HomeMy WebLinkAbout2312 DANA CT; ; CB153476; Permit10-29-2015
City of Carlsbad
1635 Faraday Av Cartsbad.CA 92008
Patio/Deck Permit Permit No: CB153476
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2312 DANA CTCBAD
PATIO
1675323400 Lot#:
$3,154.00 Construction Type:
PETERSON:260 SF ATTACHED PATIO
5B
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Ctieck#:
ISSUED
10/14/2015
SLE
10/16/2015
10/13/2015
AK
Applicant:
PETERSEN DANIEL W&ELLEN S TRUST 01-10-02
Owner:
PETERSEN DANIEL W&ELLEN S TRUST 01-10-02
2312 DANA CT
CARLSBAD CA 92008
2312 DANA CT
CARLSBAD CA 92008
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERIVIIT FEES
$61.37
$0.00
$42.96
$0.00
$1.00
$1.00
$0.00
$0.00
$0.00
$0.00
$106.33
Total Fees: $106.33 Total Payments To Date: $106.33 Balance Due: $0.00
Inspector:
FINAL APPROVAL,^
Date: (O/V'^ Clearance:
NOTICE Rease take NOTICE ttiat approval of your praject indudes Uie 'Inposittorf' of fees, dedcattons, reservattons, or ottier esactt'ons heneafler collectively
refered to as "fees/exactions" YouhaveSOda^fromttTedatettiispemitwasissuedtopnjtestinpositicncfttTesefees/exactions. If you protest tfiem, you must
fdlovvUie protest procedures set fortti in Gc^«rnment Code Section 660a0(a), and file ttie protests irfomiab'on witti ttie Oty IVbnager fa-
processing in aooordanoe with Caristiad MLridpal Oode Section 3.32030. Failure to timsly fdlcw ttiat prooedifB will bar any subsequent legal action to attad<,
review, set aside, vdd, or anmi ttidr inposition.
You ae hereby FURTreR I^CTIRED ttiat/xr ric^ to protest ttie spedfied fees/e)<acti^
changes, nor planring, zoning, gp^dng or other sinilar application processing or servioe fees in oonrecBon witti ttiis prqjed. NOR DOES IT APPLY to ary
fees/exactions of which vou have prBviouslv been dven a IMOTK^E sirrilar to ttiis or as to wfich ttie statute of lirritations has aigviouslv ottiervMse exared.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrriSSUANCE: nPLANNING OENGINEERING nBUILDING DFIRE IZIHEALTH •HAZMAT/APCD
Ccityof
Carlsbad
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No(^.fc ^^'^^"ICp
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS SUITEf/SPACE#/UNIT*
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet ofAtfected Areafs) .
•ZssD 6f ftjctio Cover - od+o\cJncd
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESQ# N0| I
AIR CONDITIONING
YES [I^NO I I
FIRESPRINKLERS
YES I |N0| I
APPLICANT NAME
Primary Contact
PROPERTYOWNER
ADDRESS ADDRESS yj^\n^ T>i/\N^
CITY STATE ZIP
'NE J <-v ^, TFAX ~Z PHONE FAX PHONE
EIVTAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE
PHONE FAX PHONE FAX
CLASS CIIY BUS. LIC.#
(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 applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License LawfChapter 9, commendingwith Section 7000 of Division 3 ofthe 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 appiicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affinn underpenelly of perjury one ofthe following dedarations:
HI have and will maintain a certificate of consent to selMnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the wori< for which tlys pemiit is issued.
I have and will maintain workers' compensation, as reguired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and polk;y
number are: Insurance Co. Policy No. Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the performance of the work for which this perniit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
additian to the cost of compensation, damages as pravided for in Section 3706 of the Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE • AGENT DATE
OWNER-BUILDER DECLARATION
/ hereby affimi that I am exempt from (kintractor's Ucense 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 stmcture is not intended or offered for sale (Sec. 7044, Business and Pmfessions 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 sokl 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) iicensed pursuant to the Contractor's License Law).
am exempt under Section _ _Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materiais for construction of the proposed property improvement QYes I iNo
2.1 (have / have not) signed an application for a building pennit for the proposed work.
3.1 have conlracted with the following person (finn) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the wod<, but I have hired the foiiowing person to coordinate, supen/ise and provide the major wori< (include name / addross / phone / contractors' license number):
5.1 will provide some of the work, but I have contrxted (hired) the folfcwing persons to provide the work indicated (include name / address / phone / type of work):
>eirPR0PERTY OWNER SIGNATURE QAGENT DATE
COMPLETE THIS SECTION FOR N O N - R E $ I D E N T I A L BUILOING PERMITS ONLY
Is the applcant 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 HazanJous Substance Account Act? Yes No
Is the applicant or future buikling oocupant required to obtain a pennit 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.
CONSTRUCTION LENOING AGENCY
I hereby affirm ttiat ttiere is a consbuctton lending agency for ttie perfomiance of ttie work ttils permit is issued (Sec. 3097 (i) Civil Code).
Lenders Name Lenders Address
APPLICANT CERTIFICATION
I ceiti^ that I have read ttie applKatton and state that ttie above infoimatlan is conectand ttiat the Infbimatton on ttie plans is accurate. I agiee to complyiMth all City oidinanoes and State laws relating to building canstruction.
I hereby authorize representative of ttie City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CffY OF CARLSBAD
AGAINST ALL LIABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA: An OSHA peimit Is required (DT excavations over 5'0' deep and demolitbn orconstnidion of structures over 3 stories in height.
EXPIRATION: Every permit Issued by ttie Building Offcial under the provisions of Itiis Code shall expire by limitation and become null and void if ttie building or work authorized by such permit Is not commenced within
180 days from the date of such permit or If the building or work auttiorized by such permit Is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifoim Buikiing (kxie).
>er, APPLICANT'S SIGNATURE DATE
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 buildina(5)carlsbadca.Q0V or Mail ttie completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO:
MAIL/FAX TO OTHER
CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
.ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CBI53476 Type: PATIO PETERSON:260 SF ATTACHED PATIO
Date Inspecdon jtem
10/29/2015 14 Frame/Steel/Bolting/Weldin
10/29/2015 14 Frame/Steel/Bolting/Weldin
10/29/2015 19 Final Structural
10/19/2015 11 Ftg/Foundation/Piers
10/19/2015 11 Ftg/Foundation/Piers
Inspector
AEK
AEK
AEK
Act
Rl
AP
Fl
Rl
AP
Comments
AM PLEASE
3PC PIER FOOTING
Friday, October 30, 2015 Page 1 of 1