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HomeMy WebLinkAbout1695 CALLIANDRA RD; ; CB142048; Permit08-19-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Miscellaneous Permit Permit No: CB142048 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1695 CALLIANDRA RD CBAD MISC 2159000200 $0.00 Subtype: Lot#: REPAIR 0 CARNES RES- REPLACE 8 WINDOWS @ REAR OF HOME- LIKE FOR LIKE- DAMAGED BY FIRE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: CARNES SEAN T&TIFFANY J Owner: CARNES SEAN T&TIFFANY J ISSUED 08/19/2014 RMA 08/19/2014 08/19/2014 1695 CALLIANDRA RD CARLSBADCA 92011 760 861-7057 1695 CALLIANDRA RD CARLSBADCA 92011 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $65.00 $0.00 $0.00 $65.00 Totai Fees: $65.00 Total Payments To Date: $65.00 Balance Due: $0.00 Inspector: FINAL APP Date: H Clearance: NOTICE: Please lake NOfiCE tlid approval of your project includes the "Imposition' of fefes, dedications, reservations, or other exactions hereafter collectively refen-ed 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 follovi the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City IVIanager 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 vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenA/ise expired. 7HE FOLLOWING APPROVALS REQUIRED PRIOR TO PERIVliT ISSUANCE: nPLANNING nENGiNEERiNG •BUILDING nFIRE DHEALTH OHAZIMAT/APCD CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov PlanCheckNo. /^ I y ^J) Est. Value Plan Ck Deposit r SWPPP JOB ADDRESS SUITE#/SPACE#/UNITI CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OFWORK: Include Square Feet Of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr>, N0| I AIR CONDITIONING YES I I NO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Confact PROPERTYOWNER ADDRESS ADDRESS CITY STATE ZIP PHONE ^ . . — ^--v FAX ZIP PHONE FAX DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE PHONE FAX EMAIL CLASS 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 applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions of the Contractor's License Law (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe 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}). Workers' Compensation Deciaration:) fiereby affirm under penalty ofpeijury one of the folbwing declarations: I have and wlil maintain a certificate of consent to self-insure for wori<ers' compensation as provided by Section 3700 of tiie Labor Code, for the performance of the worl( for wtiich this permit is issued. I i have and wili maintain workers' compensation, as reauired by Section 3700 of the Labor Code, for the performance of the worl( for which this permit is issued. My worisers' compensation insurance carrier and policy number are; Insurance Co, Policy No. Expiration Dale This section need not be completed if the permit is for one hundred dollars ($100) or less. Q Certificate of Exemption: I certify that in the performance of the worl< for which this pemiit is issued, I shall notemploy any person in any manner so as to become subject to the Workers'Compensation Laws of California. WARNING: Failure to secure woriiers' compensation coverage is unlawful, and shall subject an empioyer to criminai penalties and civil tines up to one hundred thousand doiiars (4100,000), in addition to the cost of compensation, damages as provided for in Section 3706 ofthe Labor code. Interest and attomey's fees. ygS" CONTRACTOR SiGNATURE QAGENT DATE / hereby affirm that I am exempt from Contractor's License Law for the following reason: I I 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). 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 wilh oontractor(s) licensed pursuant to the Contractor's License Law). 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. QYes I INO 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 pian to provide portions of the woris, but I have hired the following person to coordinate, supereise and provide the major work (include name / address / phone / contractors' license number): 6.1 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 wori(): • PROPERTY OWNER SiGNATURE QAGENT DATE Is the applicant or fulure building occupant required lo submit a business plan, acutely hazardous materials registration form or risk management and preventon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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 the facility to be constructed within 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 CONTROL DISTRICT. .ENDING AGENCY ITIAL BUII.I ITS ONLI I hereby affirm that there is a construction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address i certify that I have read ttie application and state ttiat the above Infbimation Is coirect and that the Inlbnnation on the plans is accuiate. i agree to comply with ail CHy oiidlnances and State iaws relating to buliding construction. I hereby authorize representative of the City of Carfebad 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 peimit is required for excavations over 5'0' deep and demolitbn or constmction of stnictuies over 3 stories in height. EXPIRATION: Every pennit issued by the BuikJing Ofiicial under the provisbns of this Code shall expire by limitation and become null and void the buikiing or vnork authorized by such pennit is not commenced within \ 180 days Irom the date of such pemiit or ifthe buikjingoL)M»twothrjf1^pd by such pemiit is suspended or abandoned at any time after the wort< is commenced for a period of 180 days (Section 106.4.4 Unifoim Building Code). APPLICANT'S SIGNATURE 7^ DATE 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 buiidinq(a!Carlsbadca.qov or Mail the completed fom to City of Cadsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) iVIAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#. NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB#. NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION jeSAPPLICANT'S SiGNATURSi^^^^^^^^^_^^ Inspection List Permit*: CB142048 Type: IVIISC REPAIR CARNES RES-REPLACE 8 WINDOWS @ REAR OF HOME- LIKE FOR LIKE- DAM Date Inspection Item Inspector Act Comments 09/26/2014 19 Final Structural - Rl WINDOW INSTALLATION FINAL 09/26/2014 19 Final Structural PY AP 08/29/2014 18 Exterior Lath/Drywall PY AP Tuesday, Septennber 30, 2014 Page 1 of 1 City of Carlsbad Building Division APPROVED BY. [)i4—" ISSUED BY:_