HomeMy WebLinkAbout2855 RANCHO DIAMONTE; ; CB004395; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11/28/2000 Patio/Deck Permit Permit No:CB004395
Building Inspection Request Line (760) 602-2725
Job Address: 2855 RANCHO DIAMONTE CBAD
Permit Type:
Parcel No:
Valuation:
Reference #:
PATIO
2218112700
$2,429.00
Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Plan Approved:
ISSUED
11/28/2000
RMA
11/28/2000
11/28/2000
Project Title: 2 PATIOS-335 SF&GAS TO BBQ
Issued:
lnspectAft,W 11/28/00 0002 OJ
CGP
Applicant:
C.B. SHEA
300 CARLSBAD VILLAGE DR
CARLSBAD, CA 92008
858-509-4963
Total Fees: $114.34
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:
KIM JEFFREY&LILLIAN F
2855 RANCHO DIAMONTE
CARLSBAD CA 92009
Total Payments To Date: $0.00 Balance Due:
$52.33
$0.00
$34.01
$0.00
$1.00
$0.00
$0.00
$27.00
$114.34
FINAL APPROVAL
Date: ~ /9 /0\ Clearance:
$114.34
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 time!y follow that procedure will bar any subsequent leg a! 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 □reviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired.
02
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. ~ 1/J9S-
EST. VAL. 2?;JQ CITY OF. CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ____ ....,...../ ___ _
1. PROJECT INFORMATION
Address (include
~ C:-Al2-l..Sf:3A.°D ~,
Legal Description Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work ., {f-7![) ~-FT. J 51 Stories # of Bedrooms # of Bathrooms
"'BBQ GAsutJc-
2. CONTACT PERSON (If different fro
Name
-,P<mO (Ptr~)
Address City
3. APPLICANT ~actor 0 Agent for Contractor O Owner O Agent for Owner
Name36FF ~
4. PROPERTY OWNER
Name
L.,. r '--( ,...._,J O Address
\Z_IM
Address
5. CONTRACTOR • COMPANY NAME
City
City
State/Zip Telephone# Fax II
State/Zip Telephone II
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. A'!J violation of Section 7031.5 by any applicant for a permit subj ts th licant to a civil penalty of not mor n five hundred dollars 1f' Jl . .,a. C-:B>, ~-H~ 3 00 ,s ......... w..v...... ru--=A= --z_.., .... """P<,
Name
State License # $'~ 3 S ) '9
Address
License Class]:> -C-z.. r -C.. 'B
State/Zip Telephone II
City Business License # J~]/L()
Designer Name Address City State/Zip Telephone
State License II _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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:
Policy No. ____________ _ Expiration Date _______ _
TION NEED NOT BE ONE HUNDRED DOLLARS ($100] OR LESS)
TIFICA erformance of the work for which th~&-issaect, I shall not employ any person-in any manner so as
_.,.,.....,-., .• --1 California. ---• to become sub·
WARNING:
thousand
era !1,-ia-uri awful, and shall subject an employer to crimi ie and civil fines up to one hundred
ansatlon, damages as provided for in Section 3706 of th e, in e nd attorney's fees.
SIGNAT
7. ow
DATE--'.L./,tt::::..U..,<=-..:::...-=----
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 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).
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. 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): _________________________________________________ _
5. 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): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-RES/DENT1AL 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 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. 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 T SAVE, INDE FY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES,
JUOGMENTS, COSTS AND EXPENSES W HM N,ll(f,!)'...ltj/f,"""'~il!UE AGAIN SAID Cl IN CONSEQUENCE OF THE GRANTIN E.-THIS PERMIT.
OSHA: An OSHA permit is required m it;;;;; on height.
EXPIRATION: Every permit iss a by•,!Jle'J~CfJ/1 shall ex i 1tation and become null and void if the building or work
authorized by such permit is co 1tdilt.F.l..itlllitt 'JIJ""J~J.,jll!!J>"'" or 1 1 ding or work authorized by such permit Is suspended or abandoned
at any time after the work i com mt..a-:P8J'.IDtl-Ol!Ml\JdlH!Y Building Code). / /
APPLICANT'S SIGNATU E L:,.£-'C?'"~~_,, DATE // /2&J' /,J.~2) r J PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 04/06/2001
Permit# CB004395
Title: 2 PATIOS-335 SF&GAS TO BBQ
Description:
Type:PATIO Sub Type:
Job Address:
Suite:
2855 RANCHO DIAMONTE
Lot 0
Location:
APPLICANT C.B. SHEA
Owner: KIM JEFFREY&LILLIAN F
Remarks:
Total Time:
CD Act Description
19 Final Structural ~
29 .IR_
Comments
Inspector Assignment: SR ---
Phone: 7609292720
Inspector: ~
'
Requested By: LAURI
Entered By: CHRISTINE
Final Plumbing
39 Final Electrical CD ~~
Associated PCRs
lnsgection Histo[ll
Date Description Act lnsp Comments
02/22/2001 19 Final Structural AP SR
02/22/2001 29 Final Plumbing co SR NEEDS GAS HOOK UP AT BBQ
12/07/2000 11 Ftg/Foundation/Piers AP SR
12/07/2000 21 Underground/Under Floor WC SR
12/07/2000 23 Gas/Test/Repairs AP SR