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Home My WebLink About1671 CORTE ORCHIDIA; ; CB042446; Permit06-29-2004 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 CB042446 Building Inspection Request Line (760) 602-2725 1671 CORTE ORCHIDIA CBAD RESDNTL Sub Type 2159502100 Lot# $3,000 00 Construction Type Reference # 0 Structure Type 0 Bathrooms SWICK RES CONVERT 3RD CAR GAR TO LAUNDRY ROOM RAD 0 NEW Applicant SWICK KENNETH E&JENNY S 1671 CORTE ORCHIDIA CARLSBAD CA 92009 760 431 2908 Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# Plan Check# ISSUED 06/17/2004 FM 06/29/2004 06/29/2004 Owner SWICK KENNETH E&JENNY S 1671 CORTE ORCHIDIA CARLSBAD CA 92009 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 $45 79 Meter Size $0 00 Add'l Reel Water Con Fee $29 76 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $1 00 PFF $0 00 PFF (CFD Fund) $0 00 License Tax $0 00 License Tax (CFD Fund) SO 00 Traffic Impact Fee $0 00 Traffic Impact (CFD Fund) $0 00 Sidewalk Fee $000 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL $0 00 MECHANICAL TOTAL $0 00 Housing Impact Fee $0 00 Housing InLieu Fee Housing Credit Fee $0 00 Master Drainage Fee $0 00 Sewer Fee Additional Fees TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $6300 $2000 $1950 $000 $000 $000 $000 $000 $000 $17905 Total Fees $17905 Balance Due $14929 CLEARANCE SIGNATURE 5518 06/29/04 0002 01 02 CGP 149-29 PERMIT APPLICATION CITY OF'CARLSBAD'BaimiNG DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 * 1 .:^ PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL "3060 Plan Ck Deposit Validated By Fv*" Date fa-ll Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number t. units CGP Assessor s Parcel #Existing Use Proposed Use >Description of Work l^$£ tippr 2 'CONTACT PERSON (if different'from applicalit) ; i & SQ FT #of Stories # of Bedrooms # of Bathrooms Name Address City 3 -If APPLICANT O Contractor Q Agent for ContractorlfiQ] Owner Q Agent for Owner State/Zip Telephone #Fax* v:Name 4 PROPERTY OWNER' ™ if fn d_ Address City State/Zip Telephone # , •»Address City State/Zip Telephone #"Name 5 f CONTRACTOR - COMPANY NAME '""IWH-<• ';7;,: % "" %: :"-." :..;;| (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 [$500]) Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City, State/Zip Telephone State License # :6 WORKERS'COMPENSATION ; : . „. ..,.•..,.-.,„....,. ^ , 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 |~1 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) n 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 7 KjiWNER-BUILDER DECLARATION "•.-••. . -::~ ' ..-.:" ' - ' " • ' .... J««:'; I hereby affirm that I am exempt from the Contractor's License Law for the following reason Cjj[ 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~| 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) |~| 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 |Tj YES QNO>*"*•! *\2 I (haver/ 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 + ^ PROPERTY OWNER SIGNATURE _______ __ __ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 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' f~) YES l~l NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? l~l 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 fff CONSTRUCTION LENDING AGENCY "•'• , . " -'Y-C -"^v PS'V"' ' ' "T " .-•" -Ji '!•-... I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) 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 CitV 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 1 80 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 commeijced for a periad of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE WHITE File YELLOW Applicant PINK Finance -oATE n ( City of Carlsbad Bldg Inspection Request For 12/09/2004 Permit* CB042446 Title SWICK RES CONVERT 3RD CAR GAR Description TO LAUNDRY ROOM Inspector Assignment PY 1671 CORTE ORCHIDIA Lot 0 Type RESDNTL Sub Type RAD Job Address Suite Location OWNER SWICK KENNETH E&JENNY S Owner SWICK KENNETH E&JENNY S Remarks PAUL-YOU DIDN'T GIVE US A TYPE' Phone Inspector Total Time 11 11 CD Description Ftg/Fqtmdation/Piers/Fotmoai \lis\£<. Act Comment C^c^ Requested By PAUL YORK Entered By KAREN Associated PCRs/CVs Inspection History Date Description Act Insp Comments 09/02/2004 14 Frame/Steel/Bolting/Welding AP JM WINDOW OK 07/22/2004 14 Frame/Steel/Bolting/Welding AP PY 07/22/2004 23 Gas/Test/Repairs AP PY 07/22/2004 24 Rough/Topout AP PY 07/22/2004 34 Rough Electric AP PY 07/20/2004 24 Rough/Topout CO PY SEE NOTICE ATTACH ED City of Carlsbad Bldg Inspection Request For 07/20/2004 Permit* CB042446 Title SWICK RES CONVERT 3RD CAR GAR Description TO LAUNDRY ROOM Type RESDNTL Sub Type RAD Job Address 1671 CORTE ORCHIDIA Suite Lot 0 Location APPLICANT SWICK KENNETH E&JENNY S Owner SWICK KENNETH E&JENNY S Remarks PM PLEASE Inspector Assignment Phone 7604312908 Inspector Total Time CD Description 24 Rough/Topout Act Comment Requested By KEN SWICK Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE ' LOCATION NOTICE (760) 602-2700 1635 FARADAY AVENUE PERMIT NO 0 FOR INSPECTION CALL (760) 602-2725* RE-INSPECTION FEE DUE? !. _.! YES FOR FURTjy£RINFORtfQriO$, CONTACT PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER 0 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS /(oil DATE RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE Oocs/MlsfGrms/Planning Engineering Approvals S/j v'/o" Cist 11 * APPROVED - / f f City of CARLSBAD BUILDING DEPT "5 /J (to VJ encantada !• SERVICE T\VOC\R GARAGE OPTIONAL STCDY ,,_C ~r 1 V-c-"-" FIRST FLOOR I YOU CAN {SHARE I THE DREAM OPTIONAL BEDROOM use t f>>*ri -fo io \ CH - / \ -,\-.-5 H pioor Level S/jc \ ctn - / ^ El i \(Jt \ I - / £f