HomeMy WebLinkAbout2731 PALMETTO DR; ; CB052489; Permit~\\)\<j'r City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-05-2005 Patio/Deck Permit Permit No: CB052489
Job Address:
Permit Type:
Parcel No:
Valuation;
Reference #:
Building Inspection Request Line (760) 602-2725
2731 PALMETTO DR CBAD
PATIO
Lot#: 0 2131800800
$1,120.00 Construction Type: NEW
SEEMAN RES-140 SF PATIO COVER
AS TO BBO,GAS& ELECT TO H20 FEATURE
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
ISSUED
07/05/2005
LSM
07/05/2005
07/05/2005
EINC SEEMAN ROGER B&ROWAN-SEEMAN LESLIE G
Building Permit
Add'\ Building Permit Fee
Plan Check
Add'\ Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Total Fees: $88.74
2731 PALMETTO DR
CARLSBAD CA 92009
$24.69
$20.00
$16.05
$27.00
$1.00
$0.00
$0.00
$0.00
$0.00
$88.74
Total Payments To Date; $0.00 Balance Due: $88.74
1903 07 /05/05 0002 01 02
CGP BB-74
Inspector: Clearance:
NOTICE: Please take NOTICE at 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 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 i n f i h h v r vi n i n N I E 'mil r whi h f lim· i n h r vi I h i
PERMl:T APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Legal Description Lot No. Subdivision Name/Number
FOR OFFICE USE ONLY
PLAN CHECK NO. 08 os;;if6~
EST. VAL. _________ _
Plan Ck. Deposit r-.,..,. ______ _
Validated By·-~~~:1'.=1~:,,_.."'----
Date, ____ ~.:....,l.J..;=!,cl.>L.L----
Unit No. Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
·· ...... ~3~€11-W 'M2 JG"//~
Telephone # Fax
Telephone#
(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
e tin. An I io 7031. any:applica mitsubjectst e;ippticanttoacivilpen tyof th,WJf e2".ndreddollai[$500J).
L,, ( ':ll-C &'I
License Class __ _,(._'7;/L✓-J,-_,_ ___ _
ity State/Zip Y'!SJ?!!.one #
City Business License# f:?J) 3':b51,..,
Designer Name Address City State/Zip Telephone
State License # _________ _
8. : )NOliKERSf:Cl)MPENSATION'
Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which t is ermit is
;[
f the work for which this permit is issued.
d. My worker's comp_ensation insurance carri~d policy number are: ......,!
lnsu,ance Company :i,TJtri1. FUl\l.V Polley No. aooo ::,-3 o-2001) Expl,afon Date (}~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
D 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 C
WARNING: Failure to secur erag is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100, mpen ation, dama es as provided for in Section 3706 of the Lab cod , intaNst and attorney's fees.
DATE -~=-.,-,O=l:,,___ SIGNATURE
1,r·::owrlEII-IIU1tbe
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D 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 C?mpletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
0 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).
D t 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. D YES ONO
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 l have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type
of work): ___________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _
:<;0M~l:E'l'E•'1"Hl$!$ECTiOl'HCi11:fii!l,;I/ESibENTIAL' 81/ILDiNi:lPERMITS'.'QNLY·• : '
1s the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT .
. !Ji< .. : i;'ON$TRUct1C11i WIDINi:l'MtNCY
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,: .. ·Al11'tlCAl'l1'Cl!ll;t1FlC/lTION,
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 Citt 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 buil ing Official under the pro s of this Code shall expire by limitation and become null and void if the building or work
at any time after the work is comme r period of BO 106.4.4 Uniform Building Code). _..,/'
authorized by such permit is not com nc hin 1 BOtys,;,. .. ,t ,b_✓, e of such permit or if the building or work authorized by such permit is uspended or abandoned
APPLICANT'S SIGNATURE ~ , DATE _ _;,c...µC-1~1-'-'-'>-..J'-----
WHITE: File YELLOW: Applicant PINK: Finance
. m City of Carlsbad Bldg Inspection Request
For: 07/07/2005
-
Permit# CB052489
Title: SEEMAN RES· 140 SF PATIO COVER
Description: GAS TO BBQ,GAS& ELECT TO H20 FEATURE
Type: PATIO Sub Type:
Job Address: 2731 PALMETTO DR
Suite: Lot 0
Location:
APPLICANT PRO EARTH LANDSCAPE INC
Inspector Assignment:
Phone: 7606333120
Inspector: L
Owner: SEEMAN ROGER B&ROWAN-SEEMAN LESLIE G
Remarks:
Total Time:
CD Description
-il!~1f-.~U~R>Qdei:ergrtfiiiidJUnder Floor ✓
Act Comment
Requested By: CHRISTINA
Entered By: JANEAN
31 Underground/Conduit-Wiring fs:!2 ___________ _
~bdj'.S A?~~~~~~~-
·-----------------
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments