Loading...
HomeMy WebLinkAbout1357 SHOREBIRD LN; ; CB001594; PermitCity of Carlsbad 04/26/2000 Patio/Deck Permit Permit No:CB001594 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1357 SHOREBIRD LN CBAD PATIO Lot#: 0 Valuation: 2157912000 $2,175.00 Construction Type: NEW Reference #: Project Title: HELLMERS RESIDENCE 2 PATIO COVER ARBORS/168 SF & 132 SF Applicant: ZUNIGA, ALEX PO BOX 1262 SAN MARCOS CA 92069 760-727-0145 Total Fees: $87.34 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 TOTAL PERMIT FEES Inspector: ~ Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Clearance: ISSUED 04/26/2000 RS 04/26/2000 04/26/2000 $87.34 0001 01 C-PRMT NOTICE: Please take NOTICE that approval of your project includes the "Im ition• f fees, dedications, reseivations, 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 capacuy 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 87,34 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK No.(!8(1) f'5'ff EST. VAL. o2L)L Plan Ck. Deposit ________ _ Validated By __________ _ Date. _______________ _ '1. PROJECT INFORMATION -/ d~ss.Jin;,'ude Bldg/Suite #) I l.'.:l'=>T S S o-i-e_~ivo\. 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 -..J Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms / () Q..--1 ~ o Co>14,r A. .r-Sc ~ 2. CONTACT PERSON (If different (ro api5lfcant) 2 $1.~~ ~~-\:<lu !_v-!.L<!) ___ _ 16 ~ -~kl:: (N....ck. 13 2... Name Address City State/Zip Telephone# Fax# 3 . APf!.ICANT O Contractor O Agent for Contractor . 0 Owner O Ag~nt for Owner Name Address City State/Zip Telephone# _ J4. r:'PROPER~Y OW~ER "X k J\.A\l ~ CA I--\ e l) M e,s-S Name Address City S.tate/Zip Telephone# ?._· CONTRACTOR • COM_PAr,.IY NAME <t<-_, (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. An't.:;iolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars $5 0 k t...vv-. bib .rt_o - Designer Name ----------Address City State/Zip Telephone ;; tate License # . 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. i1:J I have and w ill 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) O 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 la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 0) In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, lnterast and attorney's fees. DATE _________ _ I hereby affirm that I am ex t from the Contractor's License Law for the following reason: O 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). O 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. 0 YES ONO 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 NON-RESIDENTIAL BUILDING PERl'J,'IITS_ ONLY 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. _2QNSTRUCTION LEf'!ll>ING ~GENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit ls issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT GERTIFICATION 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 Citt 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 stories in height. EXPIRATION: Every permit issued by the building 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 not commenced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time alter the work is commenced f a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE J ~_.:::;~~--~~~--:~~~~"""'---------DATE ____________ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 7/10/2000 Permit# CB001594 Inspector Assignment: TL --- Title: HELLMERS RESIDENCE Description: 2 PATIO COVER ARBORS/168 SF & 132 SF Type:PATIO Sub Type: Job Address: 1357 SHOREBIRD LN Suite: Lot 0 Location: APPLICANT ZUNIGA, ALEX Owner: HELLMERS DAVID D&CHRISTY M Remarks: Total Time: Phone: Inspector: <fv Requested By: ALEX Entered By: CHRISTINE CD Description 19 Final Structural :6£_ Comments Associated PCRs lnsgection Histo[Y Date Description 6/13/2000 14 Frame/Steel/Bolting/Welding 5/2/2000 11 Ftg/Foundation/Piers 4/28/2000 11 Ftg/Foundation/Piers Act lnsp AP TL AP TL co TL Comments INSPECTED BOLTING TO BE COVERED BY WOOD SIDING.4 COLUMNS FOOTING 4FTX4FTX18 INCH W/4 #4 E.W. NEEDS #4 STEEL E.W. IN FOOTING