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HomeMy WebLinkAbout2462 MICA RD; ; CB111144; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-31-2011 Patio/Deck Permit Permit No: CB111144 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2462 MICA RD CBAD PATIO 2132700200 $1,264.56 Status: Lot#: 0 Applied: Construction Type: NEW Entered By: Plan Approved: Issued: Project Title: HALL: 132 SF ATTAC. LATTICE- PATIO (CITY SPEC)//GAS TO FIREPIT Inspect Area: Plan Check#: Applicant: SMITH LANDSCAPE CONSTRUCTION 3593 NEWLAND RD OCEANSIDE CA 92056 760-814-7336 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 Owner: WILLIAM LYON HOMES INC 4490 VON KARMAN AVE NEWPORT BEACH CA 92660 PENDING 05/31/2011 JMA $31.12 $0.00 $20.23 $0.00 $1.00 $1.00 $0.00 $0.00 $27.00 $0.00 $80.35 Total Fees: $80.35 Total Payments To Date: $80.35 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTIC hat approval of your project includes the "lmpo ion· of le s, 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 et 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. , "'~" ~~z1;: Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. CJ3 I I / l ~ CITY Of Est. Value Plan Ck. Deposit CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Date '5 :g;,1 / 1 I SWPP PHASE# # BEDROOMS DESCRIPTION OF WORK: Tric!ude Square Feet of Affected Area(s) c.,- 1 ,, EXISTING USE PROPOSED USE GARAGE (SF) CITY STATE ZIP PHONE FAX EMAIL ZIP ARCH/DESIGNER NAME & ADDRESS STATE LIC. # SUITE# /SPACE.#/UNIT # APN -Z.13 # BATHROOMS TENANT BUSINESS NAME PATIOS (SF) DECKS (SF) FIREPLACE YES D # NO □ 270 -02 -od CONSTR. TYPE OCC GROUP (. I l. AIR CONDITIONING YES O NO □ FIRE SPRINKLERS YES D NO □ ZIP t/~b ZIP L- (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 applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any apphcant for a permit subjects the applicant to a ctvil penalty of not more than five hundred dollars {$500)). ' '~ ~~ " ~ ' ' ~ ' '~ WORKERS' COMPENSATIOI\I " , a -a a_. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of /he following declaralions: 0 !)ave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. l5J/i have and wlll maintain workers' compensation, as ,required by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensatio}.surance carrier and policy number are: Insurance Co. />rP"fr141i-: A,,/Jc. ',btVT;ctf"( Policy No. C, Y (COL, Expiral1on Date '1 I /l, 11 I/ r1 This section need not be compleled if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: l 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 o! 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 ddllion to the cost of compensation, damages as provided for in Section 370 AS CONTRACTOR SIGNATURE 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 s-ich won( 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 1he purpose of sa!e). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project jSec. 7044, B-isiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for s-ich projects with contractor(s) licensed pursuant to the Contrac1or's License Law). □ I am exempt under Sectioo _____ ,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. □ Yes □ No 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 lhe proposed construction (inciude name address/ phone/ 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 persons to provide the work indicated (include name I address/ phone I type of work): _..s PROPERTY OWNER SIGNATURE □AGENT DATE !s the applicant or fulure building occupant required to submi1 a business plan, acu1ely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control distric1 or air quality management district? □ Yes □ No ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 certify that I have read the application and state that the above infonnation is correct.and that the infonnation on the plans is accurate. I agree to comply with all CityordiMnces and State laws relating to building construction. I hereby authorize representative of the Oly of Carlsbad to enter upon the above mentKJned property for inspecoofl 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. OSHA: AA OSHA permtt is required for excavations over 5'0' deep and demolition or constructKln of structures over 3 stories i'l height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall eX+)ire by limitation and become null and void if the buildi'lg or work authorized by such permit is not corrmenced within 180 days from the date of such pennit or if the buWdi'lg or work authorized by such permtt is suspended or abandoned at any time after the work is commenced for a period of 180 days {Seeton 106.4.4 Unifolm Building Code). _8'5 APPLICANT'S SIGNATURE DATE . -City of Carlsbad Bldg Inspection Request For: 07/19/2011 . Permit# CB111144 Title: HALL: 132 SF ATTAC. LATTICE- Description: PATIO (CITY SPEC)//GAS TO FIREPIT Type:PATIO Sub Type: Job Address: 2462 MICA RD Suite: Lot: 0 Inspector Assignment: PY --- Phone: 6269454825 Location: Inspector: ---- OWNER WILLIAM LYON HOMES INC Owner: WILLIAM LYON HOMES INC Remarks: Total Time: CD Description Act Comments Requested By: JEFF SMITH Entered By: CHRISTINE 14 Frame/Steel/Bolting/Welding M--------------------- / ~ ·· ~ ~ment;N~:ts Associated PCRs/CVs/SWPPPs Original PC# lns!;!ection Histo!Y Date Description Act lnsp Comments 06/15/2011 11 Ftg/Foundation/Piers AP PY 06/07/2011 11 Ftg/Foundation/Piers NR PY 06/07/2011 23 Gas/Test/Repairs AP PY