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HomeMy WebLinkAbout2415 LA COSTA AVE; D; CB062834; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10~03-2006 Miscellaneous Permit Permit No: CB062834 Building Inspection Request Line (760) 602-2725 Job Address: 2415 LA COSTA AV CBAD St: D Permit Type: MISC Subtype: REPAIR Status: Parcel No: 2162405~30 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: MARSELLA HOA-REPLACE GUARD RAIL@DECK Applicant: JON WAYNE CONSTRUCTION 2580 FORTUNE WY VISTA CA 92083 760 727-2494 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: KENNEY JOHN E&YOLANDA P 2419 LA COSTA AVE #A CARLSBAD CA 92009 Total Fees: $60.00 Total Payments To Date: $60.00 Balance Due: Inspector: Date: 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 "Im 'tion' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this pennit 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 wtth 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 se1Vice fees in connection with this project. NOR DOES IT APPLY to any f v r i t n ivn N Tl E imilr hi r whihh limi in h I thrwie xir FOR OFFICE USE ONLY PLAN CHECK NO. {/)t26Jf/'( PERMIT APPLICATION elTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ------,,---,--- Validated By ~ ~t,,_ Date 1-a /_-1/.~-( vi •d~ras, lincludo "O!t:J"t lA U)'!.M t6wif • Legal Description ~~ Lot No. W\0t7(3q,\.A-OQ'! D Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel I Existing Use Proposed Use Description of Work et\-1..(()i.4,( Itri I, 2-\if~'? ,,mo SO. FT. #of Stories ~L~rnll~~l~.r S1\)C~ ft>.~.~ • ~'"-$ . Cf 14,q -~ • ?J\ # of Bedrooms I of Bathrooms Name Address City State/Zip Telephone # Fax # 0 ~\~1-1(:Wft~ <··-..t1\,i-ta.~1~, ... , -it-<14 Name Address City State/Zip Telephone # 4, •. ,;:,!!ml""l:Y'0WIV~R::. Name Address City S.tate/Zip Telephone# (Sec. 7031.5 Business and Professions Coda: Any City or County which requires a permit to construct, altar, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that h~ is licensed pursuant to the provisions of the Contract~r•s License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that ha is exempt therefrom, and the basis for the alleged exemp i~ Cy c~; Section 7031.5 by anc~~t,;or ~ermit sub~e applicant to a civil p ;alty of ot mor~zotir hun;ed dollars {$5001). Name ddress City State/Zip Telephone # Statelicense# 4,')..\sq UcenseClass 6 CityBusinasslicensel \Z"ZOZ.Zo Designer Name Address City State/Zip Telephone State License # _________ _ e; · W0R1Ui118,!'C0Mtmllf/l'IIOIV:-•i•ii • · Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 1lf 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 r;J the work for which this permit is issued. ,S.. 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: lnsuronce Compony ('""n 4Hfll(: • 'f!S~ac;.il!f('CS Policy No. we. '" -i-I,, '\ Expiretion Dato , , \ 1 01 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$10010R LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person ii:' any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fai~ucwe worken' compenaadon coverage la unlawful, and "1aH subject an employer to criminal panahlu and dvll fine, up to one hundred thou■and doUar■ • ,000), In addition !hthe cost of compenaatk>n, damages•• provided for In Section 3708 of the :bor !°:::e, lntareat and attorney's fee,. SIGNATURE k4Al,. ,...._ DATE \0,/Z..JO{p '.7 ,;, : >:()WNEFG1i\1i'~E:~TIQl1P, ·:M .. / · ~>· ;;; .:\;:···\:,}'ij};:1;},:f;:/[i)\S: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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, th• 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 Profession& 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 contractorlsl 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 lhiredl the following persons to provide the work indicated (include name / address / phone number/ type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE ·co111,a;rffl1tl!JiSEc:TIOl!l'FOR~INJl@,aJ:11U)lf'1Q:;l't!IIMIJS'QNLlV, · ., · 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? 0 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? 0 YES O NO Is the facility to be constructed within 1,000 feat 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. ,., .c •CONSTRUCTION Ll:T,ll11NG•AG~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). I cenlfy that I have read the application and state that the above information is correct and that the Information on the plans i• accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby autho,ize representative, of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AQ;AINST 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 end become null and void If the building or work authorized by such permit is not c enced within 180 s f m the date of such permit or it the building or work authorized by such permit Is suspended or abandoned at any time after the work is m ced for a p ri d of 1 (Section 106.4.4 Uniform Building Code). ' APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance DATE City of Carlsbad Bldg Inspection Request For 04/30/2007 Permit# CB062834 Title: MARSELLA HOA-REPLACE GUARD Description: RAIL@ DECK Type: MISC Sub Type: REPAIR Job Address: 2415 LA COSTA AV Suite: D Lot: 0 Location OWNER Owner: KENNEY JOHN E&YOLANDA P Remarks Total Time: CD Description Act Comments .-- Inspector Assignment: PY --- Phone: 9492444553 Inspector: Requested By: DAVE Entered By JANEAN 19 Final Structural u _____________ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 01/09/2007 14 Frame/Steel/Bolting/Welding NR PY