HomeMy WebLinkAbout2343 GEODE LN; ; CB121638; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-28-2012 Patio/Deck Permit Permit No: CB121638
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type:
2343 GEODE LN CBAD
PATIO Status
Applied: Parcel No:
Valuation
Reference #:
2132721600
$2,242.00
Lot#·
Construction Type
0
NEW Entered By:
Plan Approved:
Issued:
Proiect Title LAUDER RES-234 SF PATIO COVE Inspect Area:
ATTACHED-PER CITY SPECS, ELECT TO ABOVE GROUND Plan Check#:
Applicant:
RIVERS LANDSCAPING
STE 108
1302 OAK HILL DR
ESCONDIDO CA 92027
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
Add1t1onal Fees
TOTAL PERMIT FEES
Owner:
WILLIAM LYON HOMES INC
4490 VON KARMAN AVE
NEWPORT BEACH CA 92660
ISSUED
08/28/2012
RMA
08/28/2012
08/28/2012
$58.27
$0.00
$40.79
$0.00
$1.00
$1.00
$0.00
$0.00
$6000
$000
$161.06
Total Fees $161.06 Total Payments To Date: $161.06 Balance Due:
Inspector:
FINAL APPROVAL
Date .2 • t.:i.. ·I? Clearance
$0.00
NOTICE Please take NOTICE that approv<ll 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 1n 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/exact1 n of which ou have rev10 I been iven a NOTICE sirrnlar I hi or as I which the statu I limitations has r viousl herw1 e ex ired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: 0 PLANNING •ENGINEERING
«~~ ~ CITY Of
CARLSBAD
Building Permit Application
1635 Faraday Ave., carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buldllng@carlsbadca.gov
www.carlsbadca.gov
# OF UNITS # BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
(ip.';) \,0e {o( f',.fe 0\ f
1.:z.o k-\eC\v1cq\ \,Ae fov
\\O ~lec.lv-\(u\ \\,(\-e C-o,
•BUILDING •FIRE
Plan Check No.
Est. Value
TENANT BUSINES NAME
EXISTING USE PROPOSED USE PATIOS (SF) DECKS (SF) FIREPLACE
YES •#_ NO •
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS
STATE CITY STATE
((,)
FAX PHONE FAX
PROPERTY OWNER NAME
FAX
STATE LIC. # CLASS
•HEALTH 0 HAZMAT/ APCO
SWPP
CONSTR. TYPE OC GROUP
AIR CONDITIONING FIRE SPRINKLERS
YES • NOD YES • NOD
ZIP
ARCH/DESIGNER NAME & ADDRESS C:-'2 "1
(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 i suance, 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, commending with Section 7000 of Division 3 of the Business and Professions Code) or Chat 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}).
" " .
WORKl!IU' 1:rOMl!ENSA'l'ION , ., • , ,
Workers' Compensation Declaration: / hereby affirm under penalty of paju,y one of the following declarations: • 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 wtiich this permit is issued. e 1 have and will maintain wo e 'compensation, as required by Section 3700 of the La r Code, for the pertormance of the work for which this ~rmit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. . ' · Policy No. \ Q:111 C) ~ Expiratkin Date q -1""-', / :Z 0\2
This section need not be completed rt the permit is for one hundred dollars ($100) or less D Certificate of Exemption: I certify that in the pertormance of the work for whk:h 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' co ensatlon cov age lawful, and shall subject an employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,000), In
addition to the cost of compensation, da ded for In Se Ion the Labor cod , interest and attorney's fees.
AS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor'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 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 plan to provide the major labor and materials for constrllction 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/ 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 I 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/ address I phone I type of work):
AS PROPERTY OWNER SIGNATURE •AGENT DATE
-~-" 1
tQMPLl!Tli THU SECTION FOi! NON-l!l!SiDIINTIAL B!ULOINO Pl!RMIT$ 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? • Yes • No Is the applicant or future building occupant required to obtain a permit from the air poMon control district or air quality management district? • Yes • No
Is the facility to be constructed within 1,000 feel 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 alx>ve infonnation is correct and that the lnfonnallon on the plans is aa::urate. I agree to comply with all Chy oldlnances and State lav.s relating to building construction.
I hereby authorize representative of the City of Carlsbad to enterup::m the above menOOned ~perty tir inspectbn puf'IX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARL.SB.AD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT.
OSHA: AA OSHA permit is required for excavations over 5'0' deep and demolition or constructbn of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Buikli Official under the provisions o is7lll expire by limitation and become nuH and l/00 tt the buikli1g Of ',\Ork authorized by such permit is not commenced 'Mthin
180 days from the date of such permit or if th u ing CJ( oo authorized s pe., it· s pended or abandoned at any time afler the oork is oommen~period of 180 day§ (Section 1<1.4.4 Unifonn Buikling C.ocle) .
..@S' APPLICANT'S SIGNATURE 6 DATE u -,z, 8 -( Z
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 www.building@carlsbadca,qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS • PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg. 1)
• MAIL TO: • CONTACT (Listed above) • OCCUPANT (LISted above)
• CONTRACTOR (On Pg. 1)
D MAIL/ FAX TO OTHER: _______________ _
A$ APPLICANT'S S1GNATURE
• ASSOCIATED CB#'-------------
0 NO CHANGE IN USE/ NO CONSTRUCTION
D CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB121638 Type: PATIO
Date Inspection Item
10/04/2012 89 Final Combo
08/29/2012 11 Fig/Foundation/Piers
Inspector Act
PD AP
PD AP
08/29/2012 23 GasrresVRepairs PD AP
08/29/2012 31 Underground/Conduit-Wirin PD AP
Tuesday, February 12, 2013
LAUDER RES-234 SF PATIO COVE
ATTACHED-PER CITY SPECS, ELECT TO
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