HomeMy WebLinkAbout165 JUNIPER AVE; ; CB143643; Permit,, . , City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-31-2014 Residential Permit Permit No: CB143643
Job Address:
Building Inspection Request Line (760) 602-2725
165 JUNIPER AV CBAD
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
RESDNTL
2042512005
0
0
$0.00
Sub Type: RAD
Lot#: 0
Constuction Type: 5B
Reference #:
Structure Type:
Bathrooms: 0
Orig PC#:
Status: ISSUED
Applied: 12/31/2014
Entered By: SKS
Plan Approved: 12/31/2014
Issued: 12/31/2014
Inspect Area:
Plan Check#:
Project Title: CARR RES -INT. REMODEL MBATH
AND GUEST BATH W/ NEW TILE AND DRYWALL// PLUMBING TO
FREESTANDING TUB IN MBA TH// MISC. ELECTRICAL// INSTALL
DIRECT VENT FIREPLACE INSERT
Applicant:
GREGORY JAMES INC
STE 108A-226
300 CARLSBAD VILLAGE DR
CARLSBAD CA 92008
760-580-8000
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
Green Bldg Stands (SB1473) Fee
Green Bldg Stands Plan Chk Fee
$0.00
$260.00
$0.00
$0.00
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1.00
$0.00
Owner:
CARR FAMILY TRUST 11-13-96
1523 E EUGIE AVE
PHOENIX AZ 85022
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFO Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnlieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
Fire Sprinkler Fees
TOTAL PERMIT FEES
Total Fees: $262.00 Total Payments to Date: $262.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: 7 · .!-')' · /5" Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$262.00
$0.00
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 3.32.030. 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
f . n f . h h
,.; THE FOLLOWING APPROVALS RECUlREO PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING QFIRE
·ccityof
Carlsbad
JOB ADDRESS
CT/PROJECT#
EXISTING USE
APPLICANT NAME
ADDRESS
CITY
PHONE
EMAIL
STATE
FAX
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEI/SPACEI/UNITI
# OF UNITS # BEDROO S # BATHROO S
Plan Check No.
Est. Value
Plan Ck. Deposit
/{.'k/,~n (j,,&~+s)
~\~,"'Y~
-c,;,( I
DECKS (SF) FIREPLACE
YESIK)#
PROPERTY OWNER
ADDRESS
CITY Car I
ZIP
STATE LIC. #
•HEALTH 0HAZMATIAPCD
SWPPP
CONSTR. TYPE OCC. GROUP
,-
FIRE SPRINKLERS
YES•No@
(Sec. 7031.5 Business and P_rofessions Code: Any City or Coun_ty 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, commendmgwith Section 70_00 of 0Msion 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant fer a permit subJects the appllcant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPEIIISATION
Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following deC/arations:
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 required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
aumbe,a~ los,,aoc,Co 'fv ( Pol;cyNo. 6/t\1/( '53f>j7BZ. fai'raUooDate Jb!i/15
JM.section need not be completed if th rm'rt '1s for one hundred dollarn ($100) or less. J LJ Certificate of Exemption: I certify that in the performance of !he 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 cMI 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,
.85 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law tor the following reason: •
• •
I, as owner of the property or my employees with wages as their sole compensation, wifl do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professirins Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himseW or through his own employees, provided that such improvements are oot intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will hSVe the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracbng 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),
I am exempt under Section _____ Business and Professions Code for this reason·
1. I personally plan to provide the major labor and matetials for construction of the proposed property improvement. OYes 0No
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 (In dude name address/ phone I contractors' 1'Icense 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 I phone/ 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 I address/ phone I type of work):
..fi:5 PROPERTY OWNER SIGNATURE •AGENT DATE
•
COMl'tliTI! THIS Sl!CTION l'OR NON-RESIDENTIAL IIUILIIING PERMIT$ ONLY
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 Acr? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is thefaciflty to be constructed wllh'1n 1,000 feet of the outer boundary of a school site? Yes 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 CONTROi.. DISTRICT.
I certtfythat I have read the application and state that the above Information is correct and that the inbmation on the plans Is accurate. I agree to complyYotth all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter u~n the aOOve mentioned property br inspection purposes. t 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: AJi OSHA permit is requred forexcavaHons over 5'0' deep and demolitKln orcoostruction of structures over 3 stories in he'ght
EXPIRATION: Every permit issued by the Buikling Oflaal under the provisk>ns of this Code shall expire by limitation and beoome null and voki Wthe buikling or ook authorized by such permit is not oommenced within
180 days from the date of such permit or if the buikthg or 'Mlrk authorized by sudl permit is suspended or abandoned at any time after the ook is oommenced for a period of 100 days (Sectk>n 106.4.4 Uniform Buikf1ng Code).
A$ APPLICANT'S SIGNATURE DATE /;, /..l,
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email bullding@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. :1.)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/FAXTOOTHER: ________________ ~
,..S APPLICANT'S SIGNATURE
ASSOCIATED cs,, ____________ _
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Penni!#: CB143643 Type: RESDNTL RAD CARR RES -INT. REMODEL MBATH
AND GUEST BATH W/ NEW TILE AND DR
Date ~ection Item Inspector Act --__ ,__ ---------___ ,_ Comments
07/29/2015 89 Final Combo PD AP
02/27/2015 84 Rough Combo PD AP
02/03/2015 27 Shower Pan/Roman Tubs PD AP
Friday, October 16, 2015 Page 1 of 1