HomeMy WebLinkAbout1440 FOREST AVE; ; CB071242; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 ,.
05-04-200-; Patio/Deck Permit Permit No: CB071242
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1440 FOREST AV CBAD
PATIO
1560524400 Lot#: 0
$2,664.00 Construction Type: NEW
MURRAY RES-222 SF ENCLOSED
PATIO ICBO 5014P W/ELECT NO GLASS
Owner;
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
ISSUED
05/04/2007
LSM
05/04/2007
05/04/2007
QUALITY PATIO & SUNROOM DECKELMAN ZONA G FAMILY TRUST 09-20-95
8388 MARY DEAN LN 92040
(619) 444-5016
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
Total Fees:
Inspector:
$96.55
;
1504 LAUREL RD
OCEANSIDE CA 92054
$45.79
$0.00
$29.76
$0.00
$1.00
$0.00
$0.00
$20.00
$0.00
$96.55
Total Payments To Date: $96.55 Balance Due:
!?.. FINAL APPROVAL
JI -ct~--,::,.., Date: _ " Clearance:
$0.00
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 tlmely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
City.of Carlsbad Plan Check No. (!Be:, '1 f ;;)>-{ :2.
1635 Faraday Av~ .• Carlsbad, CA 92008
760-602-2717 I 2718 I 2719 Est. Value ::; . ft, ~ '"f
· Fax: 760-602-8558 Plan Ck. Deposit
Building Permit Application Date 5' / 4-/ 0"-7
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT# # BATHROOMS TENANT BUSINESS NAME OCC.GROUP
BUILDING AREA (SF) GARAGE (SF) FIRE SPRINKLEf~.
YES D No-\f
z1pq80 D
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CITY BUS. LIC.#
(lee. 7031.S Business and Professions Code: Any Gty or County which requires a permit to construe~ alter1 improve, demolish or reP.air any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is ricensed _11ur1uant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 000 of Division l of the Business and Proressions Code} or that he is exempt therefrom, and the balll for the alleged exemption. Any violation of
Section 703 1.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollan {$500)).
WORl(ERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the foffowing declarations:
~ I have and will mainlain a certificate of consent to self.insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for lhe performance of the work for which this permit is issued.
~~~v~~:1tv·11 mlainlain workers' compeSwnsauon, as~required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. M
1
y workers)' compensalion insurance carrier and policy
Insurance Co. f Policy No. Expiration Date
This section need not co pwfte pe It IS r one hu red dollars ($100) or less. DOa-DS 3 +o ( 3 a.q O %'
D Certificate of Exe mp n: I certify that in the performa e 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 (&100,000), in
addition to the cost of compensation, amages as ovided for in Section 3706 of the Labor code, interest and attorney's fees.
I hereby affirm that I am exempt from Contract()('S Ucense Law f()( the following reason:
D 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).
D 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).
D 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. D Yes D No
2. I (have I 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 I phone I 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 I address I phone I 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 I address I phone I type of work):
~PROPERTY OWNER SIGNATURE 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'? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 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 representative 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 ANO 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 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 106.4.4 Uniform Building
Code).
~ APPLICANT'S SIGNATURE DATE
v~~i-~
City of Carlsbad Bldg Inspection Request
For: 10/30/2007
Permit# CB071242 Inspector Assignment: RB
Title: MURRAY RES-222 SF ENCLOSED
Description: PATIO ICBO 5014P W/ELECT NO GLASS
Type:PATIO Sub Type:
Job Address:
Suite:
Location:
1440 FOREST AV
Lot: 0
APPLICANT QUALITY PATIO & SUNROOM
Owner: DECKELMAN ZONA G FAMILY TRUST 09-20-95
Remarks:
Total Time:
CD Description Act Comments
---
Phone: 6194445016
Inspector: ----
Requested By: NA
Entered By: JANEAN
19 Final Structural A-P ~~~~~~~~~~~~~~
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
06/11/2007 14 Frame/Steel/Bolling/Welding AP RB lag screws@ track & ledger OK