HomeMy WebLinkAbout2551 Ingleton Ave; ; CB111020; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-13-2011 Patio/Deck Permit Permit No: CB111020
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2551 INGLETON AV CBAD
PATIO Status:
Lot#: 0 Applied:
Valuation:
2131 305400
$1 ,150.00 Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: QUINBY RES 120 SF ATTACHED Inspect Area:
ALUMINUM LATTICE PATIO CVR//IAPMO #0106 Plan Check#:
Applicant:
SKYLINE SUNROOMS
5710 KEARNY VILLA ROAD 92123
858-277-7666
Building Permit
Add'I Building Permit Fee
Pl an 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:
QUINBY DAVID L&LINDA J
2551 INGLETON AVE
CARLSBAD CA 92009
ISSUED
05/13/2011
KG
05/13/2011
05/13/2011
$29.14
$0.00
$18.94
$0.00
$1 .00
$1.00
$0 .00
$0.00
$0.00
$0.00
$50.08
Total Fees: $50.08 Total Payments To Date: $50.08 Balance Due:
Inspector: Date: Clearance:
$0.00
prov al of your project includes the "lmpcs· ion" of fe s, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You ave 90 days from the date this permit was issued to protest impcsition 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 impcsition.
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 ou have reviou been iven NOTICE simil r to this or as to which the statute of limitation has r viousl otherwise ex ired.
«1~ Building Permit Application
1635 Faraday Ave., carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Plan Check No. C 6/ //If ;2-0
~ C ITY OF
CARLSBAD
JOB ADDRESS~ 5 6
EXISTING USE PROPOSED USE
CONTACT NAME (If Different Fom Applicant)
ADDRESS
CITY STATE
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY
FAX
ARCH/DESIGNER NAME & ADDRESS
Fax: 760-602-8558
www.carlsbadca.gov
GARAGE (SF)
ZIP
ZIP
STATE UC.#
SUITE#/SPACE#/UNIT#
# BATHR M
PATIOS (SF) DECKS (SF)
Est. Value '/ 5() I
Date
FIRE SPRINKLERS
YES O NOD
(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 or the Contractor's License Law (Chapter 9, commending with Section 7000 or Division 3 of the Business and Professions Code) or !hat he is exempt therefrom. and the basis for the alleged exemption. Any violation 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 Declaration: I hereby affirm under penalty of perjury one of the following declaraffons:
0 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 perfOflllance of the work for which this permit is issued.
J2' I have and will maintain workers' compensation as required by Section 3700 of the Labor C e, for the performance of the 'Mlrk for whic this rmit is issued~workers' compensat~n~nyirance carrier and policy
number are: Insurance Co. Policy No. !LI Expiration Date ---40'--'(<--'\I-, ____ _
This section need nol be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certrty 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, damage rovided for in Section 3706 or the Labor code, Interest and attorney's fees.
~ CONTRACTOR SIGNATURE ~ENT DATE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D 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 himse~ 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 wia have the burden of proving that he did not build or improve for the purpose of sale).
D 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
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
D 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. D Yes D No
2. I (have I 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 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 I 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 mrk indicated (include name I address I phone I type of 'Mlrk):
~ PROPERTY OWNER SIGNATURE Cl 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? 0 Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yes Cl No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl 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 (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify thatl have read the application and stile that the above information Is conect and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building cons1ruction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentilned property tr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUD3MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permtt is required i:Jr excavatioos over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Offcial under the provisions of this Code shall expire by fimitalion and become nun and void if the building or mr11 authorized by such permtt is not commenced wthin
180 days from the date of such permtt or if the bu · g or v.ol1< authorized by such permtt is suspended or abandoned at any time after the mr11 is commenced for a peood of 180 days (Seeton 106.4.4 Uniform Building Code).
,1$ APPLICANT'S StGNA TURE DATE S· l3 · l
City of Carlsbad Bldg Inspection Request
For: 06/29/2011
Permit# CB111020 Inspector Assignment:
Title: QUINBY RES 120 SF ATTACHED
Description: ALUMINUM LATTICE PATIO CVR//IAPMO #0106
Type: PATIO Sub Type:
Job Address:
Suite:
2551 INGLETON AV
Lot:
Phone: 7609319789
0
Location: Inspector: ----
OWNER QUINBY DAVID L&LINDA J
Owner: QUINBY DAVID L&LINDA J
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural
----~
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
Requested By: DAVID
Entered By: CHRISTINE
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