HomeMy WebLinkAbout2712 LA COSTA AVE; ; CB080659; Permit04-11-2008
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference#:
PC#:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB080659
Building Inspection Request Line (760) 602-2725
2712 LA COSTA AV CBAD
MISC
2162801500
$0.00
Subtype: OTHER
Lot#: 0
GARMAN RES REMOVE SIDING
INSTALL STUCCO/WHOLE HOUSE
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/11/2008.
KG
04/11/2008
04/11/2008
Applicant: Owner:
GARMAN WILLIAM F&MARIL YN D FAMILY REVOCABLE LIVI GARMAN WILLIAM F&MARIL YN D FAMILY REVOCABLE LIVI
2712 LA COSTA AVE
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
2712 LA COSTA AVE
CARLSBAD CA 92009
Total Fees: $130.00 Total Payments To Date: $130.00
Inspector: /11 ~
FINAL APPROV L
Date: Ob o4 oS
Balance Due:
Clearance:
$130.00
$0.00
$0.00
$130.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, c: other exactions hereafter collectively
referred to as "fees/exactions.• You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure win bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f x in f i Tl w i h fli i I i I
City of Carlsbad
1635 Faraday Ave .. Carlsbad, CA 92008
760-602-2717 J 2718/ 2719
Fax: 760-602-8558
Building Permit Application
Plan Check No.
Est. Value
Date
SUITE#/SPACE#/UNIT#
e.. l= b b.J c111.ac.d'I ~=.-.~o~,~UT,N~IT~S--i',.-..,,~o~,~OOffiMWS,----'-j,.~BA""THmR"O~O .. M•s--.,,~,N"'A"N"T"B"'US~,N"'E~S0$•N"AM"'E/-----------,,~CNQUN•srm,:~ccGROUP-
ESCRIPTI0N OFWOR•K:c--~-------~---~---"-----~-----~----------------~-----~----
R£-ivwve, ,L.,/ Ct-0 .
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FlREPlACE AIR CONDITIONING FIRE SPRINKLERS
YES □#_ NOD YES 0 NO □ YES O NO □
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
CONTRACTOR BUS. NAME
,l-ve._ ADDRESS
Zl~~O'b CITY STATE ZIP
PHONE FAX
EMAIL
(IFiCH/5ES1GNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. LIC.#
{Sec. 7011.5 Busineis and Proleuions Cod,: Any City or Counry: whid! requim a permit 10 construct, altt~_[lll'""', dtmolisb or l!P.air any 1~1'_!11_J_Jf!Or ID its issuance, alsq requim t:1:!.,iwt for such permit to file a sipd s11ttmt111 tha1 ht i1 ricen1ed _t11nuant to die priwi1ions of tht Connctor'1 license I.aw _{Chapter 9, commending with Secrion 100!r of Drmion l of tht Blllineu ud rnnmi:ia1 Code} or that he II exempt and the basis ror the aleged tuMplioR. '4ry ,iolation of ~tclion TD)l.5 by any applicant for a permil subjtcts the applianl to a cml penalty of not mart lhaR fiwe h•ndrtd dolan {$500}~
' WORKERS' COMPENSATION
Workers' Compensation Declaratlon: I hereby affirm under penalty of perjiry one of the following declarations:
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 performance of the work for which this permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performc11Ce of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. ______________ Expiration Date _________ _
This section need not be completed if lhe permit is for one hundred dollars ($100) or less. \!I.. 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
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crtmlnal penaHles and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages II provided for in Section 3706 of the labor code, Interest and attorney's fees •
..f!S CONTRACTOR SIGNATURE DATE
, ~~ ~ • 1
OWNER-BUILDER DECLARATION
I hereby affrrm that I am exempt from Contractor's License Law for the following reason:
)C. I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is nol intended or offered for sale {Sec. 7044, Business and Professions Code: The ContractOf's
License Law does not apply lo 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 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 the purpose of sale) .
. □ I, as owner of the property, am exclusively contracting with licensed conlraclors 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).
□ I am exempl under Section ____ Business and Professions Code for this reason:
1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have/ have not) signed an application fOf a building permit for the proposed work.
3. I have con Ir acted wi!h the following
4. I plan to provide portions of the wo , on to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number)
s lo provide the work indicated (include name I address I phone/ type of work):
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 conll'ol district Of air quality management district? □ Yes □ No
Is the facilily lo be constructed within 1,000 feel 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 APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (i) C1v11 Code)
Lender's Name Lender's Address
1'"Ar>PLICANT CERTIFICATION
I certify that I haw read the application and state that the allow Information Is oonectand that the information on the plans Is aa:urate. I agree to c:omplywlth all City ordinances and Stat.a laws relating to bulldlng construction.
I hereby aulhorize represeolaliYe of lhe City of C loenler upon lhe-. menooned property for nspeclon purposes. I ALSO AGREE TO SAVE, INDEftNIFY AND KEEP HAR"'-ESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGIJENTS, CO D EXPENSES lMllCH WI WAY CRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pem;t is ,equred for excav•aliolls cwl!rS llld demoloon ruclu,es over 3 sllllies 11 height
EXPIRATION: Eve!)' pennl issued by 11e Buie!' · ons o1 by lmlalion nul and void l lhe bu~119 c,wak au1horized by such pem;t is not convnenced IMlhn
80 days Imm lhe dale of such pem;t or I buid' line allerlhe"""' ii corimenced a ol 180 days (Secllon 1116.4.4 Uniform Buid119 Code) .
..f!S APPLICANT'S SIGNATUR ---'.I "'tT DATE '-/ { { 0 (j
' m .
City of Carlsbad Bldg Inspection Request
For 06/03/2008 . .
Permit# CB080659 Inspector Assignment: PD
Title: GARMAN RES REMOVE SIDING
Description: INSTALL STUCCO/WHOLE HOUSE
Type:MISC Sub Type: OTHER
Job Address:
Suite:
Location:
2712 LA COSTA AV
Lot: 0
APPLICANT GARMAN WILLIAM F&MARIL YN D FAMILY REVOCABLE LIVI
Owner: GARMAN WILLIAM F&MARIL YN D FAMILY REVOCABLE LIVI
Remarks:
Total Time: Requested By: SON
---
Entered By: CHRISTINE
CD Description
18
19
Exterior Lath/Drywall
Final Structural
Act Comments
~-----------------_A:::'. ___________ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
04/22/2008 18 Exterior Lath/Drywall
Act lnsp Comments
AP PD