HomeMy WebLinkAbout2585 PIO PICO DR; ; CB122560; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-30-2012 Miscellaneous Permit Permit No: CB122560
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2585 PIO PICO DR CBAD
MISC
1561207400
$0.00
Subtype: REPAIR Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: LIKE FOR LIKE REPAIR OF EXTERI
STAIRS
Applicant: Owner:
MILLER GENERAL CONTRACTOR, MIK SLATIERY SUSAN M
3009 OCEAN ST
CARLSBAD, CA 92008
619-720-3722
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
lnspeclor.
$65.00
PERMIT FEE
4711 SUNBURST RD
CARLSBAD CA 92008
Total Payments To Date: $65.00
FINAL ;,P~rVJ
Date V' f
Issued:
Inspect Area:
Balance Due:
Clearance:
ISSUED
11/30/2012
JMA
11/30/2012
11/30/2012
$65.00
$0.00
$0.00
$65.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pennit 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
f i n f · h T ·mil i h h
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: 0PIANNING D ENGINEERING 0BUILDING 0FIRE 0HEALTH [] HAZMAT/APCD
~ Building Permit Application Plan Check No. rPJ i 7 • ZS ()l'J ,, ,::4t 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY or Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: buldllng@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date 1 tf 5 ()/ 1 z.. ISWPP
JOB ADDRESS. z..:s; '3'5" ? ) O Pt SUITE#/SPACE#/UNIT# IAPN --/~{:,-)2.0 ·74-bO
CT/PROJECT# /LOT# PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME
1
co,~srR. TYPE
I
acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Lil(.c ~L,kc R~f~c.e.. g )Cl-...-,.,..,._ SM /r"""-'; Tc R.. ""f<, I ,z.. T<2tZ.-...,-t-a.. D,1,w.~ ~
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF} I DECKS (SF) ,,FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS
YES0 #_ NOD YES O NOD YES D NOD
APPLICANT NAME (Primary Contact) "1kb ~A 1\\-e.,e._ APPLICANT NAME (Secondary Contact)
ADDRESS vo.-.l,, DR-ADDRESS
3(~ f'A'-<>s
CITY . av-.k , . .L STATE ZIP CITY STATE ZIP
~c;;c. ' 0 <: />,; q -z_o z. (,.,
PHONE JFAX PHONE FAX
1bD ~:?5"-'D \?.-, i;-7w17S-/-'7r..·-s 2-
EMAIL
-n"'-T
EMAIL
l"h-,,,,pe. til w\ Id b(, .. ,
PROPERTY OWNER NAME .s t.af+ L-f 't "-'.\,\,el~ CONTRAclU~'j.S. NAME • 6 ~~ ' "e. k, (\e..,-(,<',
ADDRESS I ADDRESS Pl\w$ u~ t>.e. 3 1'+2-r;-'
CITY STATE ZIP CITY l. o-.J r STATE c,r20 2 (., , Cc 'd,o (A-
PHONE IFAX PHONE f:7/6:) 71:,o 171.,n ~~f-'lfos-7'5/-1C.? z._
EMAIL EMAIL J b\«e_. n..:t"" Y"\ {Y\ ('&...Q(! @ \,Ji
ARCH/DESIGNER NAME & ADDRESS l STATE LIC. # STATE UC.# CLASS ( I cn/t~O,; I ,r , A c; 81,,-~?i~ ~-
(Sec, 7031.5 Business ~nd P_rofes~ions Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or re~air ant structure, prior to its iss~an1~iJctso requires the applicant for such per.m1t to file a s1 ned stf:ltement that he 1s licensed pursu~mt to the prov1s1ons of the Contractor'_s License Law C a ter , comme_ndingw1th Section O O of Division 3 of the Business and Professions Code} or that he 1s exempt therefrom. and the basis for the alleged exemption. Any v1olat1on of Section {03f5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: I hereby affi,m under penalty of pe,jury one of the following dec/arafiOns:
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 perfo1T11ance of the work for which this permit is issued.
r:::J 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
number are: Insurance Co. Policy No. Expiration Date ----------
TI!is ~ need not be compjeted if the permit is for one hundred dollars ($100) or less.
[9'""" 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 to become subject to the Workers' Compensation Laws of
Ca!ifornia. 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 compensatl~ d~m~g? as provided for in Section 3706 of the Labor code, interest and attorney's fees.
RS CONTRACTORSIGNATURE/11/ cft<, '/JII~ OAGENT DATE I (-30-/ 2-..
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D /, as owner of the property or my empjoyees 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 ap~y to an owner of property l'lho 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 tor the purpose of sale).
er /, 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).
Cl I am exempt under Section __ _ __ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construc~on of the proposed property improvement. Cl Yes Cl No
2. I (have I have not) signed an application for a buifding 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 fallowing person to coordinate, supervise and provide the major work (inclllde 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 provKle the work indicated (include name I address I phone/ type of work):
A$ PROPERTY OWNER SIGNATURE LI AGENT DATE
Is the ap~icant or future building occupant required to submit a business p1an, acutely hazardous materials registration form or risk manacJement and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D 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? O Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 amect and that the infonnation on the plans is accurate. I agree to oomplywith all City ordinances and State law.; relating ID building construction.
I hereby author1ze representafive of the City of Cartsbad to enteruµ,n the aOOve mentioned property 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: M OSHA penn~ is required for excavations over 5'0' deep and demolition or construcbon of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Offcial under the provisk:Jns of th IS Code shall expire by limitation and become null and void ~ the buiki1ng orv.crk authorized by such permit is not commenced ,,.,;111·1n
180 days from the date of such ,::ermrt or if the building orv.ork authorized by such ,::ermit is suspended or abandoned at any time after the mrk is commenced for a ,::ericxl of 180days (Section 100.4.4 Unfform Building Code)
~APPLICANT'SSIGNATURE ~ )"/1/ ~ v· DATE //-)v-r 'Z-
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 www.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 ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
D PICK UP: =, CONTACT (Listed above) o OCCUPANT (Listed above)
L"I CONTRACTOR (On Pg. 1.)
o ASSOCIATED CB# -------------·· D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg.1) o NO CHANGE IN USE/ NO CONSTRUCTION
D MAIL/ FAX TO OTHER: __ --------------____ ------------------------__ o CHANGE OF USE/ NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB122560 Type: MISC
Date lnspE>ction Item
06/03/2013 19 Final Structural
06/03/2013 19 Final Structural
12/12/2012 14 Frame/Steel/Bolting/Weldin
Tuesday, June 04, 2013
REPAIR
Inspector Act
RI
PD AP
PD AP
LIKE FOR LIKE REPAIR OF EXTERI
STAIRS
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