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Home My WebLink About2271 GALENA AVE; ; CB141726; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-21-2014 Patio/Deck Permit Permit No: CB141726 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2271 GALENA AV CBAD PATIO Status: Lot#: 0 Applied: Valuation: 2132400700 $1,839.00 Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Inspect Area: Plan Check#: Project Title: WORTHINGTON RES-192 SF PATIO ALUMINUM-OPEN LATTICE-PER AMER IMAX HOME PRODUCTS SPECS-STAMPED & SIGNED BY STRUCTURAL ENG, ELECT TO BBQ, PATIO & FOUNTAIN. GAS TO BBQ FIRE PIT-NOT IN FIRE SUPP ZONE Applicant: CREATIVE LAMDSCAPE DESIGN & CONSTRUCTION 12894 GAMBUSA WY SAN DIEGO CA 92129 858 484--3653 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Owner: WORTHINGTON SCOTT M&TERRY F 2271 GALENA AVE CARLSBAD CA 92009 ISSUED 07/21/2014 RMA 07/21/2014 07/21/2014 $46.27 $0.00 $32.39 $0.00 $1.00 $1.00 $0.00 $0.00 $66.00 $0.00 $146.66 Total Fees: $146.66 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL Date: Clearance: $146.66 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(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/ i n f which u hav vi I n iv n N TICE imilar to his r whi h th t f limitation h r vi usl h rwi x i d. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERlNG 0BUILD1NG 0FIRE DHEALTH 0HAZMATIAPCD «~ Building Permit Application Plan Check No. l~ ;;ff !7d 6 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value If> "'f ~ CITY 0 f Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov IA-Plan Ck. D11posjt www.carlsbadca.gov Date 7/J///l/ ISWPPP JOB AODRESS '2 7... T , 6A-leV1~ A.v~ SUITEf/SPACE#/UNIT# 1'2-1 s 2&#0 -o:,.. --0(:) CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS lTENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK; Include Square Feet of Affected Area(s) ~~ t ~\\ ~ i;i111,e ' \<=So.., (le.v~-\ ~ ~Q 1 L~~~,/~l,-{1,.,,f'>C:,J., ft;\ ,A • .,,._, • .....__ 1 ?-::vho ~ -/,() ·,,.,.,,j "'· . .,..,, EXISTING USE I PROPOSED USE I GARAGE {SF} PATIOS (SF)7 DECKS (SF) ,.,.REPLACE -AIR CONDITIONING I FIRE SPRINKLERS YESO NOD YES0No0 YESONoO APPLICANT NAME M~,.-!.:.. I.LL ~--e,4 PROPERTY OWNE~.tf-w~;.,.,.,.~ Primary Contact -" ADDRESS t~lf b}V'trnMtl I b WA-'f ADDRESS 6At'OI\,... Ay..::., I -z.:z._71 CITY ~o STATE "12-C2-°i (AA CITY ~(c;• r SM 1'-ko "1 PHONE(pcc.i '?Zls ?;0'-{1-FAX .---~ 'b2..1 ,rr:3 IFAX ----• ~ EMAIL I l II ~~,e<;\~(\ ' J l+v l-. VD"" \ EMAIL..-- DESIGN PRute;SIONAL \ C~US,NAME C ~I r. --~~ ~ ADDRESS \ ADDRESS CITY STATE ZIP ~ STATE ZIP PHONE FAX PHONE I FAX EMAIL EMAIL I STATE UC.# STATE LIC.# 1'! I qq I l'ct-z. r-l"lY1:tTri ? 7 (Sec~ 7031.5 Business and P,rofessions Code: Any City or Coun.ty which requires a permit to. construct, alter, improve, qemofish Or re air any structure, prior t<? its issuance, atso req~ires the applicant for such permit to file a signed statement tliat he 1s licensed pursuant to the, prov1s1ons of the Contractor's License Law JC~apter 9. comme.ndmg with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($500)). Work.en;' Compensation Declaration: I hereby affirm under penalty of perjury one of fhe following declarations· B I have and wHI 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 wm 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 workers' compensation insurance carrier and policy number are: Insurance Co Policy No. Expiration Date---------- ct1on need not be completed if the permit is for one hundred dollars ($100) or less. ertifica.te 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 alifornia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hun red thousand dollars (&100,000), in addition to the cost of compensation, damage s provl d fo in Section 3706 of the L r code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby ciffirm that I am exempt from Contractor's Ucense Law for the following reason: D D 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 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 owner 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 tor this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I 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 I phone I 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 I address/ phone I 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 I address/ phone I type of work): .2$ PROPERTY OWNER SIGNATURE 0AGENT DATE ")iollllPLETI! THIS Sl!~TION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ( =' -"'q 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 permit 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 AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above lnfonnatlon 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 representative of the City of Cartsbad to enteruJX)n the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF C.ARLSBAD AGAINST ALL LIABWIES, JUDGMENTS, COSTS AND EXPENS WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required for excavations over ' pa demolitKln or construction of structures over 3 in he'Jhl. EXPIRATION: Every permit issued by the Building · n r the rovisions of this Code shall expire by limitation d me null and void if the building orv.ork authorized uch permit is not commenced 'Mthin 180 days from the date of such permit or if the buildi · by such permit is suspended or abandon at y time after the 'M'Jrk is oommenced for a of 1 days (Section 106.4.4 Uniform Building Code). Ji5 APPLICANT'S SIGNATURE DATE Z( I 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 EMAIL DELIVERY OPTIONS PICK UP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg, 11 CONTACT (Listed above) CONTRACTOR (On Pg. 1) ZIP FAX OCCUPANT (listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:---------------- A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. UC. No. ASSOCIATED CB#----------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE lns·pection List Permit#: CB141726 Type: PATIO Date lnspectie>n_ltem 08/26/2014 19 Final Structural 08/26/2014 89 Final Combo 07/25/2014 11 Fig/Foundation/Piers 07/22/2014 23 Gas/Test/Repairs 07/22/2014 31 Underground/Conduit-Wirin VVednesday,August27,2014 Inspector Act RI PD AP MC co PD AP PD AP WORTHINGTON RES-192 SF PATIO ALUMINUM-OPEN LATTICE-PER AMERIM Comments WORTHINGTON RES SEE CARD Page 1 of 1