HomeMy WebLinkAbout2311 KYANITE PL; ; CB112380; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-08-2011 Patio/Deck Permit Permit No: CB112380
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2311 KYANITE PL CBAD
PATIO Status:
Parcel No:
Valuation:
Reference #:
Project Title:
2132801700
$872.00
Lot#: 0 Applied:
Ian Approved:
Construction Type: tJjtJ> Entered By:
Issued:
SWIATLOWSKI RES-NEW 91 S~ Inspect Area:
OPEN RAFTER COVER OVER ENTRY COURTYARD,AREi, Plan Check#: 10 lb\?-
owner: Applicant:
FREIDIN DESIGN & CONSTRUCTION
359 SPRUCEWOOD DR
ENCINITAS CA 92024
760-730-3100
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
SWIATLOWSKI BRUCE W&DEBRA J
2311 KYANITE PL
CARLSBAD CA 92009
ISSUED
11/08/2011
RMA
11/08/2011
11/08/2011
$24.97
$0.00
$16.23
$0.00
$1.00
$1.00
$0.00
$0.00
$0.00
$0.00
$43.20
Total Fees: $43.20 Total Payments To Date: $43.20 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTl pproval 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. ti 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 Ca,lsbad 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 NOTlf-ltD 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
fee x ions of hich h v I vio s been iven a N Tl E i ii r I thi or as to which h of limitation has revious othe i e
'4-• <<~'» ~ CITY OF
CARLSBAD
JOB ADDRESS
"Z,')11 \< .-1-
CT/PROJECT#
EXISTING E
CITY
PHONE
EMAIL
ARCH/DESIGNER NAME & ADDRESS
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/U
Plan Check No.
Est. Value
Plan Ck. Deposit
PHASE# # BATHROOMS TENANT BUSINESS NAME
uare Feet of Atrected Area(s)
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES □#_ NO □
APPLICANT NAME (Secondary Contact)
ADDRESS
STATE ZIP CITY STATE
FAX PHONE FAX
EMAIL
ZIP
STATE LIC. # STATE LIC.#
'i?°)o 6 · c.
SWPP
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING FIRE SPRINKLERS
YES □ NO □ YES □ NO □
ZIP
ZIP q
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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 1s licensed pursuant to the provisions of the Contractor's License LawjChapter 9, commending with Section 7000 of D1vis1on 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}).
WORKl!IU' tOMl'l!l'UATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
D 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.
~ve and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performanpe o~ the work for which this permit is issued. My workers' compensation insurance carrier and policy
numberare:lnsuranceCo. 2r(h9.\?,r:rc--1,.J¢w~c, (or-"fe\A\ PolicyNo.~bl (?..:S,\ALl,11.. Expiration Date _________ _
This sec~on need not be competed if the permit is for or.e hundred dollars ($100) or less.
D 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' comp ens 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, d11f!i10'H.,,,"I id r in Section 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□ \, 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 for this reason:
1. I personally pan 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 provide portions of the work, bllt J have hired the following person to coordinate, supervise and provide the 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 I type of work):
,6$ PROPERTY OWNER SIGNATURE □AGENT DATE
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 apptlcatlon and state that the above infonnatlon Is oorrect and that the lnfonnatlon on the plans is accurate. I agree to oomplywith all Cily ordinances and State laws 181atfng to building oonstructlon.
I hereby authorize representative of the City of Carlsbad to enter up::m the aOOve mentkmed property for inspection pJIJX)SE!S. I ALSO AGREE TO SAVE, INDEMNIFY /IND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Cl' THE GRANTING OF THIS PERMIT
OSHA: M OSHA pennrt 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 Buik:ling Offcial under the provisions of this C.ode shall expire by limitation and become null and vod ithe buil'.ling orv.ork authorized by sud1 permit is not commenced 'MIilin
180days from the date of sud1 pennlt or if the building orv.ork authorized by sud1 permit is suspended or abandoned at any time after the v.ork is rommenced for a p:irod of 180 days (Section 100.4.4 Uniform Building C.ode).
_,1$ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB112380
Date Inspection Item
10/18/2012 19 Final Structural
10/18/2012 19 Final Structural
Thursday, October 18, 2012
Type: PATIO SWIATLOWSKI RES-NEW 91 SF
OPEN RAFTER COVER OVER ENTRY CO
Inspector Act Comments
RI
PY AP
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