HomeMy WebLinkAbout1953 Dove Ln; ; CB161427; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 06/27/2017 Commercial Permit Permit No: CB161427
www.carlsbadca.gov
Job Address:1953 Dove Ln
Permit Type:BLDG-Commercial WorkClass:Patio Status:Closed -Expired
Parcel No:2131120700 Lot #:Applied:04/13/2016
Valuation:$5,361.00 Reference #:Issued:
Occupancy Group:Construction Type:Finaled:
# Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check #:
Plan Check #:
Project Title:
Description:PATIO -LA COSTA PALOMA: 442 SF 3 PATIOS WITH ELECTRIC
Total Fees:Total Payments To Date:Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 of which you have previously been given a NOTICE similar to this, or asto which the
statute of limitation has previously otherwise expired.
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It THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMR ISSUANCE:DPLANNING DENGINEERING 0 BUILDING DFIRE CDHEALTH DHAZMATIAPCD
(''Building Permit Application Plan Check No.C,6 I (0 .
1 ti 2.-1---
k._ CAT of 1635 Faraday Ave., Carlsbad, CA 92008 Est.Value`
-5 .34.1Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. 9eposit
JOB ADDRESS4
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SUITE#/SPACE#/UNIT#
Date qtriii..SWPPP
APN ---
CIPRYELOT#rriASE ##OF U ITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
ESCRIPTION OF WORK:Include Square Feet of Affe ed Area(s)
,.)4)0 \/efile541:3 71'e i /S .c-_..z_ic).2 L ocil-fe -R -G----.04 ti
449-
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESEIN_ NOD YES EiNo EI YESp Nap
\4PPLICANT
NAME r_PROPERTY OWNER
rImary Contact (a5.7-7-Avo 6/6--izz4
ADDRESS
ADDRESS//,,s 3 vevr 1.44 e.
CITY STATE ZIP CITY .F.I6 4 e:0 STATEC4 41200y
_.,,,LoNk74q...674_eii z FAX PHONE FAX
76'0-76 6 -5 469 oCo
>im&isr.. esr-AmE'nftAbor..44rge.Lig.EMAIL 6Varn-ir 0 cf.?'frdoggs-ittaq
DESIGN PROFESSIONAL ONTRACTOR BUS. NAMEg API...Er LA-x113.ScApzi=
ADDRESS i AD SS
4Z-'5 /2.21P/1. E?. )6 4V*9
CITY STATE ZIP
C.ip B ...TAE 4p„.2/4746
PHONE FAX PHONE FAX
16°--f44'-63 N--'
7607/44
-63ie
EMAIL EMAIL
STATE LIC. #4TATE LI CLASS CAIN BUS.LIC.#g 3 06...,...:
(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 theapplicant 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 7900 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 .igia
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:0 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.
EII have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co.A7146 Policy No.Art00049.06a Expiration Date &-1440
This section need not be completed if the permit is for one hundred dollars ($100) or less.0 Certificate of Exemption:I certify that in the performance 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages .s provided for in S:-. 'on 3706 of the Labor code, interest and attorney's fees.
AS CONTRACTOR SIGNATURE -igdIIIIIIr...:['AGENT DATE :-/ 2_-6.......--.!_._..!irjricwt...........„
:;,,, ':-...:..‘.h.-....11-:.:•..-ii.:,,Y 'zitit61161161 I 0.111raa ti
I hereby affirm thatlamexempt from Contractor's License Law for the following reason:
EI,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 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 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).
nI,as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).0 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.DYes DNo
2.I (have / have not) signed an application for a building permit for the pro. t sed work.
3.1 have contracted with the following person (firm) to provide the proposed ...struction (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 c..rdinate, supervise and provide the major work (include name / 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 / phone / type of work):
AKPROPERTYOWNER SIGNATURE 4/00 1117 .4 _4 -"/.DAGENT DATE ‘//2 •—•f(4.
/‘
COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
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?0 Yes 0 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 CI No
Is the facility to be constructed within 1,000 feet of the outer boundary ofa school site?0 Yes 0 No
IFANY 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.
CONSTRUCTION LENDING AGENCY
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
APPLICANT CERTIFICATION
I certify thatIhave read the application and state that the above information is correct and that the information on the plans is accurate.I agree to comply with all City ordinances and State laws relating to building consbuction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CRY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 storiesin height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void fthe building or work authorized by such permit is not commenced within
180 days from the dateofsuch permit or if the building or work authorized by such permitissuspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code).
,eAPPLICANT'S SIGNATURE DATE
tiSTOP
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 buildina@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
CO#:(Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#MAIL TO:a CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)o NO CHANGE IN USE /NO CONSTRUCTION
MAIL /FAX TO OTHER: CHANGE OF USE/NO CONSTRUCTION
..AKAPPLICANT'S SIGNATURE DATE
CQ•ty of
Carlsbad
MAY 11, 2017
CH WORKS
1953 DOVE LN
CARLSBAD CA 92009
APPLICATION DATE:04/13/2016
PLAN CHECK #:CB161427
ADDRESS:1953 DOVE LANE
EXPIRATION DATE:04/13/2017
PERMIT TYPE:COMMERCIAL
DESCRIPTION:PATIO -LA COSTA PALOMA: 442 SF 3 PATIOS WITH ELECTRIC
You applied to have your plans checked on the date noted above.To date, the related building permit has not been
obtained and the original plan review application will expire on the date noted above. This courtesy notice is sent to
advise you of the following provisions of the City's codes regarding expiration:
18.04.035 -Section 107.4 amended—Expiration ofplan review.
Section 107.4 of the California Building Code is amended to read: Applicationsfor
which no permit is issued within one year following the date ofapplication shall expire
by limitation, and plans and other data submittedfor review may thereafter be
returned to the applicant or destroyed by the Building Official.
90 day extensions of the plan review period may be granted by the Building Official after review of a letter of
explanation, provided to him by the property owner. An extension of time granted by the Building Official does not,
by right, apply to any related Discretionary Permit under review.
Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will
be destroyed.
In order to provide better service, please indicate your handling choice for the plans originally submitted and return this
letter to the Building Department:
Project Abandoned — I will pick up the plans within 10 days
Project Abandoned —Plans may be destroyed
If you have any questions, please contact the Building Division at (760) 602-2719.
Building Division
CC:
Community & Economic Development
Building Division 11635 Faraday Avenue Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov