HomeMy WebLinkAbout1230 TAMARACK AVE; ; CB060865; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-28-2°006 Patio/Deck Permit Permit No: CB060865
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1230 TAMARACK AV CBAD
PATIO Status:
Parcel No: 2054306800 Lot#: 0 Applied:
Valuation: $3,744.00 Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant:
ROSSALL RES-416 SF DETACHED
PATIO COVER
ROSSALL BARBARA J 1995 TRUST
1230 TAMARACK AVE
CARLSBAD CA 92008
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
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Owner:
ROSSALL BARBARA J 1995 TRUST
1230 TAMARACK AVE
CARLSBAD CA 92008
ISSUED
03/28/2006
LSM
03/28/2006
03/28/2006
$53.49
$0.00
$34.77
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$89.26
Total Fees: $89.26 Total Payments To Date: $89.26 Balance Due:
11
,1 r II FINAL AIPRP,VAL .(' Inspector: .,1 Date: OJ I/ oi Clearance: l
$0.00
NOTICE: Please take NOTICE~t app~oval 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 capacity
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 "OU have "reviousl" been "iven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exrired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
1. PROJECT INFORMATION
,-~30 ,~il'l/4\.}.! .. )LK t)UI~
FOR OFFICE USE ONJ-'!; _
PLAN CHECK NO. ~ 0 l&> 0~ b ~
EST. VAL ~ 7 '-f-'-{
Plan Ck. Deposit--~~-~----
Validated By ~ii/Oh
Date ___ ._~'-="-''-"="-------
Address (include Bldg/Suite#) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work SQ. FT #of Stories # of Bedrooms # of Bathrooms
D e-Tl't Ut-eD sreve (.(-5?5-d)g-~3
(, ~ lcJc~ 7/. r, · /,¥j '~S I
Name Address
3. L' .. APPLICANT
}I\,.
Name
D Contractor D Agent for Contractor
Address
4. PROPERTY OWNER
Name Address
5. CONTRACTOR -COMPANY NAME
City State/Zip Telephone# Fax#
),· Owner □ Agent for Owner
City Stale/Zip Telephone#
City State/Zip Telephone#
(Sec. 7031.5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish Of repair any structure, priOf' 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 applicant to a civil penalty of not more than five hundred dollars [$5001).
Name Address City State/Zip Telephone#
State license# _________ _ License Class ___________ _ City Business License# ____________ _
Designer Name Address City State/Zip Telephone#
State license# ________ _
I. WORKER'S COMPENSATION
Workers' Compensation Dedaration: I hereby affirm under penalty of perjury one of the follolNing dedarations:
D I have and win 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.
D I have and will maintSn worker's 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:
Insurance Company _________________ Policy No. Expiration Date, ___________ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
D CERTIRCATE 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 workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and ctv/1 fines up to one hundred thousand
dollars($100,000J, in addition to the cost of compensation, damages are provided for in Section 3706 of the Labor Code, Interest and attorney's fees.
SIGNATURE, ________________________________ DATE. __________ _
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the follO'Mng reason: ~ l, as owner of the property or my employees INith wages as their sole compensation, will d 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 budds or improves thereon, and who does such work himself or
through his own employees, provided that such improvements are not intended or offered fOf' 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).
□ I, as owner of the property, am exdusively 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).
□ I am exempt under Section _________ Busmess 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 □ NO
2. I (have/have not) signed an application for a building permit for the proposed work.
3. I have contracted INith the following person (firm) lo provide the proposed construction (include name/ address/ phone number I 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 I address I phone number/
/ontradorslicense 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 I phone number /type of work):
PROPERTY OWNER SIGNATURE __ , .. ,?¾_.~~i;.<-~(,.,LL,4~:,,C!?~,'-"~t.r;J-,;,J..._:J...~,L-· _:rJ"-'1C-"'' '...-"d!--::(c:· :::,,.,X.,o,. ___ DATE _ _,3"--'-=R=J7=-_·-_CJ;:_.=Gc.__
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
COIIPLElE 1Hl8 8EC110N FOR NON-RES/Dll!NTIAL BUILDING PE-18 ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under
Sections 25505, 25533 or 25534 of the Presley•Tanner Hazardous Substance Account Ad? □ 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? D YES □ NO
Is the facility to be 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 DISlRICT.
a. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the pertormance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME ___________________ _ LENDER'S ADDRESS ___________________ _
I. APPIJCANTCER11FICATION
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 City 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, JUDGEMENTS, 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 of 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 180 days 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 commenced for a period of 180 days (Section 106.4.4 Uniform Build! ode).
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 09/08/2006
Permit# CB060865
Title: ROSSALL RES-416 SF DETACHED
Description: PATIO COVER
Type: PATIO Sub Type:
Job Address:
Suite:
1230 TAMARACK AV
Lot 0
//S/" Inspector Assignment: rr-r
Phone: 7608017566
Location: Inspector:
OWNER ROSSALL BARBARAJ 1995 TRUST
Owner: ROSSALL BARBARA J 1995 TRUST
Remarks: PLEASE CALL WITH 2 HR WINDOW OF TIME
Total Time:
----
Requested By: NA
Entered By: CHRISTINE
CD Description Act C~ment
19 Final Structural _M{~J _________________ _ .. ---___ . ___ irr ___________________ ~
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
j . '
r.
-~ -V---::>..111 I ~ 7 0Q ~-
•
--------
It
! I
-------.,--.. ---------
\ I I