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Home My WebLink About150 WALNUT AVE; ; CB122388; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11 -13-2012 Miscellaneous Permit Permit No: CB122388 Job Address Permit Type Parcel No: Valuation: Reference #: PC#. Proiect Title: Applicant: Building Inspection Request Line (760) 602-2725 150 WALNUT AV CBAD MI SC 2041 230800 $0 00 Subtype: OTHER Lot#. 0 SMITH RES -DEMOtSACKFILL POOL Status: Applied: Entered By: Plan Approved: Issued. Inspect Area: TO SUPPORT FUTURE HARDSCAPE/LANDSCAPE/OPEN SPACE. Owner: ISSUED 11/13/2012 SKS 11/13/2012 11/13/2012 SMITH, SHAWN GOLDMAN GLENN L FAMILY TRUST 08-10-01 C/O MIKE CHAMBERLAIN 7172 AVIARA DR CARLSBAD CA 92011 310-369-3980 M1scelaneous Fee #1 M1scelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector· $65.00 2653 ROOSEVELT ST #D CARLSBAD CA 92008 BUILDING PERMIT INSP Total Payments To Date: $65.00 Balance Due: Clearance: $65.00 $0 00 $0.00 $65.00 $0.00 N~ TICE Please take NCT1CE t~at aoprova' o your projec! includes the ·1mp031t1on' of tees, dedications, reseniations, or other e~actions hereafter collectively r()fr,noc to es ·fees,~acuo~s • You na•,e 90 days 1rom the date this permit was issued to protest :moos1t1011 of these tewexact1ons. If you protes! them, you m~st 10110.., rr.e protest procecures set forth ,n Gt·vernment Code Section 66020(al, ,md file the ~rotest ~nd any other required information with the City Manager for µ;oces,,ng in accordance with Carlsbad Munic;pai-Code Section 3 32.030. Failure to tiinely follow tt\a: procedure will bar any subsequent legal action to attack, review. set aside void, or annul their 1mpos1tion You are nereby •URTHER NOTIFIED !hat your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning. zon:ng, grao,ng or other similar appl,cation processing or se1vlce fees in connection with tnis project NOR DCES IT APPLY to any f I X I ns f v· I -~ '! 1 .h I n i • I City of Carlsbad 1635 Fa raday Av Carlsbad, CA 92008 11 -13-2012 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No·SW120492 Job Address: Permit Type· Parcel No: Reference #: CB#: Project Title: Applicant: SMITH, SHAWN 150 WALNUT AV CSAD SWPPP 2041230800 CB122388 SMITH RES 7172 AVIARA DR CARLSBAD CA 92011 310-369-3980 Emergency Contact: SHAWN SMITH 31 o. 569-3980 SWPPP Plan Check SWPPP Inspections Add1t1onal Fees TOTAL PERMIT FEES Lot#: 0 Owner: Status: Applied: Entered By: ISS1,J8d: Inspect Area: Tier: Priority: ISSUED 11 /13/2012 SKS 11 /13/2012 1 M GOLDMAN GLENN L FAMILY TRUST 08-10-01 C/0 MIKE CHAMBERLAIN 2653 ROOSEVELT ST #D CARLSBAD CA 92008 $51.00 $216.00 $0.00 $267.00 Total Fees: $267.00 Total Payments To Date: $267.00 Balance Due: PPROVAL $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING O FIRE O HEALTH O HAZMAT/APCD «~~ ~ CITY OF CARLSBAD ADDRESS CITY Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www .ca rlsbadca .gov SUITE#/SPACE#/UNIT# sw1111m1y pool tn ( .u,f1~J llef" I/J</ ADDRESS CITY PHONE CONTRACTOR BUS. NAME ADDRESS STATE ZIP CITY .5'r.t n FAX Plan Check No. c__ B, ( 2 L--3 ~ Est. Value Plan Ck. Deposit ate 1 =, I z_., SWPP ..5JJ.J I Z, CJ..,/ Z- AP~-/2,3 -O?J -6o NAME UJ vvl-j (;I//-~ ~ e-ny1-10Y' r~1v1/e,~ STATE FAX ae,,,e.. ZIP FIRE SPRINKLERS YES D NO~ PHONE loo 5/o.,,.,. IS-OJ IL ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS CITY BUS. UC.# Wor1<en;' Compensation Declaration: I hereby affirm under penalty of perjury one ofthe following declaraffons: D 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 wor1<en;' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No._______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) 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 worl<en;' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollan; (&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. _65 CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contractor'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 himse~ 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 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 I phone I contractors' license number): he , but ave hired the following person to coordinate, supervise and provide the major work (include name/ address I phone/ contractors' license number): ired) the following persons to provide the work indicated (include name I address / phone I type of work): _65 PROPERTY OWNER SIGNATURE □AGENT DATE I certify that I have read the application and state that the above lnlonnation is correct and that the inlonnation on the plans is accurate. I agree to complyv.tth all City olllinances and State laws relating to building construction. I hereby aulllorize rep-esentative of the City of Car1sbad to enter upon the above mentioned~ br inspection purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST A1.L 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 perrnft is required br excavations over 5'0' deep and demolition or coostructon of structures over 3 stories 11 height. EXPIRATION: Every pennit issued by the Buikling Official under the provisons of this Code sh al expire by linftation and become nun and void f the buiklilg or v.ork authorized by such pennit is not commenced v.ith11 180 days from the date of such permit or if the bu i v.ork authorized by penn! • spended or abandoned at anytime after the v.ork is rommenced bra ood of 180days (Section 106.4.4 Unifonn Buiklilg Code). ,IS APPLICANT'S SIGNATURE DATE /J- STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CfflTIFICATF 0 F OCClJl'ANCY /Cornmerc1ctl PrOJCCtS on I y I Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCU PANT"S BUS. LIC. No. DELIVERY OPTIONS □PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1.) o ASSOCIATED CB# □ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1.) o NO CHANGE IN USE / NO CONSTRUCTION □ MAIL/ FAX TO OTHER: o CHANGE OF USE/ NO CONSTRUCTION ,LS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB122388 Date Inspection Item 11/15/2012 19 Final Structural 11/15/2012 19 Final Structural Friday, November 16, 2012 Type: MISC OTHER SMITH RES • DEMO/BACKFILL POOL TO SUPPORT FUTURE HARDSCAPE/LAN Inspector Act Comments RI pm call prior to arrival pis PY AP Page 1 of 1