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HomeMy WebLinkAbout2405 MICA RD; ; CB112524; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-01-2011 Patio/Deck Permit Permit No: CB112524 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2405 MICA RD CBAD PATIO 2132701100 Status: Lot#: 0 Applied: Valuation: $1,839.00 Construction Type: NEW Entered By: Reference #: Project Title: Applicant: DESPAIN RES-192 SF PATIO ATTACHED -PER CITY SPECS PARADISE LANDSCAPE 7040 AVENIDA ENCINAS CARLSBAD, CA 92011 760-918-0017 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 Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Plan Check#: Owner: DESPAIN ROBERT W&WHITNEY T 2405MICA RD CARLSBAD CA 92009 ISSUED 12/01/2011 RMA 12/01/2011 12/01/2011 $46.27 $0.00 $30.08 $0.00 $1.00 $1.00 $0.00 $0.00 $0.00 $0.00 $78.35 Total Fees: $78.35 Total Payments To Date: $78.35 Balance Due: Inspector. FINAL APPROVAL Date: 5-· 2. 3 · I 2---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 00 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. ✓ «1'» ~ CITY OF CARLSBAD OB ADDRESS d-'1 (.)', CT/PROJECT# LOT# EMAIL Building Permit Application 1635 Faraday Ave .. Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov vJ\.~ C c.. ~c,c,J_ SUITE#/SPACE#/ # OF UNITS # BEDROOMS # BATHROOMS • -' /c}.v/(o TENANT BUSINESS NAM -<C__ GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE · PHONE FAX EMAIL STA~/+-ZIP STATE ("llr FAX FAX STATE UC.# CLASS SWPP CONSTR. TYPE CC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES □ NO □ YES □ NO □ ZIP ZIP d'Q00.. ARCH/DESIGNER NAME & ADDRESS Cu-7 (Sec, 7031.5 Business and P_rofessions 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 per_mit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 70_00 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 1031.5 by any applicant for a permit subiects the applicant to a clvII penalty of not more than five hundred dollars {$500)). WORKIRS• CQMl'EIUA1'10N Workel'lll' Compensation Declaration: / 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 pennit is issued. (:)ii..!_ have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. My workers' compensa~on insurance carrier and policy numberare:lnsuranceCo. ~ W,c,.)C.. ..>oc.> "!,.>C>l -C>\ PolicyNo. _____________ Expiralion □ate ~fc. f•J~ • r "' This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the pelformance of the work for hich this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure work.e1111' compensatl e is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as pro or in 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the foll □ I, as owner of the property or my employees with wages as their sole c pensation, 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 wofll 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 constmct the project (Sec. 7044, Bt1siness 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 provkle 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 the proposed work, J. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I will provide some of the wofll, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of 'Mlrk): _65 PROPERTY OWNER SIGNATURE LIAGENT DATE C:C:Ull'l.l!'l'lf TRU $1l~'JHON l'i:llt NON"•"llliis1b11ri!i'!'Jllil IUIIUHNG l'IIRMHJ oNl.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? O Yes O 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 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the appllcatlon and state that the aDCNe lnfonnatlon Is coll'eCt and that the information on the plans is aoo.11ate. I agree to comply with all Chy ooflnances and Stale laws 181atlng to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the alx>ve mentbned property for inspection purposes. I AJ..SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl'TY OF CARL.SB.AD AGAINST ALL LIABILITIES, JUCX3MENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUEAG.AJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT- OSHA AA OSHA peITTllt is required br excavations over 5'0' deep and demol' · n oroonstruction of structures over 3 stories in height. EXPIRATION: Every ~ITTlit issued by the Buik:ling Olocial un f this c.ode shall expire by limitatbn and become null and void ff the buik:ling orv.ork authorized by sudl ~ITTlit is not oommenced 'Mthin 100days from the dale of such pennlt or if the buik:l' 1k aulho · ~ITTlil is suspended or abandoned at anytime after the v.or'K is oommenced for a perod of 100days (Sectbn 106.4.4 UnifoITTl Buik:ling Code). APPLICANT'S SIGNATURE DATE /.).-I fr m City of Carlsbad Bldg Inspection Request For: 12/20/2011 . . Permit# CB112524 Title: DESPAIN RES-192 SF PATIO Description: ATTACHED -PER CITY SPECS Type:PATIO Sub Type: Job Address: 2405 MICA RD Suite: Lot: 0 Location: APPLICANT PARADISE LANDSCAPE Owner: DESPAIN ROBERT W&WHITNEY T Remarks: Total Time: CD Description Act Comments Inspector Assignment: PD --- Phone: 7605188886 Inspector: ti±- Requested By: SEAN Entered By: JANEAN 19 Final Structural ¥---- ----------~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 12/05/2011 11 Fig/Foundation/Piers AP PD 2 PATIO COVER FTGS