HomeMy WebLinkAbout1318 CHUPAROSA WAY; ; CB110375; Permit04-01-2011
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No: CB110375
Building Inspection Request Line (760) 602-2725
1318 CHUPAROSA WY CBAD
RESDNTL
1561104500
$102,653.00
0
0
Sub Type: RAD
Lot #: 0
Construction Type: 5B
Reference #:
Structure Type:
Bathrooms: 0
LANDES RESIDENCE
692 SF 2ND STORY ADDITION & REMODEL 200 SF OF
EXISTING
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check #
ISSUED
02/18/2011
RMA
04/01/2011
04/01/2011
Applicant:
ROBERT BONFANTI
Owner:
LANDES THOMAS M&MINDY A
619857-6816
1318 CHUPAROSA WAY
CARLSBAD CA 92008
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other Bridge Fee
BTD#2Fee
BTD #3 Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
HMP Fee
Pot. Water Con. Fee
Meter Size
Add'l Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
$656.85 Meter Size
$0.00 Add'l Reel. Water Con. Fee
$426.95 Meter Fee
$0.00 SDC.WA Fee
$0.00 CFD Payoff Fee
$10.27 PFF (3105540)
$0.00 PFF (4305540)
$0.00 License Tax (3104193)
$0.00 License Tax (4304193)
$0.00 Traffic Impact Fee (3105541)
$0.00 Traffic Impact Fee (4305541)
$0.00 Sidewalk Fee
$0.00 PLUMBING TOTAL$0.00 ELECTR'ICAL TOTAL
$0.00 MECHANICAL TOTAL
$0.00 Housing Impact Fee
$0.00 Housing InLieu Fee
$0.00 Housing Credit Fee
Master Drainage Fee
$0.00 Sewer Fee
$0.00 Additional Fees
$4.00 Fire Sprinkler Fees
TOTAL PERMIT FEES
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$111.00
$20.00
$50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,279.07
Total Fees:$1,279.07 Total Payments To Date:$1,279.07 Balance Due:$0.00
Inspector:
FINAL APPR
Date:Clearance:
NOTICE: Please take NOTICE thay 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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
04-01-2011
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW110074
1318 CHUPAROSA WY CBAD
SWPPP
1561104500 Lot#:
LANDES RESIDENCE
692 SF 2ND STORY ADDITION & REMODEL 200 SF OF
Priority: M
Status: ISSUED
Applied: 02/18/2011
Entered By: RMA
Issued: 04/01/2011
Inspect Area:
Tier: 1
Applicant:
ROBERT BONFANTI
619857-6816
Emergency Contact:
JAMES SCHELL
760 712-6691
Owner:
LANDES THOMAS M&MINDY A
1318 CHUPAROSA WAY
CARLSBAD CA 92008
SWPPP Plan Check
SWPPP Inspections
Additional Fees
$49.00
$208.00
$0.00
TOTAL PERMIT FEES $257.00
Total Fees:$257.00 Total Payments To Date:$257.00 Balance Due:$0.00
DATE Itf^/M,, ,. CIEARAM£E_
SIGNATURE
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
www.cartsbadca.g0v
DESCRIPTION OF WORK: Include Square Feet of Affected Areafs)
FT Z-NID
EXISTING USE PROPOSED USE PATIOS (SF) K>ECKS(SF)
7?
FIREPLACE
YESgj* NCQ
AIR CONDITIONING
YES I ll
FIRE SPRINKLERS
YESf
CONTACT NAME {If Olffewnt fflm Appl/cairt)
fep fsj Fft K! -T
APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
CQ
PHONE FAX PHONE FAX
EMAIL r \/EMAIL
i>£5>
PROPERTY OWNER NAME BUS,
ADDRESS J4SH
CITY
ARCH/DESIgNER NAME & f
Cn&PJL"T
(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 isttdtfce, also require! theapplicant 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 Seapon 7000 of Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500)).
WORKERS ' COM PEN SATION
LJI 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.
LJI have and will maintain workers' compensation, as required by Section 3700 of trBLaixir&xfe, for the perforrnarK» of tlw work for which this pemtt is tesue^
number are: Insurance Co ; PollcyNo. . __ ExpiratfanDate
This 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 trfcpemiH is issued, I shaBntf employ any person in any niannerw
Somla. WARNING; Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil Ones up to one hundred thousand dollars (8.100,000), in
addition to the cost of compensation, dajfike* as provided tor m Section 8708 of jhe Labor code, Interest and attorney's has.
JES'CONTRACTORSIGNATURE DTI/VI^ A MM/
JO W « E R - B U I L CHE K S3 E C I A RW '-T+O N
I Imsbyaff^ that I am exempt Irm Contractors License l^mlm^ following reason:
r~\ I, as owner of the property or my employees with wages as their sole compensation, will do the vw* ard the sBucturete not Intended or oftoedta sate (S«.70H Business and— Uwnse Law <k^ rot apply loan owrar of property who buttts or i^/sate. If, hoimver, the building or Improvement Is sold within one yea ot completion, the owner-builder^
|V] I, as owmr of the property, am exclusively contracting v^ltcsrised contractors to constnict the projactf not apply to an owner of
property who builds or Improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law).
{""} I am exempt under Section.Justness and Professions Code for this reason:
1.1 personalty pten to DrovidetTB major labor ami maerta^^ fives
2.1 (have / have not) signed an application for a building permit for the proposed wort.
3.1 have contracted with the following person (firm) to provide the proposed constrocflOT (Include name aMress/
4.1 plan to provide portions of the work, but I have hired (he following person to coordinate, supervise ami p^
5.1 wi» provide some of tte work, but I have contracted (hired) the follo*gpersOTS to provide ttiewo^
^PROPERTY OWNER SIGNATURE QAGENT DATE
**^Is ttieapplkant or ftrture building occupant required to submit a business ol^, acutely hazartous materials r^istrato
Prestey-TannwHazartous Substance Account Act? flYas PHNo . x-
Is me appHoantorlulmebullilIno occupant required lo obtalnarjemut from the air DCJIutlQnainMdtein^ or alf qi«lt» management dtetrtet? LJYes 0No
IslhefaclBtytobeconstmctedwIiriinl.OOOteetoftheouterbouridaryofaschoolsite? CjYes
EMERGENCY SERVICES AND THE AIR POLtUTtON CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the wo* this permit is issued (Sec. 3097 (i) Civil Code).
Lendei*sName : Lender's Address
I remfythatlhave iead tte application and statethatthealMveinformaton is con^andtto
I hereby autJiorize represenawrftte^rfCarisbadto ate upon tJwab^
QSHA; An OSHA permit is reou&ed for excavations owsr 5t? desp and deiTK3lition or construct)^ of structures over 3 stories iri heightEXPIRATION Every pemt Issued by the BuJkJng Official under SB povtete of ttte Code shafl expire by w^
DATE
City of Carlsbad Bldg Inspection Request
For: 10/27/2011
Permit* CB110375
Title: LANDES RESIDENCE
Inspector Assignment: PY
Description: 692 SF 2ND STORY ADDITION & REMODEL 200 SF OF
EXISTING
Sub Type: RADType: RESDNTL
Job Address: 1318 CHUPAROSAWY
Suite: ) Lot: 0
Location:
OWNER LANDES THOMAS M&MINDY A
Owner: LANDES THOMAS M&MINDY A
Remarks:
Phone: 7607126691
Inspector:
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By: CHIP
Entered By: JANEAN
Act Comments
*.
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
SW110074 ISSUED LANDES RESIDENCE; 692 SF 2ND STORY ADDITION & REMODEL 200 SF OF EXISTO
Inspection History
Date Description Act Insp Comments
06/22/2011 82 Drywall/Ext Lath/Gas Test AP PY
06/15/2011 84 Rough Combo AP PY
06/02/2011 21 Underground/Under Floor AP PY
06/02/2011 22 Sewer/Water Service AP PY
05/23/2011 13 Shear Panels/HD's AP PY
05/23/2011 15 Roof/Reroof AP PY
05/03/2011 14 Frame/Steel/Bolting/Welding PA PY HOLD DOWNS OK TO COVER
04/07/2011 11 Ftg/Foundation/Piers AP PY PROVIDE ENG LETTER FOR FOOTING
04/07/2011 21 Underground/Under Floor AP PY
x-OL ____,., .^..e,,,..^^.,-.., Development ServicesSPECIAL INSPECTION Building Division
CITY OF AGREEMENT 1635 Faraday Avenue
CARLSBAD B'45 ™719
www.carfsbadca.gov
In accordance with Chapter 17 of the California Building Code the following must be completed when work being performed
requires special inspection, structural observation and construction material testing.
Project/Permit: ^6" ^ " ^37S" project Address: l^ 8 f.M OPftr£-pc,fl-
A. THIS SECTION MUST BE COMPLETED BY THE PROPERTY OWNER/AUTHORIZED AGENT. Please check if you are Owner-
Builder Q. (If you checked as owner-builder you must also complete Section B of this agreement.)
Name: (Please print)L^fiU
(First) (M.I.) (Last)
Mailing Address: I'M % C\\ OpA f2^)S^ U? ft*-/ ^>r2j."S<36O ? 2. VO%
Email: l^flLQf\d? S (ffi V ft M&3 . CO r^. Phone: 1L 0
I am: j^Property Owner OProperty Owner's Agent of Record QArchitect of Record QEngineer of Record
State of California Registration Number; _ __ _ _ .......... Expiration Date: _
AGREEMENT: I, the undersigned, declare under penalty of perjury under the laws of the State of California, that I
have read, understand, acknowledge and promise to comply with the City of Carlsbad requirements for special
inspections, structural observations, construction materials testing and off-site fabrication of building components, as
prescribed in the statement of special inspections noted on the approved plans and, as required by the California
Building Code. Q
Signature: y^AAC^ dfox-jXS-^ _ _____ Date: J"Z3' I I _ _____
B. CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC, Ch 17, Section 1706;. This section must be completed
by the contractor / builder / owner-builder.
( OH^TfcUL H °^Contractor's Company Name: (_^. ?C OH^UL Ptease ^^^ if you are owner-Builder a_
(_ \\ [ V
(First) (M.I.) _ (Last)
Name: (Please print) _
Mailing Address: ^ ft fcPV W?" Oft.fclSfeftO
Email: O^CMfctU^-fe^^fc0^1^^ fCO^ Phona- 7£0 7/7
State of California Contractor's License Number / /ISoJ Expiration Date: ^^P ( , \Z-
*
»
I acknowledge and, am aware, of special requirements contained in the statement of special inspections
noted on the approved plans;
I acknowledge that control will be exercised to obtain conformance with the construction documents
approved by the building official;
I will have in-place procedures for exercising control within our (the contractor's) organization, for the method
and frequency of reporting and the distribution of the reports; and
I certify that I will have a qualified person within our (the contractor's) organization to exercise such control.
J(""\ A _ JV*1 f, /J If,
Signature: l.^WOffifr/y, Date:.
B-45 Page 1 of 1 f Rev. 02/10
rJ. € T^T.fOG-
~/0?1
SPECIAL INSPECTION SERVICE | "
REGISTERED INSPECTOR'S DAILY REPORT | DAY WED | DATE 4/27/1 1
TYPEOF e
NSPECTION: B 8 Reinforced Concrete D Reinforced Masonry D Structural Steel/Welding Q Shotcrete
D Pre-Stressed Concrete D Fireproofing D Other.
Project Name: LANDES RESIDENCE Project No: RteNo: Application/
Permit No:CB1 10375
Project Street Address 1318 CHUPAROSA WAY CARLSBAD Jurisdiction CARLSBAD LEA No:
Project Plans/ Specifications Title & Date (Revision) Architect RB DESIGN
Engineer LATTIMER
General Contractor C SCHELL Contractor Doing Reported Work
CODE
TIME ON
SITE
130
DESCRIPTIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES
INFORMATION ABOUT- AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED; NUMBER, TYPE, & IDENTIFICATION NUMBERS OF TEST SAMPLES
VERIFIED USING CITY APPROVED PLANS THAT 45 SILL PLATE ANCHOR BOLTS AND TWELVE
HOLDOWN ANCHOR BOLTS AT GRIDLINES A-E@1/A@2/E@1-2/D@1-2/C@1-2
EMBEDMENT DEPTH AND SPACING OF ANCHOR BOLTS CONFORM TO HOLDOWN SCHEDULE
AT S-2 AND SHEARWALL SCHEDULE AT S-3 VERIFIED THAT SIMPSON SET-XP ICC-ES ESR-2508
WAS UTILIZED AS PER MANUFACTURERS INSTRUCTION ALL HOLES DRILLED TO CORRECT
DIAMETER AND DEPTH THEN WERE BLOWN FREE OF DUST AND DEBRIS PRIOR TO EPOXY
TIME OFF
SITE
230
REG. O.T. # OF TEST cjrOTT VAW<iFRHOURS HOURS SPECIMENS 5OO 1 F VAWfcER
a tyPT6 Pf Reoj&ered Inspector (Print)
w£m/OjuMAN
CODE: RW = Rework NIC = Not In Contract ST= Standby Signature of Registered Inspector
WC = Work Cancelled Code -(No. of hours)
THE WORK |Q| was
with the CITY approved <
THE WORK INSPECTED
the requirements of the _
documents.
pw^na, inspect in .ccordancs "--~f« ^SSSSSZ
locuments.
> 9 met Q did not meet THBRW)OTA^a)IscHAR(^A(eTHERESPo^ls«lUTYOFo^He»
CITY approved Signature:
Owner-Authorized Job Site Contact
School Project Distribution: Project Architect, Structural Engineer, Project Inspector, DSA Regional Office, School District
WHITE = File Copy YELLOW = Site Copy Page of
CITY OF
CARLSBAD
CERTIFICATION OF
SCHOOL FEES PAID
B-34
Development Services
Building Department
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City
prior to issuing a building permit. The City will not issue any building permit without a completed school fee form.
Project Name:
Building Permit
Plan Check Number
Project Address:
A.P.N.:
Project Applicant
(Owner Name):
Project Description:
Building Type:
Residential:
LANDES RESIDENCE
CB110375
1318 CHUPAROSA WAY
156-110-45-00
MINDY LANDES
RESIDENTIAL ADDITION
V-N
New Dwelling Unit(s)
Square Feet of Living Area in New Dwelling
Second Dwelling Unit:Square Feet of Living Area in SOU
Residential Additions: 692 Net Square Feet New Area
Commercial/Industrial:
City Certification of
Applicant Information:
Net Square Feet New Area
KATHY GIRVJN Date: 3-07-11
SCHOOL DISTRICTS WITHIN THE CITY OF CARLSBAD
I3 Carlsbad Unified School District
6225 El Camino Real
Carlsbad CA 92009 (331-5000)
Q Vista Unified School District
1234 Arcadia Drive
Vista CA 92083 (726-2170)
Q San Marcos Unified School District
215MataWay
San Marcos, CA 92069 (290-2619)
Contact: Nancy Dolce (By Appt. Only)
Q Encinitas Union School District
101 South Rancho Santa Fe Rd
Encinitas, CA 92024 (944-4300 ext 166)
n San Dieguito Union High School District
710 Encinitas Blvd.
Encinitas, CA 92024 (753-6491)
Certification of Applicant/Owners. The person executing this declaration ("Owner") certifies under penalty of perjury
that (1) the information provided above is correct and true to the best of the Owner's knowledge, and that the Owner
will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number
of dwelling units or square footage after the building permit is issued or if the initial determination of units or square
footage is found to be incorrect, and that (2) the Owner is the owner/developer of the above described project(s), or
that the person executing this declaration is authorized to sign on behalf of the Owner.
Signature:
R-34
Date: 3-30-I \
1 nf?Rev 03/09
SCHOOL DISTRICT SCHOOL FEE CERTIFICATION
(To be completed by the school districts))*************************************************
THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE
PROJECT HAVE BEEN OR WILL BE SATISFIED.
SCHOOL DISTRICT:
The undersigned, being duly authorized by the applicable School District, certifies that
the developer, builder, or owner has satisfied the obligation for school facilities. This is
to certify that the applicant listed on page 1 has paid ail amounts or completed other
applicable school mitigation determined by the School District. The City may issue
building permits for this project.
SIGNATURE OF AUTHORIZED SCHOOL
DISTRICT OFFICIAL
TITLE
NAME OF SCHOOL DISTRICT CARl^A0IJNIRroSCHOOtiaST«Cf
6225aCAMINOREAL
CARLS BAD, CA 92009
DATE
PHONE NUMBER
B-34 Page 2 of 2 Rev. 03/09
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