HomeMy WebLinkAbout2195 Avenida Toronja; ; CBR2017-0705; PermitResidential Permit
Print Date: 12/17/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2195 Avenida Toronja
BLDG-Residential
2552615800
$ 3,156.48
Work Class:
Lot#:
Reference#:
Construction Type
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: DESANTIS: 256 SF PATIO COVER W/ CLAY TILE ROOF
Applicant: Owner:
Patio
SUE MONGOVEN COOWNER DESANTIS JOSEPH A AND SOPHIA T
197 Woodland Pkwy, Suite 104
SAN MARCOS, CA 92069-3021
760-271-1618
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $ 106.46 Total Payments To Date : $ 43.22
Ccityof
Carlsbad
Permit No: CBR2017-0705
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Closed -Expired
04/06/2017
AMOUNT
$61.74
$43.22
$1.00
$0.50
Balance Due: $63.24
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 as to which the
statute of limitation has previously otherwise expired.
Building Division
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 ENGINEERING
(City of
Carlsbad
JOB ADDRESS 1-('l~ Av&f'lt f)k
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEf/SPACEf/UNtTI
•FIRE
Plan Check No
Est. Value
Date
CT/PROJECT# LOT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
t(
DESCRIPTION OF WORK: Include Square Feet of Alfected Area(s)
lhXlb fll'{/o UJt!ef,lt-w/-ri_~/tltJr 2-?~P-
Q ~:)(o ¢ CJ..rx'}
EXISTING USE ~~ ~
APPLICANT NAME
Primary Contact
ADDRESS
CITY
ADDRESS
CITY
PHONE
EMAIL
GARAGE (SF) PATIOS (SF)
EMAIL
CONTRACTOR BUS. NAME ~/1::12-
ADDRESS
G~o 611
•HEALTH 0 HAZMAT/APCD
OCC. GROUP
FIRE SPRINKLERS
YESO•oO
(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 signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, comme_nding with Section 7000 of Division 3 of the B_usiness and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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: / hereby affirm under penalty of perjury one of the fol/awing declarations·
B 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.
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 _________ _
!action need not be completed tr the permit Is for one hundred dollars ($100) or less.
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
mia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvtl fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensatlo damag as provld for In Section 3706 of the Labor code, interest and attorney's fees.
,.15 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law far the following reason: •
• •
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 not build or improve for the purpose of sale).
I, 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 owr.er of
property 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. Oves ONo
2, I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number)
4. I plan to provide poriions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number)·
5. I will provide some of the wor1<, but I have contracted (hired) the following persoris to provide the work indicated (include name/ address/ phone/ type of work):
,.15 PROPERTY OWNER SIGNATURE •AGENT DATE
)
,r
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-Tarmer Hazardous Substance Account ActJ • Yes • 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 • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • Yes D 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 AIR POLLUTION CONTROL DISTRICT,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit Is issued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the applk:ation and state that the above inbrmation is rorrectand that the information on the plans Is accurate. I agree to complyYttth all Chy ordinances and State laY.$ relating to building ronstructlon.
I hereby authorize representative of the City of Carlsbad toenteruJXl(I the alxlve mentioned JXl)perty br ins~n purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CP-RLSBAD
A0\INST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQJENCE OF THE GRANTING OF THIS PERMIT
OSHA: M OSHA perm~ is required for excavations over SO' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every pennrt issued by !he Building Offk:ial under the provisbns of this Code shall expire by limitation and become null and voi:1 W the lx.Jilding orv,ol'K authorized by such pennil is not rommenced 'Mthin
180 days from the date of sud7 perm~ or if the building orv.ork authorized by sud! p:irmit is suspended or abandoned at any Ume after the v.ork is rommenced for ape · of 100days (&lction 100.4.4 Unifonn Building Code).
~ APPLICANT'S SIGNATURE ~ f,/fv,,~,v~ 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 Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE FAX
EMAIL
DELIVERY OPTIONS • PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
0 MAIL TO: • CONTACT (Listed above) o OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
ZIP
D MAIL/ FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
• ASSOCIATEDCB#-------------
0 NO CHANGE IN USE/ NO CONSTRUCTION
• CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP