HomeMy WebLinkAbout2416 APPIAN RD; ; CB153764; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-10-2015
Patio/Deck Permit Permit No: CB153764
Building Inspection Request Line (760) 602-2725
Job Address:
2416 APPIAN RD CBAD Status:
WITHDRAW
Permit Type:
Parcel No:
PATIO Lot #: 0 Applied:
1673813500
11 /02/2015
Valuation:
$4,221.00 Construction Type: NEW EnterdLE
Plan Approve
Sd: 02/2015
Reference #:
Issued:
11 /02/2015
Inspect Area:
Plan Check#:
Project Title:
LUI: 348 SF ILLUMAWOOD PATIO
Applicant: Owner:
LUI STEVE KWOK&KELLY HUI-LIN LUI STEVE KWOK&KELLY HUI-LIN
2416 APPIAN RD
CARLSBAD CA 92010
760-845-7061
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
2416 APPIAN RD
CARLSBAD CA 92010
Total Fees: $121.41 Total Payments To Date:
$70.24
$0.00
$49.17
$0.00
$1.00
$1.00
$0.00
$0.00
$0.00
$0.00
$121.41
$121.41 Balance Due: $0.00
FINAL APPROVAL
Inspector: Date: Clearance:
NO110E Please take NONCE that approval of your projed indudes the "Irrpos sod' d fees, dedicabars, resmarjarr., or other eactians here(ter cdlectively
referred to as' feesfamcticns." You have 90 days from the date this permit vas issued to protest imposition of these feeste actias. If ycu protest theM you rrust
fdlo✓v the protest prmed res set forth in Coverrrrent Code Section 66020(a), and file the protest and arty other mWred info r ation with the City Nblw for
processing in acoorderioe with Carlsbad Mindpai Code Sectien 3.32030. Failure to timely fdlowtt>at prmedre Wilber arty subsequent legal action to attack,
review, set aside, wcid, or antxl their imposition.
You are hereby FUZTHBR NCFnRED that your ngttt to protest the spedfied feestoactions DOES NOT APPLY to water and seiner omr edion fees and capadty
diwxjes, nor plarring, zoning, grading or other similar application processing or service fees in cm-ectien with this prge t. NOR DOES IT APPLY to any
L.feestetadiens d W ich vcu have pw"v been civen a NONCE simlar to this er as to which the statute of limtatiers has ousl otherwise gyred.
TUG Fni I nwimr; AGPRnuALS REOUIRED PRIOR TO PERMIT ISSUANCE: E]PLANNING j,,_jENGINEERING BUILDING FIRE ( _•;HEALTH L_.J HALMAuArt u
Buildina Permit Application I Plan Check No. W �G"�--1 �u i
city a f
1635 Faraday Ave., Carlsbad, CA 92008
Est. Value
plan Ck. Deposit
``JJ
Ph: 760-602-2719 Fax: 760-602-8558
Carlsbad
email building@caca.gov gov
wwW.carlsbadca.gov
Date
SWPPP
JOB ADDRESS 7�,{L/ /p �/-•{-
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SUITE#/$PACE#/UNIT# APN - _ -
CT/PROJECT # LOT #
PHASE # # OF UNI=BEDROOMS77=777�—�
CONSTR.TYPL OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet or Affected Area(s)
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54 G �)
EXISTING USE
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES❑# NO❑ YES ONO[:] I YES[:] NO[:]
APPLICANT NAME
P OPERTY OWNER c
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Primary Contact
ADDRESS
ADDRESS
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CITY
STATE ZIP
CITY STATE ZIP
14, ��C/ CA-2 Z w
PHONE
FAX
PHONE FAX
EMAIL
EMAIL
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DESIGN PROFESSIONAL
ONTRACTOR BUS. NAME /�
/Y0.'J/l /�ifnLd 3S / liu
A DDRESS
ADDRESS
y�y % t � 4^C
CITY
STATE ZIP
CITY STAT ZIP
PHONE
FAX
PHONE ��� lCi ✓/
FAX G �� -yI zw(il
EMAIL
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STATE LIC. #
STATE LIC.# , LASS CITY Bus. LIC.#
.. _ _ _ _._.. _....._....,. ...;... .,, a� i,m ni— renuires the
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to consuuct, aver, imp,vvc, vim, �, �,or s License Law ( --•-
applicant for aspc f permititrnnetaorltthatdhe is exempt therefrom and ttheubas snforothe the alleged exemption. Any virovisions of the Contra olation of Section 7031 5 by applicantfora permit subjects the vapplicant to a
civil penalty of not more than five hundred dollars iz nuu)i.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 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 workers' compensation insurance carrier and policy
E ' fio n Date
number are: Insurance
Policy No.
xpira
This section need not be completed if the permit is for one hundred dollars ($100) or less.
x Certificate of Exemption: 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 workers' compensation coverage 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 provided for in Section 3706 of the Labor code, interest and attorney's fees.
CONTRACTOR SIGNATURE
❑ AGENT DATE
1 hereby affirm that I am exempt from Contractor's License Law for the following reason:
ElI, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not in or offered for sale (Sec. 7044, Business and Professions Code: The Contractors
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).
IX. I 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
J� property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
ElI am exempt under Section ___ Business and Professions Code for this reason.
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑Yes ❑No
2. 1 (have / have not) signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction (Include name address / phone / contractors' license number):
4. 1 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 I contractors' license number)
5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone I type of work):
PROPERTY OWNER SIGNATURE X/y- �I-/ AGENT DATE
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? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sea. 3097 (i) Civil Code).
Lender's Name
Lender's Address
I certify that I have read the application and state thatthe 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 representative of the City of Carlsbad to enter upon the above mentioned properly 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 50' 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 authorzed by such permitis not commenced Wthin
180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime after the work Is commenced for a period of 180 days (Section 106A.4 Uniform Building Cade).
APPLICANT'S SIGNATURE
DATE
II �
r
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
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