HomeMy WebLinkAbout2354 KIMBERLY CT; ; CB061422; PermitCity of Carlsbad
• • 1635 Faraday Av Carlsbad, CA 92008
05-22-2006 Patio/Deck Permit Permit No: CB061422
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
2354 KIMBERLY CT CBAD
PATIO
1675312900 Lot#: 0
$4,698.00 Construction Type: NEW
BRANDON RES: 522 SF SOLID CVR
(MIN. 3.5FT ATTACHED) PER CITY SPECS
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
WORTHING INC, B. A.
SUITE #201
BRANDON FAMILY TRUST 08-25-98
690 CARLSBAD VILLAGE DR
CARLSBAD, CA 92008
619-729-3965
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
2354 KIMBERLY CT
CARLSBAD CA 92008
PENDING
05/22/2006
JMA
$61.19
$0.00
$39.77
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$101.96
Total Fees: $101.96 Total Payments To Date: $101.96 Balance Due:
lnspecto Clearance:
$0.00
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 capacity
changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any
fees/ex ction f whi h hav vi u I n iven a N TICE imilar hi r whi h h f limi ti n h vio I otherwise ex ired.
FOR OFFICE USE ONLY
PERMIT APPLICATION
#
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK No.ao6 I~ 22.
EST.VAL. 4:0Czf-.
Plan Ck. Deposit-----.--,,------
Validated By ?t'Y'ft
Date 5'Jg).M._
Ad~ss (include Bldg/Suite #) / L??-\: Kf!".':b:e,r ~ Legal Description
Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description
.~ ... ~.
liht\:iv
#of Stories # of Bedrooms # of Bathrooms
State/Zip
Name
Name Telephone#
(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 .ipl¥ appli~ f_pr ~ permit subjects the f':'PI5ant to a civil~nalty of not m re than ..(!ve hundred dollars ($ 5001). ,A, vt:hin nc-i-:o. l:X))<. \~ix;\. CA--.--,'2-018 71cD1729·391aS
Name Q I I Address ~ City State/Zip
State license# 3~ I 31 l.o1 L:> ',-,:""-;,1,,=~3.=~ --::::Br:tok.$ We@, zq-39f.oS
Designer Name
State license #
:lJ:•/ci:(W!ii!IIEU',~!i!MPJ;NB<_,N
Workers' Compensation Declaration: I 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.
ri I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is
~ed. My worker's compensation insurance carrier and p icy number are: / / -/ _ 7
Insurance Company ~:S0!:11,e~C,,__±=LJ....C1':2l_______ Policy No.CXX:>8775:: 2DCJ ~ Expiration Date CJ () _
{THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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' compensation coverage ia unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred
thousand dollars ($100,000), In a to the cost of compensation, damages as provided for In Section 3706 of the or code, nterest and attomey's fees.
SIGNATURE DATE 2-Z
,Zi!!Ml!l!Wl'lEll?IIIIJ~i:!Ellli!i!!llli! • ' .
I hereby affirm that I am exempt from the C 's License Law for the following reason:
D I, as owner of the property or my em ith 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 ntractor'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 employe , 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).
D 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).
0 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. 0 YES ONO
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 I address I phone number 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 number I contractors license number): ________________________________________________ _
6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number / type
of work): __________________________________________________________ _
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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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.
lli:j:;m!fflff~lllffli:>il'Eel',li:>lilij1li,-~~•,••··
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code}.
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. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit 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 building Official under the provisions of this Code shall expire by limitation and become null and void if the 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 authorized by such permit is suspended or abandoned
at any time after the work is commenced for a period of mo days S n 106.4.4 Uniform Building Code). r::;:,,l--....., !:o'-
APPLICANT'S SIGNATURE ----------'""':,,,_lf'CJ,,."'-L-~~:._______ DATE --~r-~_""-_,_~ __ ,.p~-----
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 07/21/2006
Title: BRANDON RES: 522 SF SOLID CVR
Description: (MIN. 3.5FT ATTACHED) PER CITY SPECS
Type: PATIO Sub Type:
Job Address:
Suite:
Location:
2354 KIMBERLY CT
Lot
APPLICANT WORTHING INC, B. A.
0
Owner: BRANDON FAMILY TRUST 08-25-98
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment: PY ---
Requested By: SHELLY
Entered By: JANEAN
19 Final Structural 1 FcrJw
29 Final Plumbing
I 39 Final Electrical
49 Final Mechanical
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description
06/16/2006 11 Fig/Foundation/Piers
Act lnsp Comments
AP PY