HomeMy WebLinkAbout1789 CALLISIA CT; ; CB132162; Permit09-09-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Patio/Deck Permit Permit No CB132162
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
1789 CALLISIA CT CBAD
PATIO
2158812708 Lot#
$2,242 00 Construction Type
GREEN RES - 234 SF PATIO COVER
ALUM LATTICE ICC ESR 1953
0
NEW
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Plan Check#
ISSUED
09/09/2013
SKS
09/09/2013
09/09/2013
Applicant
TERRY MONTELLO/HOLLY JACQUES
Owner
GREEN FAMILY TRUST 06-18-05
4715 60TH ST
SAN DIEGO CA 92115-3802
619-994-5557
1789 CALLISIA CT
CARLSBAD CA 92011
Building Permit
Add'l Building Permit Fee
Plan Ctieck
Add'l Plan Check Fee
Strong Motion Fee
Green BIdg 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
$0 00
$0 00
TOTAL PERMIT FEES $101 06
Total Fees $101 06 Total Payments To Date $101 06 Balance Due. $0 00
inspector
FINAL APPROVAL
Date 'f^ 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 nght 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 othenwise expired
THEt3LLOWII«3 APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE •PLANNING •ENGINEERING • BUILDING QFIRE • HEALTH • HAZMAT/APCD I
^ CITY OF
CARLSBAD
LOT# I PHASES - ISTTFUNITS UBEDRO
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. C/b ( ^"Z//(f 7^
Est. Value
Plan Ck. Deposit /-{^^^
Date*^ • 13> IgWPPP „
JOB ADDRESS SUITElll/SPACE#/UNIT*
CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK Ineiuie Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF^ DECKS (SF) FIREPLACE
YES I |# N0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
°-'""<mU4^\ra^:g?k.aA APPLICANT NAME (Prima
ADDRESS A
APPLICANTNAIVIE ^Secondary C
ADDRESS
Sav\ b<i^ CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS NAN
PHONE I [FAX
OTX-n T ' Zlf>^ 4^ PHONE FAX
ARCH/DESIGNER NAME * ADDRESS STATE UC ) STATE LJ£J
a. (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter, improve, demolish or repair any structure, pnor 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 LavK (Ctiapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the Pasis for the alleged exempuon 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))
Workers' Compensation Declaration / hereijy affim under penalty of perjury one of the following declarations
ave 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
ve and will maintain workers' comBsnsation, aa^emjired by Section 3Z00 of the Labor C(«IE\for the performance of the work for which this permit is issued My workers' compensation insurance carnej^nd
number are Insurance Co '^y^Gf'^^T &y\gtL/ Policy f^o l-CiP Or'!^\j~) 1^1 I I *Piration Date
This section need not be completed if tha+ifffmit is for one hut^red dollars ($100) or less
I I Certificate of Exemption l£fiftifj that in the performance^f the work for which this/iS'mit isTvued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California WARNING Fa|)(fre to s^iKg worters' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil flnes up to one hundred thousand dollars (&100,000),
jeaas provideMor in Section 3706 ofthe Labor
ition insurancecarnerand policy
addition to the cost of compensation,
JS^ CONTRACTOR SIGNATURE
interest and attorney's fees s rees
NrgAG^NT
'A' ....
DATE
/ hereby affirm that I am exempfHram Contractor's License Law fdNlie followin»<Sason
I I I, as owner of the property ormyTllHplujata willi vilges 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
Ucense 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 withm one year of completion, the owner builder will have the burden of proving that he did not build or improve (or the purpose of sale)
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 I I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement •Yes I~1NO
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 supen/ise and provide the major work (include name / address / phone / contractors' license number)
5 I will provide some of the work, but I have contixted (hired) the following persons to provide the work indicated (include name (address / phone / type of work)
^gS"PROPERTY OWNER SIGNATURE QAGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley Tanner Hazardous Substance Account AcP Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'' Yes 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 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 Lenders Address
I certify tliat I have read tlie applicabon and State thatthe above infbnnaton IS comsctandthatthe infonnation on tlie plansisaccurate I agree to comply with ali City ordinances and State laws leiabng to building constraction
I hereby authonze representative of the City of C
AGAINST ALL LIABILITIES,
OSHA An OSHA pemiit is regOired lor^Syvations
EXPIRATION Every permit
180 days from the date of sui
APPLICANT'S SIGNA
the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
ES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
d demolitran or constmction of stmctures over 3 stones in height
iroviscns of this (llgdeshall expire by limitation and become null and vod if the building or work authonzed by such pennit is not commenced within
inded or abandoned at any time after the work is commenced for a penod of 180 days (Secton 106 4 4 Unifonn Building Code)
DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTSFICATE OF OCCUPANCY (Commercial Projects Only)
Fax (760) 602-8560, Email buildinq(S)carlsbadca qov or Mail the completed form to City of Carisbad, Building Division 1535 Faraday Avenue, Carisbad, Califomia 92008
C0# (Office Use Only)
CONTACT NAIVIE OCCUPANT NAIVIE
ADDRESS BUILDING ADDRESS
CITY STATE CITY STATE ZIP
Carlsbad OA
PHONE FAX
ElVIAIL OCCUPANTS BUS LIC No
DELIVERY OPTIONS
PICK UP CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL TO CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAIL/FAX TO OTHER
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
JSSAPPLICANT'S SIGNATURE DATE
Inspection List
Permit* CB132162 Type PATIO GREEN RES - 234 SF PATIO COVER
ALUM LATTICE ICC ESR 1953
Date Inspection Item Inspector Act Comments
09/24/2013 19 Final Structural - Rl GATE CODE 4273
09/24/2013 19 Final Structural PB AP
Tuesday, September 24, 2013 Page 1 of 1