HomeMy WebLinkAbout1841 EAST POINTE AVE; ; CB071954; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-03-2007 Retaining Wall Permit Permit No: CB071954
Building Inspection Request Line (760) 602-2725
Job Address: 1841 EAST POINTE AV CBAD
Permit Type: RETAIN Status: ISSUED
Parcel No: 2073830400 Lot #: 0 Applied: 07/25/2007
Valuation: $4,320.00 Construction Type: NEW Entered By: MDP
Reference #: Plan Approved: 10/03/2007
Issued: 10/03/2007
Project Title: Si-AWSON RESIDENCE Plan Check#:
240 SF VERDURA RETAINING WALL Inspect Area:
Applicant: Owner:
KEYSTONE ROOFING SLAWSON JOHN A
1840 E POI NTE AV 1841 E POINTE AVE
CARLSBAD CA 92008 CARLSBADCA 92008
760 750-9888
Building Permit $61.19
Add'! Building Permit Fee $0.00
Plan Clieck $39.77
Add'l Plan Check Fee $0.00
Strong Motion Fee $1.00
Renewal Fee $0.00
Add'l Renewal Fee $0.00
Other Building Fee $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $101.96
Total Fees: $101.96 Total Payments To Date: $101.96 Balance Due: $0.00
DJNG PLANS
STORAGE
TACHED
Inspector:
tiTata
FINAL
Date: _
APPRGJVAL
Clearance:
NOTICE: Please take NOTICE tlrat approval of your project inclucies the "Imposition" of fees, dedications, reservations, or ottier exactions tiereafter collectively
referred lo as "fees/exactlons.' 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 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 o( which you have Dreviouslv been given a NOTICE similar lo this, or as to which the statute of limitations has oreviouslv otherwise expired.
. City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
Plan Check No. QT^ -
Est. Value
Plan Ck. Deposit
Date 1 nsni
JOB ADDRESS 12V e ^-fih, m
TBTS I PHASE # n # OF UNITS # BEDROOMS
SUITE#/SPACE#/UNIT#
CT/PHOJECT # # BATHROOMS TENANT BUSINESS NAME TYPE OF CONST OCC. GROUP
DESCRIPnOfiljOF WORK: (Please describa present use and proposed usa) ^
^fEjeiP/ct^-hd/^ls ^^cc^mAf^h JCO' UlHf
ADDITION AREA (SF) I GARAGE (SF) I PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLE BUILDING AREA(SF) 'FIREPLACE
YES • #_ NOD
AIR CONDITIONING
YES • NO •
FIRE SPRINKLERS
YES • NOD
CONTACT NAME APPLICANT NAME
ADDRESS
I \ V STATE ZIP /
ADDRESS
CITY CITY STATE
PHONE PHON
EMAIL EMAIL
OWNER NAME
ADDRESS
CONTRACTOR BUS. NAME
ADDRESS
CITY STATE ZIP CITY
PHONE FAX PHONE
EMAIL EMAIL
STATE LIC.#, Ji CITY BUS. LICj#^ .
re, prior to its Issuance, also requires the applicant lor sudi perniit to (Sec 7031.5 Business and Professions Code: Any City or County wliidi requires a pennit to constmct, alter improve, demolish or repair any stmcture. prior to its issuance, also requires the applicant lor sudi pennit to Hie a signed statement licensed pursuant to die provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 ol the Business and Professions Code} or that he is exempt therelrom, and the basis for the alleged exemption. Any Section 703 i.S by any applicant for a pennit subjects the applicant to a civil penalty of not more than live hundred doilan {$500}).
tiiat he is violation of
WORKERS COIVIPENSATION
Workers' Coinpensation Declaration: / hereby affirm under penalty <^ peijury one ofthe following declarations:
.1^. I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, Ibr the pertomnance of the work for which this pemiit is issued.
I have and will maintain workers' compensatlotu as required by Section 3700 of the Labor Code, for the performance of the work for which this pemiit is issued. My workers' mmpensation insurance canier and policy
Cr™*!?:- p,^.,,, 00:i305-C^ ExpiraUonDate S/f j^*^^
number are:
Insurance Co. O ' ^1 ^ \V(^!^ ^^'''^
This section need not be completed ifthe pemiit is fbr one hundred dollars ($100) or less.
• Certificate of Exemptian: I certify that in the performance of the work ibr which this pemiit 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 workers' compensa|ifn coverage Is unlawful, and shall subject an employer to criminal penalties and civil fin^ up to one hundred thousand dollars (&1DD,D00), In
aririltinn tn the fjealt of mmpensatinn. riamaqeg as pmviil^iWnr inf ecMon 37Dli ofthe Labor cody, intarast and attomey'g fees. / /
JSS CONTRACTOR SIGNATURE DATE
OWNER-BUILDFr< OECLAft/vTION
/ tereby affim ftef / am exempt from Contractor's Ucense Law for the foliowing reason:
• I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnjcture is not intended or oflered fbr sale (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 who does such work himself or through his own employees, provided that such improvements are not intended or offered fbr sale.
If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of pioving that he did not build or improve for the purpose of sale).
• I, asowneroftheproperty, am exclusively contracting with licensed contractors to constnjct the project (Sec. 7044, Business and Professions C^de: The Contractor's License Law does notapply loan owner of property
who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
OI am exempt under Section Business and Prolessions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. • Yes O No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractois' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coonjinate, supervise and pravide the major work (include name / address / phone / contractors' license number);
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the wori< indicated (include name / address / phone / type of work):
^PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fbmi or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazantous 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 constiucted within 1,000 feet of tiie 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this pemnit is issued (Sec. 3097 (i) Civil Code).
Lendei's Name Lenders Address
APPLICANT CERTIFICATION
I certify tiiat I have read tiie application and state that the above infonmation is con^t and that the infbmiation on the plans is accurate. I agree to comply witii all Qty ordinances and State laws relating to building
constiuction.
I hereby authorize representative of tiie City of Carlsbad 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 LIABILmES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or constiuction of stiuctures over 3 stories in heighl
EXPIRATION: Every pennit issued by the Building Official under the provisions of tills Code shall expiro by limitation and become null and void if the building or wori< authorized by such pennit is not commenced within
180 days from ttie date ofsuch pemiit or if tiie building or worit authorized by such perinit isjuspended or abandoned at any time after the woric is commenced for a peripd of 180 dayy(Section 106.4.4 Unifbmn Building
Code).
-efAPPLICANT'S SiGNATURE ^-"^^I^ \/'\.-rl ^ DATE
ced for a peripd of 180 day^Sectioi
Inspection List
Permit#: CB071954 Type: RETAIN SLAWSON RESIDENCE
240 SF VERDURA RETAINING WALL
Date Inspection Item Inspector Act^ Comments
10/04/2007 69 Final Masonry MP AP
Ttiursday, October 04,2007 Page 1 of 1