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Home My WebLink About2779 SOUTHAMPTON RD; ; CB162713; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-12-2016 Permit No: CB162713 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2779 SOUTHAMPTON RD CBAD PME Status: Parcel No: 2081401900 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: OKAMURA RES-369 SF PATIO COVER ALUMINUM-WITH ELECTRIC FOR FAN RIVER ROCK OUTSCAPE 1490 WARMLANDS AVE VISTA CA 92084-3622 760-716-1002 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: OKAMURA FAMILY TRUST 06-26-89 2779 SOUTHAMPTON RD CARLSBAD CA 92010 ISSUED 07/13/2016 RMA 07/13/2016 07/13/2016 AK $0.00 $163.00 $0.00 $38.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: ~ Clearance: $0.00 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. ' THE FOLLOWING-APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OF IRE OHEALTH 0HAZMAT/APCD (city of Building Permit Application Plan Check No. ()A!h:< 7 )~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Lf[J/Z / '-../ Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. pepo;!t email: building@carlsbadca.gov IR4-www.carlsbadca.gov Date 7//J//L lswPPP JOB ADDRESS SUITE#/SPACE#/UNIT#" ?:=;.=tq s~ .... -Ht o.""pf-o,., {2-J • ~~og .. I L( o -I~ -oo CT/PROJECT # rOT# I PHASE# I # OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~r\ A 1 v "-1 . ./'1 J ..-..., ;:>o he ( () _-~.,(_...-a,.,d erer~.,c;( /;,r- J/? q·m ' EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE ·lAIR CONDITIONING I FIRE SPRINKLERS sf 1'-5 -F" (<:... YEs[Jtt_ NoD YEsONoD YESONoD APPLICANT NAME ""13{ O.v\l"o Gc-rC ; o.. PROPERTY~NER Primary Contact ~b./~ J--fV\ 9·.,.. ~· ·-""""" e 0 \.L.c:A ........ <f ,..... "' ADDRESS ADDRESS \2~. 1'-1~0 w·<-rA-. ( "'-'""' A.'S ,1\v <?: .. 11-fq So J ~o:..."'-'f't"•r-. CITY v.~h... STATE ZIP CITY STATE ZIP CA 'i z. t-<f" '1 (,-,'-5>b,~ CA 4"2.. C> /0 P~NE ";f~o) 1 ((:, -~~'11 I FAX PHONE ~S5J7) 1-27..-?s-.Jo rAX EMAIL EMAIL '( ,' v e,.r( 0 CAL o J r\-') C.c-...p(!. e ...., 0-koo. ( 0 1"\.--, DESIGN PROFESSIONAL CONTRACTOR BUS. NAME~ I 1/f?f 12oc~ Ou f-S c o.pe. ADDRESS ADDRESS JY '1 o W c-r"-lo--"'d.s Avq - CITY STATE ZIP CITY v,~st-o... STATE ZIP CA-'12D3~ PHONE I FAX PHONE ("1-b-o) ZiG-Y b '11 I FAX EMAIL EMAIL ~ C2 ':l "'·"'6 0. y-. Vi.f(O ~ovk-) Co,.-,...., I STATE LIC. # STATE LIC.# I CLASS ~~~ciA? J 81 llf<J '~ {-Z.::"t Sec. 7031.5 Business and Professions Code: An Ci or Coun which re uires a ermit to construct, alter, im rove, demolish or re air an structure, rior to its issuance, alscHequirerlhe ( ycy cy q p p p y p 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 bas1s for the alleged exempt1on. Any v1olat1on of Section 7031.5 by any applicant for a perm1t subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). 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 of the work for which this permit is issued. St''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 workers' compensation insurance carrier and policy number are: Insurance Co. S C :! !==" Policy No. '11 "2--;r 0 b 0 Expiration Date '2/2 S" / ( :::,.. This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 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 of the Labor code, interest and attorney's fees. ~CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D 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 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 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 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. DYes 0No 2. I (have I 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 I phone I 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 I address I phone I 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 I address I phone I type of work): ~PROPERTY OWNER SIGNATURE 0AGENT DATE I certify that I have read the application and state that the above information is oorrect and that the information on the plans is accurate. I agree to oomply with all City ordinances and State law.> relating to building oonstruction. I hereby authorize representative of the City 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 penn~ 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 buiiding or mrk authorized by such permit is not commenced Vvithin 180days rrom the date of such permit or if the buikiing ormrk authorized by such permit· suspended or abandoned at any time after the mrk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,N$ APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. FAX DELIVERY OP110NS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) ZIP MAIL/ FAX TO OTHER:----------------- A$ APPLICANT'S SIGNATURE (Office Use Only) ATE CA o ASSOCIATED CB#·------------ o NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE Inspection List CB162713 PME OKAMURA RES-369 SF PATIO COVER Date Inspection Item Inspector Act Comments ALUMINUM-WITH ELECTRIC FOR FAN Permit#: Type: 11 Ftg/Foundation/Piers AEK AP07/14/2016 Thursday, January 05, 2017 Page 1 of 1 PERMIT INSPECTION HISTORY REPORT (CB162713) BLDG-Residential 07/13/2016Application Date:Permit Type:Owner:TRUST OKAMURA FAMILY TRUST 06-26-89 Subdivision:P/M/E 07/13/2016Work Class:Issue Date: 2779 Southampton Rd Carlsbad, CA 92008 Address:01/10/2017Expiration Date:Status: IVR Number: 715759 Closed - Finaled Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 12/29/2016 12/29/2016 BLDG-Final Inspection 007553-2016 Passed Andy Krogh Complete COMMENTS PassedChecklist Item BLDG-Structural Final Yes BLDG-Electrical Final Yes December 29, 2016 Page 1 of 1