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:_