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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: $0.00 FINAL APPROVAL Inspector: Date: Clearance: NO110E Please take NONCE that approval of your projed indudes the "Irrpos sod' d fees, dedicabars, resmarjarr., or other eactians here(ter cdlectively referred to as' feesfamcticns." You have 90 days from the date this permit vas issued to protest imposition of these feeste actias. If ycu protest theM you rrust fdlo✓v the protest prmed res set forth in Coverrrrent Code Section 66020(a), and file the protest and arty other mWred info r ation with the City Nblw for processing in acoorderioe with Carlsbad Mindpai Code Sectien 3.32030. Failure to timely fdlowtt>at prmedre Wilber arty subsequent legal action to attack, review, set aside, wcid, or antxl their imposition. You are hereby FUZTHBR NCFnRED that your ngttt to protest the spedfied feestoactions DOES NOT APPLY to water and seiner omr edion fees and capadty diwxjes, nor plarring, zoning, grading or other similar application processing or service fees in cm-ectien with this prge t. NOR DOES IT APPLY to any L.feestetadiens d W ich vcu have pw"v been civen a NONCE simlar to this er as to which the statute of limtatiers has ousl otherwise gyred. TUG Fni I nwimr; AGPRnuALS REOUIRED PRIOR TO PERMIT ISSUANCE: E]PLANNING j,,_jENGINEERING BUILDING FIRE ( _•;HEALTH L_.J HALMAuArt u Buildina Permit Application I Plan Check No. W �G"�--1 �u i city a f 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value plan Ck. Deposit ``JJ Ph: 760-602-2719 Fax: 760-602-8558 Carlsbad email building@caca.gov gov wwW.carlsbadca.gov Date SWPPP JOB ADDRESS 7�,{L/ /p �/-•{- ��l , f�'�- SUITE#/$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) r 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 �� ,�C CA t Primary Contact ADDRESS ADDRESS Zc///_ CITY STATE ZIP CITY STATE ZIP 14, ��C/ CA-2 Z w PHONE FAX PHONE FAX EMAIL EMAIL �✓ OL4,N > ((�� .J.���,, 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 C1lS(.�A�c-rt(J)rnbCA�Ja-A( 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. �C,qlp�fr, -� I , 46 4 0 1, r� ? G v-✓�i�'G-cam �- t 4 2 _- � _-jo (y l