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Home My WebLink About1221 GOLD FLOWER RD; ; CB091934; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-08-2009 Residential Permit Permit No: CB091934 Building Inspection Request Line (760) 602-2725 Job Address: 1221 GOLD FLOWER RD CBAD Permit Type: RESDNTL Sub Type: RAD Status: Parcel No: 2145603700 Lot#: 0 Applied: Valuation: $6,678.00 Construction Type: NEW Entered By: Reference #: Plan Approved: Occupancy Group: # Dwelling Units: 0 Structure Type: Issued: Bedrooms: O Bathrooms: O Inspect Area: Project Title: MILLER RES-CONVERT 2ND BDROOM Orig PC#: TO EXTRA BATH (126 SF) AND ADD CLOSET IN BDROOM #3 Plan Check# Applicant: JIM GREENE 3143 MADISON ST CARLSBAD CA 92008 760 518 6899 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 STD #2 Fee STD #3 Fee Renewal Fee $90.51 $0.00 Owner: CHARLES & JUDITH MILLER 1221 GOLD FLOWER RD CARLSBAD 92011 217 6211287 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO Payoff Fee PFF (3105540) PFF (4305540) license Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Sidewalk Fee ISSUED 11/18/2009 LSM 12/08/2009 12/08/2009 Add'I Renewal Fee Other Building Fee HMP Fee Pot. Water Con. Fee Meter Size $58.83 $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 $0.00 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee ~$ Housing Credit Fee \'V~ Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (S61473) Fee $0.00 $0.00 $1.00 Master Drainage Fee -\U ()\;., SewerFee <;>\\ .... O~ Additional Fees D \v ~, s'\ \\'<;-,.) \J>c~J.-\\~.-<''\ ~c TOTAL PERMIT FE,;,,-J ~ i>-' Total Fees: $238.34 Total Payments To Date: $238.34 Balance Due: FINAL APPROVAL Inspector: Date: .,,: &, 'I l> Clearance: $0.00 $0.00 $0.00 $000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $41.00 $20.00 $26.00 $0.00 $0.00 $0.00 $0.00 $000 $0.00 $238.34 $0.00 NOTICE: Please take NOTlCE 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 folklw 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, gradirg or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any i n f whi o h v r io l Tl imil r h. w i h h tu I limi i n s r vi I h rw· -.~· I ,. ~ ,~~•~> ' ~ C I TY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.car1sbadca.gov DESCRIPTION OF WORK: Include Squa,e Feet of Affected Area(•) Plan Check No. ~ I 9.5 Est. Value (p "'78 Plan Ck. Deposit 58 . 8 3 Date APN ~ 0 P-(3y.,-T ft f<c.' >l' w '''"'" C'.A-o5 ~, c..;,,-'\ ver-;-~c-,, I? a6CVo\ T \ o,.,.J O ~ 81::1:) rcWW\ lAft"'t Lt, ao room .,. '2..--r0 BPr"ftUWO~ 0 FF 3rd. e,ct, ~0 '"""- EXISTING E PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPlACE AIR CONDITIONING FIRE SPRINKLERS YES[}t Nc{J YES•No• YES•No• CONTACT NAME (If Different Fom App/leant) APPLICANT NAME :: ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX .~m EMAIL STATE UC.# STATE UC.# ClASS CITY BUS. UC.# (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)). Worl(ers' Compensation Declaration: I heteby affl,m under penalty of pe,Ju,y one of the fol/owing declarations: D I have and will maintain a certlflcate of consent to self-Insure for wooers'~ as provided by Section 3700 of the Labor Code, for the pelformance of the 't,Qt1c for which this permit Is Issued. D I have and will maintain worlun' compensation. as lt!Qulred by Section 3700 of the Labor Code, for the performance of the work for which this penrlt is Issued. My 't,Qt1cers' compensation Insurance carrier and policy number .we: Insurance Co ___________________ Poley No. ____________ Expiration Date ________ _ ~ need not be completed If the pennlt Is for one hundred dollars ($100) or less. _k::f Certiflcate of Exemption: I certify that In the perf0111mce Of the 't,Qt1c tor "'1licll this permt Is Issued, I sllall not employ any person In any manner so as to beCome subject~ lhe Wot1<ers' Compensa1lon Laws of Calnomia. WARNING: Failure to secure worlters' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the coll of compenNtlon, damag rovlded f In Section 3706 of the Labor code, Interest and attorney's fees. JiS CONTRACTOR SIGNATURE t hereby affirm that I am exempt from Contractor's Ucense Law for the fol/owing reason: D I, as fNIOOf 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: Tile Conlraelor's License Law does not apply to an 0'M1ef of property who builds or improves thereon, and who does such 't,Qt1c himself or through his own employees, provided that such lmpro';ements are not Intended or offered l0r sale. II, llOwever, the building or Improvement Is sold within one year of completiOn, the ()Y,1181-bullder will have the btrden of proving that he did not build or Improve for the purpose of sale). D I, as fNIOOf Of the property, an, excluslvely contracting with licensed contraclors to coostruct the project (Sec. 7044, Business and Professbns Code: The Contractor's License l aw does not apply to an fNIOOf of property who builds or Improves thereon, and contra::ts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). • I an, exempt ooder Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and ma1er1als for construction of the proposed property Improvement O ves Q-lo 2. I (have/ have not) ~ned an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed oonstruction (lndude name address I phone t contraclors' llcense nurooer): 4. I plan to provide portions of the work, but I have hired the following person to cooollnate, supervise and provide the major 't,Qt1c (lncklde name I address I phone I contractors' license numbel): 5. I will provide some of the 't,Qt1c, but I have contra::ted (hired) the following persons to provide the 't,Qt1c Indicated (lndude name / address I phone I type of work): JiS PROPERTY ()ffljER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ts the •icant or future building occupant required to submit I busil'IISI plan, acutely hazardous malerials regislralion tom, or risk management and prevention IJl'(9am under Sdons 25505, 25533 or 25534 of l\e Presley-Tanner Hazardous Substance Accounl.Adl • Yes • No Is Ile appllclnl or Mure bulding occupenl Nqulred to obtain I pennlt from flt llr pollution conlrol chiicl or• qulllty management di&h::t? • Ya • No II lhe facility to be constructed 'Minn 1,000 feet of the outer boundary d I school site? • Yes • No F ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREIENTS OF THE OFflCE Of EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affinn lhal thefe ma construction lending agency for Iha pelfonnanca of the wor1< this pennit ~ issued (Sec 3097 (i) Civil Coda) lender's Name lender's Address APPLICANT CERTIFICATION lcettily ... l-oaadlheapp_and_lhatlhe-lnfonnationlsconoctandlhatlheinfonnallonoolhe....,ls_l_lD""""'1""'"01ronllnancesandStals __ ., __ I hen,byautlorize ....-ir.. of Ile City of Cansbad b"'8rupon Ile ellow> """""8d property b-"5pedion ptrpOSOS. I ALSO />GilEF. TO SA~ ltfJEMNIFY ANO KEEP HARl,I.ESS THE CITY OF CARI.S8AD AGANS! All LIABLmES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN /,mWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTNGOF THIS PERMIT. OSHk AA OSHA pemi1 o o,qui8d b-exaivalions .,.5'0' deep and-or c:onmdln of "1JCins..,,3 sbrios i1 hliitol EXPIRATION: E'l8I)' pemil issued 17/ Ile Bukf Cllfdlj '""'Ito p!lMSic)nsof tis Corlsshaff e><pie 17/ -and-rul ,nd,oid file bulldi1g orwak-17/sudl pemilis not<Xlll"fllO!Qd wllin 180days from lledalo of lUCh pemitor 17 ·--,orwak-17/ sud1 pemil is suspendBd or-al""lliro allarllt wak is<Xlll"fllO!Qd b-a peood of 180 days (Sldiln 11J;A.4 IAiilnn a.H,g Corls). AS' APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 04/05/2010 Permit# CB091934 Inspector Assignment: TP --- Title: MILLER RES-CONVERT 2ND BDROOM Description: TO EXTRA BATH (126 SF) AND ADD CLOSET IN BDROOM #3 Type: RESDNTL Sub Type: RAD Job Address: 1221 GOLD FLOWER RD Suite: Lot: 0 Location: APPLICANT JIM GREENE Owner: MILLER CHARLES G&JUDITH L Remarks: AFTER 12 NOON PLEASE Total Time: CD Description Act Comments 19 Final Structural _jJ_f?_ 29 Final Plumbing t 39 Final Electrical 49 Final Mechanical Comments/Notices/Holds Associated PCRs/CVs Original PC# lnsgection Histo!j'. Date Description Act lnsp Comments 01/07/2010 17 Interior Lath/Drywall AP TP 01/07/2010 27 Shower Pan/Roman Tubs AP TP 12/30/2009 14 Frame/Steel/Bolting/Welding AP TP 12/30/2009 34 Rough Electric AP TP 12/16/2009 21 Underground/Under Floor AP TP 12/16/2009 22 Sewer/Water Service AP TP Phone: 7605186899 Inspector: g_ Requested By: JIM Entered By: CHRISTINE To: City of Carlsbad BUILDING DIPARTMIINI' 1635 Faraday Avanue, Carlsbad, CA 92008 Phone: 760-602-71541 / Fax: 760-802 811158 Plan Checll Comments / 2007 Codes tv' l [ \e(' R:,e~. From: Steve Borossay Pages: I 117 ; < ! I a. ; 0 ' !'! . Phone: . Date: t \ / '2.c / 0 ';> , ~ ~ o~ l 9..:2.9: . Address: 12l.,_1 C... Ld..~~ -"·iiii·iiiifoiiiiaUIM;i,MfiMii·iiiiihijj.\ii;11@.1111~ + PleaN make correcllona rafarred to below and run TWO new prtnta. If rad fflll'kl are on plana aa • part of thla Plan Check responee pleaae return red marked ut with the new prlntll. + Thia la• BUILDING REVIEW QHLY. Commenta or approval do not apply to any other City department review. For Information on the atatua of approval from other departmantll please contact staff 0780-802-2717 / 2718 / 2719. / CQ~ovid~ ✓P§:.~ %-~ $~~ ✓ d) 'fro II i:J t. ..\-},.u rMo s.k. .\,:" c:.. '""1-'-JC. \"'-'.) vol v~ a..._j p&,.11 drywo.ll uJo\\ V~ Sh.C>~ o;-"'~b le ....,...:""'.,low ✓@ Use. s-rc. 7<·~-rso111. -c:..t..:fs rr.st w/Yi." 3~. /@"1ro11i...J '-' elec.-1-,,,.:ca.L J~~i oVL iuz.w wa.l\ <Rr.C\ p::.:1-\... • PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB091934 DATE 11/18/09 ADDRESS 1221 GOLD FLOWER RD RESIDENTIAL ADDITION• MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOUSPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER BEDROOM TO BATHROOM REMODEL / PLANNER GINA i!~ ENGINEER ,J{ (c (!.,,(v '--, c.,._ llc\ADMJN\COUNTER/PLANNJNG/ ENGINEEruNG APPROV !IS DATE 11/18/09 DATE ff/._,_,,,/~'/ r~- ::o • I \ 1 \, ....----r- '.---· ( . ~•I D°RA:IN TO :>~WE.~-- «:-- .. \ .-, -·--~--~ rr-1~~ ·~ t r ~ -, \)") "-.: a'< ~\J:o .----- ijt.C o -t.:~~ ,I.. I c,W o, Cf\,,-. .J ,;t,"-D . su\LO\t-lG OE.r' ~ I 1 I ··i I() ::) cc 1-- ~ I l l / j·--~ 3 . •:----. . r5A-T\:\ ::;U::C,1R\C.i\,L HP\S ..t t•' <:J t · ~ 'f"L.o{ci;5l£NT C..~\\ .• \N& --z. ~ & ~\5 T \~E, MA~'T~K e~,~ A ·\r I 0 l3~" ~ 3 I ~ L\61-t·, (J '5~elc~\E. 20 ' lll ~ H-M'P <,.Ft. ~ ~ ~ .--,;-;.·-/'lhr: I ~ .SRDW~R 14,'\e,-T~E'eyl10--~ 'II' • _ ~~T\C. 1-11 rtl~ VAL\/£ - ;:-·__ I ~ ~ ( 61<~BOt\\ZD . I-?;<,;'VA.tHr1-j t @:~/\FC\ OUTLET l ~ ?t ~ ~ ~ ~ t l ',._ · t t ~ / ~-, NEW 01\T~ ~ R!:'."l-ltnE t--.\ON·0~MR,i'0 WALL i I I C() :j ::, \J.. ll.. 0 -:2 0 \--..J ·.W ::i: ..... a _\_ , '1 ~,~L-U6H@ :: -~\'5"(\Nb 51'!-51 1 • LJ 'I J..& G~L ~t .. .f,. 5'JDt~6 Wt~Dt>W __ , h.:._-I <:J) ·1· -. ,t i I -·'I 1 ' r---_ a..'_, _· _ .. I i1',1-_ -~--,d~-------~-•- ------,--· u I t-I -80 I ; fHO?O~E'O N.~W e,~-niWJOt./\ 11q1' SC./\\£ C ~lkkER,E$,!'1l '-1 PA&E \ '.;'.2: 8 t:C <.!) 7-~ _, l . • L -· ~ 0 0 ' -z -~---~-I----'-"--/ .. I- \.1... (j ...l 1-lu •f) 0 _J 'U 0 -1 I V Jw ~"' ~xct g()~ @lE cSL.J Q. ,J -I _J "' c:t: -::I: ~ (--t ...,...,.. j.Ll ,•) (( 't <f' 0 ~ ,...- .J "'1 t; '..lJ .... ) n ~ C{ a.. ~ 1.1. u 0 ,n ' •W ~ I ~ j u w I <I) \<) li ;:, A :c ,a z ~ S!:! ~ IJ d ,b -.... , I I .1 r-:r / CB091934 1221 GOLD ROWER RD MILLER RES-CONVERT 2ND BDROOM Tt"'\ CYT,pA DATU 11'>A C::~ 6~1n Arv"'\ f'I f"IC::CT IM I 1'\ l'r'jot:J -ro £,tr;' ..,_ 6TE?-v~ II ; -z.-I O ? Cc.,,,..<?. cJ; .:)"' er " ( .,,( 11-:»tJr (14;~~ I JI 7 lo 9 ~ Jl i> _fl-~ '1. ~JI ~ Pc/4/vu /)-t ~9 ~ Approved D;lte Building , .,,..,, hO Planning /1-/VrJ, y l Engineering /1'~0' Fire HazMat APCD Health Forms/Fees Sent Rec'd CFO Encina Fire HazHealthAPCD PE&M l \l 1..-1nc:, School Sewer Stormwater PFF Comments Date Date Date Buikling 11.h.,;.,, Planning I Engineering Fire Need? r .-..~ , .:i.I,,.'--1 ' C -fl.J u /IV / , Dud y N y N y N y N y N y N y N y N y N y N y N y N