HomeMy WebLinkAbout2882 RANCHO RIO CHICO; ; CB120352; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-28-2012 Patio/Deck Permit Permit No: CB120352
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2882 RANCHO RIO CHICO CBAD
PATIO Status:
Lot#: 0 Applied:
Valuation:
2226101700
$2,376.00 Construction Type: NEW Entered By:
Reference #:
Project Title: SHUDA: 248 SF ALUMA WOOD PATIO
Applicant:
SHUDA FAMILY TRUST 10-30-02
2882 RANCHO RIO CHICO
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
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Owner:
SHU DA FAMILY TRUST 10-30-02
2882 RANCHO RIO CHICO
CARLSBAD CA 92009
ISSUED
02/28/2012
JMA
02/28/2012
02/28/2012
$58.27
$0.00
$40.79
$0.00
$1.00
$1.00
$0.00
$0.00
$0.00
$0.00
$101.06
Total Fees: $101.06 Total Payments To Date: $101.06 Balance Due:
Inspector:~
FINAL APPROVAL
Date: {,-1'(-/Z, 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 fUe 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 whi"h unu hav"' nrevio· ·-~ · '---n niven a NOTICE similar tn thi" nr "" to whirh the s•-•· ... of limitations has orevini ,c,,lv oth--··i--"'Xnir-....
«~'» Building Permit Application Plan Check No. CB/ 2 0 "3 SZ
1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718 / 2719
CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date ,;i '].--R-"f I z. lswPP
JOB ADDRESS ei€> ~ SUITE#/SPACE#/UNIT # APN -(, l O 2 2.., ""° ~~ C¼\C..O 2,-.... -\7 -
CT/PROJECT# l'o~ I PHASE# I# OF 'NITS I# B1/0MS # BATHROOMS I TENANT BUSINt.SS NAME I CONSTR. TYPE I occ. GROUP
..::J
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
IS'>< U,',•1 x 8'1" A+""-;,e-D A--/"~ l'1tn0Covex -bl4GIL v11,,,,.J. 11~ ;"'-
.L~~ ..... -5"9-b
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EXISTING USE I PROPOSED USE /t I GARAGE (SF) PATIOS (SF) TDECKS (Sf} I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLEjl. p,...,e-~ l¼"r'° v> (.,Dull 'Jevi.. 2'-t1-S-/lf:/1/'L YEs,.d •-I-NO □ YE~ NOD YES □ NO
APPLl~}~~El~y ,n~~ ~1,-.....ru).... APPLICANT NAME (Secondary Contact)
ADDRESS ~ Q.......,. C-~ ADDRESS '2.-"lll ,__
Cllt~~ e~ z1ft,'l00~ CITY STATE ZIP
,PHONE '1(.0\ 'i"!>t--08 \.\;:, IFAX ----
PHONE I FAX
"'sd,11\A(tl.. ~"'~~°""""W>MP<i.eo ..... EMAIL
PR0~~':.4.~NER NAME S ~L...,..~ _(~_.,__t ~ k-c~rTRACT'!R BUS. NAME C. ft,.., fr 11'-\."'S .s>"'-~ ._ o ......_
AD~,S AODRESS.)E'_ ( -~\C-•"'-'1 '2l 'l~ ~ c~ {µ/'-11-f\...-.C.\ ,
c~6-J) ~ <i:~'l b'~~•k-STATE ZIP
Cl+'
~NE IFAX ~ PHONE I FAX 1 i..o) Lf 'JA --c 8 '-I ?::, ,f'11.,)~-'r3~.s""
._,v,AIL EMAIL
S~·S\.uu.c....1v-..>(>-,l.¼w, l"\.C<\.u,,..._ i"'O-'rC, ~ (;:) ~ "'' ... -$, p,,.A--io c:o...-...-;i -"'"' ......
Acr;rGN,~E;.::SS l'iok--'-~• 1ttf.. lc~ii~ STATE UC.# I CLASS l0'7z~'3c. 43 ""', t:> / I:, 2..-
(Sec: 7031.5 Business and Professions Code: Any City or Cqun.ty which requires a permit to.c!'.)nstruct, alter, improve, ~emohsh or repair an:y: structure, prior t!'.) its ISS\.Jance, also re.qy11es 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 7000 of D1v1s1on 3 of the Business and Professions Code} or that he 1s 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)).
vii a 11 ,c ii:"R '11 • c o M e UII ,·AT , a 1\1 · -.• · • ' · • · . · -• · · . -
Workers' Compensation Declaration: I hereby afflnn under penalty of pedury 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 performance of ihe work for which this pennit is issued.
□ I have and will maintain workers' compensation, as required by Section 3700 _pl the L<Wor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensati i urance carrier and policy
number are: Insurance Co. 'S'~ W1'11\p1. ~ ~ Policy No. 4q:, -0(!)(.11 ;-,,c, Expiration Date_1_.._._lp...c"l..=----
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 perfonnance of llie work for which this pennil is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensaijon Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltles 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.
~ CONTRACTOR SIGNATURE □AGENT DATE
I hereby afflnn that I am exempt from Conflacfor'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 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 Ilia! 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).
-./ \, 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 r 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. □ Yes □ No
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 I contractors' license number):
4. I plan to provkle portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE □AGENT
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention 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 permit from the air pollution control district or air qualify management distrk:t? □ 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 application and state that the above lnfonnatlon Is correct and that the lnfonnatlon on the plans Is accurate. I agree ID comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the Qty of Carlsbad to enter uJX)n the above mentDned property br inspection purposes. I AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AG-\INST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required br excavations over S'O' deep and demolition or construction of structures over 3 ston:!s in height.
EXPIRATION: Every permit issued by the Building Offk:;ial under the provisk:Jns of this Code shall expire by imita!Dn and become null and void ~the building or'Mlrk authorized by such permit is notmmrnenced 'Mthin
180 days from the date of such permit or if the buiding or oork authorized by sucil permit is suspended or cbandoned at any lime after the oork is oommenced hr a pel'OO of 180 days (Section 100.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 06/13/2012
Permit# CB120352
Title: SHUDA: 248 SF ALUMA WOOD PATIO
Description:
Type:PATIO Sub Type:
Job Address: 2882 RANCHO RIO CHICO
Suite: Lot: 0
Location:
APPLICANT SHU DA FAMILY TRUST 10-30-02
Owner: SHUDA FAMILY TRUST 10-30-02
Remarks: AM PLEASE
Total Time:
CD Description Act Comments
Inspector Assignment: _j.6_
Phone: 7604310843
Inspector: _ _;p.....,g'---
Requested By: STEVE
Entered By: JANEAN
14 Frame/Steel/Bolting/Welding ~--------------------_4 _____ --4f_ _______ _
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments