HomeMy WebLinkAbout2632 OBELISCO PL; ; CB112052; Permit09-22-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB112052
Building Inspection Request Line (760) 602-2725
Job Address;
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
2632 OBELISCO PL CBAD
MISC
2154602500
$2,958.00
Subtype:
Lot #:
REPAIR
0
JEVREMOV RES - REPLACE STAIRS
EXTERIOR - DUE TO WOOD ROT
Status: ISSUED
Applied: 09/22/2011
Entered By:
Plan Approved:
RMA
09/22/2011
Issued: 09/22/2011
Inspect Area:
Applicant:
ANDY OLAS
Owner:
JEVREMOV DUSHAN&MARIA
872 DEL VALLE DR 92028
760 521-1741
2632 OBELISCO PL
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $101.00
$0.00
$0.00
$101.00
Total Fees:$101.00 Total Payments To Date:$101.00 Balance Due:$0.00
PERMIT HAS EXPIRFO
SECTION 106 4.4 AS AMEH
DAT^.
PE V
DANCE wrrp o Pi c
.C.l8.o-:--.:in
Inspector:
FINAL APPROVAL
Date: O?/Clearance:
NOTICE: Please lake NOTICE thai approval of your project includes the "Impositton" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as lees/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 fonh in Government Code Section 660^(a), and file the protest and any other required information with the City Manager for
processing in accordance with Cailsbad 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 theii imposition.
You are hereby FURTHER NCTIFiED that your right to protest the specified fees/exactions DCES NCT 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 vou have oieviouslv been oiven a NOTICE similar to this, or as to which the slatute of limitations has oreviouslv otherwise expired.
«%
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, OA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carisbadca.eov
P an Check No.
Est. Value
Plan Ck. Deposit
SWPP
JOB ADDRESS
ZG'bT-
CT/PROJEa n
SUnE«/SPACE(f/DNn»- ■ftws- Ty - Oo
670 # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE t OCC. GROUP
DESCRIPTION OF WORK: Jftc/ude Square Feet ofAffecteif Arears}\'=\Ci •S> |^g-(SUlV..O of-
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YESD # N0|^
AIR CONDITIONING
YES □ NO^
FIRE SPRINKLERS
YES □ NC
APPUCANT NA:MME (Primary Contact)APPLIC^ ^ME^^ontfa^^n^^tl^
TIkiX dP <=^^14 ?2 D^j \/rx(fc OrCITY 7^ / STATE .CITY ^ r, , STATE ZIP -Nfalf Cn- 3:2^2^2PHONE LI fa5FAX
' EMAIt 26^m-nHi
CONTRACTOe SURNAME ^ /
ADDRESSrcc o6eu\sc<i r
crTY r^AP STATE dA.ZIP
PHONE FAX
irasr
WfjjTy CITY BUS. Lie#ARCM/DESIGNER NAME & AOD^
^ ).g^<ave.3 aJ-»
om«t ciu. nC.-'S13>-1
(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 issu»c/ also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJ^Chapter 9, commending with Secticm 7000 of Division 3 cBusiness and Professions Code) or that 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 acivil penalty of not more than five hundred dollars ($500J).
WORK E R Si COMPENSATION
Workers' Compensstlofi Oedaratlon: I hereby affirm underpenally ofpenury one of the fi^lowing declarations:
O I have and will maintain a certificate of consmt to seif-insure for workers' compensation as provided by Section 3700of the Labor Code, for the peiformarKx of the work for which this pennit is issued.
O I have and will maintain worky^^ompeqsatloi), as requjmdyby Sectioi^3700 of the Labor Code, for the perform^e.Qf bMNork for whlch^i^rmll is Issued. My workers' compensatioi^surance carrier and policynumber are: Insurance Co. Foiicy No. o ^ M Expration Date
This section need not be completed If the permit is for one hundred dollars ($100) or less□ Certificate of Exemption: I certify that m 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 nnployer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damaw as provided for In Section 3705 of the Lalior code. Interest and attorney's fees.
je^ CONTRACTOR SIGNATURE □AGENT
OWNCR-aUIL O
I hereby affirm that i am exempt from Contractor's License Law for the followng 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'sLicense Law does not sp^ to ^ owner of property who builds or Improves thereon, and who does such work himself or througti his own em|A)yees, provided that such Improvements are not intended or offered for
sale, if, however, the building or improvement is sold within one yes 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 exciustvely contracting with licensed contractors to construct the project (Sec. 7044, Business and PrcifesslQr:s Code: The Contractor's License Law does not apply to an owner ofproperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to ffte Contractor's License Law).
□ 1 am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the labor and materials for construction of the proposed property Improvement. □ Yes □ No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 tiave contracted with the following person (firm) to provide the proposed construcliof: (include name address/(^xme/contractors' license number):
4.1 plan to (xovide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work [include n^e/address/phone/contractors' license number):
5.1 will provide some of the work, but i have contracted (hired) the following persons to provide ffe work indicaled (Include name t address / phone / type of work):
yCTPROPERTY OWNER SIGNATURE □agent date
COMPLETE THIS SECTION FOR N O N - R E S I O E N T I A L 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 Ihe
Presley-Tanner Hazardous Substance Account Act? □ Yes □ NoIs the applicant or future building occupant required to obtain a permit from fhe air pollution control district or air quality management district? □ Yes □ NoIs the facility to be constructed within f ,000 feet of fhe outer boundary of a school site? □ Yes O No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby afftrm that there Is a construiftion lending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I cetti^ that I have read the application and state thatthe above Mbimation Is correct and that the infotmation on the plans is accuiate. I agree to comply with all City ordinances and State laws relating to bunding construction.
I hereby authorize lepiesentative of the City of Carlsbad to enter upon the above mentbned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA An OSHA pennit is required for excavations over 5'0' dg^ and demolition or constniction of stnxAjres over 3 stories in height.EXPIRATION: Every permit issued by the gilding OffipiaktJnMnthe provisions of this Code shall expire by Smllatbn and become nul and void if the building or work authorized by such pemtit is not commenced within180 days ttom the date of such perrjCor Iflfebulldiifg or ^rk ^thorized by such pemnit Is suspended or abandoned at any flnte after the work Is commenced for a perk^ of 180 days (Section 106.4.4 Unifonn Building Code).
vSTaPPUCANT'S SIGNATURE
City of Carlsbad BIdg Inspection Request
For: 03/09/2012
Permit# fCBi 12052J
Title: JEVREMOV RES - REPLACE STAIRS
Description: EXTERIOR - DUE TO WOOD ROT
Inspector Assignment: MO
2632 OBELISCO PL
Lot:
Type:MISC Sub Type: REPAIR
Job Address:
Suite:
Location:
APPLICANT ANDYOLAS
Owner: JEVREMOV DUSHAN&MARIA
Remarks:
Phone: 7605211741
inspector:
Total Time:
CD Description
19 Final Structural
Requested By: ANDY
Entered By: JANEAN
Act Comments
^ 4-iM> gAJL ^4-
-feg- -fUi-AJl
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
02/08/2012 19 Final Structural CO MC NO ACCESS
10/03/2011 14 Frame/Steel/Bolting/Weiding AP PY
10/03/2011 19 Final Structural WC PY
09/27/2011 19 Final Structural CO MC NOT PER PLAN. SEE CARD