HomeMy WebLinkAbout2415 LA COSTA AVE; C; CB062833; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-03-2006 Miscellaneous Permit Permit No: CB062833
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
2415 LA COSTA AV CBAD St: C
MISC Subtype: REPAIR
21624055~ .&I Lot#: o
$0.00
MARSELLA HOA-REPLACE GUARD
RAIL@DECK
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
JON WAYNE CONSTRUCTION KENNEY JOHN E&YOLANDA P
2580 FORTUNE WY
VISTA CA 92083
760 727-2494
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$60.00
PERMIT FEE
2419 LA COSTA AVE #A
CARLSBAD CA 92009
Total Payments To Date: $60.00 Balance Due:
FINAL AP RQVAL
Date: 5 /,5/J 7 Clearance:
ISSUED
10/02/2006
RMA
10/03/2006
10/03/2006
$60.00
$0.00
$0.00
$60.00
$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 wilt 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 service fees in connection with this project. NOR DOES IT APPLY to any
f x i n f hi h h v r i I ii wh' h h f limi i n h I h rwi
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK N~t.,2A1)
EST. VAL. _________ _
Plan Ck. Deposit ___ .,...._, ___ _
Validated By ~ ~~
Date /t) /._ Z_ r 1 \,,,.,_C"t INFORMATION , \.t . '
ie1.'~~r~?c~m_•1,_ __ ~~c!...U)'!.~~M~~l'\J:.;:::IZ::..:·~~~::.,..-c,---,,,-7B-us_in_•_·_•_N_am_•_la_t_t-hi_•_a...,dd,,.•,., .. ,..•;:;l::----==-;c;::---.=:,-,;-::.-:::::c:--
Legal Description ~ ~ .. Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
WlMGCUA: ~
Assessor's Parcel I Existing Use Proposed Use
Description of Work
~~,(~I'-N'.
I of Bedrooms I of Bathrooms
Name Address City State/Zip Telephone II Fax I
a.;.· !i!'t'~·,·~!~~h~:it~~n~°:
Name Address
· 0 ~°ii;~w(: ½10~ '111,~~ 71a0 ,~, _4q4
City State/Zip Telephone I
4.:;,,,,;!!alll'El!n"Owt,IER
Name
:l,"';,.Ql!NifRAl!lrOR,i!110Ml!llNr>NilME' · ,
Address City State/Zip Telephone I
(Sec. 7031.6 Business and Professions Code: Any City or cOunty which requires a permit to construct, alter, improve, demolish or repair eny 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 CodeJ or that ha Is exempt therefrom, and the basis for the alleged
exemp i~ Cy c~~f Section 7031.5 by a~~~~r for ~~it sub~e applicant to a civil p ;alty of :1 mor\\'a;tiie hun;ed dollars ($5001).
Name City State/Zip Telephone I
State License I a.\-,l-\ Sq license ClesS J3 City Business License I \ Z"Z.o Z.Z.o
Designer Name Address City State/Zip Telephone
State license I _________ _
e; ·,, WOR~illll!'J:lOM,a\llATION':c•i•:,
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
1ll"' 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 ';J the work for which this permit is Issued.
~ I h~ve 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 <""-J\ G.tJ"'.::: • 'PrS'i: OC.,l!f{'c'S Policy No. we '" '1-11, '\ Expiration Data I h I 01
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS)
D CERTIRCATE 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: Fai~ncura worken' compensation coverage Is unlawful. and shall subject an employer to criminal penalties and civtl flnu up to one hundred
thousand dollars $ ,0001, In addition f!!,.!_h• coat of companqtlon, damages u provided for In Section 3708 of the L': foda, lnterut and attorney's fen.
SIGNATURE !..Q.,!U,_ ,... _ DATE \ll!kJO(,p
-7 ~y--·:, OW~$.JQJ~REilQE~11o;.i:-i•l~t, -. < , , ·, , i ,;;,;~ <:'···>:"-'i.~t:-. <-, i"c_~,iit>%··-i
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 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).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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 Coda 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 soma 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 ______________________ _
'COMPU'tllffHIS;$ECTIONtFO!!>NIM!Rff/Q,!111'™£:9!111.0IN~•f1Sall'IIJSOtl~:r,,,• ..
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 Acti' 0 YES O NO
Is the applicant or futura building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructad within 1,000 feet of the outer boundary of a school site7 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.
8.,,.i9'9NSTRUClTIQ!l·~DIN(l~~CY.
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 ADDRESS, ________________________ _
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.
' APPLICANT'S SIGNATURE
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 c enced within 180 sf m 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 ed for a p ri of 1 (Section 106.4.4 Uniform Building Code).
DATE __ I_C>____.!...,:2__..)...,:o::c...::,Cpc..._ __
WHITE: File YELLOW: Applicant PINK: Finance
~ w City of Carlsbad Bldg Inspection Request
For: 05/14/2007
Permit# CB062833
Title: MARSELLA HOA-REPLACE GUARD
Description: RAIL@ DECK
Type:MISC Sub Type: REPAIR
Job Address: 2415 LACOSTAAV
Suite: C Lot 0
Inspector Assignment: PY ---
Phone:
Location: Inspector:
OWNER KENNEY JOHN E&YOLANDA P
Owner:
Remarks:
Total Time:
CD Description
19 Final Structural
~ Comment
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
01/09/2007 14 Frame/Steel/Bolting/Welding AP PY
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Requested By: CHRISTINE
Entered By: CHRISTINE