HomeMy WebLinkAbout2703 TIBURON AVE; ; CB142255; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-04-2014 Patio/Deck Permit Permit No: CB142255
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2703 TIBURON AV CBAD
PATIO
1675125100 Lot#:
$3,100.00 Construction Type:
0
NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
FIVASH RES-BUILD NEW DETACHED Project Title:
LATTICED ROOFED PATIO COVER PER CITY SPECS
Applicant:
ITALCO CONSTRUCTION
PO BOX 1537
VISTA CA 92085
760-630-2079
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:
FIVASH LISA J TRUST
2703 TIBURON AVE
CARLSBAD CA 92010
760-632-9098
Issued:
Inspect Area:
Plan Check#:
ISSUED
09/04/2014
LSM
09/04/2014
09/04/2014
$61.27
$0.00
$42.89
$0.00
$1.00
$1.00
$0.00
$0.00
$0.00
$0.00
$106.16
Total Fees: $106.16 Total Payments To Date: $106.16 Balance Due:
FINAL APPROVAL
Inspector: Date: .J · 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 "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 reviousl otherwise ex ired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERM!T ISSUANCE: LJPLANNING []ENGINEERING []BUILDING L~FIRE □HEALTH ['.]HAZMATIAPCD
(~City of Building Permit Application Plan Check No. C6t4 &o-55
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date 0 / r..J-/ I Lf lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN ---l}rJ[ ,-27{)'7=, (18/Ji<O/,I
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS TTENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
pfZ.,GE g I I} It l:lt u t~ p ff11[) :270 ;p
Pu--~, 't1/ $ pU,,s
EXISTING USE I PROPOSED USE I GARAGE (SF) pz.07~) lDECKS (SF) FIREPLACE IAIR CONDITIONING lFIRE SPRINKLERS
YES[), No[] YES □No □ YES □No□
APPLICANT NAME r;l r 4 /:/ 4 r U'::-. 'IJ d:,)\ fl Zr~ PROPERTY OWNER L l Si& ~( {/ JIJSl-1 Primary Contact
ADDRESS ,0 "30x /52.7 ADDRESS 2 7 {) 3 .0.
CITY 1!1Sr.& STAT('<} ZIP <.!:izog.5 CITY STATE (' '() ZIP C '1 f{LS 131} I::,
PHONE :~. l FAX 71'.-0-6 D--cD?.:!.i 7r:O -6'.JfJ-BD-5:,, PHONE 7, 60 C-3ZQ'il0 ~f IFAX
EMAIL µ II:} /t.J (../ / (§ EMAIL
IT"9LCoc0ll.irO<l(f"/:JI/. C.0 ~
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME l T 4L C!J CD II S ·r;e. ✓C cr !7~'
ADDRESS ADDRESS /> 0, ,; 37 13 0 K.
CITY STATE ZIP CITY rJ 1 ~ 1 0 STA;)'> ,J ZIP 'jl<.J '//5 L'
PHONE lFAX PHONE 7 t'cJ-63.9-2(};,IAX 7/cJ 6'30-<!JO -S} -
EMAIL EMAIL • C-r 14N PIG 1711 c C:> cD11 sr12.vc-r, 01, cow I STATE LIC. # STATELIC.# 7;(', ~/£ ~ 0 IC~ I CITY BUS. LIC.#
(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 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Section 70_00 of Division 3 of the B_usmess and Professions Code) or that he 1s exemP.t 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
c1v1I penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: I hereby affirm under penall'f of perjury one of the following declarations·
~ 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 perfom1ance of the work for which this permit is issued
fgJ I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and pohcy
o,mbec are losuraoce Co. S' 7 fJ 7 P f V /.I I\ ______ Pol;cy No. 12 -S I ?Qi 4-20 '4 E,p;ra1;00 Date 4 •-/ / 5
This section need not be completed if the permit is for one hundred dollars ($100) or less ~ Certificate of Exemption: I certify that in the,perfom1ance of !he work for which !hi~ pennit 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 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, damage rovided for in Section 3706 of the Labor code, interest and attorney's fees.
_,,g CONTRACTOR SIGNATURE
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 of proving that he did not build or improve for the purpose of sale}
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 Contractor's License Law)
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. 0Yes 0No
2. I (have/ have not) signed an application for a building pem1it for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone 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 I contractors' license number}
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the w~rk indicated (include name I address/ phone/ type of work)
_,,g 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 arid prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicarit or future buildirig occupant required to obtain a permit from the air pollution control district or air quality mariagemenl district? 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 DISTRICT.
I certify that I have read the applicatiori and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to bull ding construction.
I hereby authorize representative of the City of Ca~sbad to enter upon the aOOve mentioned property for inspection purp'.)ses, 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 over 5'0' deep and demolitOn or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Buik:ling Official under the provisions of this Code shall expire by limitation and become null and void rt the buik:ling or IMlrk authorized by such pennit is not oommenced Wthin
180 days from the date of such pemiit or if the building or IMlrk orized by such pennil is suspended or abandoned at any time after the IMlrk is oommenced for a period of 180 ys (Section 106.4.4 Unifonn Building Cooe)
,a5 APPLICANT'S SIGNATURE~ DATE 2D I 1/,
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 STA.TE ZIP CITY
Carlsbad
STATE
CA
PHONE FAX
EMA.IL OCCUPANT'S BUS. UC. 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: _______________ _
Nf APPLICANT'S SIGNATURE
ASSOCIATED CB#'-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB142255 Type: PATIO
Date Inspection Item
10/21/2014 19 Final Structural
10/21/2014 19 Final Structural
09/18/2014 11 Fig/Foundation/Piers
09/08/2014 11 Fig/Foundation/Piers
Thursday, October 23, 2014
Inspector
PB
SP
SP
Act
RI
AP
AP
AP
FIVASH RES-BUILD NEW DETACHED
LATTICED ROOFED PATIO COVER PER C
Comments
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