HomeMy WebLinkAbout1738 PIPIT CT; ; CB990498; PermitCity of Carlsbad
02/04/1999 Patio/Deck Permit Permit No:CB990498
Building Inspection Request Line (760) 438-3101
Job Address: 1738 PIPIT CT CBAD
PATIO Permit Type:
Parcel No: 215881~ .JS' 1~ Lot#: 0
Valuation: $2,755.00 Construction Type: VN
Reference #:
Project Title: PATIO COVER
Applicant:
Z TKIROSKI
1281 PALMA VISTA CT
ESCONDIDO CA 92025
760-7 41-9763
Total Fees: $87.34
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
TOTAL PERMIT FEES
Inspector:
Owner:
FINAL APPROVAL
J.f-~-n Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/04/1999
MDP
02/04/1999
02/04/1999
IFIC HOUSING-POINSETT
G INC
LE #107
.79 0001 ()J..
C-· ,:rn,ff
$87.34
$87.34
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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise excired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
j '·
PERMIT APPLICATION
FOR OFFICE USE ON~
PLAN CHECK NO. Ll_ · 1/9 (3
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Paltnas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date ______________ _
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
# of Bedrooms # of Bathrooms
Of
Name Address . City .State/Zip
4.. PRO'iJERfv 0
City S.tete/Zip
(Sec. 7031.6 Business and Professions Code: Any City or County which requires• permit to construct, alter, improve, demolish or repair any structure, prior to its
issuence, also requires the applicant for such permit· to file , signed statement that he ia licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of DivisiI:,n 3 of the Business and Professions Code) or that he Is exempt therefrom, end the basis for the alleged
exemption. Any violation of Section 7031 . 5 by any applicant for 1\-Jl,ermit subject, the applicant to a civil penalt of not more than five hundred dollars I$ 00)). l'l '2 2 _,-. z,~ t -~ " __,. ·o, 11 a 1.D'Z. 'S 7 o 7 /-7 7~...,
Address City State/Zip Telephon # ·Name .
State License # .. , __ ~ __ /_2o __ 3_1 __ License Class _ _.J? .... -.... J,.._ ____ _ City Business License I _______ _
Designer Name Address City State/Zip Telephone
State License I __ ..:.,_ ______ _
re. WORKERS" COMPENSATION .,
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will miintain a certificate ol 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 ~ill maintain workers' compensation, ■s requi~ed by Section 3700 of the Labor Code, for the performance of the work for which this permit is
~d. My worker's com11ensati insurance carrier a policy number are: .
· Insurance Company 1 t , · Polfcy No. · Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE MIT IS FOR ONE HUNDRED DOLLARS 1•1001 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 eny manner so as
to become subject to the Workers' Compensation Laws of California. · ·
WARNING: Failure to aecure worker■' compen■atlon coveng■ la unlawful, and ■haft 1ubJ1ct Ml employ• to crlmlnel penalties and clvll flnu up to one hundred
thouaand dollar■ 1•100,0001. In addition to the coat of compensation, damage■ u provided for In Sactlon 3708 of the Labor code, Interest and attorney'■ fee■.
SIGNATURE.~~rniiioii~~mci=~~~:c~~5~~~:i~~ii~~mB~fil~ DATE 7. _OWNEA;isilllDER'DEC1'1RATION~~-.. '~" -. .. , ~ ... ':I' . •
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees wrth wages as thair 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 improvement, 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 tha burden of proving that he did not build or Improve for the purpose of sale).
0 I, as owner of the property, ■m excluaively contracting with licensed contractors to construct tha project (Sec. 7044, l:\usiness and Professions Code: The
Contractor's Licanse Lew iloes not apply to an owner of property who builds or improv■s thereon, and contract■ for ■uch projects with contr■ctor(s) licensed
pursuant to the Contractor's License Lewi.
0 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 lmprovem~nt. 0 YES ONO
2. I (have / have not) signad en application for • building permit for the proposed· work.
3. I have contracted with the following persol) (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, aupervise and provide the major work (include name·/ address / phone number/ contractors license number):. ______________________________________________ _
6. 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):. __________________________ ~~------------------------------
DATE
Is the applicant or future building occupant required to submit • business plan, ■cutely hazardoUII materials registration form or risk management and prevention
program under Sections 25605, 25533 or 25534 of the Pr•slay-Tanner Hazardous Substance Account AcH 0 -YES D NO ·
Is the applicant or future building occupant require~ to obtain a permit from th■ air pollution control district or air quality management district? O YES O NO
Is the f~cility to be constructed vyithin 1,000 feet of the outer boundary of• school site? 0 YES 0 , NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS :rHE APPLICANT HAS MET OR·IS MEETING THE
REQUIREMENTS OF'THE OFFICE OF EPt'IERGENCY SERVICES AND THE AIR POLLUTION"CONTI:OL DISTRICT. .
~~ ~-NmUCTIC>N l:ENl?.ING ,\QIN ,.,._.,......,_"""......i....,.-.., . '"'~ ;Jirfff.~_t.
I hereby affirm that there Is • cons~ruction lending agency for the performance of the work for which ttJis permit Is Issued (Sec. 3097(il Civil Code).
LENDER'S ADDRESS · -~-I ~ertlfy .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 anter upon the above me~tioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 pertnlt Is required f~r excavations over s·o· deep and demolition or construction of structures over.3 stories In height.
EXPIRATION: Every permit iuued by the Building O~icial under the provisions of this Code shall expire by limitation and become null and void If the building or
work authorized ,by s~ch permit Is not co_mmenced n 366 d.ays from the date of such permit or If tha building or work authorized by such permit is suspended
or abandoned at any time afte he rk 1s co ed for a period of 1 80 days (Section 106.4.4 Uniform Building Code). . / aJ .
APPLICANT'S SIGNATURE ...,.C.-t,''----y,--------------------DATE ~/2--~ -',,-,.,._;;;--,7'----''-"::::.....-------
WHITE: File YELLOW: Applicant PINK: Finance ·
City of Carlsbad Inspection Request
Permit# CB990498
Title: PATIO COVER
Description:
Type:PATIO
Job Address: 1738 PIPIT CT
Suite:
Location:
6-PPLICANT : Z T KIROSKI
Owner:
Remarks:
Total Time:
CD Description
19 Final Structural
For: 4/2/99
Inspector Assignment: PS ---
Sub Type: Phone: 7607419763
Lot 0
Inspector: "5 P
Requested By: NA
Entered By: CHRISTINE
Act Comments
Jlf_ 1/+!S i> ·!}{£ F/;.1/!rL 1USG-£cno;J
Inspection History
Date Description
2/19/99 11 Ftg/Foundation/Piers
2/11/99 11 Ftg/Foundation/Piers
2/9/99 11 Ftg/Foundation/Piers
Act lnsp Comments
AP NF
CO PS SEE NOTICE ATTACHED
CO PS SEE NOTICE ATTACH
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