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HomeMy WebLinkAbout1368 CYNTHIA LN; ; CB043230; Permit04-24-2008 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 CB043230 Building Inspection Request Line (760) 602-2725 1368 CYNTHIA LNCBAD RESDNTL Sub Type 1562315700 Lot# S2 688 00 Construction Type Reference # 0 Structure Type 0 Bathrooms KELLEY RES 112 SF STORAGE BLDG RAD 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# Plan Check# ISSUED 08/17/2004 RMA 08/17/2004 08/30/2004 RB Applicant KELLEY PATRICK T Owner KELLEY PATRICK T 1368 CYNTHIA l.N CARLSBAD CA 92008 1368 CYNTHIA LN CARLSBAD CA 92008 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 HMP Fee Pot Water Con Fee Meter Size Add I Pot Water Con Fee Reel Water Con Fee S45 79 Meter Size SO 00 Add I Reel Water Con Fee S29 76 Meter Fee SO 00 SDCWA Fee $0 00 CFD Payoff Fee $100 PFF (3105540) $0 00 PFF (4305540) SO 00 License Tax (3104193) $000 License Tax (4304193) SO 00 Traffic Impact Fee (3105541) SO 00 Traffic Impact Fee (4305541) SO 00 Sidewalk Fee $0 00 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL $0 00 MECHANICAL TOTAL $0 00 Housing Impact Fee ?? Housing InLieu Fee $000 Housing Credit Fee Master Drainage Fee $0 00 Sewer Fee $0 00 Additional Fees TOTAL PERMIT FEES $000 $000 $000 $000 $000 SO 00 $000 $000 $000 $000 $000 $000 S2000 SO 00 $000 SO 00 SO 00 SO 00 $000 $000 $9655 Total Fees $96 55 Total Payments To Date $96 55 Balance Due $000 BUifcDING PLANS _k_ IN STORAGE ATTACHED / Inspected FINAL APPROVAL Date / 2.S 01 Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 3? 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review set aside void or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes no' planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any iees/exaciions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite Business Name (at this address) Legal Description Assessor s Parcel # Description of Work / / Lot No Subdivision Name/Number Existing Use fL. } fjj /" f SQ /T \ #of Stories Unit No Phase No Proposed Use tt of Bedrooms Total tt of units tt of Bathrooms Name 3~^:" APii : ™?RLICANT Q Contractor T Address TAgentjfor Contractor B^O wrier £$ City 'Agent for Owner State/Zip Telephone tt Fax tt Name 4 PR6%RTY OWNJER ;|P / Address City State/Zip Telephone tt ~7&-& *2 >O •^ Address City State/Zip Telephone ffName Sf CONTRACTOR TpOMJPANY NAME, " " JF .;/ jf" .„" °"-K%: (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 [$500D Name State License # Address License Class City State/Zip City Business License tt Telephone tt Designer Name State License tt Address City State/Zip Telephone 'BIN''WORKERS" COMPENSATION^' '. " :,A •• ' ,,*'' ' ^ ' Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~l 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 G 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 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l 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 workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($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 SIGNATURE DATE . . I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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 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) l~l 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) n I am exempt under Section Business and Professions Code for this reason - J'YES DNO1 I personally plan to provide the major labor and materials for construction of the proposed property improvement 2 mhav^/ 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 / phone number / contractors license number) 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) ,. PROPERTY OWNER SIGNATURE CpMBLEJE5HISSECJ|pN,FOR;/vOJV>?ES*D^^ 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? D 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 l~l YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 £] YES l~l 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 Cl CONSTRUCTIONlLENDING AGENCYL . . .. »*. 71- . ., ., ... ' Jfc ...J-"JE , J!' : •• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9 :iaAPPLiCANT CERTIFICAfiON """ • " £ ' ~V ~'"'" """::: .""/. '";" "" ' '"• _ ::|:w ~ "" I certify that I have read the application and state that the above information is correct and that the information on ths plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the City 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 stones in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time(3fter the work is coTrJfneneedjor a period of 180 days (Section 106 4 4 Uniform Building Code) / APPLICANT SSIGNATUREC^^-^J^" DATE S ~ I "^ "0*4' —== sr^..—I , .. WHITE File PINK Finance City of Carlsbad Bldg Inspection Request For 04/23/2008 PermiW CB043230 Title KELLEY RES-112 SF STORAGE BLDG Description Inspector Assignment PD Type RESDNTL Job Address 1368 CYNTHIA LN Suite Lot Location OWNER KELLEY PATRICK T Owner KELLEY PATRICK T Remarks Sub Type RAD Phone 7607201368 Inspecti Total Time Requested By PAT KELLEY Entered By CHRISTINE CD Description 17 Interior Lath/Drywall 19 Final Structural 29 Final Plumbing 31 Underground/Conduit-Winng 34 Rough Electric Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Description Act 8<] .'-tough Combo AP 83 Rco' Sheathng/Fxt Shear AP 83 Roof Sheatnmg/Ext Shear CO 19 Final Structural NS 11 '-tg/Foundation/'Piers AP RB 19 Final Structural WC RB 31 Underground/Conduit W.rmg AP RB !nsp Comments PD WALLS / ELEC PS BN SEE NOTICE ATTACHED RB EXTEND PERMIT NOT BUILT YET UNSCHEDULED BUILDING INSPECTION DATE A>/ PERMIT # £ R JOB ADDRESS DESCRIPTION CODE DESCRIPTION INSPECTOR PLAN CHECK # ACT COMMENTS Cf— CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE DATE 17 TIME LOCATION PERMIT NO FOR INSPECTION CALL (760) 602-2725 RE INSPECTION FEE DUE-? FOR FURTHER INFORMATION, CONTACT .1 YES PHONE BUltblNG INSPECTOR CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For 11/17/2005 Inspector Assignment RBPermit* CB043230 Title KELLEY RES-112 SF STORAGE BLDG Description Type RESDNTL Sub Type RAD Job Address 1368 CYNTHIA LN / / Oh Q */ Suite Lot 0 Location APPLICANT KELLEY PATRICK T Owner KELLEY PATRICK T Remarks SOMETHING WILL BE WAITING FOR YOU IN SHE Phone Inspector Total Time CD Description 15 Roof/Reroof Comments/Notices/Hold Requested By PAT KELLEY Entered By CHRISTINE Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments 12/22/2004 19 Final Structural NS RB EXTEND PERMIT NOT BUILT YET 08/31/2004 11 Ftg/Foundation/Piers AP RB 08/31/2004 19 Final Structural WC RB 08/31/2004 31 Underground/Conduit-Wiring AP RB CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE DATE n TIME LOCATION PERMIT NO . /fr fill #7 A bra **- wail FOR INSPECTION CALL (760) 602 2725 RE-INSPECTION FEE DUE? , I YES FOR FUFfiHERJNFORMATION CONTACT PHONE CODE ENFORCEMENT OFFICER ® PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS & DATE RESIDENTIAL (. RESIDENTIAL ADDITION MINOR « $10.00O.OO) TENANT IMPROVEMENTi PLAZA CAMINO REAE j CARLSBAD COMPANY STORES VILLAGE PAIRE COMPLETE OFFICE,BUILDING OTHER y C,/- S PLANNER DATE ENGINEER DATE nncyMlsforniuPiannlng Engineering Approvals PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE - / 7 ADDRESS RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE OS- C7- ENGINEER DATE a: a