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
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0 0
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