HomeMy WebLinkAbout1696 BASSWOOD AVE; ; CB151520; Permit05-18-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Patio/Deck Permit Permit No: CBi51520
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1696 BASSWOOD AV CBAD
PATIO
2050603000 Lot #:
$5,580.00 Construction Type:
ROSE: 486 SF ALUM PATIO
0
NEW
Status
Applied
Entered By:
Plan Approved
Issued
Inspect Area
Plan Check#:
ISSUED
05/18/2015
JMA
05/18/2015
05/18/2015
Applicant:
ALL PRO PATIO
Owner:
ROSE EDWIN L 2001 TRUST 12-15-01
12451 JANET KAY WAY
EL CAJON CA 92021-1604
619-851-6609
1696 BASSWOOD AVE
CARLSBAD CA 92008
Building Permit
Add'l Building Permit Fee
Plan Checlt
Add'l Plan Check Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
$78.91
$0.00
$55.24
$0.00
$1.00
$1.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $136.15
Total Fees: $136.15 Total Paynnents To Date: $136.15 Balance Due: $0.00
Inspector:
FINAL
Date: _
APPROVAL
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 pemnit 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 vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired.
{THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING nENGINEERING nBUILDING DFIRE nHEALTH IHHAZMAT/APCD
City of
Isbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. Cl^ IS I S^^-O
Plan Ck. Deposit
Dateg>/|y^/ i^^ SWPPP
JOB ADDRESS SUITEf/SPACEf/UNIT*
CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. G ROU P
DESCRIPTION OF WORK: Include Square Feet Of Affected Areafs) f-7~ I A/
Qer^o^ Cxi&tin^ PaJ-o C^ver c^^cl- -^^nS'ta^C
EXISTING USE PROPOSEI GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[~]# N0| I
AIR CONDITIONING
YES I |NO| I
FIRESPRINKLERS
YES I |NO| I
APPLICANT NAME
Primary Contact
PROPERTYOWNER
ADDRESS
PHQNET _ ^ ^. . t <X- —llFAX i- / ^,—. x-\ TxT^
EMAIL EMAIL
W-Qj-CD DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
CTATC f ^ ^ID
QWpa ADDRES
PHONE" ~ ^ (.y I I
°i»'l^O
iioNE I ; TTFAZ
EMAIL '
CITY BUS. LIC.# ] JT
ance! aldb requires trie (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! al* 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)).
W O R li ERS' COMPENSATION
Workers' Compensation Declaration: I hereby alflm:i under penalty of peijury one of the following declarations:
• I have and will nialntain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued,
^p^-Hiave and will maintain wi
^ number are: Insurance Co:
, asjequired bv Section 3700 ofthe LabouCode, r^the performaj
'olicy No.
i; issued. My workers' compensati
Expiration Date.
icy
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure workers' compepsation cov|[ageirDnUwful, 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,ilamages a^jNMflSed fnr ip j^lrn 77P'T oythe Labor code, interest and attomey's fees. ,
^CONTRACTORSIGNATURE 7^^^^^^ "Tc^^ \ C ^^SENT DATE 1^1 \
O Ml N E R-BUitOtsR Oiri,ARATlOl»
/ hereby affimi ftaf / am exempf from Confractor's Ucense Law for the following reason:
[ I I, as owner of the property or my employees with wages as their sole compensation, wili do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and ProfessionsCode: 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 praving that he did not build or improve for the purpose of sale).
I I I, as owner of the property, am exdusively contracting with licensed contractors to constmct the praject (Sec. 7044, Business and Prafessions 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 I I am exempt under Section Business and Prafessions Code for this reason:
nVes I INO 1.1 personally plan to provide the major labor and materials for construction of the proposed praperty impravemenL
2.1 (have / have not) signed an application for a building pennit for the proposed work.
3.1 have contracted with the following pereon (firni) to provide the praposed constmction (include name address / phone / contractors' license number):
4.1 plan to pravide portions of the work, but I have hired the following person to coordinate, supereise and pravide the major wort( (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to pravide the wort( indicated (include name / address / phone / type of wori():
PROPERTY OWNER SIGNATURE []AGENT DATE
PtETE THIS SECTION FOR NONR Bin EN TIAL BUILDING PEI TS ONI
Is the applicant or future building occupant required to submit a business plan, xutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? Yes No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? Yes No
IF ANY OF THE ANSWERS ARE YES, A HNAL 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.
arra tjaetV7 Turrf; jri"»r
I hereby affirm tfiat tfiere is a construction lending agency for the performance ofthe work this permit Is Issued (Sec. 3097 (I) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I cet% that I have read the applkatkin and state that the above iitfbrmation is conectand thatthe infomialion on the plans is accuiate. I agree to complywith all CHy oidinances and State laws relating to building constniction.
I hereby authorize leptBsentative of the City of Caiisbad 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 CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfF.
OSHA: An OSHA pemiit Is requited fbr excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories In height,
EXPIRATION: Every pennit Issued by the Building Oflicial underjhe provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such pennit is not commericed within
180 days from the date of such permit or if the bulldlngjiPWlJiaflthoriz^iMich pemiit is suspended or abandoned at any time after the viotk is commenced for a period of 180^ays (Section 106.4.4 Unifonn Building Code).
VSTAPPLICANT'S SIGNATURE DATE
lenced tor a renod ot i iiiidays (bee
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY If a Certificate of Occupancy will be requested at final Inspection.
Fax (760) 602-8560, Email buildina(3>carisbadca.gov or Mail the completed fom to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT S BUS. LIC. No.
DELIVERY OPnONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Usted above)
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB151520 Type: PATIO ROSE: 486 SF ALUM PATIO
Date Inspection Item Inspector Act Comments
06/17/2015 14 Frame/Steel/Bolting/Weldin PD AP
06/17/2015 19 Final Structural - Rl
06/17/2015 19 Final Structural PD AP
Wednesday, June 17, 2015 Page 1 of 1