HomeMy WebLinkAbout2307 TERRAZA RIBERA; ; CB130111; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-15-2013 Patio/Deck Permit Permit No: CB 130111
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2307 TERRAZA RIBERA CBAD
PATIO
2155813200
Status:
Lot#: 0 Applied:
Valuation: $977.00 Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Project Title: DWINELL RES -102 SF PATIO W/
LATTICE COVER, ATTACHED TO HOUSE. FOUNDATION INSPECTED ON
CB110097 BY PY
Applicant:
DWINELL FAMILY TRUST 05-04-00
2307 TERAZZA RIBERA
CARLSBAD CA 92009
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
Owner:
DWINELL FAMILY TRUST 05-04-00
2307 TERAZZA RIBERA
CARLSBAD CA 92009
ISSUED
01/15/2013
SKS
01/15/2013
01/15/2013
$27.10
$0.00
$18.97
$0.00
$1.00
$1.00
$0.00
$0.00
$0.00
$0.00
$48.07
Total Fees: $48.07 Total Payments To Date: $48.07 Balance Due:
FINAL APPROVAL
Inspector: Date: .)-I -1 .3 Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "lees/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 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 right to protest the specified feeslexactions 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
THE FOLLOWING APPROVA~ REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING 0FIRE □HEALTH D HAZMAT / APCD
«~ Building Permit Application Plan Check No. U-:, I JO l I I
1635 Faraday Ave .• Carlsbad, CA 92008 Est. Value 01, ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: buldllng@carlsbadca.gov Plan Ck. ,DePO!jlt
www.cgrlsQade:a.gov Z10 Date I I IS" 6 lswpp
JOB ADDRESS SUlTE#/SPACE# /UNIT# "" 5'dl -3 2-...2 3f:J 11 TP' I)/(, A_? /J ~ln. ,,,...,,., ,, :2(5 -O<D
CT/PROJECT# LOT# I PHASE# # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet or Affected Area(S)
/ CJ ;;z Sf' FT P1+TTO /2looF .4TTK-H~0 7o // oc,J'S{=_
yb"-5 NOMI M I r-J ) ('CL. \E1'.'.) u"--> 013\ l ou9 '1 (2:,1._7 fY
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING ! FIRE SPRINKLERS
YES □#_ NOD YES □ NO □ YES O NOD
APPLlµJl~2Contac~ • APPLICANT NAME (Secondary Contact)
ADORES ~ ~ ~-----~ ~DDRESS -------------
?~ 1,7 ""77?, ,A/> A 7 A LD/, .,...,_. /I~
CITY ~_;; ZIP 'fl CITY STATE ZIP ~ ./J/, r3_.,,, D &l!J 00
>v~ .
I"'
PHONE IFAX ✓, ,'/ r-;1?0 , /
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
ADDRESS At?ov~ '\ / ADDRESS
CITY STATE -ZIP CITY STATE ZIP
PHONE I FAX PHONE I FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# I Cl.ASS I CITY BUS. UC.#
(Sec. 7031.5 Business and P_rofess1ons Code: Any City or County which requnes a permit to construct, alter, improve, demolish or repair any structure, J)nor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law JChapter 9, comme_ndmg with Section 7000 of D1vis1on 3 of the B_usmess and Professions Code) or that he 1s exempt therefrom, and the basis for the aneged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarat1bns.
□ I have and will maintain a certificate of consent to self-insure lor workers' compensation as provided by Section 3700 ol the Labor Code, lor the performance 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 lor which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiration DaE _________ _
~
h. section need not be completed if the permit is for one hundred dOllars ($100) or less.
Certificate of Exemption: I certify that in the performance of the work for wliich this permit is issued, I shall not employ any person ifl any maf\f\er so as to become subject to the Workers' CompensatiOn Laws of
rnia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand dollars (&100,000~ in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
,6$ CONTRACTOR SIGNATURE □AGENT DATE
I hereby affirm that I am exempt from Contractor's Ucense 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 af\d Professions Code: The Contractor's
License Law does not apply to an owf\er of property who builds or improves thereon, and wlio does such work himsett 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-builcilr will have the burden ol proving ttiat he did riot build or improve for the purpose of sale).
D I, as owner of the property, am exdusively contractirg 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 Contractors License Law).
I am exempt under Section _____ Business and Professions Code lor this reason:
1. \ personally plan to provide the major labor and materials for construction of tt,e proposed property improvement. □ No
2. I (have I have not) signed an application for a building permit for the proposed work.
tf-.,Yes
3. I have contracted h the following person (firm) to provide the proposed construction (include flame address I phone I contracbrs' foense number)·
following ordinate, supervise and provide the major work (include name I address I phone/ contractors' license number):
rsons to provide the work indicated (include name/ address I phone I type of work):
AS PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenUon 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 pennit from the air pollution control district or air quality management district? □ Yes □ No
Is tre facility lo be constructed within 1,000 feet ol 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 infonnatlon is oolTeCtand that the infonnatlon on the plans Is accurcrte. I agree to comply with all City oldinances and State lav.s relating to building oonstruction.
I hereby authorize representative of the City of Cansbad to enter upm the atxive mentioned property br in5()3ciion purp:ises. I ALSO AGREE TO SAVE, \NDEMNlFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AU 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 over 5'0' deep and demolltk'.Jn or oonstruction of structures over 3 stories in height.
EXPIRATION: Every perm rt issued by the Buikjing Official under the provisions of this Code shall expire by limrtation and become null and void if the buikjing orv-.ork authorized by such pem1rt is not oommencad 'Mthin
180 days from the date of such permit or if the buikf orv-.ork authorized such permit i us pended or abandoned at any time after the v.ork is oommencad for a perod of 180 days (Seclk'.Jn 106.4.4 UniKlrm Building C.ode).
_g APPLICANT'S SIGNATURE
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 www.buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE FAX
EMAIL
DELIVERY OPTIONS
□ PICK UP: r:i CONTACT (Listed above) □ OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
□ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On pg_ 1)
ZIP
□MAIL/FAX TO OTHER: ________________ _
,Jt5 APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. LlC. No.
□ ASSOCIATED CB#
o NO CHANGE IN USE/ NO CONSTRUCTION
□ CHANGE OF USE / NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB130111
Date Inspection Item
02/27/2013 19 Final Structural
Thursday. February 28, 2013
Type: PATIO
Inspector Act
PB AP
DWINELL RES -102 SF PATIO W/
LATTICE COVER, ATTACHED TO HOUSE.
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