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