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HomeMy WebLinkAbout187 CHINQUAPIN AVE; ; CB120375; Permit03-21-2012 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Miscellaneous Permit Permit No: CBl20375 Buiiding inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 187 CHINQUAPIN AV CBAD MISC 2060700103 $0.00 Subtype: Lot#: REPAIR 0 CHINQUAPIN HOA- REPLACE GUARD RAILS FOR BOTH 1ST & 2ND FLOOR DECKS, REMOVE ALL Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Appiicant: SEARS CONSTRUCTION 1387 CYNTHIA LN CARLSBAD, CA 92008 760-720-9548 Owner: FLORY FAMILY TRUST 01-15-93 187 CHINQUAPIN AVE CARLSBAD CA 92008 ISSUED 03/01/2012 RMA 03/01/2012 03/01/2012 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE STUCCO/WINDOWS $65.00 $65.00 $0.00 $130.00 Total Fees: $130.00 Total Payments To Date: $130.00 Balance Due: $0.00 Inspector: FiNAL APPROVAL Date: S'^^^/^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as lees/exactlons." You have 90 days fronn 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 sen^tee 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 oreviouslv othemvise expired. ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov ( Plan Check No. Est. Value Plan Ck. Deposit /i // 1 SWPP JOB AODRESS /OfWn^S I # BEDROCIC SUn'E#/SPACE*/UNn'# #BSfRi?(55Mr" TENANT BUSINESS |ilAME 2e>i, - ovi> cONSfRTTW ^3 Oct (SROU*" CT/pWJeCr* DESCRIPnONOFWORK: /ne/ud* Squar* FMt of A/factotfAraa(*; f^lh^ ^ (^U'^JtP'^i^ ^><lkJlAAj Ae^^m^ U^^^ DECKS (SF) FIREPLACE YESn # NOD AIR CONDITIONING YES • NO • FIRESPRINKLERS YES • NO • APPLICANT NAME (Primary Contact) ADDRESS APPUCANT NAME (Secondaiy Contaet) ESS jJ / ADDRESS PHONE ' - ' STATE ZIP CITY STATE ZIP FAX PHONE EMAIL FAX PROPERTY OWNER NAME ADDRESS Q / PHONE CONTRACTOR BUS. NAME ADDRESS STATE FAX ZIP ESS ^ ^ / • \ , I y STATE CITV I y STATE ZIP PRBNE FAX EMAir ""^ — ARCH/DESIGNER NAME & AODRESS STATE Ua# CLAS&. B cnv BUS. uc# (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 siaied statement that he is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Profissslons Code] or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any appiicanffor a permit subjects the applicant to a cMI penal^K of not m<Jre than five hundred dollars ($500)). WORKERS COMPENSATION Worini*'Compmtition Dedaration: y Aerstiy afflim under penalty ofpei/ify one or (to • i hava and wiil maintain a cntilicata of consent to salf-insure fbr woiteis' compensation as piovided by Sectton 37(X) of the Labor Code, fbr the perfonnance of the work fbr which this pemilt Is Issued. • I have and wiil maintain worken' compantatkxi, as required by Sectkm 3700 of the Labor Code, fbr Ihe peifbnnance of ttie work for whk:h this pemilt Is Issued. Uy workers' cbmpens^n insurance canier and poicy number are: Insurancs Co. Policy No. : Explratton Date This SKll^n need not be completed if the perniit Is fbr bne hundred dollars ($100) or less. P'^fsrtiflcata of Exemptian: I certify that In the perfomiance of Ihe woik fbr whk:h this pemiit Is Issued, I shall not emptoy any person In any manner so as tb become subject to the Woikers' Compensatkin Laws of Califomia WARNING: Failura to secura worinn' compensation coverage Is unlawful, and shali subject an maf/i^ to criminai penaKlot and dvil flnet up to ons hundred thousand doilan (S100,l)00), In addition to tha cost of compsnsatlon, damages at providad for In Sectlon^6 of the^^iSBr coda, Intarartjpnttomay's fset. Jti CONTIUCTOR SIGNATURE ige II unnwTui, ana « n3706ofttie^SBrc •AGENT DATE 3 - ? O W N E 1? - B U I L D E R DECLARATION / Aeieby affimi (Aat / m exempt from Contractor's License Law for the following reason: O I, as owner of Ihe property or my emptoyees with wages as their sole compensatton, will do the work and the stnx:tuie Is not Intended or offered for sato (Sec. 7044, Business and Professtons (Me: The Ckintractor's Ucense Law does not apply to an owner of pioperty who bulkls or Improves thereon, and who does such worit himself or through his own emptoyees, provkled lhat such Improvements are not intended or offered fbr sale. If, however, the buikling br Improvement Is sokl wilhin one year of comptotton, the owner-buHder win have the burden of proving that he dkl not buikl or Improve for the puipose of sale). a I, as owner of the property, am exdusiveiy contracting with Itoensed contractors to constnxit the project (Sec. 7044, Business and Professkins Code: The Cbntractbr's Ucense Law does not apply to an owner of property who bulkls or improves thereon, and conlracts Ibr such projects with conlractor(s) licensed puisuant to ths Contractors Ltoense Law). O I am exempt under Sedton Business and Professtons Code for the reason: t.i personally plan to provkle the major labor and materials for constmdion of the proposed property Improvement QYes ONo 2.1 (have / have net) signed an appltoaton for a bulUIng perniit for the proposed worii. 3.1 have contracted with the fdkwring perscn (firm) to provide Ihe proposed constnidton (Indude name addiess / phone / contradois' Itoense number): 4.1 plan to provkle portions bf the wbric, but I have hired the toltowing person to coonlinate, supeniise and provkte the major worit (Indude name / address / phone / contractors' license number): 5.1 will provide some of the woik, but I have contracted (hired) the fbltowing persons to provkle the worit Indtoated (Indude name / address / phone / type of work): VCTPROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILOiNG PERMITS ONLY Is Vie appitoant or fuhire buiiding bccupant required to submtt a business plan, acutely hazardous materials reglstratton fbrm br risk management and prevention program under Sedtons 25505,25533 or 2SS34 of the Pre^y-Tanner Hazanlous Substance Account Ad? OYes ONc is the appikant br futuro bulUtog bccupant requiied to obtain a penntt from Ihe air pdlutlon contnilttstridw QYes OHo Is the facWty to be constnjded within 1,000 feet of the outer bbundary of a school stte? OYes ONo IF ANY OF THE ANSWERS ARE YES, A RNAL C^TIFICATE 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 CONSTRUCTION LENDING ACENCY I hereby affirm that there is a constmction lending agency for the perfbrmance of the worit this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Icerit^thatlhave rsad the a^ipikatton and state that the above Infomiatton is Cbned and that the Infomiatton on t^ I hereby authorize lepiesentative of the City of Cailsbad to enter upon Ihe above mention AGAINST ALL UABILTriES JUDGMENTS, COSTS AND EXPENSES WHCH MAY IN ANY WAY ACCRUE AGAWST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemiit Is required fx excavatkxis over 50 deep and demoMnn or oonsbw^ EXFII^TION: Every penntt issued by Ihe Building Offdal under the provisions of this Code sh^^ 180 days from the date ofsuch pemiit or Ifthe buiding orwnkaiin)^ 106.4.4 Unifbmi Building Code). ) APPUCANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the foflowing ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email www.buiklinQacai1sbadca.aov or Mall the completed fbmi to City of Carlsbad, BuMing Division 1635 Faraday Avenue, Cartsbad, CaMomia 92008. C6#: (Offlce Ute Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDiNG ADDRESS cmr STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS. LIC. No. DEUVERY OiniONS • PICKUP: • CONTACT (Usted above) • OCCUPANT (Usted 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 >«S*APPUCANrS SIGNATURE OATE City of Carlsbad Bldg Inspection Request For: 05/21/2012 Permit# CB120375 Inspector Assignment: PB Title: CHINQUAPIN HOA- REPLACE GUARD Description: RAILS FOR BOTH 1ST & 2ND FLOOR DECKS, REMOVE ALL WOOD SIDING & REPLACE W/ STUCCO, REPLACE Type:MISC SubType: REPAIR Plione: 7603905952 Job Address: 187 CHINQUAPIN AV Suite: Lot: 0 Location: Inspector: fP OWNER FLORY FAMILY TRUST 01-15-93 Owner: FLORY FAMILY TRUST 01-15-93 Remarks: Total Time: Requested By: TOM Entered By: JANEAN CD Description Act Comments 19 Final Structural Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments 05/17/2012 19 Final Structural CO PB 03/23/2012 17 Interior Lath/Drywall WC PB 03/23/2012 18 Exterior Lath/Drywall AP PB 0 0 8' ^IT^ fLM 0 0 (T '/ii^.p. 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