HomeMy WebLinkAbout1639 TAMARACK AVE; ; CB031158; Permit05-19-2003
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 CB031158
Building Inspection Request Line (760) 602-2725
1639 TAMARACK AV CBAD
RESDNTL Sub Type
2071204400 Lot#
$14,93500 Construction Type
Reference #
0 Structure Type
0 Bathrooms
GRANATA RES 145 SF FRONT PORCH
ADDITION W/ELECTRICAL
RAD
0
NEW
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Ong PC#
Plan Check#
ISSUED
04/22/2003
SB
05/19/2003
05/19/2003
Applicant
WORTHING INC, B A
SUITE #201
690 CARLSBAD VILLAGE DR
CARLSBAD, CA 92008
619-729-3965
Owner
GRANATA JOSEPH F&NELLY TRS
1639 TAMARACK AVE
CARLSBAD CA 92008
yrf9 WiQ/m iW> M TJ
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
Pot Water Con Fee
Meter Size
Add'l Pot Water Con Fee
Reel Water Con Fee
$13819
$000
$8982
$000
$000
$1 49
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
Meter Size
Add'l Reel Water Con Fee
Meter Fee
SDCWA Fee
CFD Payoff Fee
PFF
PFF (CFD Fund)
License Tax
License Tax (CFD Fund)
Traffic Impact Fee
Traffic Impact (CFD Fund)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing InLieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
CGF" 159
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$2000
$000
$000
$000
$000
$000
$000
$000
$249 50
Total Fees $249 50 Total Payments To Date $8982 Balance Due $15968
PPRQVAL
DATE
CLEARANCE.
,0
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
IV I, .PROJECT INTORMAflON •....
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL / / 1 J 3
Plan Ck Deposr
Validated By
Date Li"
ft?.
Business Name (at this adddsiS 04/22/03 0002 01 0^
CGP " 89. B2
Address (include Bldg/Suite #)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel #201- i-zo-Existing Use Proposed Use
Description of Work SQ FT #of Stones tt of Bedrooms # of Bathrooms
i 2 CtirJTACT PERSON <if different from applicant]! !
Name
APPLICANT E^pntractor
Address City
Contractor (~H Owner fl Agent for Owner;
State/Zip Telephone
Name
4 ^PROPERTY OWNER,
Address City State/Zip Telephone #
(*T\ &*&
Name Address City (Ji ^AXOpjState/Zlp Telephone #
5 CONTISaicTOR/- COMPANY NAME 1 ' .75. "3F . " 7 -If vifiF"' , ;:,.;.:Jil
(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 Codel or that he is exempt therefrom, and the basis for the alleged
ptioji /^ny yjolation of Section 7031 5 b>f-any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500])
Address
License Class
VO H
City State/Zip
City Business License #
Telephone #
Designer Name . i I Address City State/Zip Telephone
State License « ^>^ /^£r\H
6 -WORKERS' COMPENSATION :,. ". ,"7 " ..TV;/ .'" "/ '."" " : *|7" •/' ^~ •• -•, jit.
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
Q 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
^0T 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 ~~~}\S\ j\fi.^- -riL^V-1/"!/^ Policy No ( Jf) U 0 / AID — L£*&^^ Expiration Date / v I • Oi[
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
fj 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 ($100-006) m.d3>)ition to the cost of compensation, damages as provided for in Section 3706 of the Ijabor code interest and attorney s fees
SIGNATURE ^$V^/fTvVl^. ^ DATE
I hereby affirm that I am exempt from theXContractor s License Law for the following reason
l~l I, as owner of the property or my ejnployees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec 7044, Business and ProfessioVsCoae 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)
C] 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)
Q I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement O YES flNO
2 I (have / 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 DATE
COMPLETE THIS SECTION FOWJVON-RESIDENTIAL BUILDING PERMITS ONLY ISUiw^1 .,• : °J. ^'Sii. , ' ..... .„...„..' '••• .L:;: 1-,,,-uU
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 |TJ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES f~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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
^""cjpNsTRuci^ ,5"IZ:""". ...... "IITP' ........... ;;7V:- ••''"'''":;''" " ":::" ....... """jgr ..... :'!-SK:;J ""yt" ;, ........ •• ....... ?r;; fr;
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code)
LENDER S NAME _ LENDER S ADDRESS
9 .„ /APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the 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 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 such permit is suspended or abandoned
at any time after the work is commenced for a^nod of-'rJiO days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE DATE
PINK Finance
City of Carlsbad Bldg Inspection Request
For 07/24/2003
Permit# CB031158
Title GR AN ATA RES 145 SF FRONT PORCH
Description ADDITION W/ELECTRICAL
Sub Type RAD
Inspector Assignment JE
1639 TAMARACKAV
Lot 0
Type RESDNTL
Job Address
Suite
Location
APPLICANT WORTHING INC, B A
Owner GRANATA JOSEPH F&NELLY TRS
Remarks
Phone 7607283965
Inspector
Total Time
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By EMILY
Entered By CHRISTINE
Comment
Associated PCRs/CVs
Inspection History
Date
07/23/2003
07/23/2003
07/23/2003
07/23/2003
07/03/2003
07/01/2003
07/01/2003
07/01/2003
07/01/2003
07/01/2003
06/30/2003
06/11/2003
06/10/2003
06/05/2003
Description
19
29
39
49
34
14
15
24
34
44
84
11
11
21
Final Structural
Final Plumbing
Final Electrical
Final Mechanical
Rough Electric
Frame/Steel/Bolting/Weldmg
Roof/Reroof
Rough/Topout
Rough Electric
Rough/Ducts/Dampers
Rough Combo
Ftg/Foundation/Piers
Ftg/Foundation/Piers
Underground/Under Floor
Act
AP
CO
AP
AP
AP
PA
AP
we
NR
we
CA
AP
CO
AP
Ins;
JE
JE
JE
JE
JE
JE
JE
JE
JE
JE
JE
PS
PS
JE
Comments
VENT PIPE TERMINATION
ALL PORCH EXCEPT RAILING
OK TO COVER
1107-A3 BY TERESA
COPPER PIPE & FITTING IN FOOTING
ELECTRIC /NEW HOSE BIB
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB
ADDRESS
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
« $10,000.00)
OTHER
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
PLANNER
ENGINEER
DATE
DATE
Docs/Misforms/Planmng Engineering Approvals
D
Plan Check No CB C&-
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Address /W(L
Planner Rebeca Vazquez
APN
Phone (760) 602-4625
Type of Project & Use F^arvV-
Zonmg ^-\ General Plan
CFD (in/out) #_Date of participation.
Net Project Density.DU/AC
Facilities Management Zone \_
Remaining net dev acres
Circle One
(For non-residential development Type of land used created by this
permit )
Legend. £3 Item Complete
Environmental Review Required
DATE OF COMPLETION
Item Incomplete - Needs your action
YES _ NO ^ TYPE
Compliance with conditions of approval? If not, state conditions which require action
Conditions of Approval _
Discretionary Action Required
APPROVAL/PESO NO
PROJECT NO
YES NO /* TYPE
DATE
OTHER RELATED CASES
Compliance with conditions or approval? If not, state conditions which require action
Conditions of Approval
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES X NO
CA Coastal Commission Authority? YES
If California Coastal Commission Authority Contact them at - 7575 Metropolitan Drive, Suite 103,
San Diego CA 92108-4402, (619) 767-2370
Determine status (Coastal Permit Required or Exempt)
Coastal Permit Determination Form already completed? YES _ NO
If NO, complete Coastal Permit Determination Form now
Coastal Permit Determination Log # _
D
Follow-Up Actions.
1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans)
2) Complete Coastal Permit Determination Log as needed
Inclusionary Housing Fee required YES NO
(Effective date of Inclusionary Housing Ordinance - May 21, 1993 )
Data Entry Completed? YES.NO
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N,
Enter Fee, UPDATE')
H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01
Site Plan:
• 1 Provide a fully dimensional site plan drawn to scale Show North arrow, property lines,
easements, existing and proposed structures, streets, existing street improvements, right-of-way
width, dimensional setbacks and existing topographical lines (including all side and rear yard
slopes)
EH D 2 Provide legal description of property and assessor's parcel number
Policy 44 - Neighborhood Architectural Design Guidelines
D D 1 Applicability YES NO
D D 2 Project complies YES. NO_
Zoning-
D D 1 Setbacks
Front
Interior Side
Street Side
Rear
Top of slope
n n 2 Accessory structure setbacks
Front
Interior Side
Street Side
Rear
Structure separation
D D 3 Lot Coverage
10 | A-
Required
Required
Required
Required
Required
:ks f°(^
Required
Required
Required
Required
Required
Required
XO Shown =*->
\O' Shown VO'
Shown
2-0 ' Shown UH '
Shown
t
Shown
Shown
Shown
Shown
Shown
r& /° Shown v^^iO/ti
n 4 Height Required.Shown
5 Parking Spaces Required Shown
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required Shown
Additional Comments
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER ATE
H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01
SD
STATE
COMPENSATION
INSURANCE
•_„ ..... 'OLICYHOLDER COPY
PO BOX 807, SAN FRANCISCO.CA 94142-0807
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE 01-01-20O2 GROUP OOOO4B
POLICY NUMBER OOO8775-20O3
CERTIFICATE U> 5
CERTIFICATE EXPIRES 01-01-2004
01-01-2003/01-01-2004
COUNTY OF SAN DIEGO
ATTN: BUILDING DEPARTMENT
5201 RUFF IN ROAD
SAN DIEGO CA 92123
SD JOB: ALL OPERATIONS
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated
This policy ts not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer
We will also give you 30 days' advance notice should this policy be cancetled prior to its normal expiration
This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded
by the policies listed herein Notwithstanding any requirement, term, or condition of any contract or other document
with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the
policies described herein is subject to all the terms exclusions and conditions of such policies
AUTHORIZED REPRESENTATIVE
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS
PRESIDENT
$1 .OOO.OOO.OO PER OCCURRENCE
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTEVE O1-01-20O3 IS ATTACHED TO AND
FORMS A PART OF THIS POLICY.
EMPLOYER
B.A. WORTHING, INC,
PO BOX lOltl
CARLSBAD CA 92018
THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND
12-13-2002
PRINTED P0409
SCIF 10285 («EV; 2-01)