HomeMy WebLinkAbout1564 TRITON ST; ; CB081867; Permit11-04-2008
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Patio/Deck Permit Permit No CB081867
Building Inspection Request Line (760) 602-2725
Job Address 1564 TRITON ST CBAD
Permit Type PATIO Status ISSUED
Parcel No 2150750200 Lot* 0 Applied 10/01/2008
Valuation $2,14500 Construction Type NEW Entered By RMA
Reference* Plan Approved 11/04/2008
Issued 11/04/2008
Project Title POLLARD RES-REMOVE EXISTING Inspect Area
BALCONY @ MASTER BEDROOM-BUILD NEW 143 SF DECK, Plan Check*
Applicant
POLLARD ALLAN&DEBRA
1564 TRITON ST
CARLSBAD CA 92011
Owner
POLLARD ALLAN&DEBRA
1564 TRITON ST
CARLSBAD CA 92011
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
$5411
$000
$3517
$000
$1 00
$000
$000
$4700
$000
$13728
Total Fees $137 28 Total Payments To Date $13728 Balance Due $000
Inspector lA/\
FINAL APPR
AllDate
tOVALIL
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
City of Carlsbad
1635 Faraday Ave, Carlsbad, CA 92008
760-602-2717 / 2718/2719
Fax 760-602-8558
Building Permit Application
Plan Check No.
Est. Value
Plan Ck. Deposit
»>HASE## BEDROOMS
sui i tff/sPACE#/uNrr#
0 BATHROOMS TENANT BUSINESS NAME
-00
T5NSTRTYPE IOCCGROUPa.DESCRIPTION OF WORK. Include Square Feet of Affected Area(s)
AOO
±
CONTACT NAME (HDHforent fom Applicant)APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
CONTRACTOR BUS NAME
ADDRESS ADDRESS
CITY STATE ZIP
Eoa- a i PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC #CLASS CITY BUS. UC-«
civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration (htyvby affirm under penalty of penury one of the following declarations:
LJI have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Secton 3700 of the Labor Code for the performance of the work for which this permit t, issued
|_J I have and will maintain •orkers1 compensation as required by Secton 3700 of the Labor Code forthe performance of the work for which this permit s issued My workers' compensation insurance carrier and policy
number are Insurance Co Policy No Expiration Date
Thjs section need not be completed if the permit is for one hundred dollars ($100) or less.
[_] Certificate of Exemption I certify that In the performance of the work for which ths permit te issued, I shall nd employ any person in any manr» 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 cMI fines up to one hundred thousand dollars (8100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
^CONTRACTOR SIGNATURE DATE
IheyB? affirm that I am exempt from Contractor's License Lew 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 Cod? 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 | 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)
| | 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 flYes I frto
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 / 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 / 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 / type of work)
^PROPERTY OWNER SIGNATURE
IPKID8 SO® GS DQOO HIDOCSO PBBEaO'u'8
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? I I Yes I INo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? LJYes I I No
Is thefadlity to be constructed within 1000 feet of the outer boundary of a school site? LJYes LJNo
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
(g®SQ81?EQP(g'u'0®Kl Q. B GS ta) 0 GO <S __
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
A PP 0,0 GAGS? CgBB'ffDgDgA'ij'DOCa __
loertify thatlhaveread the application and state trot the above Information Is com« ami that tteirrformation on tte plans is aro^
OSHA. An OSH A permit B required for excavations over SO deep and demofloi or constnjcticm of stnidures over 3 stones in height
EXPIRATION Every permrtssued by ttrelMfngOfW under to
IWdaysfrmithedaleofsuciipemrtoriftterjuiltf^orv^
^APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For 05/01/2009
Permit* CB081867 Inspector Assignment RB
Title POLLARD RES-REMOVE EXISTING
Description BALCONY @ MASTER BEDROOM-BUILD NEW 143 SF
DECK, GAS & ELECT TO BBQ, GAS TO FIRE PIT
Type PATIO Sub Type
Phone 6232933609
Job Address 1564 TRITON ST >.
Suite Lot 0
Location Inspector
OWNER POLLARD ALLAN&DEBRA
Owner POLLARD ALLAN&DEBRA
Remarks
Total Time Requested By DEBRA
Entered By CHRISTINE
CD Description Act Comments
19 Final Structural fTj
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
03/12/2009 14 Frame/Steel/Boltmg/Weldmg CO RB NO SPACE OVER 4" @ GUARDRAIL TO DECK
11/17/2008 11 Ftg/Foundation/Piers AP RB 2 FTGS
11/13/2008 23 Gas/Test/Repairs AP RB (1127-C5)
11/13/2008 31 Underground/Conduit-Wiring AP RB
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