HomeMy WebLinkAbout2415 LA COSTA AVE; A; CB004910; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12/27/2000 Patio/Deck Permit Permit No:CB004910
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2415 LA COSTA AV CBAD St: A
PATIO
21624055'3 33
$960.00
Lot#: 0
Construction Type: NEW
BROWNE RES-80 SF DECK EXTENSIO
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
T S Z CONSTRUCTION ALLEN DONNA L
2513 OCEAN COVE DR
CARDIFF CA 92007
760 942-5251
2419 LA COSTA AVE #A
CARLSBAD CA 92009
ISSUED
12/27/2000
RMA
12/27/2000
12/27/2000
Total Fees: $41.18 Total Payments To Date: $0.00 Balance Due: $41.18
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
TOTAL PERMIT FEES
Inspector: Date: Clearance:
$24.35
$0.00
$15.83
$0.00
$1.00
$0.00
$0.00
$0.00
$41.18
NOTICE: Please take NOTI E 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 permrt 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 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 ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otheiwise ex ired,
PERMIT APPLICATION
FOR OFFICE USE 0
PLAN CHECK
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave ., Carlsbad, CA 92008
EST. VAL. ---+---4<:i....,::. ____ _
Plan Ck. Deposit-----~ ........ ---
Validated By tf.k
Date /J/~ 7/40'
Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
d-'
#of Stories # of Bedrooms # of Bathrooms
2. "5~
Fax#
3.
4. PROPERTY OWNER.._ l \ A \ \ \
~: Qhh ~Ov,..J"'-SL. :!4\£:A::aG:,~Taf~L~ ~beJ_ C.a, "\:b0944: ~8
Name Address City State/Zip Telephone#
5. CONTRACTOR • COMPANY NAME
Designer Name Address
State License # ~ "":\-~G) d ::\<a
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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 [$100) OR LESS)
9._ CERTIFICATE OF EXEMPTION: I certify that in the pert
fo become subject to the Workers' Co ensation Laws of Ca f
ance of the work for which this permit is issued, I shall not employ any person in any manner so as
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 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).
O 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).
O 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 _________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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? 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.
B. CONSTRUCTION LENDING AGENCY
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).
LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _
9. APPLICANT CERTIFICATION
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 molition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the buildi Official under the pro i ions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced wit n 80 days from the dat f 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 f 180 days (Section 6.~.4 Uniform Building Code). : I
APPLICANT'S SIGNA .......::~----+-=---,11,!...;.-&,..::=;.-f"::....___________ DATE ~~ 7'i ~
PINK: Finance
-----------
City of Carlsbad Bldg Inspection Request
For: 06/12/2001
Permit# CB004910
Title: BROWNE RES-95 SF DECK EXTENSIO
Description:
Type:PATIO Sub Type:
Job Address: 2415 LA COSTA AV
Suite: A Lot 0
Location:
APPLICANT TS Z CONSTRUCTION
Owner:
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: GG ---
Phone:
Requested By: STEPHAN
Entered By: ROBIN
19 Final Structural k£'. ______ _
Associated PCRs
Inspection History
Date Description
12/29/2000 11 Ftg/Foundation/Piers
Act lnsp Comments
AP GG
P.lanning
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Brian Browne Wednesday, December 27, 2000
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BY AmVED
DEC 2 7 2000
City of CAHLSBAL
BU1LD!!'V:; ()[PT
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Planning Brian Browne l Monday, March 12, 2001
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