HomeMy WebLinkAbout2726 MORNING GLORY LN; ; CB040165; PermitCity of -Carlsbad,
\ 1635 Faraday Av Carlsbad, CA 92008
01-14-2004 Patio/Deck Permit Permit No: CB040165
Building Inspection Request Line (760) 602-2725
Job Address: 2726 MORNING GLORY LN CBAD
Permit Type: PATIO
Parcel No: 1561203400 Lot #: 0
Valuation: $1,411.00 Construction Type: NEW
Reference #:
Project Title: FUKUDA RES 182 SF PATIO COVER
PER CITY SPECS
Status: ISSUED
Applied: 01/14/2004
Entered By: SB
Plan Approved: 01/14/2004
Issued: 01/14/2004
Inspect Area:
Plan Check#:
Owner:
—'FUKUDA LANE
2726M0RN1NG GLORY LN
7 ( V CARLSBADCA92008
/ I /
Building Permit / •. $29.73
Add'l Building Permit Fee . $0.00,
Plan Check J / ;::? ' '$19.32
Add'l Plan Check Fee •. - $0.00
Strong Motion Fee / . $1.00
Renewal Fee
_ _
- \
AddlRenewal Fee j / '-_ - $0.00
Other Building Fee / '\ " ./$0.00
Additional Fees / ,- It • $0.00
TOTAL PERMIT FEES I $5005
I t.jtij._ • .lI;l/~/ £' / (?4' / Total Fees: $50.05 Total Payments;ToDate: Lj ' $0.00 r,Balance Due: : $50.05
- \ -. '- \.\ 1 4' - /
\ / 1
1NCORPORTD
If 9052
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3006 01/14/04 0002 01 02
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ANAL APPROVAL
DAT?(r(o_CLEARANCE
SIGNATURE______________________
Applicant:
FUKUDA LANE
2726 MORNING GLORY LN
CARLSBAD CA 92008
50-05
PERMIf APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635
FOR OFFICE USE, ONLY
PLAN CHECK NO. £C4 of
EST.VAL.
Plan Ck. Deposit
Address (include Bldg/Suite #) - Business Name (at this address) - Pm00093 A14 10 dv4 cøooY.,
Legal Description - Lot No. Subdivision Name/Number -- Unit No. - - Phase No. Total # of units
-
Assessor's Parcel // E.sting Use Proposed Use
nO Co'J- _Gt —
Description of Work - . - - - -
- a: - -
SO. FT. #of Stories .--- # of Bedrooms - # of Bathrooms
Name - - ---Address - City State/Zip. Telephone # - Fax #
Name . Address - - - . City State/Zip Telephone #
Name Address City State/Zip Telephone #
L55 .Co! C1PRJ 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 ($5001).
LVM Name , - Address • . . City . State/Zip Telephone #
State License # '. . License Class - City Business License #
Designer Name . -. . Address City State/Zip Telephone
State License #
,:T W0R1KERq!LQQMPENSATION -.
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
of the work for which this permit is issued. •. , -
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:
Insurance Company - Policy No. - Expiration Date . -.
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) - -
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 ($190,000). ddition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE e4kL. 2- - . . - - DATE
reby affirm that I am exempt from the Contractor's License Law for the following reason: -
R 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).
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 doeé 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 exempt under Section _______________ Business and Professions Code for this reason: -
I personally plan to provide the major labor and materials for construction of the proposed property improvement. L 'YES ONO
1
9ave Dho signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license number):
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): A.f/',*4
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): . A&A . . . . . . ' .
PROPERTY OWNER SIGNATURE
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? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a Permit from the air pollution control district o"r air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. -
1a7 oNsTRUdti6t4,'LtNbiNG7AGEicy."77. NO ,. . ...
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_______________________________________________________
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 Citi 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 iequired for excavatidn 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 comme,ced for a p9d of 180 days (Section 106.4.4 Uniform Building Code). -
APPLICANT'S SlGNATUREf4(.. ' . DATE
- f - WHITE: File YELLOW: Applicant - PINK: Finance - . .
WON City of Carlsbad Bldg Inspection Request
For: 04/08/2004
Permit# CB040165 Inspector Assignment: JM
Title: FUKUDA RES 182 SF PATIO COVER
Description: PER CITY SPECS
Type: PATIO Sub Type:
Phone: 7605356921
Job Address: 2726 MORNING GLORY LN
Suite: Lot 0
Location:
APPLICANT FUKUDA LANE
Owner: FUKUDA LANE
Remarks: OR 730-9990
Total Time: Requested By: LANE
Entered By: CHRISTINE
CD • Description • Comment •
19 Final Structural •
Associated PCRs/CVs
Inspection History •
Date Description Act Insp Comments
01/16/2004 11 Ftg/Foundation/Piers CO JM T STRAPS @ POST TO BEAM