HomeMy WebLinkAbout2739 ARGONAUTA ST; ; CB011821; PermitJ zq
05/21/2001
Job Address:
Permit Type:
Valuation:
Parcel No:
Reference #:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Patio/Deck Permit Permit No:CBO
2739 ARGONAUTA ST CBAD
21 541 00300
PATIO Lot #:
Status: ISSUED
0 Applied: 05/21/2001
$4,425.00 Construction Type: NEW Entered By: MDP
Plan Approved: 05/21/2001
Issued: 05/21/2001
FlFER RESIDENCE
300 SF FREE STANDING PATIO
Inspect Area:
1182 1
Applicant:
HILLS LANDSCAPES INC
140 ENClNlTAS BLVD
760 944-9306
ENClNlTAS CA 92024
Owner:
FlFER SCOTT R&SHANNEN L
2739 ARGONAUTA ST
Total Fees: $101.96 Total Payments To Date: $0.00 Balance Due: $101.96
Building Permit
Add‘l Building Permit Fee
Plan Check
Add‘l Plan Check Fee Strong Motion Fee
Addl Renewal Fee
Renewal Fee
Other Building Fee
Additional Fees
$61.19
$0.00
$39.77
$0.00
$1 .oo
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $1 01.96
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK N0.01 - - !'ax(
I
EST. VAL. ofr y3-5
Plan Ck. Deposit
Validated By -T"-
Date t-/21/ 01
1. PROJECT 1NFDRMATlON
Address linclude BldglSuite 11) Business Name [at this address)
5339 &MWI,fl
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of unite
Arssssor's Parcel t Existing Use Proposed Use
Description of Work SO. FT. ,-p7 #of Stories X of Bedrooms X of Bathrooms
2. CONTACTPERSON Wdffsi4nt hom~ap$ilbantl ,..: , , , ., , .. ., ,. . .. ,, ..
Name
6. CONTRACTOR. COMPANY NAME
[Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to COnStwCt, alter, improve. demolish or repair any StrUCtUre, prior to its
is~uance. 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 Codel 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 1950011.
Address
, , . . . . .
City .. ,
Statelzip Telephone #
, ,, , ,, .,. ,.. ,,.,, , ...,. .,. ,,. . ,. .. ,"
&6L k, Lmw . /dC /#V g?u&/v,m Rut7 #.33- &vc c4 4
&/?ZW mu.
> .>
Name
State License X
Oesigner'NName
State License # 26 o CkZ
6. WORKERS'CDMPENSATION
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, 85 required by Section 3700 of the Labor Code, for the performance Of the work for which this permit is
Insurance Company Policy No. L5-B 5i3Q- 00 Expiration Date 4' -/y" OL
-6 5 ' Address r3-z7 B4~966 License class cI- Z ? City Business License X /Z OW0 ,I
City Ststelzip Telephone
City Statelzip .Telephone 1) 9+?,,i CjJos
Address
,,
My worker's compenSation insurance Carrier and policy number are:
[THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l?jlOO1 OR LESS)
0 CERTIFICATE OF EXEMPTION: I cenify 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 tinea up to one hundred
thousand dollars (5100.0OO1. in addition to the Cost of compensation. damages as provided for in Section 3706 Of the Labor cad% interest and attorney's fees.
SIGNATURE
7. OWNER-BUILDER DECLARATION
1 hereby affirm tha I am exempt from the Contractor's License Law for the following reason:
I, as owner >>the property or my employeeS with wager as their 5018 compensation, will do the work and the StrUCtUre is not intended or offered for sa18
DATE %. . , ,, ,, , , ,,
Business and Professions Code for this reason:
4. I plan to provide portions of the work,& I have hired the following pareon to coordinate. supervise and provide the major work linclude name I address I phone
number I contractors license number):
5. i will provide some of the work. but I have contracted Ihired) the following persons to provide the work indicated lincluds name I address I phone number I type
of work):
PROPERTY OWNER SlGNAT RE
COMPLETE~THIS SECTION @&P,DN-RESKENfiAL EUILDINQ.PEU~ITG'O~Cvi.,i' ;":. ' .,I ~' DATE
,, .
program under Sections Amaunt Act? 0 YES 0 NO
1s the facility 10 be
.., , ,. ,
LENDER'S NAME LENDEWS ADDRESS
9.. APPLICANT CERTIFICATION.
City ordinances and State laws relating to building Construction. 1 hereby authorize repreSentativeS Of the City of Carlsbad to enter upon the above mentioned
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 ell
JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID ClTY IN CONSEOUENCE OF THE GRANTlNG OF THIS PERMIT.
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE ClTY OF CARLSEAD AGAINST ALL LIABILITIES.
OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or COnStlUCtion of Structures over 3 Stories in height.
EXPIRATION: Every perm81 issued by the building Ofticial under the provisians of this Code shall expire by limitation and became null and void if the building or wark
authorlred by such permit is not commenced within 100 days from the dale of Such permit or if the building or work authorized by such permit is suspended or abandaned
at any lime after the work is 0 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE Y-f@- Ly
..
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/09/2001
Permit# CBOI1821
Title: FIFER RESIDENCE
Description: 300 SF FREE STANDING PATIO
Type: PATIO Sub Type:
Job Address: 2739 ARGONAUTA ST
Suite: Lot 0
Location:
APPLICANT HILLS LANDSCAPES INC
Owner: FIFER SCOTT R&SHANNEN L
Remarks:
Inspector Assignment: RCB
Phone: 7606442993
Inspector: fl c 8
Total Time: Requested By: HILLS LANDSCAPE
Entered By: CHRISTINE
CD Description Act Comments
19 Final Structural FlNdl.
Associated PCRs
InsDection History
07/31/2001 19 Final Structural
Date Description Act lnsp Comments
07/10/2001 11 FtgIFoundationlPiers AP RC OKTO POURPIERS
CO RC SEAL UNDERGROUND ELEC CONDUIT TO PREVENT WATER FROM ENTERING
STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION
L
- 01