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HomeMy WebLinkAbout2309 MICA RD; ; CB112092; PermitI • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-29-2011 Patio/Deck Permit Permit No: CB112092 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2309 MICA RD CBAD PATIO 2132820300 $3,065.60 Lot#: 0 Construction Type: 5B BURDICK: 2 PATIOS~320 SF/ ELEC TO WATERFALL, BBQ//GAS TO BBQ & FIREPIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 09/29/2011 JMA 09/29/2011 09/29/2011 HARLOW LANDSCAPE 1922 CASABLANCA CT VISTA TAYLOR MORRISON OF CALIFORNIA LL C CA 92081 760-271-7240 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 15 CUSHING IRVINE CA 92618 $68,07 $0,00 $44,25 $0,00 $1,00 $1,00 $0,00 $0,00 $77,00 $0,00 $191,32 Total Fees: $191,32 Total Payments To Date· $191.32 Balance Due: Inspector: Clearance: $0.00 ut approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." ou 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 f0rth 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 ou have revi usl been iven a NOTICE similar to this or as to which the statue of limitations ha revious otherwise ex ired. ' ( ~ Building Permit Application Plan Check No. CBI\ 2092 <<•r#;> 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~-CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date Cf/ z_q ( /swPP I l JOB ADDRESS R ,:)._. SUITE#/SPACE#/UNIT# IAZ/~ 23'2.. -03 -00 '7 3Dct JIii.A''.,. c:... - CT/PROJECT# LOT# I PHASt. # I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of An'ected Area(s) / . -L E° J~,. ~r-; i ~ I /10 ,(::.,~ "I\ 1il ,c, • Fi re-,+-.. 3 2.C ,._ -',c._\ . S.e, ~+. CJ~ "1>c-~ ' l ~ 0 ::,'.f , v,._c-{-...._ ~" S 1=u-ce. TI) wa.:n=.fi' F 4. t l EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) l FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NO □ YES □ NOD YES O NO □ APPLICANT NAME (Primary Contact> ,D J_ ,1",-? z_ /"-~~ ---/ F APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS I \1 c; Le._ cl' , o/20 <?° I CITY ' STATE ZIP CITY STATE ZIP J_12_ -l I -<-c,}...s,.,__-- PHONE ~ I FAX PHONE lFAX 7~0-'2 7 ' -")Z.'/0 leMAIL I=~"' c..c... ne ~ ., .,._.,:, l I c"'"" "c.-r\e....i • CO,.............._ CONTRACTOR BUS. NA.ME PR~RTY OWNER NAME QI.,,..........._ ...-;:,_ --1. ~ L ...i.:__--,--.,_.:i I _, S:-c. .. -· -L ADDRESS ADDRESS ' -z_ $01 v-<._i "-"'-R. c,,\_ I "i2-e L"-S"'--blc.r..c"-C-4c • CITY STATE ZIP CITY STATE ZIP Lc,r ls b c..A c.(-l "izoc,~ u',..,, .ls-c..._ L(.J. ',e_e,tr:, PHONE I FAX PHONE IFAX 71;. 0-,5 ::2-z_-~£/1r/ 760 -'2 71 -7.t-1/C EMAIL EMAIL J, '"'r /o<,J t"c. ...cl.,; c<, pe ~ q ,-.C.:..'l .. c:..o ' --- ARCH/DESIGNER NAME & ADDRESS !STATE UC.# '1icz I'=" lc"?z~~~o7 7'13 I_ .... 7 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to_constrnct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mlt 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 DIvIsron 3 of the Business and Professions Code} or that he is exem_P.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)). WOlfKllfs• COMPRIIIJAUON Workers' Compensation Declaration: I hereby affirm under penalty of peljury one of the following declarations: g I have and will maintain a certificate of consent to self-insure for wo_rkers' 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 by Section 3700 of the labor Code, for the performal'\ce of the 1Wrk for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ ii sectJon need not be completed if 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 perm~ is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of alifomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines upto one hundred thousand dollars (&100,000), in addition to the cost of compensati~ge.z,vided for In Section 3706 of the Labor code, Interest and attorney's fees, / / Af CONTRACTOR SIGNATURE ..,,,..,..___ □AGENT -f"/2 f// / I hereby affirm that I am exempt from Contractor's LJcense Law for 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 owner of property who builds or improves thereon, ar.d 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. □ 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 I phone/ contractors' license number): 4. I plan to provkle portions of the work, but I have hired !tie following person to coordinate, supervise and provide !tie major work (include name I address I phone/ 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 I phone/ type of work): AS PROPERTY OWNER SIGNATURE □AGENT DATE " " < (:OMPl.l!Tli THU SliCTIOI\I FOR NON-RliSIIUUITIAI. BDII.OING Pl!RMIT$ ONtV 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 fullire 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have 188d the appllcatlon and state that the above lnfo1mation is correct and that the infonnatlon on the plans Is accurate. I agree to oomply • all Cify ordinances and State laws relating to bullding construction. I hereby authorize representative of the City of Carlsbad to enler upon the atxive menlbned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AG<\INST ALL LIABILITIES, JUD3MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG<\INST SAID CITY IN CW SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA pennlt is required tJr excavations over S'O' deep and demolioon orcol'\Struc:tion of structures over 3 stories in height. EXPIRATION: Every pennit i.ssued by the Buik:ling Official under the provisions of is Oxle shall expire by imitatDn and become nui and vcid tt the buik:ling or OOfk authorized by sudl pennlt is notrommenced 'Mthin 100 days from the date of such perm rt or if the ing rk authorized permit is suspended or abandoned at anytime after the WJ!'k is commenced for a perbd of 100~ (Sectbn 100.4.4 Uniform Buik:ling Oxle). ,1$ APPLICANT'S SIGNATURE t~;,._,,-----DATE '7 /4 ~ / 7, Inspection List Permit#: CB112092 Type: PATIO Date Inspection Item 11/14/2011 89 Final Combo 09/30/2011 11 Fig/Foundation/Piers 09/30/2011 21 Underground/Under Floor 09/30/2011 23 Gas/T esVRepairs 09/30/2011 31 Underground/Conduit-Wirin Monday, November 14, 2011 Inspector PY PY PY PY PY BURDICK: 2 PATIOS=320 SF/ ELEC TO WATERFALL, BBQ//GAS TO BBQ & Fl Act Comments AP AP WC AP PA Page 1 of 1 ~ ',. ~ CITY OF CARLSBAD DATE: _) \ .___/ I Y_,__]to____._(( UNSCHEDULED BUILDING INSPECTION 8-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 PERMIT#: I I-z.oq2-CONTACT: ______ _ PHONE#: ______ _ 2.. ooC\ (Yl lC.4 JOB ADDRESS: ____________ ....:::._---'--------- DESCRIPTION: ___________________ _ CODE c:g~ Bldg Inspection Form DESCRIPTION FJ COMMENTS Page 1 of 1 Rev. 06/09