Underground/Conduit-Wiring
Act Insp Comments
CO JM
CO JM
CO JM
CO JM
AP JM
AP JM
CO JM
CO JM
GATES MUST SWING OUT
CONNECT GAS LINE TO BLDG WITH SHUT OFF VALVE
,
COMPLETE ALL ELEC & GAS LINE CONNECTIONS
BBQ&FIREPIT
90 SWEEPS