HomeMy WebLinkAbout2808 RANCHO COSTERO; ; CB011678; PermitV LJ'.ff~, L ---".J
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City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05/08/2001 Patio/Deck Permit Permit No:CB011678
Building Inspection Request Line (760) 602-2725
Job Address: 2808 RANCHO COSTERO CBAD
Permit Type:
Parcel No:
Valuation:
Reference #:
PATIO
2218111100
$1,743.75
Status:
Lot#: 0 Applied:
Construction Type: NEW Entered By:
Plan Approved:
Issued:
Project Title: KROUTIL RES/ 225 SF ATTACHED Inspect Area:
ISSUED
05/08/2001
CB
05/08/2001
05/08/2001
JC
OPEN LATTICE PATIO COVER, & ELEC. LINE
Applicant:
FOWARD MOTION LANDSCAPE
STE 196
539 TELEGRAPH CANYON RD
CHULA VISTA CA 91910
619 482-1806
Total Fees: $78.37
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
Additional Fees
TOTAL PERMIT FEES
Inspector:
Owner:
KROUTIL WILLIAM E&PATRICIA R
2808 RANCHO COSTERO 8760 0S/0B/0l
CARLSBAD CA 92009 0002 01 02 CGP 79,.37
Total Payments To Date: $0.00
FINAL APPROVAL
Date: w;/41
Balance Due:
$34.77
$0.00
$22.60
$0.00
$1.00
$0.00
$0.00
$20.00
$0.00
$78.37
$78.37
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 olven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exoired.
' ___ ..,.,
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK Nci,wt I ee, B
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit _________ _
Validated. By_=-J----'0~~------
Date ::::-f2::..CJ / ~ i
1. 'iojECT INFO~MAT10f1 '/... BQ9 l(M-\C.:IAu
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel #
'3. APPLICANT ra-c'ontractor
Name Address
4. PROPERTY OWNER Kwu:-cd
Name Address
6, CONTl!ACTOR • COM_PANY' NAME ""
Existing Use
City
0 . Owner D Agent fpr dwner
City
City
Proposed Use
State/Zip Telephone # Fax#
State/Zip Telephone#
State/Zip 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
exemption. Any violat' n f ection 7031.5 by a applicant for a permit subjects the applicant to a civil penalty of not more than five undre dollars ($5001). _.. . .. t. -I o
Name
State License # -~--'-"-,:;_="---License Class __ C=_-,..,2.~'+~----City State/Zip ,:;tone #
City Business License # /2. / 04 0
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:
O 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, 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 insuranc9-!:arrier and policy number are: t-.,. ::> L
Insurance Company ..... \ 6 Pl.f AA\ f,(., Policy No. g O Z!{Z ± / / Expiration Date> ~ ~ 2...
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 sec e war rs' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($1 ditlon to the cost of compensation, damages as provided for in Section 3706 of the Labo cod , interest and attorney's fees.
'7--SIGNATUR~EE' _ _L_~~~~~====-----------------
,7. OWNt,R-~UILDER ECLARATION . .
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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).
O 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. 0 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): ______________________________________________ _
6. I wlll 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? 0 YES O 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 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. 3097(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _
9, APPLICANT c~ERTIFICATION {4 .. ,.. t,,.
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 Cit\' 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 1 0 ays 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 comma e 180 days (Section 106.4.4 Uniform Building Code). :::-),~ 5
APPLICANT'S SIGNATURE _.L.J1£.1,""-,,Ll<e...::..;:;;;,,:......___________________ DATE ----,-,,._~__,c.W __ _;_lr _______ _
WHITE: File YELLOW: Applicant PINK: Finance
· UNSCHEDULED BUILDING INSPECTION
INsPEcToR _ _____;T=· .l,,,,c __
PERMIT# eno (l~?r-. PLAN CHECK#----
JOB ADDRESS ,2'ifd''L /(IJ-N'Clah Co.s Tef O
DESCRIPTION---'-_______________ _
CODE DESCRIPTION ACT COMMENTS
4-. ,lrfr1T: ..i£ PlflOl I
2'°! . fiwHK> ·
J~ k:tJ::r<r
City of Carlsbad Bldg Inspection Request
For: 05/10/2001
Permit# CB011678
Title: KROUTIL RES/ 225 SF ATTACHED
Description: OPEN LATTICE PATIO COVER, & ELEC. LINE
Type:PATIO Sub Type:
Job Address: 2808 RANCHO COSTERO
Suite:
Location:
Lot O ,:: Clfr
APPLICANT FOWARD MOTION LANDSCAPE
Owner: KROUTIL WILLIAM E&PATRICIA R
Remarks:
Total Time:
CD Description
11 Fig/Foundation/Piers
i.£.Comments
Associated PCRs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: JC ---
Phone: 6194821806
Inspector:
Requested By: NA
Entered By: CHRISTINE
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JOB LOCATION:
PACIFIC SOILS ENGINEERING, INC.
771 5 CONVOY COURT, SAN DIEGO, CALIFORNIA 92111
TELEPHONE: (619) 560-1713
NOTICE OF EXCAVATION . INSPECTION
.PBRCFI :ti/ em
(! I 7 v/ 0 F f'/9121 S t3AO
WORK ORDER N0.:_4~o'-0~~.2~Q~3.c..._ ___ REF. WORK ORDER NO.: _________ _
owNER oR coNTRAcToR:_,.,.,,-,,_J ..... 10'-'--'-7_....,S""---"c"""c'-17 ..... ! ________________ _
0 •
DATE INSPECTED:_::c:::~c:;-:.__L/___,,,,3c......J..)----":;'-----c_O__.'...../ __ .....;,.... __________ __,_( ___ _ ),, (
TYPE OF EXCAVATIONS: CONTINUOUS FOOTING_~!L__ _____ SPREAD FOOTING _____ _
CAISSON _____ FRICTION PILE ____ SWIMMING POOL ____ OTHER ____ _
DESCRIPTION OF EXCAVATIONS COVERED BY THIS NOTICE:
YA.ode() Fco71.v6-/?t/llalilS ) '3t57T/., IY) 5 EilZtn ,1/Nt? I
/£i1'lAJ 1/IFt.DIA)I-. £wT1AJ6-5 Toj?Rof't'1< O~j?TI-I, 50@£
LooSC 6CI/L I Al Sou r1-/ wrsz Cr,. UE'l? u,,-t-11~ II ~?'!IT/?/IC7b/l
/l..F'n1c11ro.
I JJLACE I /}J Tl-IF
t7,41215MD
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CONDITIONS OF APPROVAL ( LL L(.)v~ 561l //1vl70r,6,l/> 8c -'<'etJrJot/£0 p;11vl7
/dlt v.,f 1/v( • ' '( /? c-n: I FG OT /N?S s !It u 1.0 13c t..vE ?TEP ,t?t1,,f/J
,(.-< /" / t7 E f}(nuf Lt-! 6 CoYCO r TE
The undersigned has inspected the excavations listed above on the referenced property and same were excavated in accord-
ance with our recommendations in the preliminary foundation report and the Building Code of the
DISTR: (1) Office
(2 ) Inspector
(3) Project
7
PACIE)G OILS El)l'GIN~RING, INC.
BY:/ /4:~J J. , ~/½ r SIGNATURE '
Form 79
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