HomeMy WebLinkAbout2199 CAMINO ROBLEDO; ; CB993387; Permit09/14/1999
City of Carlsbad
Patio/Deck Permit Permit No:CB993387
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2199 CAMINO ROBLEDO CBAD
PATIO
2552613200 Lot#: 0
$2,204.50 Construction Type: VN
BARACH RESIDENCE
170 SF PATIO, 81 SF DECK W/ELECTRIC
Applicant:
CLARK CONSTRUCTION
511 DURIANST
VISTA CA 92083
760809-1928
Total Fees: $107.34
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
TOTAL PERMIT FEES
Status: ISSUED
Applied: 09/14/1999
Entered By: MDP
Plan Approved: 09/14/1999
Issued: 09/14/1999
Inspect Area:
FIC CORP
BLVD
09/14/99 0001 01
C-PRMT
02
107-34
2.33
0.00
4.01
$0.00
$1.00
$0.00
$0.00
$20.00
$107.34
$107.34
Inspector:
FINAL APPROVAL
4
Date: «.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 fees/exactions." 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(3), 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 previousty been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
P'ERMlf APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Business Name (it this address)Address (include BIdg/Suite #)
Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
Assessor's Parcel #/uyS liter Existing Use Proposed Use
Description of Work\
2. CONTACT PERSON
SQ.FT.9of Stories # of Bedrooms # of Bathrooms
C yr V/itfYA eft mg.
Name State/Zip Telephone *
Name Address City State/Zip Telephone *
- COMPANY NAME
(Sac. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, after, improve, demolish or repeir any structure, prior to its
issuance, also requires the applicent for such permit to file e signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 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 I$500]).
C^gvroFTTiFXN ,$7f frw-oe^g sr vAs-T*. C* CZflftS Ofefl?/iq I'll*
O City State/Zip Telephone #Name
State License #
._ _
S % ) \
Address
License Class City Business License #
Designer Name Address City • State/Zip Telephone
Stete License #
6. WORKERS'COMPENSATION .,;..X . • >'< ' '..' : : ' ,: ]•• •>.> .,--V;"- ": V^U. .;.' -, :' >"'.'>"••;
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q ) have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date__
(THIS SfcCI ION NEED NOT BE COMPLETED IF THE*tRMIT IS FOR ONE HUNDRED DOLLARS' 1*100] OR LESS)
E0T CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
"to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful, and anal subject an employer to criminal penalties and dvH fines up to one hundred
thousand doHsrs (440fc*0pf, m addition tarlJuHCMt of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE ^^^^.,»^^^^(L^^^^^. DATE 9/'Q /*$ ^
7. OWNER-BUILDERDECLARAnejT ? -'", •-.'..,- .. ,' .. ~. ~~~ ........... ' ••::r\~'<::'-. •*i>.v >'?':".•;.•"-. •
I hereby affirm that I am exempt from the Contractor's License Lew for the following reason:
Q 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 Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sole. 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).
Q 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 epply to an owner of property who builds or improves thereon, and contracts for such projects with contraetor(s) licensed
pursuant to the Contractor's License Law).
n I am exempt under Section Business end Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO
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 number / contractors 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 neme / address / phone
number / 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 number / type
of work): ^____ .
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTWN FOR ATOW^ieSIDfifWMlBUlLWNG PERMITS ONLY . ,:"•,.":.•: V.,"."' ., .' . "• ' ' ."SV.
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? Q YES Q NO
Is the applicant or future building occupant required to obtein a permit from the eir pollution control district or air quality management district? Q YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YEP, Q ',NO
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 OFRCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
(i) Civil Code).hereby affirm that there is a construction lending agency for the performance of the work for which thi
LENDER'S NAME LENDER'S ADDRESS
I certify that I have 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 construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO 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 CITY 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 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire! by limitation and become null end void if the building or
work euthorized by such permit is not commenced within 385 days from the data of such permit or if the building or work authorized by such permit is suspended
or abandoned «t any time after thejworlc i»commencedJpr ayperiod of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE 2?WHITE: File YELLOW: Applicant PINK: Finance
DATE
Inspection List
Permit*: CB993387 Type: PATIO BARACH RESIDENCE
170 SF PATIO, 81 SF DECK W/ELECTRIC
Date Inspection Item
4/26/2000 19
4/26/2000 19
4/26/2000 39
4/26/2000 39
11/15/199919
11/15/1999 39
9/20/1999 11
9/16/1999 11
Final Structural
Final Structural
Final Electrical
Final Electrical
Final Structural
Final Electrical
Ftg/Foundation/Piers
Ftg/Foundation/Piers
Inspector
-
TL
-
TL
SR
SR
SR
SR
Act
Rl
CA
Rl
CA
AP
CO
AP
CO
Comments
APPROVED BY SCOTT 11/13/99
APPROVED BY SCOTT 12/2/99
NEED TO SEE LIGHT FIXTURES ON
APPROVED ON 9/1 7/99
NOT WIDE ENOUGH
Wednesday, May 03,2000 Page 1 of 1
City of Carlsbad Bldg Inspection Request
For: 4/26/2000
Permit* CB993387
Title: BARACH RESIDENCE
Description: 170 SF PATIO, 81 SF DECK W/ELECTRIC
Inspector Assignment: SR
Type: PATIO Sub Type:
Job Address: 2199 CAMINO ROBLEDO
Suite: Lot 0
Location:
APPLICANT CLARK CONSTRUCTION
Owner: BARACH DAVID M&RONIT R
Remarks:
Phone: 7609440480
Inspector:
Total Time:
CD Description
19 Final Structural
39 Final Electrical CA
Requested By: DAVID
Entered By: CHRISTINE
Act Comments <corr n
It/
Associated PCRs
Inspection History
Date Description Act Insp Comments
11/15/1999 19 Final Structural
11/15/1999 39 Final Electrical
9/20/1999 11 Ftg/Foundation/Piers
9/16/1999 11 Ftg/Foundation/Piers
AP SR
CO SR NEED TO SEE LIGHT FIXTURES ON
AP SR APPROVED ON 9/17/99
CO SR NOT WIDE ENOUGH
* f
City of Carlsbad Inspection Request
For: 9/16/99
Permit* CB993387
Title: BARACH RESIDENCE
Description: 170 SF PATIO, 81 SF DECK W/ELECTRIC
Type: PATIO Sub Type:
Job Address: 2199 CAMINO ROBLEDO
Suite: Lot 0
Location:
APPLICANT CLARK CONSTRUCTION
Owner: STANDARD PACIFIC CORP
Remarks:
Inspector Assignment:
Phone: 0000000000
Inspector:
Total Time:
CD Description
11 Ftg/Foundation/Piers
Act Comments
Cn
Requested By: MIKE
Entered By: CHRISTINE
Inspection History
Date Description Act Insp Comments
CITY OF CARLSBAD
BUILDING DEPARTMENT
DATE.
NOTICE
LOCATION^
PERMIT NO.
(760)438-3550
2075 LAS PALM AS DRIVE
TIME.
FOR INSPECTION CALL (760) 438-3101. RE-INSPECTION FEE DUE?
ROR FURTHER INFORMATION, CONTACT
YES
PHONE
CODE ENFORCEMENT OFFICER