HomeMy WebLinkAbout168 WALNUT AVE; ; CB153253; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-30-2015 Miscellaneous Permit Permit No: CB153253
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
168 WALNUT AV CBAD
MISC
2041230702
$0.00
Subtype: REPAIR
Lot#: 0
W ILSON: REPLACE BEAM AT DECK
DUE TO DRY ROT
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
JOA GENERAL CONTRACTING BURBA JOSEPH C&WILSON JANET L
9640 MISSION GORGE RD 320
SANTEE CA 92071-3854
619-609-6199
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $65.00
168 WALNUT AVE
CARLSBAD CA 92008
PERMIT/INSPECTION
Total Payments To Date: $65.00 Balance Due:
ISSUED
09/30/2015
SLE
09/30/2015
09/30/2015
$65.00
$0.00
$0.00
$65.00
Clearance: _____ _
$0.00
I\OTlCE: Rease la<e I\OTlCE thci ~ ci ~ p-tject irdudes tt-e "lnµ,sition" d fees, dErlcaticn;, reservciions, a-di-a-excdions reeata-cdlectively
rEfared to as 'foes/exoctions." Yoo have 00 days fran tt-e date ths ~t = issuoo to puest inµ,sition ci these fees/exa:tions. If ,w f'.)'dest It-an ,w rrust
fdlON tt-e ,:roest ircxm.re, set fath in GoJemTert O:xJe Section 00'.l'20(a), a'd file tt-e puest a'd ITT/ ctha-req..ired infOOlliion wth tt-e Oty tv'mcg3r fcr
p-cx;essing in a:x:ada-m wth Ca1sbocl M.ricira O:xJe Section 3.32.030. Fall.re to tirrely fdlON that p-cnrl.re wll lH ITT/~ leg3 oction to attack,
re.,ie..v, set aside, vcid, a-anJ their inµ,sition.
Yoo are hereby FlRTI-ER I\OTlFlED that~ rigt to puest tt-e spoofioo fees/exa:tions cx:ES I\Of AFfll Y to v.aa-a'd -cxrnectiai fees a'd capacity
c:hirgas, ra pla-ring, zaing, g-oong a-d.ha-sirrilar wication pu:essing a-service fees in cxrnection wth ths p-tject. I'm cx:ES IT AFfll Y to ITT/
fees/exa:tionscioodl have ·a.si been ·ve,al\OTlCEsirril totns crastooodltt-esttuedlirritcti ·a.si d.ha-w •
THE FOLLOWING f,PPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
Plan Check No.
Est. Value
Plan Ck. Deposit
{'cicyof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov Dat SWPPP
SUITEt/SPACEI/UNITf
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
~~lk.l:.. ~~ A-,-~ ?t.4.e. t-o v~r' /ZD-,-.
~ep~ \,v', rn 1,...i"°k e. k,....,, D
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
PROPOSED USE GARAGE (SF) PATIOS (SF)
STATE ZIP
FAX
STATE ZIP
FAX
STATE LIC. #
AIR CONDITIONING
YES□No□
FIRE SPRINKLERS
YES0 N00
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anl 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 !Cha'f.ter 9, commending with Section 7000 of Division 3 of the Business end Professions Code} or !hat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WORl<ERS ' COMPENSATION
Worl<eB' Compensation Declaration: I hefeby affirm ufKier penalty of petjury one of the following declaralions: 0 I have and will maintain a certificate of consent to self-insure for wooers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. D I have and will maintain worl<m' compensation, as reQuired bv Section 3700 ol the Labor Code, for the pertormanoe of the work for which this permit is issued. My wooers' compensation insurance earner and policy
number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _
Gcsection need not be completed ff the penmlt is for one hundred dollars ($100) or less.
Certificate of Exemption· • that in th rt rm f rk r • his permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
omla. WARNIN • __..----.. al penalties and civil fines up to one hundred thousand dollaB (&100,000), In
addition to the cost o !!1,31'11'911tftVhl!'9!:11Mi .. miasl..awi.al:tcaU!jl!s.u"'5r--
□
□
I, as owner of the property or my employees with wages as their sole compensation, wil do the work and the strtJcture 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).
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 imp<oves thereon, and contracts for such p<ojects 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 lo p<ovide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No
2. I (have I 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 construcijon (include name address I phone / contractors' license number}:
4. I plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major WOii< (include name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the foltowing persons lo provide the work indicated (include name/ address/ phone I type of work}:
JtS PROPERTY OWNER SIGNATURE □AGENT DATE
,'lt~"'W .. ;J(", ,,h ,P>"'"; .,~," i".l.""X',~+•~9.:i':'!!llll;;.}'1".'~'~''Ji'"".~,t•~~"'*~" < ,w·S<:~"""' ~1iie:"~ •'li¾'.r° ~~•s:;'i(,,.'!l'S+~""M '.'l""o@~,'lir••v~~it~~ 'WOO;W<:®>.'ti ~½ cs,; $#~,.,,.,~").c§: ~~~K~~""~~,i,,,1 .. ~r,-l'.l,J'.."S"''®'$r-!"1"'$Y,'l'('OrMS~.i;
COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
<l!'> X S, "> S,s v ~, ,!> .;;,.,-_, e,-, °'% ,,&,:>,.~~«.< "'"*" V !<'~ >.~ "'"'" •"'"" ~,) ~ S >f'c ~f,;"O"'X ', '<' >" <;+ _,,,+, ¾ ',(< S S '4•=-.<<¼0i < W 4 ,,..,,+"
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 Quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school stte? 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 haYe read the application and stale that the above infomlatioo is correct and 1hatthe infomlation on the plans is accurate. I agreetD complywfth all City ordinances and State laws relating 1D building construction.
I hereby authorize representative of the City of Carlsbad kl enter U!X)rl the alxlve mentioned property tJr inspection purixises. I ALSO AGREE TO SAVE, INDEMNIFY N'-JD KEEP HARMLESS TI-IE CITY OF C.ARLSBAD
AGIIINST ALL LIABILITIES, JUCGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA pennn is requred klr excavations over 5'0' deep and demoliloo or construction of structures over 3 sk>ries 11 height.
EXPIRATION: Every pennit issued by the BuikJing Offcial under the provisoos of this Code shall expire by Im nation and berome nun and IIOid ff the buikJing or v.ork authorized by such pennit is not commenced IMthin
180 days from the date of such pennit or if the buil:1119 orv.ork authorized by such pennit is suspended or abandoned at any time after the v,Ol1( is commenced for a period of 180 days (Secooo 106.4.4 Uniform BuikJing Code).
,g APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
C [ [I r I F I ( /\ r [ 01 0 CC !J ',.;'~CY C o ·, r~1 1 r c 1 ,-t I Pro1r·ct·, 0 n I , I
Fax (760) 602--8560, Email building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING it.DDRESS
CITY STATE ZIP CITY Slit.TE ZIP
Carlsbad CA
PHONE I FAX
EM4IL OCCUP4NT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: \
CHANGE OF USE/ NO CONSTRUCTION
,J!S APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB153253 Type: MISC
Date Inspection Item _____ _
01/28/2016 19 Final Structural
01/28/2016 19 Final Structural
01/28/2016 19 Final Structural
Thursday, January 28, 2016
REPAIR
Inspector Act
PD
PD
RI
AP
AP
!
WILSON: REPLACE BEAM AT DECK
DUE TO DRY ROT
Comments
Page 1 of 1
Maria Eme
From:
Sent:
To:
Subject:
Attachments:
Jerry Burkey <jerry@jdageneralcontracting.com >
Tuesday, January 05, 2016 5:02 PM
Building Inspections
Fwd: u e.
168 Walnut St. -Certification Letter (Bornholdt).pdf
Hello, thanks so much for helping me over the phone regarding this project, permit #15 3253. We had a final
inspection on 1 fl but did not pass. We had the structU11al engineer inspect and approve the beam
installation (attached.)
Kind Regards,
Jerry Burkey
Director of Operations
5859 Madra Ave.
San Diego, CA 92120
Office (858) 345-4532
Cell (858) 314-8449
Fax (858) 649-1130
JOA General Contracting Lie# 812568
www. J DAGeneralContracting. com
1
, . RECORDCO~Y
Ramskill Structural Engineering
December 30, 2015
Jason Bornholdt
5859 Madra A venue
San Diego, CA 92120
tramskill@att.net
RE: 168 Walnut Street -Certification Letter
Carlsbad, CA 92008
Dear Mr. Bornholdt:
14 814 Prisci I la Street
San Diego, Cali fomia 92129
(858) 672-3702
The beam at the carport has been installed and inspected. The beam is of adequate size
and was installed properly.
It has been a pleasure to be of service. If you have questions or comments, please call.
Respectfully,
Tom Ramskill, h.D., S.E.