HomeMy WebLinkAbout158 ACACIA AVE; ; CB091609; Permit10-08-2009.
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: CB091609
Building Inspection Request Line (760) 602-2725
158 ACACIA AVCBAD
RESDNTL Sub Type: RAD Status:
2042332203 Lot#: 0 Applied:
$10,000.00 Construction Type: 5B Entered By:
Reference #: Plan Approved:
0 Structure Type: Issued:
0 Bathrooms: 0 Inspect Area:
CRUM: ADD HALF BATH IN BEDRM/ Orig PC#:
REPLACE TUB IN MB W/ SHOWER/REPLACE SHOWER IN Plan Check #
DOWNSTRS BATH
W/TUB.SHOWER
ISSUED
09/30/2009
JMA
10/08/2009
10/08/2009
Applicant:
WORTHING INC, B. A.
SUITE #201
690 CARLSBAD VILLAGE DR
CARLSBAD, CA 92008
760-729-3965
Owner:
CRUM FAMILY 2003 TRUST 10-24-03
158 ACACIA AVE
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 #2 Fee
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
s'.>ING PLANS?™0
IN STORAGE
ATTACHED
$117.81 Meter Size
$0.00 Add'l Reel. Water Con. Fee
$76.58 Meter Fee
$0.00 SDCWA Fee
$0.00 CFD Payoff Fee
$1.00 PFF (3105540)
$0.00 PFF (4305540)
$0.00 License Tax (3104193)
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 ELECTRICAL 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
$1.00
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
$48.00
$20.00
$48.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$312.39
Total Fees:$312.39 Total Payments To Date:$312.39 Balance Due:$0.00
Inspector:
FINAL APPROVAL
Date: U' £*to 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 nave 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.
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
Plan Check No.
Est. Value
Plan Ck. Deposit
CONTACT NAME (If Different Fom Applicant)
ADDRESS ADDRESS
P.O. tbox 10*41
CITY STATE ZIP STATE
QA-
PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME~E>-A-Inc.
ADDRESS ADDRESS
"P-0.
CITY STATE ZIP
PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS
Brcote
CITY BUS. LIC.#
[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 islicensed 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 ofSection 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
Workers'Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
CD 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.
I have and will maintain workers' compensation, as rennireH h« Se-««yy o-mo. nf the Labor Code, for the performance "f 'ho wnrk for which this permit is issued. My workers' compensation insurance cnowr and policy
number are: Insurance Co. |C)IU6*'" G»rC>U-|p —r If" " VVJO Policy No. \\[ Q8> ~S^|:€^^|fJi»^f|: Expiration Date | ' \ ' \0
This section need not be completed if the permit is for one hundred dollars ($100) or less.
O 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..
/&£) /O^
/ hereby affirm that I am exempt from Contractor's License Law for the following reason/
D 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).
tn 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:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes a No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 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 / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
v£f PROPERTY OWNER SIGNATURE DATE
i«
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 D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No
IF ANY OF THE ANSWERS ARE YES, /
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
isgj8KJSS8J»ii»llilBL^ !lf^^BSppMgtmBCBilMlffiaM»M«aBS
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that I have read the application and state that the above information is correct and that the information on the plans is acOTrate. I iagrre to amply wift all City ordinance and State lave relating to buildingconstruction.
Lhereby authorize representative 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 stories 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 auctiDermiissiispended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
^APPLICANT'S SIGNATURE ^tfattfiWlM'**} DATE
City of Carlsbad Bldg Inspection Request
For: 01/28/2010
Permit* CB091609
Title: CRUM: ADD HALF BATH IN BEDRM/
Inspector Assignment: TP
Description: REPLACE TUB IN MB W/ SHOWER/REPLACE SHOWER IN
DOWNSTRS BATH W/ TUB.SHOWER
Sub Type: RAD
158 ACACIA AV
Lot:
Type: RESDNTL
Job Address:
Suite:
Location:
APPLICANT WORTHING INC, B. A.
Owner: CRUM FAMILY 2003 TRUST 10-24-03
Remarks:
Phone: 7604732405
Inspector:
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By: JOHN, B A WORTHING
Entered By: CHRISTINE
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
12/11/2009 17 Interior Lath/Drywall AP TP
12/09/2009 84 Rough Combo AP TP
10/29/2009 21 Underground/Under Floor AP TP
10/29/2009 24 Rough/Topout PA TP HALF BATH
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB091609 DATE 9/30/09
ADDRESS 158 ACACIA ST
RESIDENTIAL ADDITION-
MINOR (<17,000.00)
RETAINING WALL
VILLAGE FAIRE
POOL/SPA
TENANT IMPROVEMENT
COMPLETE OFFICE BUILDING
OTHER INTERIOR REMODEL
PLANNER GINA RUIZ
ENGINEER.
DATE 10/5/09
DATE
H:\ADMIN\i;Ol!NTER/PlANNINf,/ENr,INEERIM; APPROVALS
_
,
L
PROJECT TO COMPLY WITH:
2OO7 CA BUILDING CODE
2OO7 CA MECHANICAL CODE
2OO7 CA ELECTRICAL CODE
2OO7 CA PLUMBING CODE
2OO7 CA ENERGY CODE
2OO7 CA FIRE CODE
CITY OF CARLSBAD MUNICIPAL CODE
OCT 072009
City of CARLSBAD
BUILDING DEPT.
-DOUBLE TOP PLATES
48" MIN. SPLICE
-2X4 DF STUDS
AT Ife" 0,C,
NAILS
AT Ife" O.C.
2X4 PLATE
FLOOR JOIST
PER PLAN
INTERIOR PARTITION DETAIL
CB091609 158 ACACIA AV
CRUM: ADD HALF BATH IN BEDRM/
REPUCE TUB IN MB W/ SHOWER/REPLACE SHOWER
o G-