HomeMy WebLinkAbout2367 MERWIN DR; ; CB010639; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02/14/2001 Patio/Deck Permit Permit No:CB010639
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2367 MERWIN DR CBAD
PATIO
2081620900
Status:
Lot#: 0 Applied:
Valuation: $2,387.00 Construction Type: NEW Entered By:
ISSUED
02/14/2001
JM
02/14/2001
02/14/2001
Reference#:
Project Title:
Applicant:
CEG
344 MAIN STREET
VISTA CA 92084
726-3360
HSIEF -PAT COV 308 SF
Plan Approved:
Issued:
Inspect Area:
Owner:
HSIEH WENHUEl&HSU CH-°)_9:J1S!i~~~1,.,0i }J02 Ji
2367 MERWIN DR Gf3F·
CARLSBAD CA 92008
Total Fees: $76.55 Total Payments To Date: $0.00 Balance Due: $76.55
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
TOTAL PERMIT FEES
Inspector: _4Ut,. M·
FINAL APPROVAL
Date: 1/i-} /o / I
$45.79
$0.00
$29.76
$0.00
$1.00
$0.00
$0.00
$0.00
$76.55
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 tllis 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 ri:Jht 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 vou have orevious!v been oiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv other-Nise expired.
.PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use
Q.... Cavf.:L
Proposed Use
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
2.
Name Address
City
_ 0, Owner O Agen,t (or Owner
City
City
t/lS/71.
State/Zip Telephone# Fax#
State/Zip Telephone#
State/Zip 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 any applicant for a permit subjects the applicant to a civil penalty of not more t~_ap ·ve hundred dollars [$5001).
C €:-1/\/ IA 'fz Y( 760 72_(p ,-JJ~C>
Name
State License # _7.:......c..8'_/_3.:..__l....::2.=---
Address
License Class __ <?__=-2"-"--7...._ ___ _
City State/Zip 1,.. / Telephone #
City Business License # / / ? S -~
Designer Name
State License #
8. WOB,Kl;RS' CQMPENSATION
Address City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
0 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.
0 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
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company _____________________ Policy No. Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) ~ 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 workera' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollara I 100,000), ~ addition to the co f compensation, damages aa provided for In Section 3706 of the Labor code, Interest end attomey's fees.
SIGNATURE DATE:.,..--;;;;;::;;;::=:;,.;::;;;;;;;;;;::::::;::;:;:;:::;;_.,..,,,....,,,,,.,,~---.,.,.
fl. OWN ---I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 Contract or'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).
0 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 / 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 _________ _
COMPLfil:THIS Sl;CTIO~ FO.11 NQfl-R$DENT/A!. BUl,Dl,.(l PE!L"'-!J§ ONI. Y. ___ _
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? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
1,8. CONSTRUCTION LENDING ~GENCY • ·
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Code).
LENDER'S NAME ______________ _
~' APPJ,:IC"-NT Cl;RTIFICATION
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 Cit\' 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 · · ns 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 fro d of such permit or if the building or work authorized by such pe it is s pended or abandoned
at any time after the work Is commenced e~ s ion 106.4.4 Uniform Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
tio1 B7
City of Carlsbad Bldg Inspection Request
Permit# CB010639
Title: HSIEF -PAT COV 308 SF
Description:
For: 07/20/2001
Type:PATIO Sub Type:
Job Address:
Suite:
Location:
2367 MERWIN DR
Lot
APPLICANT CEG
0
Owner: HSIEH WENHUEl&HSU CHAO HSIEN
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural
Associated PCRs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: SR ---
Phone: 7608010477
Inspector: A Lfl>
Requested By: NA
Entered By: CHRISTINE
of'Gµ L/1 T,1C.E /Atto
c:ovG fZ
02/15/2001 11 Fig/Foundation/Piers AP SR OK TO POUR CONCRETE