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HomeMy WebLinkAbout1301 CHINQUAPIN AVE; ; CB031778; Permit06-30-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No CB031778 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1301 CHINQUAPIN AV CBAD PATIO 2061403700 Lot# $7 456 00 Construction Type 0 NEW HOVIS RES 462 PATIO COVER FIRE PLACE WORK SHED 150 SF ALL PER CITY SPECS Status Applied Entered By Plan Approved Issued Inspect Area Plan Check# ISSUED 06/30/2003 SB 06/30/2003 06/30/2003 Applicant HOVIS JOHN H&WILLIAMS BARBARA J 1301 CHINQUAPIN AVE CARLSBAD CA 92008 Owner HOVIS JOHN H&WILLIAMS BARBARA J 1301 CHINQUAPIN AVE CARLSBAD CA 92008 8565 06/30/03 0002 01 CGF> 02 ā€¢140 08 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 $8429 $000 $5479 $000 $1 00 $000 $000 $000 $000 $14008 Total Fees $14008 Total Payments To Date $000 Balance Due $14008 FINAL APPROVAL DATE CLEARANCE SIGNATURE PERMIT APPLICATION M CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL ~~7i f Plan Ck Deposit Validated By 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 icription of Work jEKbi^XT ā€”iā€” /*"ā€¢» vi^n«T\JO ^J*sV"eU-> , ,_^- _vr-, CONTACT PERSON (if Afferent from appli # of Bathrooms Name A'ddres'sl I / 'City 3 APPLICANT Q Contractor Q Agent for Contractor Q Owner Q Agent for Owner State/Zip Telephone # Fax # Name 4 PROPERTY OWNER Address City State/Zip Telephone # Telephone #Address City State/ZipName 5 CONTRACTOR COMPANY NAME (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 applicant to a civil penalty of not more than five hundred dollars [$500]) Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # C WORKERS COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 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 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) 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 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 SIGNATURE DATE 7 OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason Q 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) J0" 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) 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 l~l YES [UNO 2 Oh"av^' nave 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) . 5 I will provide some of the worJt^Dut I haVe contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) s\^ / ^_ /" OWNER SIGNATURE DATE \ COMPLETE THIS SECTION FOR NON-MmB&inAL BUILDING PERMITS ONLY Is the applicant or future building occup\nt required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25513 or\25534 of the Presley Tanner Hazardous Substance Account Act? Q YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' fj YES O Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES Q 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 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER S NAME _ LENDER S ADDRESS 9 NO T APPLICANT CERTIFICATION 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 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 demolition or construction of structures over 3 stones in height EXPIRATION Every perminssugcMjy*thel Ouildlng 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 (Wcommenced^Within 180 days from the date of such permit or if the building or work authorized by such permrgs suspended or abandoned at any time after the work is cxjmnienced fof a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE WHITE File YELLOW Applicant PINK Finance DATE City of Carlsbad Bldg Inspection Request For 01/06/2004 Permit* CB031778 Title HOVIS RES 462 PATIO COVER Description FIRE PLACE WORK SHED 150 SF ALL PER CITY SPECS Inspector Assignment JM 1301 CHINQUAPIN AV Lot 0 Type PATIO Sub Type Job Address Suite Location APPLICANT HOVIS JOHN H&WILLIAMS BARBARA J Owner HOVIS JOHN H&WILLIAMS BARBARA J Remarks Phone 7609304086 Inspector Jv\A Total Time CD Description 19 Final Structural Requested By JOHN Entered By CHRISTINE Act Comment Associated PCRs/CVs Date 09/16/2003 09/16/2003 08/20/2003 08/15/2003 08/14/2003 08/14/2003 08/13/2003 08/13/2003 08/11/2003 07/15/2003 07/15/2003 07/15/2003 Inspection History Description Act 19 Final Structural NR 68 66 15 66 68 68 97 14 11 31 68 Fireplace/Tie Straps Grout Roof/Reroof Grout Fireplace/Tie Straps Fireplace/Tie Straps T 24 H Cap Consultation Frame/Steel/Bolting/Weldmg Ftg/Foundation/Piers Underground/Conduit Wiring Fireplace/Tie Straps NR AP AP PA we we PA AP AP PA we Insp JM JM JM JM JM JM JM JM JM JM JM JM Comments OK TO OK TO GROUT COVER OK 1ST LI FT SHED OK TO FRAME OK VERIFY CORRECT AB washers @ POUR SHED FIREPLACE AND PATIO COVER final FOOTINGS