HomeMy WebLinkAbout2213 DAVID PL; ; CB012542; Permit0731-2001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Patio/Deck Permit Permit No CB012542
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2213DAVIDPLCBAD
PATIO
1675801900 Lot* 0
$4,309 00 Construction Type NEW
REILLY - 2ND STRY DECK 338 SF
Status
Applied
Entered By
Plan Approved
Issued
inspect Area
ISSUED
07/31/2001
JM
07/31/2001
07/31/2001
Applicant
REILLY TOM
2213 DAVID PLACE
CARLSDA CA 92008
Owner
REILLY TOM
2213 DAVID PLACE
CARLSBAD CA 92009
6167 07/31/01 0002 01 02
CGP 121.96
Total Fees $121 96 Total Payments To Date $000 Balance Due $121 96
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
Additional Fees
TOTAL PERMIT FEES
$61 19
$000
$3977
$000
$1 00
$000
$000
$2000
$000
$121 96
Inspector
FINAL APPROVAL
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 lees/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(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 capactiy
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 limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NQf^j55/ Z5^"^
EST VAL
Plan Ck
Validated By.
Date
Address (include Bldg/Suite tt)Business Name (at this address)
Legal Description
Assessor s Parcel tt
Description of Work
Lot No Subdivision Name/Number
Existing Use
SQ FT(
/zHX ^
#of Stories /
Unit No Phase No
, Proposed Use.k PATIO
tt of Bedrooms
Total tt of units
tt of Bathrooms
CONTACT PERSON (if different from applicant)
Name Address City
3 APPLICANT Q Contractor O Agent for Contractor Q Owner D Agent for Owner
State/Zip Telephone #Fax
Name
4 PROPERTY OWNER
Address City State/Zip Telephone #
Address City State/Zip Telephone #Name
S CONTRACTOR - COMPANY NAME
(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, 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 [$500])
Name
State License #
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name Address City State/Zip Telephone
State License tt
6 WORKERS' COMPENSATION
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
l~l 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
l"~l 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 SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
Q 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 as provided for in Section 3706 of the Labor code, interest and attorney's fees
SIGNATURE DATE
7 OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
[~1 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
bontractor'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)
l~l 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 Q YES \^\NO
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 name / address / phone
number / contractors license number)
5 I will provide some of the work, but I have contracted (hired) the folloWir?g persons to provide the work indicated (include name / address / phone number / type
of work) ^ // // , '/ . „
PROPERTY OWNER SIGNATURED
*\
DATE
COMPLETE THIS SECTION FOR NON-RKIOENTIAL BUILDING PERMJTS
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? CD YES CD NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~| YES f~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES CD 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
8 CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code)
LENDER S NAME LENDER'S ADDRESS
9 APPLICANT CERTIFICATION
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 CitV 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 proytsions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced withiiyTBO days from the date/of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commence^t-foraxpetfod of 180 days Section legjj^Lyniform Building Code)
APPLICANT S SIGNATURE Jj_ //ltfJffi&2^ f <L(2^/I/(%V DATE /r~7('~&I
WHITE f/e XEL/OW Applicant PINK Finance
C- 3
City of Carlsbad Bldg Inspection Request
For 12/11/2001
Permit# CB012542
Title REILLY - 2ND STRY DECK 338 SF
Description
Inspector Assignment NF
Type PATIO Sub Type
Job Address 2213 DAVID PL
Suite Lot 0
Location
APPLICANT REILLY TOM
Owner L B/L-CONCORDIA CARLSBAD-25 L L C
Remarks 2ND STORY DECK INSPECTION
Phone 7608038732
Inspector
Total Time Requested By TOM
Entered By CHRISTINE
CD Description
19 Final Structural
Act Comments
Associated PCRs
Inspection History
Date Description Act Insp Comments
12/07/2001 19 Final Structural CO NF NO ENTRY-LEFT CN
09/17/2001 14 Frame/Steel/Bolting/Weldmg PA PD FLOOR NAILING
08/10/2001 11 Ftg/Foundation/Piers AP NF
CITY OF CARLSBAD
BUILDING DEPARTMENT
DATE
NOTICE (760) 602-2700
1635 FARADAY AVENUE
TIME
PERMIT NO
i^nat/3. —_
£/ rr
zk>7*" tr^tsp
T
&S
/
FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE'?
FOR FURTHER INFORMATION, CONTACT __
YES
PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ®
City of Carlsbad Bldg Inspection Request
For 12/07/2001
Permit# CB012542
Title REILLY - 2ND STRY DECK 338 SF
Description
Inspector Assignment NF
Type PATIO Sub Type
Job Address 2213 DAVID PL
Suite Lot 0
Location
APPLICANT REILLY TOM
Owner L B/L-CONCORDIA CARLSBAD-25 L L C
Remarks
Phone 7606391019
Inspector
Total Time
CD Description
19 Final Structural
Act Comments
M &
Requested By TOM
Entered By CHRISTINE
L
Associated PCRs
Inspection History
Date Description Act Insp Comments
09/17/2001 14 Frame/Steel/Boltmg/Welding PA PD FLOOR NAILING
08/10/2001 11 Ftg/Foundation/Piers AP NF
CITY OF CARLSBAD
BUILDING DEPARTMENT
NOTICE
DATE -. "?- o l
LOCATION
PERMIT NO Q 1 a B
(760) 602-2700
1635 FARADAY AVENUE
TIME
/In J>iriLo u v
Y —
VaA^-t>^XA-^- -
FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? ' ' YES
INFORMATION, CONTACT
PHONE
CODE ENFORCEMENT OFFICER