HomeMy WebLinkAbout2853 AVENIDA HELECHO; ; CB020171; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
0 1 -1 5-2002 Patio/Deck Permit Permit No:CB020171
Job Address: Permit Type: PATIO Status: ISSUED
Parcel No: 255281 3800 Lot #: 0 Applied: 01/15/2002
Valuation: $1,305.00 Construction Type: NEW Entered By: MDP
Reference #: Plan Approved: 01/15/2002
Issued: 01/15/2002
Project Title: FLEET RESIDENCE Inspect Area:
2853 AVENIDA HELECHO CBAD
180 SF PATIO W/GAS & ELECTRIC
Applicant Owner:
ANDERSON'S LA COSTA NURSERY LACOSTA VALLEY-CARLSBAD L P
a327 Ol/15/02 0002 01 02 C/O HEARTHSTONE
161 33 VENTURA BLVD #1400
ENCINO CA 91436 CGF. 94 = 28 400 LA COSTA AV
ENCINITAS CA 92054
760-753-3 1 53
Total Fees: $94.28 Total Payments To Date: $0.00 Balance Due: $94.28
Building Permit
Add'l Building Permit Fee
Plan Check
Addl Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
$28.05
$0.00
$1 8.23
$0.00
$1 .oo
$0.00
$0.00
$47.00
$0.00
$94.28
FINAL APPROVAL
d
inspector: '5 f~& Date: &-XI&- Clearance:
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feesfexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
feesfexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise emired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
I Date
FOR OFFICE USE ONLY
PLAN CHECK NO. fiz- \T 1
EST. VAL.
Plan Ck. Deposit
Validated By
1
Address (include BldglSuite X)
Legal Descrlption Lot No. Subdivision NamdNumber Unit No. Phase No. Total t of units
Business Name (at this address)
Proposed Use
sa. FT. #of Stories # of Bedrooms # of Bathrooms
3. APPLICANT 0 Contractor 0 Agent far Contractor a Qwner a Agent for Owner
Statelzip Telephone # Name Address City
Name Address City StatelZip Telephone #
4. PROPERTY OWNER F\ eeC
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 Codel or that he is exempt therefrom. and the basis for the alleged exemotion. Anv 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 155001J. 900 daiA L~L-AO~A CrQ qw LY 'ir 60 3S33153
Address City Statelzip Telephone # b* I &E I4 \t25&
Name .- .-
State License # 3 0 Y 9 3 License Class t- 2 ? City Business License # \ 2 0 8 22 $
Designer Name Address city Statelzip Telephone'
State License t
8. WORKERS' COMPENSATION
Workers' compensatlon Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit IS issued,
issued. My worker's compensation inwrancr carrier and policy number are:
insurance Company 5tATG COMP€N SAT 10.3 IMJP&olicy~o.
(THIS SECTION NEED NOT BE COMPLETED iF THE PERMIT IS FOR ONE HUNDRED DOLLARS I51001 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 eny person in any manner so as
to becoma sublect to the Workers' Compensation Laws of California.
WARNING: Failure to aecure workers' compensation coverage is unlawful, and rhal auwct an employer to criminal penalties and civil finer up to one hundred
thouaand dollars (8100.0001. in addition to the cost of compensation. damegea as provided for in Section 3706 of tho Labor code, interest and attorney's fees.
SIGNATURE DATE
I hereby affirm that I em exempt from the Contractor's License Law fo
0 I, as owner of the property or my employees with wagas 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 Licensa Law doas not apply to an owner of property who builds or improves thereon, end who does
such work himself or through his own employees. provided that such improvements ara not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, tho owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
0 I. es owner of the property. am exclusively contracting with licensed contractors to construct the project (Sac. 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 contractork.) licensed
pursuant to the Contractor's License Lawl.
0
1.
2.
3.
W\\CE H\ACCt Ltpb LACOSTA h Ug LGU@5AO(rp CA 920 24 .=l& 0 .+<3 31 53
I have and will maintain a certificate of consent to self-insure for workers' compensatlon as provided by Section 3700 of the Labor Code, for the performance
I have and will maintain workers' compensation. as required by Section 3700 of the Labor Code, for the performance of the work for whtch thts permit IS
fvN 0 \LO 86 99 -0 1 Expiration Date s- \ -b 2
ER-BUILDER DECLARATION
I am exempt under Section
I personally plan to provide the major labor and materials for construction of tha proposed property improvement. 0 YES ON0
I (have I have not) signed an application for a building permit for tha proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
4.
number / contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETETHIS SECTION FOR IYON-R€S/D€MT/AL BUILDING PERMITS ONLY
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 / phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number / typa
*
Is the applicant or future building occupant required to submit a business ple
program under Sections 25505, 25533 or 25534 of the Presiey-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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
LENDER'S NAME LENDER'S ADDRESS
9. 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 Cit) of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO 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 stories in height.
EXPIRATION: Every permit
authorized by such permit is
utely hazardous materials registration form or risk management and prevention
0 YES 0 NO
0 YES
e work for which this permit is issued (Sec. 3097(i) Civil Code).
the provisions of this Code shall expire by limitation and become null and void if the building or work
the date of such permit or if the buildina or work authonzed bv such oermit is susoended or abandoned
at any time after the work is corn 106.4.4 Uniform Building Cod;).
APPLICANT'S SIGNATURE
I WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 04/09/2002
Permit# CB020171 Inspector Assignment: JC
Title: FLEET RESIDENCE
Description: 180 SF PATIO WlGAS & ELECTRIC
Phone: 7607030490 Type: PATIO Sub Type:
Job Address: 2853 AVENIDA HELECHO
Suite: Lot 0
Location: Inspector:
APPLICANT ANDERSON'S LA COSTA NURSERY
Owner: FLEET KEVIN&GRETCHEN
Remarks:
Total Time: Requested By: LAUREN
CD Description
39 Final Electrical
Associated PCRs
InsDection History
Date Description Act lnsp Comments
04/05/2002 19 Final Structural AP JC
04/05/2002 29 Final Plumbing AP JC NOTFINAL
04/05/2002 39 Final Electrical CO JC SEENOTICE
01/23/2002 1 1 FtglFoundationlPiers AP JC
01/23/2002 23 GawlestlRepairs AP JC
01/23/2002 31 Underground/Conduit-Wiring AP JC
01/17/2002 21 UndergroundlUnder Floor AP JC
01/17/2002 31 UndergroundlConduit-Wiring AP JC
City of Carlsbad Bldg Inspection Request
For: 04/05/2002
Permit#
Title:
Description:
Type:
Job Address:
Suite:
Location:
APPLICANT
CB020171
FLEET RESIDENCE
180 SF PATIO WlGAS & ELECTRIC
Inspector Assignment: JC
PATIO Sub Type:
2853 AVENIDA HELECHO
Lot 0
ANDERSON'S LA COSTA NURSERY
Owner: FLEET KEVIN&GRETCHEN
Remarks:
Total Time:
CD Description
7607030490
Requested By: LAUREN
Entered By: CHRISTINE
Act Comments
19 Final Structural Bp rl
29 Final Plumbing AP r -.
39 Final Electrical
Associated PCRs
InsDection Historv
Date Description Act lnsp Comments
01/23/2002 11 FtglFoundationlPiers AP JC
01/23/2002 23 GaslTesWRepairs AP JC
01/23/2002 31 Undergroundlconduit-Wiring AP JC
01/17/2002 21 UndergroundlUnder Floor AP JC
0111 712002 31 Underground/Conduit-Wiring AP JC
BUILDING DEPARTMENT
OTICE (760) 602-2700
1635 FARADAY AVENUE
FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? YES
FOR FURTHER INFORMATION, CONTACT
PHONE
@ CODE ENFORCEMENT OFFICER
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