HomeMy WebLinkAbout2846 RANCHO PANCHO; ; CB001923; PermitCity of Carlsbad
05-17-2000 Patio/Deck Permit Permit No:CB001923
Building Inspection Request Line (760) 602-2725
Job Address: 2846 RANCHO PANCHO CBAD
Permit Type:
Parcel No:
Valuation:
Reference #:
PATIO
2225912400
$725.00
Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
APPROVED
5/17/2000
MNDP
5/17/2000
Project Title: BYKOWSKI RESIDENCE Inspect Area:
100 SF PATIO W/ GAS & ELECTRIC
Applicant:
T LANGSTON CONSTRUCTION
2618 JEFFERSON ST
CARLSBAD CA 92008
760 855-9583
Total Fees: $81.81
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:
Qj/lner:
$~ HoMes LTD PARTNERSHIP
· c1o·sosAN1RIMllllGHAM
. 1 (17;21 TREf;NA ST;·#200
S['.f'I, DIEGO CA 9213,
~ ' ' ' 'I •
·. Total Payments To Dafei $0.00 ·
~7 05/17/00
; . .. Balance Due:
.$20.49
$0.00
·$13.32
$0.00
$1.00
$0.00
$0.00
$47.00
$81.81
FINAL APPROVAL
Date: tr' ? ,p-o Clearance:
0001 01
NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feesfexactions.• You have 90 days from the date this perm~ was issued to protest imposition of these fees/exactioos. 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 Ca~sbad 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 r~ht to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor plannirg, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES 1T 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 otheiwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
81.81.
PERMIT APPLICATION
FOR OFFICE USE ONLY
PLAN CHECK NO. f)CS
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. _________ _
Plan Ck. Deposit ----------A
Validated By __ __,,,....,-1--,--./.----U~
D•t••-----,--}-+,(-L-++-,8t~~-
1. PROJECT INFORMATION (fa.
Address (include Bldg/Suite #l
legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel II
Description of Work # of Bathrooms
2.
Name Address
3, APPLICANT ~Contractor
6 ,c •· em S2.C:, I
Name
4. PROPERTY OWNER
Name
F,y: k, ·'-",_,¥:1
5. CONTRACTOR· COMPANY NAME
City
□ ·owner_:: }□}~g,em for Ownerc '.A
Citv
City
State/Zip
C. ''i:,lxc/. ((1
State/Zip
Telephone# Fax #
Telephone I
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 II 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 violi,t1.on of Sectio~ 7031.5 by any aP: hcant for a pern:!!t subjects >ot' applicant to a civil penalty of an five hundred dollars [$~00!!
-·---·· '✓c (',a-r) ·.)(A & ._;:" . '<T, C. , G,) . CA ')ro c:::c ·<'-i F
Designer Name City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaratlons:
[J 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
nl the work for which this permit is issued.
ft_ 1 have and will maintain workers' compensation, as required by Section 3700 of the labor Code, tor the performance of the work for which this permit is
issued. My worker's ~mpy~uon insurance earner and polt'i( niJmbet~•re: /'_~ ~/\ \ ;--
losu,onco Co, ... ,nv . .D..::.l.2 / O,i:K.J7.J\CO.-.. ~ te5 Pol;cv Nol]NC 191 (:) 'T~__ Exp;,a1;on Oat,.._., LcY)O
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
·," CERTIFICATE OF EXEMPTION: I ce ·ty that in the performanco of the work for which this permit is issued, I shall not employ any person in any manner so as
•10· become subject to the Workers' C saticn Laws cf California.
WARNING: Failure to ••cure WO •
thousand dollars {$100,00
ompensatlon coverage I• unlawful, and shall aubjact an employer to criminal penalties and civil fines up to one hundred
n to the coat of compensation, damages•• provided for In Section 3708 of the Labor code, Interest and attorney's fees.
SIGNATURE DATE 5 -CJ· 0 D
7, OWNER-BUI
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 er offered fer 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 net intended or offered for sale. If, however, the building er 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 improva& thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Lew),
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials tor construction of the proposed property improvement. 0 YES ONO
2. I (have/ have net) signed an application for a building permit for the proposed work.
3. J 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 r have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone
number I contractors license number): ________________________________________________ _
5. I will provide some of the work, butt have contracted (hired) the fellowing persons to provide the work indicated {include name/ address/ phone number/ type
cf work)· .. _-----------------------------------------------------------
PROPERTY OWNER SIGNATURE __________________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUJLDINQ"PERMITS'.ONLY~·.
Is the applicant or future building occupant required to subm"1t II 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 Act7 0 YES O NO
Is the applicant or future building occupant required to obtain II 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING"AGENCY.
I hereby affirm that there ·1s a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Cede).
LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _
9. APPLICANT-'CERTIFICATION
J 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 ever 5•9~ deep and demolition or construction of structure~ over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under t provisions of this Code shall expire by limitation and become null and void if the building er
work authorized by such permit is not commenced within 3 a 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 c a per' d of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE ') It ·OD
Filp Yf\ \ Q)N· A?P\'rn• 2•~•v F
City of Carlsbad Bldg Inspection Request
For: 8/2/2000
Permit# CB001923
Title: BYKOWSKI RESIDENCE
Description: 100 SF PATIO W/ GAS & ELECTRIC
Type:PATIO Sub Type:
Job Address: 2846 RANCHO PANCHO
Suite: Lot 0
Location:
APPLICANT T LANGSTON CONSTRUCTION
Owner: BYKOWSKI RONALD F&LINDA E
Remarks:
Total Time:
Inspector Assignment: RB ---
Phone: 7609300521
Inspector: ~
Requested By: RON
Entered By: CHRISTINE
CD Description Act Comments
39 Final Electrical 4?-----------------------4--------------------------------------
Associated PCRs
lnsgection Histo01
Date Description Act lnsp Comments
7/12/2000 19 Final Structural co RB SEE NOTICE ATTACHED
5/18/2000 11 Ftg/Foundation/Piers AP RB 2 PIER FTGS
5/18/2000 14 Frame/Steel/Bolting/Welding WC RB
5/18/2000 21 Underground/Under Floor AP RB FOR FUTURE USE -GAS LINE
5/18/2000 23 Gas/Test'Repairs AP RB
5/18/2000 31 Underground/Conduit~Wiring AP RB
5/18/2000 34 Rough Electric WC RB