HomeMy WebLinkAbout2812 RANCHO COSTERO; ; CB004410; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11/28/2000 Patio/Deck Permit Permit No:CB004410
Building Inspection Request Line (760) 602-2725
Job Address: 2812 RANCHO COSTERO CBAD
Permit Type:
Parcel No:
Valuation:
Reference #:
PATIO
2218111200
$2,697.00
Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
ISSUED
11/28/2000
JM
11/28/2000
11/28/2000
Project Title: TAUSWORTHE RESIDENCE Inspect Area:
(2) GOV PATS 252SF & 120SF-GAS&ELEC TO BBQ
Applicant:
MCLEOD LANDSCAPING
3568 NEWLAND RD
OCEANSIDE CA 92056
760 630-9792
Total Fees: $134.34
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: -;J;: C
Owner:
TAUSWORTHE ROBERT C&CAMILLA J
2812 RANCHO COSTERO
CARLSBAD CA 92009
Total Payments To Dale: $0.00
5268 11/28/ 00 0002 01.
$52.33
$0.00
$34.01
$0.00
$1.00
$0.00
$0.00
$47.00
$134.34
FINAL APPROVAL
Date: dr~I 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 ff APPLY to any
fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otherwise exnired.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No._c_,i3 __ Y'-'('-'-I...C.O
CiTY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Validated B,._;'(J..:.:....:::"--+-hl-'t-vhrr--
Date ______ ___:'--+:'-"-+-""-,,__
1. PROJECT INFORMATION
Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Oesc,;pt;qn of Work Po..+ 'o Cou cR5 ~) ks:z.
2. CONTACT PERSON {H <tiff8f'811t from appUc■nt) / /..._ O
#of Stories # of Bedr4'oms # of Bathrooms
Name
3.
Address State/Zip Telephone# Fax#
0 Owner
4.
Name
6. CONTRACTOR -COMPANY NAME
(Sec. 7031.5 Bu ss 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 requir 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, commendin with Section 7000 of Division 3 of tha Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation Section 7031.5 by any applicant for a permit subjecJs the applic~,nt to a civil penalty of not I!'~ than five h llars OOll. ct:1:0 c. ~"'5 5"' 0L. ,v trO, ,.,~.,,,u-·c:,,e -~c, . e,
Address City State!Zi Telep
License Class C J ? City Business License # / J.. 0 9 W / Name
State License # 4:? f 1/ f "•,. ,
Designer Name ' "-~ddress __ ~• State/Zip ~elephonw
State License#__________ • ~ _..fJi
6. WORKERS'COMPENSATION -~ (12, CtM -~ di
Workers' Compensation Declaration: I hereby affirm der pe y of periury one of the follow, g d c aratIons. ~ I have and will maintain a cert1f1cate of consent to f-1nsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
~he work for which this permit is issued.
,,B. I have and will maintain workers' compensation, as req ed by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compe satio i urance carrier and policy n ber are:
Insurance Company __ __;:;;:u3;;1-Jc1.<3...._ _________ _:,.,, __
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR O HUNDRED DOLLARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of th 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' companaatlon coverage I■ unlawful, an hall subject an employer to criminal penalties and civil fines up to one hundred
to the cost of compensation, damages as vlded for in Section 3706 of the l~bJ..F cod1/interest and attorney'■ fee■.
s1GNAruae,_#,<u.""'°""''""'L..=~:::::..-------------ls:,-----DATE ~hl ~.Joo0
7.
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 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 sate. 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).
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).
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 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 I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number / type of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8, CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency tor the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _
9. APPLICANT CERTIFICATION
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 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 commenced for a period of 180 days Secti 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE
, M DATE
YELLOW: Applicant PINK: Finance
---------,_. ---. -----------------------
FOR OFFICE USE ONLY
PERMJT APPLICATION PLAN CHECK NO. ____ _
C~TY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date ______________ _
1. PROJECT INFORMATION
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (H different from applicant)
Name Address City State/Zip Telephone# Fax II
3~ APPLICANT O Contractor D Agent for Contractor O Owner D Agent for Owner
Name Address City State/Zip Telephone#
4. PROPERTY OWNER
Name Address City State/Zip Telephone#
CONTRACTOR -COMPANY 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 axampt therefrom, and the basis for the alleged
exem ·on. Any violation of Section 031.5 by any applic t for a rmit subfcts the applicant to a civil penalty of not more than five hundred dollars ($5001J,
<.) 9 .;e+11>1 .r, C,
Name
State Ucense # __ 'jLS:9~~q~f~k~--License Class ___ (!_~--2=~~7~_
City State/Zip Telephone #
City Business License # .J 1. Q .S :,.,, ] {
Designer Name Address City State/Zip Telephone
State license # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Iii I h&ve and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance
lf the work for which this permit is issued.
~ I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are: ( /-/
lnsu,ance Company l= (lei,-. e$ t: t,la -I 10N4 I kNS Pol;cy No. 3'J'OC)00020b-lfxpi,aUon Date_(/~-_-_0 __
(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 California,
WARNING: Failure to aec on coverage 11 unlawful, and shall subject an employer to criminal panalti s and civil fines up to one hundred
cost n,atlon, damagH •• provided for in Section 3706 of the labor de, tere1t and attorney's fees.
DATE 7 0
I hereby affirm that I am exempt from the Contractor' nse law for the following reason:
D l, 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).
D 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 tor such projects with contractor(s) licensed
pursuant to the Contractor's License law).
D 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. 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. l 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): __________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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? 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? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code).
LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _
9. APPLICANT CERTIFICATION
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 5'08 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE ____________ _
WHITE: File YELLOW: Applicant PINK: Finance
m .
.
' ' . City of Carlsbad Bldg Inspection Request
For: 05/23/2001 .
Permit# CB004410 Inspector Assignment: JC ---
Tille: TAUSWORTHE RESIDENCE
Description: (2) COV PATS 252SF & 120SF-GAS&ELEC TO BBQ
Type:PATIO Sub Type:
Job Address: 2812 RANCHO COSTERO
Suite: Lot 0
Location:
APPLICANT MCLEOD LANDSCAPING
Owner: TAUSWORTHE ROBERT C&CAMILLA J
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural
29 Final Plumbing
39 Final Electrical
Associated PCRs
lnsQection Histo[l,!
Date Description Act lnsp Comments
03/09/2001 21 Underground/Under Floor AP JC
03/09/2001 31 Underground/Conduit-Wiring AP JC
Phone: 7608020408
Inspector: ~C,_.
Requested By: NOEL
Entered By: CHRISTINE
11/30/2000 11 Ftg/Foundation/Piers AP TL (6) FTGS (2) PATIO COVERS
11/30/2000 21 Underground/Under Floor co TL GAS LINE UNDER STRUCTURE
11/30/2000 31 Underground/Conduit-Wiring AP TL