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Home My WebLink About2616 LA GOLONDRINA ST; ; CB152499; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-05-2015 Patio/Deck Permit Permit No: CB152499 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2616 LA GOLONDRINA ST CBAD PATIO 2155620500 Lot#: 0 $2,296.00 Construction Type: NEW Project Title: HUDSON RES -200 SF ALUM PATIO COVER PER ICC EVAL 1801 Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: PACIFIC PATIO INC HUDSON 1997 TRUST 03-08-97 1435 N CUYAMACA ST EL CAJON CA 92020-1508 619-561-9303 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 2616 LA GOLONDRINA ST CARLSBAD CA 92009 ISSUED 08/05/2015 SLE 08/05/2015 08/05/2015 $52.45 $0.00 $36.72 $0.00 $1.00 $1.00 $0.00 $0.00 $0.00 $0.00 $91.17 Total Fees: $91.17 Total Payments To Date: $91.17 Balance Due: Inspector: FINAL APPROVAL Date: /O -J) · /J Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or otrer 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 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 app!ication processing or seivice fees in connection with this project. NOR DOES IT APPLY to any fees/ xactions of wh·ch ou have reviousl been iv n a NOTICE similar to this or as to which the statute of limita ions has reviousl otherwi e e ired. THE FOLLOWING Af>PROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING , □BUILDING □FIRE □HEALTH 0HAZMAT/APCO Ccityof Carlsbad JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNITf # BEDROOMS # BATHROOMS DESCRIP'TION OF WORK: Include Square Feet of Affected Area(s) \O't--)...D' A-\v-1"'\1<\'--"YV'\ Q o.-\-n ~ \/"IA -·tn,\.o...t\-c.. c\.. Plan Check No. Est. Value -oo OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING NcCJ YES □No □ FIRE SPRINKLERS YES□No□ APPLICANT NAME PROPERTY OWNER ~ .Joe.: FAX DESIGN PROFESSIONAL Pt c..:r; ~ .:c-('. I ici-r:::c-o ADDRESS Cu \J Vr\\A cA-5T CITY STATE ZIP STcJ!\ Zl~'li)2_L) PHONE FAX FAX EMAIL STATE UC.# CLASS (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair any_ structure, p_rior to its issuance, also requires the applicant for such per_mit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License law /Chapter 9, comme_nding with Section 7000 of Division 3 of the Business and Professt0ns Code) or that he is exemP.t therefrom, and the basis for the alleged exemption. Any v10lat1on 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: I hereby affirm under penalty of petjury one of the following declarations: \QI 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. ¥:f I have and will maintain workers' compensation, as reQuired bv Section 3700 of the ~Code, for the performance of the work for whic1tbij oermit is iss . My workers' compensation i~ura~ce carrier and policy numbe1 are lnsuiance Co f;,v E:,!?f.St V\):f\-r:t:c l'\Ji\; I co . .,,,,, No. 0 D O .::> D &pliafon Date 'o 311,Q ~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 pertormance of the work for which thts permit is issued, I shall not employ any person in any manner so as to become subJeci to the Worl!;ers' 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 compe d mag as provided for In Section 3706 of the Labor code, Interest and attorney's fees. AS CONTRACTOR SIONA 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 al'\d the structure is not intended or offered for sale (Sec. 7044, Business ar.d 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 himself or through his own employees, provided that such improvements are ool 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 l'\Ot 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 Professiol'\s Code: The Contractor's License Law does not apply to an owr.er of 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 ar.d Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 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 the proposed construction (include 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 / 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/ phol'\e / type of work): ~ PROPERTY OWNER SIGNATURE 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 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 cootrol district or air QUality management district? Yes No Is the f<Dlily 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 APPi.i CANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. C O N S TR U C TIO N L E N D I N G A G E N.C V I hereby affirm that there 1s a construction lendmg agency for the perfonnance of the work this pemut 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 lnbrmation Is oonect and that the information on the plans is accurate. I agiee ID c:omplyd all Clly oldlnances and State laws relating ID buHdng oonslruction. I hereby aulhorize representative of the City of Cartsbad to enter UJ'.Xll'l the at:ove menooned property tlr ins~n pu~. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LJAfllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA pe,rnlt is requred br exc:avationsover 5'0' deep and demolltbn or c:oostruction of structures over 3 stories in hei;Jht. EXPIRATION: Every l):!rmit issued by the Buikling Offcial under the provisions of this Cooe shall expire by lfTlitation and t:8::ome null and vok:l if the buikling or Y.Ol'k authorized by such pe,rnlt is not commenced Wthin 180 days from the da~ of slrll pe,rnlt or if the buikli',g or r1c authoozed udl l):!rmlt is suspended or abanooned at anytime after the v.ofk is commenced for a l):!riod of 180 days (Sedicm 106.4.4 Uniform Buikling Cooe) DATE --s--1 ~ 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 fonn 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 OPllONS 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: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATEDCB#------------- NO CHANGE IN USE/ NO CONSmUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB152499 Type: PATIO Date Inspection Item 10/26/2015 19 Final Structural 10/26/2015 19 Final Structural 10/22/2015 14 Frame/Steel/Bolting/Weldin 10/22/2015 14 Frame/Steel/Bolting/Weldin Tuesday, October 27, 2015 Inspector Act RI PD AP RI PD AP HUDSON RES -200 SF ALUM PATIO COVER PER ICC EVAL 1801 Comments ledger Page 1 of 1