HomeMy WebLinkAbout197 CHINQUAPIN AVE; ; CB120372; Permit03-21-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB120372
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
197 CHINQUAPIN AV CBAD
MISC
2060700101
$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:
ISSUED
03/01/2012
RMA
03/01/2012
03/01/2012
Applicant:
SEARS CONSTRUCTION
Owner:
COPPOLA FAMILY TRUST 01-15-96
1387 CYNTHIA LN
CARLSBAD, CA 92008
760-720-9548
197 CHINQUAPIN AVE
CARLSBAD CA 92008
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 BalanceDue: $0.00
Inspector:
FINAL APPROVAL
Date: ^'Z^-f^ Clearance:
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 pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment 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 askle, 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 vou have oreviousiv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired.
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/2719
Fax: 760-602-8558
www.ca risbadca .gov
IDDRESS /^f • .IA
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
APN
SWPP
JOB ADDRESS
CT/PRI OF UNITS # BEDROOMS
SUITE#/SPACE#/UNIT#
# BATHROOMS | TENANT BUSINESS NAME
-67D ' O/ O/
CONSTR. TYPE OCC GROUP
DESCRIPTION OF WORK: Inc/utfe Square Feet of Afftetetf Araa(s;
JSE DECKS (SF) FIREPLACE
YESD # NOD
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
YES • NOD
APPLICAIirr NAIME (Primary Contact)
ADDRESS
APPLICANT NAME (Secondary Contact)
ADDRESS
PHONE
ZIP CITY STATE ZIP
EMAIL
PHONE FAX
PROPERTY OWNER NAME
ADDRESS . 0 '
PHONE
V/7^^.*4yiOth M/:>/^
CONTRACTOR BUS. NAME
ADDRESS
STATE
FAX
ZIP \ ] y STATE " CITY^ . / STATE ZIP
PHONE FAX
ARCH/DESIGNER NAME & ADDRESS
EMAIL
STATE UC.# ^ ICLASS I CITYB BUS. Lia#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demolish or repair any structure, priorto its issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division Sof 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 mbre than five hundred dollars ($500)).
WORKERS' COMPENSATION
Woriters' Compensatian Declaration: / hereby ^nn mder penalty of perjury one ofthe foliowing declarations:
n I have and will maintain a certlflcats of consent to sslf-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the peiformance of the work for which this perni it is Issued,
n I have and will maintain woriters' compsnsatlon, as required by Sectkin 3700 of the Labor Code, for the perfonnance oi the work for which this pemilt is issued. My workers' compensatkin insurance earner and policy
number are: Insurance Co. : Policy No. : Expiration Date
This sejti^n need not be completed Ifthe pemiit is Ibr one hundred dollars ($100) or less.
El'^rtlflcats of Exsmption: I certify that in the performance of the work for whteh this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatkin Laws of
Califomia WARNING: Failure to secure woriters' compensation coverage Is unlawful, and shall subject an emol^r to crimlnai penaitles and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damagss as provided for In Ssctlon^06 of the^lKr code, Interestjptfwtomey's fees.
JS^ CONTRACTOR SIGNATURE •AGENT DATE S ^ /Z—
OWNER-BUILDER DECLARATI.,.>N
thereby affi/m that I am exempt from Contractor's Ucense Law for the foiiowing reason:
a I, as owner of the property or my employees with wages as their sole compensation, will do the wortt and the structure is not Intended or oflered 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 wortt 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 bulk! or improve for the purpose of sale).
• I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions &ide: The Contractor's License Law does not apply to an owner of
property who builds or Improves thereon, and contracts lor such projects with contractor(s) licensed pursuant to the Contractor's License Law).
• I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for constmction of the proposed property improvement OYes ONo
2.1 (have / have not) signed an application for a building permit for the proposed wortt.
3.1 have contracted with the following person (flmi) to provide the proposed construction (Include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major worit (include name / address / phone / contractors' license number):
5.1 will provide some of the wortt, but I have contracted (hired) the following persons to provide the wortt indicated (include name / address / phone / type of wortt):
>6S'PR0PERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SECTIOM FOR N O N - R E S I D E N T i A L BUILDING r* E R M I T $ ONLY
Is the applicant or future bulMIng occupant required to submit a business plan, acutely hazanlous matertals rogistration form or rtsk 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 buikling occupant required to obtain a pemilt from the air pollution control distnct or air quality management district? • Yes • No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? DYes HHo
IF ANY OF THE ANSWERS ARE YES, A RNAL 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
1 hereby affinn that there is a constmction lending agency for the perfbnnance of the worit this pemiit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTiriCATION
I certif thati have read the applkatlon and state tliat the above Information Is conect and tliat the Info
I hereby aulhorize representative of the Qty of Cailsbad to enter upon Ihe above menttoned property for inspecfon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAFiMLESS THE CrTY OF CARLSBAD
AGAINST AU. UABIUTIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemiit is required Ibr excavattons over S'C deep and demolitton or constmcton of stmctures over 3 slories in height
EXPIRATION: Every pemiit Issued by the Building Ofltoial under the provistons of this Code shall expire by limitafon and become nul and void if the buikling or wortt authorized by such permit is not tximmenced within
180 days from the dale ofsuch pennit or if the buiding or woritavftirized by such permit is susgeiMied or abandoned at any time after the writ is commenced Ibr a period of 180 days (Sectton 106.4.4 Unilbmi Building Code).
>£rAPPLICANT'S SIGNATURE ^^^^^^^ DATE
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 www.buildinaiaicarisbadca.aov or Mail the completed fbmi to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califbmia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LlC. No.
DELIVERY OPTIONS
• PICK UP: • CONTACT (Listed above) • OCCUPANT (Usted above)
• CONTRACTOR (On Pg. 1)
• MAILTO: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAIL/FAX TO OTHER:
• ASSOCIATED CB#. _ — — -
• NO CHANGE IN USE/NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCnON
• ASSOCIATED CB#. _ — — -
• NO CHANGE IN USE/NO CONSTRUCTION
• CHANGE OF USE / NO CONSTRUCnON
>eS'APPUCANT'S SIGNATURE DATE
City ofCarlsbad Bldg Inspection Request
For: 05/21/2012
Permit# CBl 20372
Title: CHINQUAPIN HOA- REPLACE GUARD
Inspector Assignment: PB
Description: RAILS FOR BOTH 1ST & 2ND FLOOR DECKS, REMOVE
ALL WOOD SIDING & REPLACE W/ STUCCO, REPLACE 5
Type:MISC SubType: REPAIR
Job Address: 197 CHINQUAPIN AV
Suite: Lot: 0
Location:
APPLICANT SEARS CONSTRUCTION
Owner: COPPOLA FAMILY TRUST 01-15-96
Remarks:
Phone: 7603905952
Inspector:
Total Time:
CD Description
19 Final Structural
Act Comments
4£-
Requested By: TOM
Entered By: JANEAN
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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