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HomeMy WebLinkAbout2344 JEFFERS PL; ; CB100734; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-04-2010 Patio/Deck Permit Permit No: CB100734 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2344 JEFFERS PL CBAD PATIO 2081615800 Lot#: 0 $2,925.00 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: GROVE RES-195 .SF DECK W/DOORS Inspect Area: & LIGHT W/ SWITCH, 120 SF ABOVE GROUND SWIM/SPA Plan Check#: Applicant: WATERLINEPOOLS P.O. BOX 605 92007 760 815-6733 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Green Bldg Standards (SB 14 73) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Owner: GROVE JAY R&VICKI F 2344 JEFFERS PL CARLSBAD CA 92008 ISSUED 04/29/2010 RMA 04/29/2010 04/29/2010 $54.11 $0.00 $35.17 $0.00 $1.00 $1.00 $0.00 $0.00 $65.00 $0.00 $156.28 Total Fees: $156.28 Total Payments To Date: $156.28 Balance Due: Inspector: FINAL APP/OVAL Date: // • • ( 0 Clearance: $0.00 NOTICE: Ptease take NOTICE that ~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. If you protest them, you must follow the protest procedures set fort.I in Government Code Section 66020(a), and flle 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. f • ~ «~~ ~ CITY OF CARLSBAD JOB A~R!-55~ l I '"' ~ -, 7 0£'FFER..S Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Atl'ected Atea(s) t ?En11-1 / r -k>I?..... BAL c. 0 JJ _.,,. ADDRESS 7 ¥ I SA-.vrA Bl>-tZ.B Jlffl.A STATE CA PHONE FAX 7~-BLS:.-t 3. EMAIL Q CV~ U .<.e" r0o<..S S' {0 -5"8 -Oc, CONSTR. TYPE OCC. GROUP ZIP FIRE SPRINKLERS YES O NOD C/ZOD7 PROPERTY OWNER NAME ?&10L.S ADDRESS J?o/3c>JC CITY 'Af7_.L-5 (3 4v STATE CA- ZIP 9-zoog CITY CA-~l)1FF STATE eA ZIP ,-'? 92CJO/ PHONE FAX 760 L/S-8, 912.6 PHONE ?Goo fit~ -"''3 FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS CITY BUS. UC.# c-~, (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, commending with Section 7000 of Division 3 of the 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS ' COMPENSATION , Workers' Compensation Oeclarlltlon: I hereby affirm under penalty of peljury one of the following declaralions: 0 I have and will maintain a ctl1lflcate of consent to self-Insure for wO!l(era' compensation as provided by Section 3700 of the Labor Code, for the performance of the wO!I( for which this permit is Issued. 'Ji(_, have and wlN maintain wor1cers' co~ensatlon, as required by Section 37 of lhe Labor Code, for the perfonnance of the won< for which thi~ is issued. My wO!l(ers' compensation//in,7 carrier and policy numberare:lnsuranceCo. "ii/'/~ V Policy No. 333-0000 ~ Expiration Date 7~ (o Z..<J/ 0 This section need nol be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify thal In the perfonnance of lhe worl< for which this permit is issued, I shall not employ any person in any manner so as lo become subject lo the Worl<81$' Compensation Laws of California. WARNING: Failure to secure wor1cers' com Hon coverage Is unlawful, and shall subject an employer to criminal penaltln and civil fines up to one hundred thousand dohrs (&100,000), In addHlon to the cost of compensation, damagn as pro ~~n 3706 of the Labor code, lnternt and attorney's ftH, A$ CONTRACTOR SIGNATURE , .;:e-v~ □AGENT I hereby affirm that I am exempt from Con/rector's Ucense Law for the fol/owing reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the wO!I( and the slructure is nol inlended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property vmo b\Jilds or improves thereon, and who does such wO!I( 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, lhe owner-builder wiH have the burden d 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 construction of the proposed property improvement. □ Yes □ No 2. I (have / have not) signed an application for a building permit for lhe proposed wO!I(. 3. I have contracted with the following peraon (firm) to provide the proposed construction (include name address I phone / contractors' license number): 4. I plan to provide portions of the wO!I(, bul I have hired the following person to coordinate, supeivise and provide the major won< (include name/ address/ phone/ contractors' Meeme number): 5. I will provide some d the won<, bul I have contracted (hired) lhe following persons to provide the wO!I( indicated (include name / address / phone / lype of won<): A$ PROPERTY OWNER SIGNATURE □AGENT DATE ( ... COMPLETE THIS SECTION FOR NON-RESIDENT I AL BUILDING PERM I TS ONLY Is Ike applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form o, 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 penntt from the air pollution control district o, air quality management district? □ Yes □ No Is the facility to be construcied within 1,000 feet of the outer boundary d 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I haYe read the application and state that the at,oye lnfonnation Is correct and that the lnfonnation on the plans Is accurate. I agree to comply with all City onllnanc:es and State laws relating to butldlng construction. I heleby aulhoril.e represenlawe d tie City, d Carlsbad t) enter upon tie above menooned property IQ' inspedr)n PlJll()S8S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS Af¥J EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAlD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permi is required IQ' excavations rmr s·o· deep and demolilKlll or oonstrudion d slruclLfes rmr 3 stlries il height. EXP1RA TION: Every permtt issued by the Bulding Ofooial unde( the pro'lisoos of this Code shall expire by linilation and become nul and void l tie buiding or 'M'.llk aumized by such permtt is not ccmnenc:ed 'Mtlil 180 days i'om tie dale of such pemit or if tie buiding or 'M'.llk aumized by such pellT1it is suspended or abandoned at any line afler tie 'M'.llk is oommenced IQ' a period of 180 days (Seda, 106.4.4 Uiibm aJilding Code). _,1$ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 11/02/2010 Permit# CB100734 Inspector Assignment: PD --- Title: GROVE RES-195 SF DECK W/DOORS Description: & LIGHT W/ SWITCH, 120 SF ABOVE GROUND SWIM/SPA Type:PATIO Sub Type: Job Address: Suite: 2344 JEFFERS PL Lot: Location: APPLICANT WATERLINEPOOLS Owner: GROVE JAY R&VICKI F Remarks: Total Time: CD 19 )1 Description Final Structural 0 Requested By: steve Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 05/14/2010 11 Ftg/Foundation/Piers AP PD FTGS, PILASTERS 05/12/2010 11 Ftg/Foundation/Piers CO PD PLAN SHOWS BFT TO P/L