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HomeMy WebLinkAbout2013 PINTORESCO CT; ; CB131531; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-15-2015 Miscellaneous Permit Permit No: CB131531 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2013 PINTORESCO CT CBAD MISC Subtype: REPAIR 2164831100 Lot#: 0 $0.00 LYNCH RES-REPLACE WOOD SIDING WITH STUCCO ON FRONT OF HOUSE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: LYNCH FAMILY TRUST 01-06-05 LYNCH FAMILY TRUST 01-06-05 2013 PINTORESCO CT CARLSBAD CA 92009 760 753-3692 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE 2013 PINTORESCO CT CARLSBAD CA 92009 ISSUED 06/25/2013 RMA 06/25/2013 06/25/2013 MC $130.00 $0.00 $0.00 $130.00 Total Fees: $130.00 Total Payments To Date: $130.00 Balance Due: Inspector: /1"-~ Clearance: $0.00 l'OTlCE: Rease ta<e l'OTlCE thi 'l)IJtMi rJ )OJ ?tied irdudes the "lrrpoiatioo' rJ fees, dedc:aicm, reservaicrs, cx cthlr exa:tiais-.,. cxJledivay refared to as 'fees'exa:tiais." 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Y to ,rr; ' ciyJirl,, .... ,h-e...,,.--'-··-'--L-------'----,,, .,;nila-•,...-•L•-~--·-w, Ii"-·. . . . , THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATJAPCD ~ <<..r~' Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value ~CITY OF CARLSBAD Plan Ck. Qeposlt. /b.11.Date L Inc; I I < lswPPP JOB ADDRESS &013 CT/PROJECT# I LOT# I PHASE# I# OF UNITS J # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Atl'ected Anta(s) ~ ~ -~ ~ ~--~-- V SUITEf/SPACEt/UNITf ' APN . # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE YES[], I AIR CONDITIONING IFIRE SPRINKLERS NOD v,s □NoD vesONoO ~ICANTNAME <trlma(Y&Contact) L f A r, -'WC \I\ II,. ""' .Q_ 17' .Q._. J..< V\ II. .ti: OJJE -l'AX I I() 0 -/5 3 -'.l, I, q '2. EMAIL _JJ ~ rt 7 x' 6 {i} JuJ /...I{ fl L< 11 n -R r? , C a u,, ~ °.!!_N_.E ")NAME • ADDRESS CITY STATE ZIP PHONE I 'AX EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE l'AX EMAIL co......,cro~ BUS. NAME ,-r i\ ,VQ___ "TQ. "--r--K_ It Y1 '--V ADDRESS CITY STATE ZIP PHONE l'AX EMAIL STATE LIC.# I CLASS l CITY BUS. UC.# {Sec. 7031.5 Business and Profes~lons Code: Any City or Co:unfy which requires a permit to_c!'.)nstruct, alter, improve, (!emollsh or repair any structure, p_riort~ its issuance, also reqylfes the applicant for such permit to file a signed st~tement that he 1s licensed pursuant to the prov1s1ons of the Contra~tor•~ License ~aw {Chapter 9, comme_ndmg with Section 7QOO of D1v1s1of) 3 of the Business and Professions Code} or fhat he Is exemP.t 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 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D I have and will maintain workers' compensation, as required bv 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. ______________________ Policy No. ______________ Expiration Date _________ _ l]li§.seclion need not be completed if the permit is for one hundred dollars ($100) or less. U 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 beoome subject to the Workers' Compensation laws of California. WARNING: Failure to secure wo111ers' compensation covenge ts unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), ln addition to the cost of compensation, damages as provided for In Section 3706 of the labor code, lntere&t and attorney's fees. ,..S CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, 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 oot build or improve for the purpose of sale), 'rsa' ;-.,s owner of the property, am exclusively contracting with licensed oonlraclors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply lo an owner of ~perty who builds or improves thereon, and contracts for 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes Oo 2. I (have I have not) s~ned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed oonstruction (include name address I phone I oonlraclors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons prov' indicated (include name I address I phone I type of work): /15 PROPERTY OWNER SIGNATURE □AGENT DATE Ob- . ' COMPI.ETE THI$ SECTION FOR NON-RESIDENTIAi. IIUII.DING PERMIT$ 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? Yes No Is the applicant or future building occupant required to obtain a pem1II from the air pollution control district or air Quality management district? Yes No Is the facility to be constructed within 1,000 feet of the 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 AND THE AJR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a constnJction leod1ng agency for the performance of the work this permit 1s issued (Sec. 3097 m Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the applk:atlon and state lhatlhe above Information Is comict and that the lnfonnation on the plans Is aa:urate. I agiee to compt,wt:11 alt Cltyonlnancas and Stam IIMS relating ID building coostrucllon. I hereby authorize l'e?BS8fltalive of the City of Carlsbad kl enEr upon the aOOYe mentioned property k>r inspection pul'JX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CITY OF CAALSBAD AGAINST All. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST 5.'JD CfTY IN C~SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Iv! OSHA pennlt is requred for excavations over 5'0' deep and demc:m:m or oonstrucoon of structures over 3 stories in he'ght. EXPIRATION: Every pennlt issued by the Building alicial under the provisKlns of this Codes ·re by lrnltatbn and t:eoome null and -.oKI Wthe buikling or'o\Ofk authorized by such permit is notoornmenced 'MIilin 180 days from the date of such permit or if buiding or oolk authorized by such ~ It · us or abandoned at any time after the v,olk is oommenced tir a ~ood of 180 days (Sectbn 106.4.4 Unik>nn l:l.Jiking Code} . ..@S° APPLICANT'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 building@carlsbadca.gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. OELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP < • Inspection List Penni!#: CB131531 Type: MISC Date Inspection Item 10/13/2015 18 Exterior Lath/Drywall 10/13/2015 19 Final Structural 09/08/2015 18 Exterior Lath/Drywall Thursday, October 15, 2015 REPAIR Inspector Act RI MC Fl MC AP LYNCH RES-REPLACE WOOD SIDING WITH STUCCO ON FRONT OF HOUSE Comments AM PLEASE FRONT ONLY Page 1 of 1