HomeMy WebLinkAbout2051 PALOMAR AIRPORT RD; ; CB031357; Permit05-12-2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Patio/Deck Permit Permit No: CB031357
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2051 PALOMAR AIRPORT RD CBAD
PATIO
2130503900 Lot#:
$6,931.00 Construction Type:
MELLOS GRIOT
METAL PATIO COVER ICBO 4244P
0
NEW
Applicant;
M G PALOMAR LLC
C/O SHAHID A KHWAJA
2051 PALOMAR AIRPORT RD #200
CARLSBAD CA 92009
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Chedg?^/
Owner:
M G PALOMAR LLC
C/O SHAHID A KHWAJA
2051 PALOMAR AIRPORT RD #200
CARLSBAD CA 92009
ISSUED
05/08/2003
MDP
05/12/2003
05/12/2003
05/12/03 0002 01
CGP
02
127.37
Building Permit $76.59
Add'l Building Permit Fee $0.00
Plan Check $49.78
Add'l Plan Check Fee $0.00
Strong Motion Fee $1.00
Renewal Fee $0.00
Add'l Renewal Fee $0.00
Other Building Fee $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $127.37
Total Fees: $127.37 Total Payments To Date:$0.00 Balance Due:$127.37
FINAL APPROVA
INSP. _DATE.
CLEARANCE,
PERMIT APPLICATION
i
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK N0._
EST. VAL. (
Plan Ck. Deposit
Validated By
Date
Address (include BIdg/Suite #)
h/p ra,_ ' ' t M Kin
Business Name (at this addr^s)
7r!f/U<
Legal Description
FfL(F-
A, /O Lot No. .Subdivjaon Name/Number ^ unit No. Phase No. To
O Cbu^iry^r .At
^ Existinq Use _ ' / Proposed Use f
Tot
Existing Use Proposed Use
al U of units
Assessor's Parcel 9
Description of Work ' SO. FT. . #of Stories
ll^^- P^nO Cov£R yS^ fj/f^
CONTACT PERSON (Hdifferant^ih applicant)2.
# of BedroomsJedrooms tt of Bathrooms
Name Address
3. AMUCANT O Contractor Q Agent for Contractor O Owner
City
Agent for Owner
State/Zip Telephone 9 Fax #
Name Address City State/Zip Telephone#
T^/OT <0^[ PA(nMfifl- l-P/U if Cj^hIUa/ Gd f
Name ' Adtiress City ^ _ State/Zip Telephone#
6. CONTRACTOR - COMPANY NAME ^
Arftress City ^ _ State/Zip Telephone#
6. 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 ($5001).
Name
State License #
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name Address City State/Zip Telephone
State License #
6. WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q 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.
Q 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)
j~) 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 ^11 subject an employer to criminal penalties and civil lines 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
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
□ t, 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).
Q 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 contractorCs) 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. Q YES QnO
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 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 work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR/VO/V-/7f5/OSY77AL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preventionprogram under Sections 25505, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? ^ YES Q NOIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES ^2^ NO
Is the facility to be constructed within 1 ,(X)0 feet of the outer boundary of a school site? Q YES
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. APn.iCM)IT CERTIHCATION
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 CitV 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 demolijipiror'c^struction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official unjter the prfi^tSions of this Code shall expire by limitation and become null and void if the building or workauthorized by such permit is not commenced within 180 day^^m tfy^te of such permit or if the building or work authorized by such permit is suspended or abandonedat any time after the work is commei^&eU^ aaariM of iBUi^vs (Seciion Tt)fi.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad BIdg Inspection Request
For: 06/18/2003
Permit# CB031357
Title: MELLOS GRIOT
Description: METAL PATIO COVER ICBO 4244P
Inspector Assignment: PY
2051 PALOMAR AIRPORT RD
Lot 0
Type: PATIO Sub Type:
Job Address:
Suite:
Location:
APPLICANT MG PALOMAR LLC
Owner:
Remarks:
Phone: 7604382131 x3207
Inspector:
Total Time:
CD Description
19 Final Structural
Acto Comment
Associated PCRs/CVs
Requested By: NA
Entered By: CHRISTINE
Inspection History
Date Description Act Insp Comments
06/16/2003 89 Final Combo NR PY NO PLANS OR JOB CARD
06/02/2003 11 Ftg/Foundation/Piers AP PY
05/28/2003 11 Ftg/Foundation/Piers CO PY SEE NOTICE ATTACHED
05/23/2003 11 Ftg/Foundation/Piers CO PY
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB DATE 2.-0 n
ADDRESS 2"-077 >di/tfft)/tT"
RKIDENTIAL TENANT MPROVQHENT
RESIDENTIAL ADDITION MINOR
(<$10,000.00)
PLAZA GAMING REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER /IfiatTNtiA-. Qi<-C-wQtlrtC
PLANNER {Ja^J Ly/^ycX DATE
ENGINBER DATE
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