HomeMy WebLinkAbout2178 TWAIN AVE; ; CB040675; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-27-2004 Patio/Deck Permit Permit No: CB040675
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2178 TWAIN AV CBAD
PATIO Status:
Parcel No: 2081802800
$1 ,428.00
Lot#: 0 Applied:
ISSUED
02/27/2004
KMT
02/27/2004
02/27/2004
Valuation: Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: SORENSEN RES-ADD 112 SF DECK Inspect Area:
Applicant:
SCOTT SORENSEN
760-4 76-0296
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
Total Fees: $50.05
Inspector:
Plan Check#:
Owner:
SHEA HOMES LIMITED PARTNERSHIP
C/O PAUL BARNES
10721 TREENA ST #200
SAN DIEGO CA 92131
$29.73
$0.00
$19.32
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$50.05
Total Payments To Date: $0.00 Balance Due: $50.05
FINA
Date:
6264 02/27/04 0002 01
CGP
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 '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 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
02
50-05
FOR OFFICE USE ONLY
PERMIT APPLICATION
• CITY OF CARLSBAD BUILDING DEPARTMENT
PLAN CHEjK NO. CJ½YO(o7S-
Esr. VAL. /. L/ ~<J-. oe> ;
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ________ _
Validated Bv!~
Date a1:::5:_ I
1. PROJECT INFORMATION ~ :211 ¥ -iwp,,.J
Address (i,(cfude Bldg/Suite #)
V f..
/ Lot No. Subdivisio
f1\.f-_ tt, S-7 ¥195(
Unit No. Phase No. Total # of units
Assessor's Parcel # Exisjti~ Us
vJt. v Proposed Use
....J_ Des SO. FT. #of Stories # of Bedrooms # of Bathrooms
ffa.
Name Address City State/Zip Telephone# Fax#
3. APPLICANT O Contractor O Agent for Contractor t:iJ Owner O Agent for Owner
Name Address City State/Zip Telephone#
4. PR«,fERTY ow;: I ow ~(Z..E e1S E-,,...J
Name Address City State/Zip Telephone#
15 , CQNTRACTOR • 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 Address City State/Zip Telephone#
State License # _________ _ License Class ----------City Business License # _______ _
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:
0 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.
0 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 ($1001 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 _____ ---::-------------------------
7. OWNER-BUILD.E6 . .PEC!-ARAJION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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). DJ' 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 O NO
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I hav!' contracted wi~ollowing person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
~::2""2<2 ~rce..-5
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, tracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work): __________ -/;;;:::;-....,,~"-'..-..--------------------------,-+---1-------------
~OPERTY OWNER SIGNATURE
\ 'COMPLETE THIS SECTION FOR NON-
Is the applicant or future building oc pant req ed 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? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES D 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 ~GENCY
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. APPLICANT CEl'ITIFICATION
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 lo excavations er 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued the building fflcial 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 co enced w1th1 80 days from the date of such permit or 1f the building or work authorized by shch ermit 1s suspended or abandoned
at any tim" after the work is com od of 180 days (Section 106.4.4 Uniform Building Code). DATE ~ .,
7
!, 1
¥PUC.A r·s SIGNATURE ----,,+,,-.c.:;_--,,9"'-----=---------------____ v_+f.!:._v_-'--------
YELLOW: Applicant PINK: Finance
List 1 -Permit-Type
From the following list, determine the pennit-type that best describes the work you propose to do. Please put the'code of that .
~nnit-type in the blank at the top of the page on ~e front of this application. Residential pennits (only) also require the
identification of the structure-type to be associated with the pennit. Choose a structure-type from "List 2 -Structure-Types" and put its code in the appropriate blank on the front of this application.
Residential Permits
Code Description ~
APT Apartments -new construction.
CONDO Condominiums -new construction.
CVNNR Conversion. Convert all or a portion of a non-residential building to residential use, creating one or more new
residential units.
CVNRN Conversion. Convert one or more residences in a building to non-residential usage.
CVNRR Conversion. Increase or reduce the number of dwelling units in a residential structure through interior modifications
(i.e.: a four bedroom house converted to a duplex, with 2 bedrooms each).
DEMO Demolition oennit. (Also soecifv type of structure from List 2).
DUP Duplex -new construction.
MOHO Mobile home, renovation, repair, or addition of accessory structure not yielding a new living unit.
MOHON Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from
single-family residence, below).
RAD Residential addition/alteration, creating no new dwelling unit(s).
RREISSUE Residential pennit re-issue.
RREPAIR Residential building repair. Damage, fire, etc.
RREPLACE Residential building replacement (no additional units).
SFA Single-family, attached • new construction. A one-family house attached to one or more other houses, with one or
more common walls extending from foundation to roof at, or fonning, a lot line. Has own plumbing and heating
system (e.g.: townhouse, row house, half-piex)
SFD Single-family, detached -new construction: A one-family house with open area on all four sides. May have an
attached or detached garage, or a business. May be a detached "granny flat". May be a mobile home or trailer on an
individual lot, but not in a mobile home park.
Non-Residential/ Accessory Permits
Code Description
COM Commercial structure, new construction.
CREISSUE Commercial pennit re-issue. .
CREPAIR Commercial building -repair. Damage, fire, etc.
CREPLACE Commercial building • replacement.
CTI Commercial tenant improvement.
DEMO Demolition pennit.
ELEC Electrical oermit, for electrical work only.
' HOTEL Hotel or motel (including Managed Living Unit hotel) -new construction.
HOTELR Hotel renovation.
lNDUST Industrial structure, new construction.
111 Industrial tenant improvement. •
MECH Mechanical pennit, for mechanical work onlv.
MISC Miscellaneous. Use only if proposed work doesn't fit another activity type.
,,
PATIO Patio and/or deck.
PLUM Plumbing pennit, for plumbing work only.
POOL Gunite pools and spas.
RETAIN Retaining wall pennit.
SIGN Sign construction/installation pennit. ' .-
SOLAR Solar energy system installation pennit (specify structure type to be served).
SPA Factory-made or Gunite.
List 2 -Structure-Type (Use with Residential Permit Only)
From the following list, detennine the type of residential structure that best describes the structure on which you will be working.
Please put the code of that structure-type in the appropriate blank at the top of the page on the front of this application.
Code Description
SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls
extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse,
row house, half-plex).
SFD Single-family .detached: A one-family house with open area on all four sides. May have an attached or detached
?a rage, or a business. May be a detached "granny flat". May be a mobile home or trailer on an individual lot, but not
m a mobile home park. •
MF2-4 Multi-family, 2 to 4 units. A residential structure on a single lot, containing two, three, or four dwelling units. Units
may share master heating, plumbing, or electrical service (e.g.: duplex, triplex, quad-plex).
MFS+ Multi-family, 5 or more units. Same as MF2-4, except the building has a t least five attached units on the same lot.
MOHO Mobile home,, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from
single-family residence, above).
City of Carlsbad Bldg Inspection Request
For: 08/06/2004
Permit# CB040675
Title: SORENSEN RES-ADD 140 SF DECK
Description:
Type: PATIO Sub Type:
Job Address: 2178 TWAIN AV
Suite: Lot 0
Location:
APPLICANT SCOTT SORENSEN
Owner: SORENSEN SCOTT &LORRAINE
Remarks: OR 900-1460
Total Time:
Act Comment
Inspector Assignment: JM ---
Phone: 7604760216
Inspector: -----
Requested By: SCOTT
Entered By: CHRISTINE
CD Description
19 Final Structural ~------
Associated PCRs/CVs
lns~ection History
Date Description Act lnsp Comments
04/26/2004 14 Frame/Steel/Bolting/Welding AP JM DOOR TO DECK OK
04/26/2004 18 Exterior Lath/Drywall AP JM
04/26/2004 19 Final Structural WC JM
04/09/2004 14 Frame/Steel/Bolting/Welding PA JM DECK FRAME OK
03/12/2004 11 Fig/Foundation/Piers AP JM 2 FTGS