HomeMy WebLinkAbout2416 APPIAN RD; ; CB154201; PermitPrint Date: 06/24/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2416 Appian Rd
BLDG-Residential
1673813500
$3,784.00
Residential Permit
Work Class: Patio
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Final
Inspection:
Description: PATIO -LUI: 192 SF ALUMINUM PATIO COVER-REPLACE EXISTING WOOD PATIO COVER ON EXISTING SLAB
FEE
Total Fees: Total Payments To Date: Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 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 service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division
Ccityof
Carlsbad
Permit No: CB154201
Closed -Withdrawn
12/01/2015
12/01/2015
AMOUNT
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCO
Plan Check No.
Est. Value
Plan Ck. Deposit
c·cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov Date tZ-\ -t SWPPP
JOB ADDRESS 24-1 SUITEI/SPACEf/UNITf
CT/PROJECT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
f<.eplt,.ce._ ~ Woa:P ~ ~
5&vv-'\Q__ (':"'("~ 2-St/ WllAJL x J',. P,«J~,.._,...f,'<Nl x:
09.A.C ve--f .e....-J' ( c... b ,
EXlSTING USE
APPLICANT NAME
Primary Contact
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
PROPOSED USE
STATE
FAX
GARAGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER
ADDRESS
CITY V{O
PHONE
EMAIL
ZIP
STATE LIC. # STATE LIC.# 3 6 Z..,r'o
FIREPLACE
YES[),
AIR CONDITIONING
No[] YES □No □
tit
STATE ZIP
FAX
CLASS CITY BUS. LIC.#
FIRE SPRINKLERS
YES □No□
(Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve. demolish or repair any_ structure, prior to its issuance, also requires the app!rcant for such per_mlt to file a signed s~tement that he Is licensed pursu?nt to the provisions oft~e Contra9tor•~ License Law /Chapter 9, comme_ndingwith Section 7qoo of Division 3 of the Business and Professions Code) or fllat he Is exempt therefrom, and the basis for the alleged exemption. Any vI0IatIon of Section 7031.5 by any applicant for a permit subJects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D 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 11,e work for which this permit is issued. D 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 wor'Kers' compensation insurance canier and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _
Jl!j§.section need not be completed if the permit Is for one hundred dollars ($100) or less. LJ Certificate 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 lo become subject lo the Workers' Compensation Laws of
California. WARNING: Fallure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollani (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, lnte111st and attorney's fees. ·
JIS CONTRACTOR SIGNATURE □AGENT DATE
OWNER~BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
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 wor'K 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)
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 ol
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law)
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. 0Yes 0No
2, I (have I have not) signed an application for a building permit for the proposed wor'K.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I 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 I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following pe ns to provide the work indicated (include name/ address/ phone I type of work):
65 PROPERTY OWNER SIGNATURE □AGENT 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 prevenfion 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the appllcatlon and state that the above infonnation Is c:onectand that the lnfonnatlon on the plans Is accurate. I agree to comply with all Cily ordinances and S1ate 18\\S relatlngto bullding construction.
I hereby aulhortze representative of the City of Carlsbad toenterup::in the alxlve mentioned property br inspection pul'JX)SE!S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSB-<\D
AG'.INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA. OSHA permit is required for excavations over 5'r.J deep and demolition orconslrudion of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Offdal un rlhe provisbns of !his Code shall expire by limitation and l:ro)me null and voKI Wthe buik:ling oroork authorized by such permit is not commenced IMthin
180 d,¥: from the dateofsuch permit or if the building au orized by rmit is suspended or abandoned at anytime after the v.ork is rommenced for a period of 180 days (Section 100.4.4 Uniform Building Code}.
A$ APPLICANT'S SIGNATURE DATE
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _________________ _
A5 APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP