HomeMy WebLinkAbout2301 SHAWN CT; ; CB040839; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
'03-12-2004 Patio/Deck Permit Permit No: CB040839
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2301 SHAWN CT CBAD
PATIO Status:
Parcel No: 1675311300 Lot#: 0 Applied:
Valuation: $2,356.00 Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant: cox
947 SHEFFIELD
VISTA.CA 92083
Building Permit
MOREL RES PATIO
304 SQ FT PATIO CITY SPECS
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
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Owner:
MOREL MARK&MARGARET
2301 SHAWN CT
CARLSBAD CA 92008
ISSUED
03/12/2004
YK
03/12/2004
03/12/2004
$45.79
$0.00
$29.76
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$76.55
Total Fees: $76.55 Total Payments To Date: $0.00 Balance Due: $76.55
7421 03/12/04 0002 01 02
CGP 76 .. 55
.. -------
FOR OFFICE USE ONL V
PERMIT APPLICATION PLAN cHEcK No.CBo 1: b 83 ~
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION ,,,..., ,, / _,,, , , 1 23:<?I ~A.I
Address (include Bldg/Suite #)
OQ EST. VAL.
Plan Ck. Deposit
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
:---Existing Use
<..f> a~ posed Use
SO. FT. #of Stories # of Bathrooms
2.
Name dress
3. APPLICANT ~ntractor 0 Agent for Contractor O Owner
Name Address
4. PROPERTY OWNER ,/
Name dJ,Z/?-T~
6. CONTRACTOR • COMPANY NAME
City
0 Agent for Owner
City
City
State/Zip
State/Zip
State/Zip
Telephone# Fax#
T.elephone #
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 violation of Section 7031.5 by any applicant for a permit subjects the applican o a civil penalty of not more than five ~d d rs ($5001).
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 insuran e carrier and policy number are:
Insurance Company ----..,..:,.,;;:{,-.c:.z::..J~z:::--11---'.....,:.i..::::.c,:-..c..__ Policy No. Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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 any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workera' compenaa coverage la unlawful, and shall subject en employer to criminal penaltlea and civil fin
st of compan111tlon, damagea ea pr ad for In Section 3706 of the Labor code, erest a
DATE __ _.._.....c.;,,c-.r..--,r-.....,c.<.>'-
ing reason:
0 I, as owner of the property or my employees with wages as their so 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 Contract or'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 O NO
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 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): .i;:::::-,,
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 26606, 25533 or 26534 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.
I hereby affirm that there is a constr nding agency for the performance of the work for which this permit is issued (Sec. 3097(1) 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 end 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.
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 09/03/2004
Permit# CB040839
Title: MOREL RES PATIO
Description: 304 SQ FT PATIO CITY SPECS
Type: PATIO Sub Type:
Job Address:
Suite:
Location:
2301 SHAWN CT
Lot
APPLICANT COX
0
Owner: MOREL MARK&MARGARET
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment: PD ---
Phone:
losp,aci,(ii;__
Requested By: NA
Entered By: CHRISTINE
19 Final Structural /}r/J__ ____________________ _
~~_IJ_
Associated PCRs/CVs
Inspection History
Date Description
03/15/2004 11 Fig/Foundation/Piers
Act lnsp Comments
AP PD