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HomeMy WebLinkAbout2726 CHESTNUT AVE; ; CB012538; Permit07-31-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No:CB012538 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2726 CHESTNUT AV CBAD PATIO 1673921100 Lot#: $3,441.00 Construction Type: 0 NEW ETHERTON RES/(1) 252SF ATTACH. COVERED, (1)@192 SF ATTACHED OPEN LAT. Status: ISSUED Applied: 07/31/2001 Entered By: CB Plan Approved: 07/31/2001 Inspect Applicant: •WALSH RENOVATIONS INC. 1163 NASH LANE VISTA CA 92083 760-724-3832 Owner: ETHERTON DAVID&TAMERI T 2726 CHESTNUT AVE CARLSBAD CA 92008 01 02 CGP 89-26 Total Fees:$89.26 Total Payments To Date:$0.00 Balance Due: $89.26 Building Permit , Add'l Building Permit Fee Plan Check ! \ Add'l Plan Check Fee Strong Motion Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees \ ,, TOTAL PERMIT FEES $53.49 ' ; $0.00' $1.00 $0.00 $0.00 $0.00 $0.00 $89.26) Inspector: ' FINAL APPROVAL Date:Clearance: 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 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 capactiy 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CiTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION' FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total tt of units Assessor's Parcel #Existing Use Proposed Use Description of Work 2. CONTACT PERSON (if different from a] Name =3. APPLICANT Address Contractor CJ, Agent for Contractor I Owner D Agent for Owner City State/Zip Telephone tt Name Address City State/Zip Telephone tt 5. CONTRACTOR - COMPANY NAME , , (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 of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business 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 a civil penalty of not more than five hundred dollars [$500]). Name ! ' State License # D ~"?3 5^2-2,5 Address License Class B City State/Zip City Business License tt "" Telephone # Designer Name State License tt Address .City State/Zip Telephone 6. WORKERS'COMPENSATION , > ... *..,',., ..,..- Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 fthe work for which this permit is issued. • \Sj 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 worker's compensation insurance carrier and policy number are: s^? s\/-)£± /^. — Insurance Company P(GJ^3^f>TfM^(jl^ }vt> /rM*J >F-S IflSf Policy No.f \fJ 7 7 \Q 3 I IW Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS /OR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION . I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 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). O 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). n 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. l~1 YES I~|NO 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 number / 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 / phone number / 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 / address / phone number / type > of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR/VC3W-/?£S/D£/V77/4i 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? O YES d] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary, of a school site? Q YES (U 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. 8. CONSTRUCTION LENDING AGENCY , ,V , ' - '" I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ; LENDER'S ADDRESS . 9. APPUCANiCERTIfiCATION , ' I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above 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: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is corpnwfiCBd for a peiiiee^pf 180 .days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE 7/\ 'fy? J^' l/L/* ' DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/22/2001 Permit# CB012538 Title: ETHERTON RES/(1) 252SF ATTACH. Description: COVERED, (1)@192 SF ATTACHED OPEN LAT. Inspector Assignment: RGB 2726 CHESTNUT AV Lot 0 Type: PATIO Sub Type: Job Address: Suite: Location: APPLICANT WALSH RENOVATIONS INC. Owner: ETHERTON DAVID&TAMERI T Remarks: Phone: 7608018010 Inspector: Total Time: CD Description 19 Final Structural Act Comments Requested By: PHILLIP Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 08/17/2001 15Roof/Reroof AP RC OK TO COVER 08/02/2001 11 Ftg/Foundation/Piers AP RC OKTOPOURFTGS 08/01/2001 1 1 Ftg/Foundation/Piers CO RC SEE ATTACHED NOTICE i City of Carlsbad Bldg Inspection Request For: 08/01/2001 Permit# CB012538 Title: ETHERTON RES/(1) 252SF ATTACH. Description: COVERED, (1)@192 SF ATTACHED OPEN LAT. Inspector Assignment: /) C& 2726 CHESTNUT AV Lot 0 Type: PATIO Sub Type: Job Address: Suite: Location: APPLICANT WALSH RENOVATIONS INC. Owner: ETHERTON DAVID&TAMERI T Remarks: Phone: 7608018010 CELL PH Inspector: i Total Time: CD Description 11 Ftg/Foundation/Piers Act Comments Co See Requested By: PHILLIP Entered By: BARBARA Associated PCRs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION 3*22(0 PERMIT NO. (760) 602-2700 1635 FARADAY AVENUE TIME -*$ ^A 5:JFOR INSPECTIONALL (760) 602-2725:JRE-INSPECTION FEE DUE? FORJUR/HER INFORMATION, CONTACT ? I _ I YES BUILDING INSPECTOR CODE ENFORCEMENT OFFICER PLANNING DEPARTMENT APPROVAL r i ta a * 4„ v> H - Of &1 AGOB0- CERTIFICATE OF LIABILITY if WlOtWCiR' FRO Xaiiuras.e« Broker*, 6130-5 tonaridga- «all-Rd PI ••Milton CA 94588 PHon«» 92S-4«0-6222 Vaj INSURED THIS CEP Tl ONLY AND Ina. HOLOKR.T r^#100 ALTERTMS tlSURANCaiyg^s "jy^Toi IX1NFSRS NO RSOHT8 UPON THE CERTIFICATE HIS CERTIFICATE OO6S NOT AMEND, EXTDID OR i COVERAGE AFFORDED BY T« POLICIES BELOW, e»92S-4«0-S484 INSURERS APFOROWO COVBRACi tfalah R«navatloaa> Inc.pRJlIij Iff 3 Sash tan*Viata CJt 92089 INSURER A ;>«captaixc« Indaanlty Ins. Co. INSURERS: MSURCRC: . . INSURERD: IMSURKRE: . : ••.,,,'.- \ • : COVERAGES . -.••--•. . • ; •'•'.• . : TTH AM Ut PCw A ePOUaE80nN3VRWCeL'8nmMl^HAVEBQW»WU£0TOT^NB^^ . (YRKlJlREIIIBfr.TBttORCaNOnTeWOFAKyWNTF^ W PWTAW,1ME WSURAHCG APFOWJSO BY THE POLICIES 06SCW869 HERBN 1$ SOBJ6CT TO ALl Tl« TBMI. EXCLUSIONS AND CONDmWJS OF SUCH JUClfS. AaOREeATEUWT3«HOWM MAY HAVE WEN REDUCED 8Y P.MC CLAIMS. TTPBOFWauRAWOe — ORALUABUTY COMMERCIAL OCNERAL UfSIUTY [ctAIMBMAOE [~j OCCUR OEN-L AOOREaATE UMtT APPISS PER: ^npoucYJ |§§f ! ILOC w OA OMMLGUAMUTY AHYAUTO ALtOVWOaAUTOS SCHEDULS) AUTOS HHUffl AUT08 M0BUAMUTY BXCBSSUAWLITY "~1 OCCUR | CLAIMS MADE ""loBpucratE ~|i«nwT»M * tNORKBMCOamMA-nOM AND CTOER POLICY NUMJEf. PW99983976 ^W3W* 01/12/0:. •M^iw?r 01/12/02 L«TS EACH OCCURRENCE FIRE DAMAGE (Aflyonoflre) MB3EXP<Aiiyon«p««ui) PSHSONAL4ADVWJURY aeewLAooRSQATC PRODUCTS. COMKDPA6G HHMgsm.ian BODLYNIURY BOOILVtUURY PROPBWVCAMAOe (ParaBCldwt) AUTO ONLY • EA ACCeENT BTHpUJUU. e*ACC AUTOMY: ^ EACHOCCLHWENCE A8CRK3ATE * I TORY jwrsl 1 en EL. EACH ACCIDENT El. DISEASE - EA EMPLOYEE! EX. OI3EASG - POLICY UMTT S « S 9 S , ; , i * * I s « S *1 f 1 S S . S 1000000 91000000 S 1000000 WSCWTION OP OTWT)ONIMjOa»TKW#VW»a.eWB<Cl.uaOI«3 AO02I 1 B" ENOORMMBNT/SPfflaALPfWVfiWW All California locatioaa and op«ratienu.Lic«iisa#738233. Cancellation for non payment of praiun la tan (10) days. CERTIFICATE HOLDER 1 K ' AaomoHAL moMC,- INSURER trrrER: CANCELLATION CONTRA Contractorn Stata Iiieaasa Brd Dapt. of Con*m«z Affair a f. 0. Box 25000 Sacramaoto C& 95826 i c SHOULOMn OF TMEABOVE D€SCW»K>POUC«a Bf CAKCeLUD BEKHtt THCEXPWATtON IWTETHERE3F, THE ffiStffilOWSURIRWia ENDEAVOR TO MAIL 30 PAYSUffltTTEh HOHCETOTHB lERTiFIOATlHOLOatHAMCBTOTHE LOTT.BUT MLURBTODO WSKAU. IWOSE NO C«t, CATION QR UAOILTTY Of ANY KINO UPON THB INSURER, in AOBNT8 OR REPRBSCHTuTR'ES. ^itw/ZZb — ^ AGOK>g9#(7a7) 'H- *S ®ACQRD CORPORATION 1W