HomeMy WebLinkAbout2321 CAMINO ROBLEDO; ; CB992522; Permit07/08/1999
City of Carlsbad
Patio/Deck Permit Permit No:CB992522
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2321 CAMINO ROBLEDO CBAD
PATIO
2552725900 Lot#:
$928.00 Construction Type:
CO PATIO 128 SF
0
NEW
Status: ISSUED
Applied: 07/08/1999
Entered By: JM
Plan Approved: 07/08/1999
Issued: 07/08/1999
Inspect Area:
Applicant:
LORCO
4488 SALISBURY DR
CARLSBAD CA 92008
619-434-8945
Total Fees: $41.18
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
TOTAL PERMIT FEES
P PARTNERSHIP
00
A 07/08/99 0001 01 02
Due:
4.35
.00
5.83
0.00
$1.00
$0.00
$0.00
$0.00
$41.18
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 "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 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.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
1. PROJECT INFORMATIONWT
FOR OFFICE USE ON
PLAN CHECK NO.
EST. VAL
Plan Ck. Deposit
Validated By
Date
Address (include Bldg/Suite #)Business Name let this address)
Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total * of units
Assessor's Parcel Proposed Use
Description of Work SQ.FT.#of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (If different from applicant)
Name
3. APPLICANT
Address City
Address City
State/Zip Telephone »Fax #
State/Zip Telephone *Name
6. 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, dbmmending with Section 7000 of Division 3 of the Businew and Professions Code] or that he is exempt therefrom, and the basis for the alleged
exemption. Any viotatiorrotftection 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).
Name
State License #
Address
License Class
City State/Zip
City Business License 9
Telephone #
Designer Name Address City State/Zip Telephone
State License #
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q 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.
n I have andwill 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 wdfker's compensation insurance carrier and policy number are:
lnsuranoe*Lompany A Policy No. Expiration Date
(THl 'SECTION NEED NOT
CERTIFICATE OF EXE!
""to become subject to the W
WARNING: Failure to a
thousand dollars ($100.000
SIGNATURE
7.
(Sec. 704-4, Business end Pi
I COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS)
'ION: 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
;ers' Compensation Laws of California.
workers' compensation coverage i* unlawful, and shaH subject an employer to criminal penaltias anfa dvil fines up to one hundred
the cost of compensation, damages n provided for In Section 3706 of the Labor ••£, Uteifftt £gf>t|»aney'* fwa.
DATE "* / H
biaddij^nrro
OWNER-BUILDER DEC JkRATION
hereby affirm that I am ex mpt from the Contractor's License Law for the following reason:
I, as owner of the prc terty or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
fessions Code: The Contractor's License Law does not apply to en 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 yaar of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
Q 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 contractors) licensed
pursuant to the Contractor's License Law).
Q I am exempt under Section _ Business and Professions Code for this reason:
1 . I personalty plan to provide the major labor and materials for construction ot the proposed property improvement. Q YES QNO
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 following persons to provide the work indicated (include name / address / phone number / type
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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? D VES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 tSec. 3Q97G1 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. |l hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE/JlNDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAM ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5*0" dfap and demolition or construction of structures over 3 stories in hei
id void if the building or
lit is suspended
EXPIRATION: Every permit issued fay the Building Official undir/the provisions of this Code shall expire by limitation and become lull a
work authorized by such permit is not commenced within 365
or abandoned at any time after the work is commenced for a
APPLICANT'S SIGNATURE
ie date of such permit or if the building or work authoriz
HBO days (Section 106.4.4 Uniform Building Code), "jf
___ DATE
d by
WHITE: File YELLOW: Applicant PINK: Finance
uch
City of Carlsbad Inspection Request
For: 8/24/99
Permit* CB992522
Title: CO PATI0128 SF
Description:
Inspector Assignment: SR
2321 CAMINO ROBLEDO
Lot 0
Type: PATIO Sub Type:
Job Address:
Suite:
Location:
APPLICANT LORCO
Owner: SHEA HOMES LTD PARTNERSHIP
Remarks:
Phone: 7604348945
Inspector:
Total Time:
CD Description
19 Final Structural
Act Comments
nV
Requested By: LORCO
Entered By: CHRISTINE
Inspection History
Date Description Act Insp Comments
7/14/99 11 Ftg/Foundation/Piers AP SR