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HomeMy WebLinkAbout2385 VIA PELICANO; ; CB003806; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10/26/2000 Residential Permit Permit No:CB003806 Building Inspection Request Line (760) 602-2725 C 'v O I re,b 2385 VIA PELI CANO CBAD VI'\ Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: RESDNTL Sub Type: RAD 2155713100 Lot#: 0 $8,820.00 Construction Type: VN Reference #: 0 Structure Type: 0 Bathrooms: 0 DUNCAN RES-CREATE 90 SF LOFT FOR PLAY ROOM Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: DUNCAN CHARLES G&MARTHA E DUNCAN CHARLES G&MARTHA E 2385 VIA PELICANO 2385 VIA PELICANO CARLSBAD CA 92009 CARLSBAD CA 92009 APPROVED 10/13/2000 RMA 10/26/2000 Total Fees: $217.97 Total Payments To Date: $68.14 Balance Due: $1 49 .83 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Inspector: $104.83 $0.00 $68 .14 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFD Fund) LFMZ Transportation Fee Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOT AL MECHANICAL TOTAL Housing Impact Fee Housing lnLieu Fee Master Drainage Fee: Sewer Fee: TOTAL PERMIT FEES Fl NAL APPROVAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $24.00 $0.00 $0.00 $0.00 $0.00 $2 17.97 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 Cartsbad 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 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 fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. ✓/657 PERMIT APPLICATION FOR OFFICE USE O~ <; PLAN CHECK NO. ~CJo if()C, EST. VAL. *5£ct) ~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit -----~-....,,,,..,.?t-~ / /, Lj Validated By_""T""---r-------- Dat~_: w• [~ () I b.s)?it A.. Address (include Bldg/Suite #) Business Name (at this address) c.. Existing Use c.cRtl ,· 1-· --q u SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Name Address City State/Zip Telephone# Fax# 3. APPLICANTQ O Contractor 0 Agent for Contractor ~wner 0 Agent for Owner ChoAcs v"l.w,. 12-gyS V,·,._ ~(:c"""c, e.w /J ~ c-.d? C1>r '1.1-v u t, ~ nr--?Sl--.., i'l 'i' Name Address City State/Zip Telephone# 4. PROPERTY OWNER ':::> c.v,,,... C. Name Address City State/Zip Telephone# 5. 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 [$500)). 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' Compensa_tion 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. O 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 _______ _ IS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 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 ecome 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 doll $1 0,00 ), i ddi ·on to the cost of compensation, damages as provided for in Section 3706 of the Labyr cod7 interest and attorney's fees. SIGNATURE . DATE { O {__/"3 ~O I 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt 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 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The tractor'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). D 1. 2. 3. I am exempt under Section Business and Professions Code for this reason: 'f I ~lly plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES NO I ~have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): o Ak""' J 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): ___________ A-tl--7-f-'l-flr-----11-,,..---.,,......._ -1.,-~ ""~-.,.-_-_-_-_-_-_-_-_-_-_-_------------------,r---1~------------- PROPERTY OWNER SIGNATURE-~=--'---'"'---'"---~---=_ ... &_______________ DATE __ l_v-+-/_t_J+;h_v ___ _ I I COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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 district7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. 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. 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 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 permil issued by lhe building Official under the provisions of this Code shall expire by limilation and become null and void ii the building or work authorized by such permit is not commenced within 180 days from lhe dale of such permil or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co ced for • f 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance 08/20/2001 DUNCAN CHARLES G&MARTHA E 2385 VIA PELICANO CARLSBAD CA92009 Re: Application Date: 10/13/2000 Plan Check#: CB003806 Address: 2385 VIA PELICANO Expiration Date: 10/13/2001 Permit Type: RESDNTL Description: DUNCAN RES-CREATE 90 SF LOFT FOR PLAY ROOM You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior 'to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an appli cation after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return th is letter to the Building Department. __ Project Abandoned -I will pick up plans within 10 days __ Project Abandoned -Plans may be destroyed. If you have any questions, please contact the Building Department at (760) 602-2718. Raenette Abbey Building Department fJ)