HomeMy WebLinkAbout2717 SOUTHAMPTON RD; ; CB160339; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-10-2016 Patio/Deck Permit Permit No: CB160339
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
2717 SOUTHAMPTON RD CBAD
PATIO
Lot#: o 2081540800
$7,000.00 Construction Type: 5B
Project Title: JENSEN: 170 SF DECK (CITY) W/
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
INSTALLATION OF SLIDER IN PLACE OF WINDOW/ ADD LIGHT// 100
SF PATIO (CITY)-STRUCTURES DO NOT TIE TOGETHER//GAS &
ELECTRIC TO BBQ//WATER TO HOSE BIB
Applicant: Owner:
JENSEN MICHAEL J JENSEN MICHAEL J
2717 SOUTHAMPTON RD
CARLSBAD CA 92010
760-803-0702
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
2717 SOUTHAMPTON RD
CARLSBAD CA 92010
ISSUED
01/28/2016
JMA
01/28/2016
01/28/2016
PY
$87.98
$0.00
$61.59
$0.00
$1.00
$1.00
$0.00
$0.00
$38.00
$0.00
$189.57
Total Fees: $189.57 Total Payments To Date: $189.57 Balance Due:
EXPIRED PERMIT
$0.00
PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. • NO ~C,t,() n s-e \0
SECTION 106.4.4 AS AMENDED RY C.M.C.18.04.030 J.l_p \ t
Inspector:
\t11vV ~en ·
DATE I/ \ I/ I:] SIGNATURE t<J' Jf251?0 . ~ /\ p , e:f,~'~ ?t:¥-1"1 • ·
FINAL APPROVAL
Date: Clearance:
t,OllCE Fleaseta<e t,Oll(E Ira ,ww.a cf )O.Jr ~ect irdudes tre "lrrp:sticxi' cf fees, declcalicra, reservaticns, Cl' ctt-e-exacticns taeafta-cdledi\ASly
raerred toas 'lees'exacticns." You have 00 daysfrrrntre dateths ~t""' issoo:lto irooot irrp:stion cf tresefees'exactions. If )OJ ixctoot lre'T\ )OJ in.et
fcilootre ixctoot ~ set foth in Colermenl Croe Section 60020(a), ard filetre irooot ard anycther reqjred infooration \Sith treaty Mng,l"f<l'
~rg in a;cordamwth Calsboo M.rid>9 Croe Section 3.321B'.l. Falcretotirreyfcilootrat ~ wll l:a' anysut,;eq.a,I leg,j acton to~
re,,;eY{, SE( aside, void, er clTU their ill"µEtion.
You ,re rerel:>j F\RTl-ERt,OllFIEDtt-at )OJ riifl to irooot tre spedfioo fees'exacticns IXES IIXJf l'PA._ Ytov.aerard se,,,er oonnection fees ard c,µoty
ctmges, ra plmrg, zairg ga:lrg Cl' ctt-e-srril,n'l)plicaion ~rg Cl',m;cefres in oonnedion wth ths ~ed. N:R IXES IT l'f'A._ Yto any
fees-'exa:tiais ciwidl · -· 11ave-~c:x.s1" been nva, a t\nTI(E c:irrila-totns cr as t"vJich •1-statLtecl lirri• ... :ms has · ·se --.:red.
...,'THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD
( City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. Q3 lb• 0'33o/
Est. Value
Plan Ck. Deposit
SWPPP
SUITE#/SPACE#/UNIT# -00
# BATHROOMS-TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(S)
:::PA.Do \dE(L -l D ,<,. l (
?A;;,o C..Ve'2...-lo)( l 6
~~£~--hi ~B9
Wo.k: -f:6 ~ 61,cb
EXISTING USE GARAGE (SF)
APPLICANT NAME
\0
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC. #
PATIOS (SF)
PROP
ADDRESS
CnY STATE
PHONE FAX
EMAIL
STATE LIC.# CLASS
AIR CONOITIONING
YES □No □
ZIP
FIRE SPRINKLERS
YES□No□
LO
CITY BUS. UC.#
(Sec, 7031.5 Business and Professions Code: Any City or Coun_ty 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 1s licensed pursuant to the prov1s1ons of the Contractor's License Law )Chapter 9, comme_nding with Section 70_00 of D1v1s1on 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a
c1v1I penalty of not more than five hundred dollars ($500)). -·= '"', ~ -=
wo~JfERS' COMP_,!'_IIISATIC:tN --·---b~ ----'--, _,_,
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 pertormance of the work for which this permit is issued D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co ____ _ ____ Policy No. ______________ Expiration Date _________ _
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 lo become subject to the Workers' Compensation Laws of
California, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
Ji5 CONTRACTOR SIGNATURE O AGENT DATE
-m• -""""o/ •~•= ~ ~ ""'' ~
01111:NER•B~ILDER DECLARATION , -"~ •--, . -·
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ 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 oi 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
...--./roperty who builds or improves thereon, and contracts for such projects with contractor(s) ·.licensed pursuant to the Contractor's License Law).
M 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. ~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/ 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 I phone I 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/ type of work):
fl5 PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals reg1strat1on form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility to 00 constructed within 1,000 feet of the outer boundary of a school site? Yes 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.
I certify that I have read the application and state that the above infonnation is correct.and that the infonnation on the plans is accurate. I agree to comply with all Cityordinances and S1ate law.; relating to building construction.
I hereby authorize representative of the City of Car1sbad lo enter urxin the atxJve mentioned prof:€rly for ins~tim purp:ises. 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 pelTll~ is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in he~ht
EXPIRATION: Every fl,ITllit issued by the Building Official under the provisKms of this Code shall expire by limitalbn and become null and vokJ if the building or work authorized by such J:elTllil is not oommenced within
180 days from the dale of such fl,nTiit or if the building orlM:lrk by such J:€1Tllit is susfl,nded or abandoned at any time after the IM:lrk is oommenced for a fl,riod of 180 days (Section 106.4.4 UnifolTll Building Code)
AfAPPLICANrss10NArn•, 1r---c_Q=--E-~; v'~'--"c:____ DATE \ ~~~ /,h ____ _
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
--EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: ________________ _
,AS APPLICANT'S SIGNATURE
ASSOCIATED CB#--------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
October 19, 2016
JENSEN MICHAEL J
2717 SOUTHAMPTON RD
CARLSBAD CA 92010
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: PATIO/DECK
JENSEN MICHAEL J
2717 SOUTHAMPTON RD
CARLSBAD CA 92010
(°city of
Carlsbad
_',;Rermit Number: CB160339
Issue Date: January 28, 2016
~S: 2717 SOUTHAMPTON Rn
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on December 31, 2016
The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "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 one hundred eighty calendar days
from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is
commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit
exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the
permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within
one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee
has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day
period upon the initial commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half
the amount required for a new permit for such work, and provided that no changes have been made or will be made in
the original plans and specifications for such work, and provided further that such suspension or abandonment has not
exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee.
Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under
that permit when the permittee is unable to commence work within the time period required by this section for good and
satisfactory reasons.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. (must attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at 760-
602-2725.
If you have any questions, please contact the Building Inspection Division at 760-602-2700.
Rachel Cross
Senior Office Specialist
Community & Economic Development
Building Division I 1635 Faraday Avenue Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
July 29, 2016
Ccityof
Carlsbad
Issue Date: January 28, 2016
JENSEN MICHAEL J
2717 SOUTHAMPTON RD
CARLSBAD CA 92010
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: PATIO/DECK
JENSEN MICHAEL J
2717 SOUTHAMPTON RD
CARLSBAD CA 92010
ADDRESS: tt'IIJ,Ntn'KAMPTON Rij
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of lime on September 25, 2016
The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "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 one hundred eighty calendar days
from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is
commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit
exceeds three calendar years from the issuance dale of the permit. Work shall be presumed to have commenced if the
permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within
one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee
has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day
period upon the initial commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half
the amount required for a new permit for such work, and provided that no changes have been made or will be made in
the original plans and specifications for such work, and provided further that such suspension or abandonment has not
exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee.
Any permittee holding an unexpired permit may apply for an extension of lime within which work may commence under
that permit when the permittee is unable to commence work within the time period required by this section for good and
satisfactory reasons.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. (must attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at 760-
602-2725.
If you have any questions, please contact the Building Inspection Division at 760-602-2700.
Community & Economic Development
Building Division I 1635 Faraday Avenue Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov