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HomeMy WebLinkAbout1825 HIGH RIDGE AVE; ; CB112446; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-16-2011 Patio/Deck Permit Permit No: CB112446 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1825 HIGH RIDGE AV CBAD PATIO Status: Parcel No: 2073841300 $4,136.56 Lot#: 0 Applied: Valuation: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: ZEIGLER: 732 SF OPEN LATT. ATT PATIO (CITY) WOLVERTON LANDSCAPE 830 SUNRISE DRIVE VISTA 92081 760 535-8121 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 Plan Approved: Issued: Inspect Area: Plan Check#: Owner: ZEIGLER PAUL A&PHYLLIS A 1825 HIGH RIDGE AVE CARLSBAD CA 92008 ISSUED 11/16/2011 JMA 11/16/2011 11/16/2011 $77.87 $0.00 $50.62 $0.00 $1.00 $1.00 $0.00 $0.00 $0.00 $0.00 $130.49 Total Fees: $130.49 Total Payments To Date: $130.49 Balance Due: Inspector: FINAL APPROVAL Date: /~/ f ~!'2.--Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "lees/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. ' «11» Building Permit Application 1635 Faraday Ave .• Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 PlanCheckNo.C-B( \ • 2l-{ 4-b ~ CITY OF Est. Value ? S--~ CARLSBAD ARCH/DESIGNER NAME & ADDRESS Fax: 760-602-8558 www.carlsbadca.gov # BEDROOMS Plan Ck. Deposit Date l I SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAM£ (Secondary Contact) ADDRESS CITY STATE PHONE FAA ZIP STATE LIC. # SWPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES □ NO □ YES □ NO □ ZIP (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, also requires the applicant for such permit to file a sIgried statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of DIv1sIon 3 of the B_usiness and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WGIHl'.lliRs· t'!UIIPeNSATUIN Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: □ j,JKlve and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the per1ormance of the work for which this permit is issued. [i1'"1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pelformance of the work for which thi~ermit is isiued. My workers' compensation insurance carrier and policy aumbe, ""' lasocaace coP,M E G., C Pt-> ( Ol-l:tCl<f,C'.tOll 5 \I' 0 t di"' 1 ryolicy No. (\ti\t,l C. 0 0 I 1. L\ '<l3 D \ E><ocatioo Date 09,. OCI, • \1 This section need not be completed if the permit is for one hundred dollars ($100) or less □ Certificate of Exemption: I certify that in the pelformance 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' Comper.sation Laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars (&100 ,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attomey's fees. _g CONTRACTOR SIGNATURE '<;:!'--::;.,-..--,. oloENT I hereby affirm that I am exempt from Contractor's Ucense Law 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 Professioris Code: The Contractor's Licef\Se Law does not apply to an owner of property who builds or improves thereon, ar.d 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busiriess and Professions Code: The Cori tractor'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). O I am exempt under Section _____ Business and Professions Code for this reason 1. I personally plan to provide the major labor and materials for construcbon of the proposed property improvement. O Yes O No 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 I 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 I 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 I phone/ type of work): _g PROPERTY OWNER SIGNATURE IJIAGENT DATE Is the applicant or future building occupant required lo 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.? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the Ollter 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 certify that I have read the application and state that the above infonnation is correct and that the infonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize reiresentabve of the Qty of Carlsbad to enter up::in the above mentDned property for inspection pul'J))Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSBAD AGAINST ALL LIABILfTIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required klr excava!Klns over 5'0' deep and demolition or oonstruction of structures over 3 stories in heght. EXPIRATION: Every permit issued by the Buik:ling Official under the provisions oft.his c.ode shall expire by limitatDn and become null and void if the buikling or v.ork authorized by such permit is not oommenced 'Mthin 180 days from the date of such permit or if the buik:ling or WJrk authO!ized by such permit is suspended or abandoned at any time after the v.ork is oommenced for a perbd of 180days (Sec!Dn 1013.4.4 Unifonn Buikling Code) . ...@! APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 01/18/2012 Permit# CB112446 Title: ZEIGLER: 732 SF OPEN LATT. ATT Description: PATIO (CITY) Type:PATIO Sub Type: Job Address: Suite: Location: 1825 HIGH RIDGE AV Lot: 0 APPLICANT WOLVERTON LANDSCAPE Owner: ZEIGLER PAUL A&PHYLLIS A Remarks: Total Time: CD Description Act Comments Inspector Assignment: JM --- Requested By: MATT Entered By: CHRISTINE 19 Final Structural f----- ----------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 11/17/2011 11 Fig/Foundation/Piers Act lnsp Comments AP JM