HomeMy WebLinkAbout1811 OAK AVE; ; CB161186; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-28-2016 Patio/Deck Permit Permit No: CB161186
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1811 OAK AV CBAD
PATIO
2050810400
$11,821.00
Lot#: 0
Construction Type: NEW
ATHERTON RES-352 SF PATIO
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
COVER-ATTACHED, 13 FOOT HIGH FIREPLACE@ REAR YARD, GAS TO
FIREPLACE & BBQ
Applicant:
RANDALL MEANS LANDSCAPING
7331 BLACK SWAN PL
CARLSBAD CA 92011
760-936-3262
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Owner:
ISSUED
03/28/2016
RMA
03/28/2016
03/28/2016
$132.33
$0.00
$92.63
$0.00
$1.54
$1.00
$0.00
$0.00
$38.00
$0.00
$265.50
Total Fees: $265.50 Total Payments To Date: $265.50 Balance Due:
Inspector:
FINA't~P~Ol,AL
Date: I J-I lo Clearance:
$0.00
NOTICE: Please take I\OllCE that appraval cl yrur prtjed: includes tre "lrrµisition" cl fees, dedications, reseivations, or other exactions hareafter collectively
referred to as "fees'exad:ions." Yoo have 00 days from the date tlis pernit V10S issued to protest irrµ::isitioo of these fees'exad:ions. If yru protest them, yru rrust
fdl(],/\lthe protest prcx:edures set forth in C?cNemrrent Ox:le Section 66020(a), and file the protest and any other required infonration wth the Oty M=lna:;Jer for
prOOlSSi~ in accordanrewth Carlsbad M.Jnidpal Ox:le Sectioo 3.32.030. Failuretotirrelyfdl(],/\lthat prcx:edurewll bar anysutsequent legal action to attack,
review, set aside, void, or annu their irrµisition.
Yoo are hereby Fl.Rn-ER NOTIFIED that yrur right to protest tre spocifiedfees'exad:ions OOES NOT /IPPL Yto\J\01er and S£JAf3r OOf"lned:ioofees and capacity
manges, nor planni~. zoni~. gradi~ or other sinilar application prore:;si~ or servire fees in cxrned:ion 1/\ith tlis prtjed:. f\m OOES IT /IPPL Y to any
fees'exactions of V'.hich have eviOLSI been ·ven a NOTICE sinilar to this or as to Wlich the statute cl linitations has ·ous1 otherlMse · red.
THE FOLLOWING-APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING
C_cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEf/SPACEt/UNITI
0 BUILD1NG
PHASE# TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
A++ cluh e__J -?.2"t1 o
'5 as· VV\ a, Y"'\ -h
EXISTING USE
APPLICANT NAME
ADDRESS
ZIP
?-DI f
O FIRE
SWPPP
CONSTR. lYPE OCC. GROUP
FIRE SPRINKLERS
YES0 N00
CITY STATE ZIP ~ ~o\\
PHONE FAX FAX
EMAIL
STATE UC.#
{Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair ant 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 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)).
Workers' Compensation Declaration: I hereby affirm under penalty of pe1jury one of the following declarations: J:l I have 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.
~I have and will maintain workers' compensation, a ulred bv Section 3700 of the Labor Code. for the performance of the work for whlc.!Jjpis permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ~ CD ~al (!.o , Policy No. 'N 'NC ? I Y \ V 21 Expiration Date J (> · 2.7 • J k
"jM, section need not be completed if the permit is f one ndred dollars ($100) or less.
7
LJ Certificate of Exemption: I certify that in the rfo ance 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 wo ers' mpensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
for In Section 3706 of the Labor code, Interest and attorney's fees.
I hereby affirm that I am exempl from Contractor's License Law for the following reason:
D
D
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 Contracto(s
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(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 Contracto(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. O ves 0 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):
,g PROPERTY OWNER SIGNATURE 0AGENT 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? 0 Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O 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 Lender's Address
I certify that I have read the application and state
I hereby authorize representative of the City of C
AGAINST ALL LIABILITIES, JUDGMENTS, C
OSHA: AA OSHA pennit is required for ex
EXPIRATION: Every pennit issued by the
above information is correct and that the information on the plans is accurate. I agree to oomplywith all City ordinances and State laws relating to buildingoonstruction.
to enter upon the atx>ve mentioned property for inspection pur?)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
SAND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT.
s over ' and demolioon or CXJOstruction of slJuclures over 3 slories i1 height.
i I under the visions of this Code shall expire by linitaoon and become nun and voo Wthe buildingorv.Ofk authorized by sudl permit is notoommenced v.ithin
buildilg orv.Ofk au · ed by such permit is suspended or abandoned at any time after thev.Ofk is oommenced for a peood of 100 days (Secoon 100.4.4 Uniform Building Code). 100 days fi'om the date of sudl permit or if
Ji5 APPLICANT'S SIGNATURE 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.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELNERY OPTIONS
0 PICK UP: o CONTACT {Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
D MAIL/ FAX TO OTHER:-----------------
.Af APPLICANT'S SIGNATURE
o ASSOCIATEDCB#·------------
o NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE / NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB161186 Type: PATIO
Date ___ Inspection ltem _____ ~~---Inspector
08/12/2016 89 Final Combo
08/12/2016 89 Final Combo PD
04/12/2016 66 Grout PD
03/29/2016 11 Ftg/Foundation/Piers PD
03/29/2016 23 Gas/Test/Repairs PD
Friday, August 12, 2016
Act
RI
AP
AP
AP
AP
ATHERTON RES-352 SF PATIO
COVER-ATTACHED, 13 FOOT HIGH FIREP
Comments ·-~~-·---~ ~----
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