HomeMy WebLinkAbout1604 CORTE ORCHIDIA; ; CB121853; Permit09-19-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Patio/Deck Permit Permit No CB121853
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
1604 CORTE ORCHIDIA CBAD
PATIO
2159500100 Lot#
$2,495 00 Construction Type
DONNELLY RESIDENCE
250 SF SOLID PATIO W/ LIGHT
5A
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Plan Check#
ISSUED
09/18/2012
MDP
09/19/2012
09/19/2012
Applicant
DAVID MCNALLY
Owner
DONNELLY RICHARD V&REBA D TRUST 07-05-11
1103 ALBERTA AV 92054
760 757-5218
1604 CORTE ORCHIDIA
CARLSBADCA 92011
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Strong Motion Fee
Green Bldg Standards {SB1473) Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
$58 27
$0 00
$40 79
$0 00
$1 00
$1 00
$0 00
$0 00
$32 00
$0 00
TOTAL PERMIT FEES $133 06
Total Fees $133 06 Total Payments To Date $133 06 Balance Due $0 00
Inspector
FINAL APP
Date
.AFfPR OVAL
Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or olher exactions hereafter collectively
refen'ed to as "fees/exactions" You have 90 days from the date this permit was issued to protesi imposition of these fees/exactions If you protest them, you must
follow the pnDtest procedures sel forth in Government Code Section 66020(a), and file the protesi and any olher required infomiatjon with the City Manager tor
processing in acconjance witti Carlsbad iviunicipal 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 lhat your nght lo 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/exaqtions of whigh vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously olhenwise expired
THE F0U.0W1NG APPROVALS REQUIRED PRIOR TO PERMrT ISSUANCE Cj PLANNING Q ENGINEERING • BUILDING Q FIRE G HEALTH O HAaiAT/APCD
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-^02-8558
email building@cartsbadca gov
www carisbadca gov
Plan Check No. fl^ I Q
Est. Value
Plan Ck. Deposi lOSit
Date SWPPP
JOB ADDRESS , , . - , ^ , SUTTEf/SPACEf/UNIT*
i
APN
Of - oo
CT/PROJECT # LOT* PHASE* / iroF UNrrs H BATHROOMS TYMAMJ BUSINESS NAME CONSTR TVPE
tl-GL
OCC GROUP
DESCRIPnON OF WORK. fncfudoSauareFMtof AffsctedAreafs)
EXISTING USE PROPOSED USE GARAGE, (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESQ# NCj I
AIR CONDITIONING
YES I INO I I
FIRE SPRINKLERS
APPLICAN E (Primary Cpntact) Cpntact) APPLICAHTNAME (Secondary Contact)
ciTY STATE
ADDRESS
STATE
Ot
ZIP CITY STATE ZIP
PHONE
f/^- Wt.. //oO
IMAIL • ~ I
FAX PHONE FAX
EMAIL
PROPER] OWNER NAME ^ <J , ,
ADDRESS ~ 77
CONTRACTOR BUS NAME
ADDRESS
CITY STATE ZIP CITY STATE ZIP
[FAX PHONE FAX PHONE
EMAIL EMAIL IL I
ARCfVOESIONER NAME & ADDRESS STATE UC # CITY BUS UC#
(Sec 70315 Business and Professions Code Any Ci^ 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 ofthe Contractor's License Law IChapter 9, commending with Section 7000 of Dtvision 3of the Business and Professions Code) or that he is exempt therefrom, and tiie basis for the alleged exemption Any violation of Secuon 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500})
Workers' Compensation Declaration I heretiy affirm umter penalty ol perjury one of the fr^lowing declarations
Bl havo and wll) maintain a certificate of consent to self-Insure fof workers compensation as provided by Section 3700 of the Labor Code, for the perfCKmaics of the work for whch ttiB pennt is issued
1 have and wSI maintain wrorkers' condensation as reauiced by SedKm 3700 of the Isbot Code for the performance of the worh for whch this permrt is issued My worters compensabon insurance earner and pobcy
number are Insurance Co Policy No Expiration Date
IM section need not be completed rf Ihe pennrt is for one hundred dollars ($100) or less
nfl Certificatfi of Exemption I certify that m Ihe perfonnance ot the work for whch this pennit ts issued, I shsfl not employ any person in any manner so as to become sub^ to Die Workers' Compensation Laws of
oSlifomia WARNING Failure to secure workers' compensation coverage Is unlawful, and shall subtect an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensstlCnit^mages as provided for in Sectior^7D6 of )l)e Labor code, interest and attomey's fees
JS^ CONrRACTOR StGHATURE
) secure workers compensation coverage Is unlawful, and
uCnitlvnages as provided for in Sectiori^7D6 ofthe Labor
• AGENT DATE iF/^
//jereby affhn (fta// am exempf from Conlraciw's Ucense Law far fhe
I I 1, as owner of the pnjp^ or my emptayees wrth wages as Uieir sole compensation, wll do the work and the stnjcture ts rot intKided or offered for sale (Sec 7044, Business and Professions Code The Contraclor's
Lcense Law does nol apply lo an owner of properly who builds or improves Ihereon, and who does such work himself tr ttucmll his own employees, provided that such improvements are nol intended or offered for
sale If, however, the building or improvement is sold wilhm one year of completion ihe owner-builder will have the bc^c:) of pnving Itial he did nol build or improve for the purpose of sale]
I I 1, as owner of Ihe properly an exclusively contracting wilh Icensed conlraclors to constmct Ihe project (Sec 7044, Bicijcsa aid Professions Code The Conlractor's Lcense Law does not apply to an owner of
property who buiUs or improves Ihereon and con^s for such projects wrth conlractor[s) licensed pursuanl lo (ha Contractor's License Law)
[ I I am exempt under Section. .Business and Professions Code for d^is reason
1 I personally plan to provide Ihe mapr labor aid matenals lor conslaction of the proposed property improvement
2 I (have / have nol) signed an application for a buBding pennrt for Ihe proposed work.
3 I have contracted wi^ the following person (lirm) to provide Ihe proposed construction (mclude name address / phone / contractors' license number)
4 1 plan to provide portions of the work, but I have hired Ihe following person lo coonlinate, supervise and provide the major work (include name / address / phone / conlractors lcense number)
5 I will provide some of the work, but 1 have contracled (hired) the following persons to provide the work indcated (Include name / address / phone / type of work)
Is the applicant or future building occupani requited to submit a business ptan, acutely hazardous matenals registration form or nsk management and preventon program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP • Yes • No
Is tfie applicant or fuhire building occupani required to obtan a permit from the ar pollul»n control distnct or ar quality managemeni dislnct? • Yes •No
Is the (acHrty to be constmcted wrthin 1 000 feet of the outer boundary of a school sito'' • Yes • No
F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY NOT BE ISSUED UNLESS THE «»PUCAKT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANDTHE AiR POLLimON CONTROL DISTRICT
g®G3 8'i?C5QDgF0®GS aeC9®0G9@ a®&m(S^
I hereby affinn that ttiere is a constmction lending agency for the performance of the wor1( this pemut B tssued (Sec 3097 (i) CnnI Code)
Lender's Name Lender's Address
I certify that I have lead the applicatfon and
I lieretjy authcfize repiesentalNe of the City
AGWNST ALL LJABlfTlES, JUDG^e^Ti
OSHA. An OSHA pemut E requred for
EXPIRATION Every permit Esuedtiy
180 days fron the (tate of such pemit q^if the
ySS*APPUCANT'S SIGNATURE
conect and Itiat ttie infomiation on the plans Is sccuiate. I a^ce to CDinplyiMlth all Ct^oidinancesaiidState laws relating to txjOdlng construction.
mentioned property for repecSonpuposes i ALSO AGREE TO SAVE, INDEMNIFY AND KEB* HARMLESS THE CITY OF CARLSBAD
MAY IN ANY WAY ACCRUE AGAir^ SAID CfFY IN CONSEQUENCE OF THE GRANTING OF THIS PERMT
denKflnn or cmstiucinn of Stmctures over 3 Stones f) heighL
of the Code sha9 expre by imrtatnn and becorne nul arvf void tf the buBdng or uok ai^
by such pemiil B suspended or atmloned at any line after the work B conim^^
DATE
Inspection List
Permits CB121853 Type PATIO DONNELLY RESIDENCE
250 SF SOLID PATIO W/ LIGHT
Date Inspection Item Inspector Act Comments
12/17/2012 19 Final Structural -Rl
12/17/2012 19 Final Structural MC Fl
12/17/2012 29 Final Plumbing MC Fl
10/29/2012 36 Electncal Repairs MC CO NO SUPER/CONTRACTOR
10/10/2012 84 Rough Combo MC AP
10/05/2012 15 Roof/Reroof MC AP see card
10/05/2012 34 Rough Electnc MC AP
10/02/2012 14 Frame/Steel/Bolting/Weldin MC CO
10/02/2012 15 Roof/Reroof MC CO
09/20/2012 11 Ftg/Foundation/Piers MC AP 2 COLUMN FIGS
Tuesday, December 18, 2012 Page 1 of 1