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HomeMy WebLinkAbout1794 EAST POINTE AVE; ; CB992568; Permit11/15/1999 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: City of Carlsbad Residential Permit Permit No:CB992568 Building Inspection Request Line (760) 438-3101 1794 EAST POINTE AV CBAD RESDNTL 2073821000 $11,550.00 23 0 0 Sub Type: Lot #: Construction Type: Reference #: Structure Type: Bathrooms: RAD-105 SF- ROOF DECK 105 SF RAD 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area Orig PC# Plan Check# ISSUED 07/09/1999 JM 09/20/1999 11/15/1999 Applicant: MONTELLO GEORGE 4715 60TH STREET SAN DIEGO CA 92115 619-229-0700 Owner: BLACHE DONALD H 1794 E POINTE AVE CARLSBAD CA 92008 6205 11/15/99 OOOl 01 02 C-PRMT 157.92 Total Fees: $237.43 Total Payments To Date: $79.51 BalanceDue: $157.92 Building Permit $131.08 Meter Size Mj Add'l Building Permit Fee ., $0.00 Add'l Reel. Water Con. Fee fl $0.00 Plan Check ^^^^ $85.20 Meter Fee $0.00 Add'l Plan Check Fee $0.00 SDCWA Fee . : ^Ndr^M^Mj $0.00 Pian Check Discount $0.00 CFD Payoff Fee ^^||^H $0.00 Strong Motion Fee $1.15 PFF Wtm $0.00 Park in Lieu Fee $0.00 PFF (CFD Fund) W $0.00 Park Fee $0.00 License Tax * $0.00 LFM Fee '^^tffm $0.00 License Tax (CFD Fund) $0.00 Bridge Fee ' $0.00 Traffic Impact Fee $0.00 Other Bridge Fee $0.00 Traffic Impact (CFD Fund) $0.00 BTD #2 Fee ^ $0.00 LFMZ Transportation Fee $0.00 BTD #3 Fee $0.00 Sidewalk Fee $0.00 Renewal Fee $0.00 PLUMBING TOTAL $0.00 Add'l Renewal Fee $0.00 ELECTRICAL TOTAL $20.00 Other Building Fee $0.00 MECHANICAL TOTAL $0.00 Pot. Water Con. Fee $0.00 Housing Impact Fee $0.00 Meter Size Housing InLieu Fee $0.00 Add'l Pot. Water Con. Fee $0.00 Master Drainage Fee: $0.00 Red. Water Con. Fee $0.00 Sewer Fee: $0.00 TOTAL PERMIT FEES $237.43 Inspector: 5^ FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter coliectively 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 capactiy 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMlY APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECTINFORMATION FOR OFFICE USE ^y PLAN CHECK NO. EST. VAL. // ^f^ ^ Plan Ck. Deposit-^ ^ A 7^ y f Validated By_ Date Address (Include B|dg/Suite #) 4-8 THM-\^0.7^'/d!r Business Name (at this address) Legal Description Lot No. ^y (i)^ <J iLting Subdivision Name/Number Unit No. Phase No. Total tt of units Assessor's Parcel # {XJ<^ Biisting Use Proposed Use Description of Work SQ. FT. #of Stories tt of Bedrooms tt of Bathrooms 2. CONTACT PERSON (if different from applicant) Name Address 13. APPLICANT O Contractor jtNAgent for Contractor • Owner • Agent for Owner city ( l?Me/?5p//vn ^JCelephone tt Fax tt ___Z£^5l Name Address City State/Zip PROPERTY OWNER Name Address City State/Zip Telephone tt Telephone tt S. CONTRACTOR - COMPANY NAME ™ (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 IChapter 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 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 [$5001). Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License tt 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 pf the work for which this permit is issued. yC 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 issoed. IVIy worker's compensation insurance carrier and policy number are: y^ t ei O Iti I an Insurance Company <=AT/^ ft4^ Policy No. / ~f l^Lyl'J Expiration Date/t^'f I / (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) f~| CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers'jSompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollafS ($TOS^OOO), in addl[iqf to the cost of compensation, damages as provided for in Section 3706 ot thejLaborfcode, interest and attorney's fees. DATE he Labor (code, ir SIGNATURI i. OWNER I hereby affirm that I am exempt from the Contractor's License Law for the following reason; |~| 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 with contractorls) licensed pursuant to the Contractor's License Law). n 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. • YES L]N0 2. 1 (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. 1 plan to provide portions of the work, but 1 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 1 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 FOR NON-RESIDBNTIAL 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? • YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? n YES (U NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES D 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAIVIE LENDER'S ADDRESS 9. APPLICANT CERTIFICATION 1 certify that 1 have read the application and state that the above information is correct and that the information on the plans is accurate. 1 agree to comply with all City ordinances and State laws relating to building construction. 1 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 permitjsnot commeni cd within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time afyn'thev^ork is com leniied for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE Ky^""^^^^— feV^ DATE WHITE: File YELLOW: Applicant PINK: Finance City ofCarlsbad BIdg Inspection Request For: 5/1/2000 Inspector Assignment: DA Permit# CB992568 Title: RAD-105 SF-ROOF DECK 105 SF Description: Type: RESDNTL Sub Type: RAD Job Address: 1794 EAST POINTE AV Suite: Lot 0 Location: APPLICANT MONTELLO GEORGE Owner: BLACHE DONALD H Remarks: Phone: 7604343008 Inspector: ^py^ Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs Inspection Historv Requested By: DONALD Entered By: CHRISTINE ct Comments Date Description Act Insp 3/14/2000 17 Interior Lath/Drywall AP DA 3/10/2000 17 Interior Lath/Drywall NR DA 3/1/2000 16 Insulation AP DA 2/25/2000 16 Insulation NR DA 2/23/2000 14 Franne/Steel/Bolting/Welding AP DA 2/23/2000 34 Rough Electric AP DA 2/8/2000 83 Roof Sheathing/Ext Shear AP DA 12/10/1999 11 Ftg/Foundation/Piers AP SR 12/9/1999 11 Ftg/Foundatlon/Piers CO SR Comments NO ACCESS NO PLANS LEFT ON SITE I' 50 m cn 33 > D 73 O > 01 CO 7) s o 3 o * -n m S » Q TJ ^ 0 CO i < o 19 > I