HomeMy WebLinkAbout1811 PALISADES DR; ; CB163794; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-20-2016 Residential Permit Permit No: CB163794
Job Address:
Building Inspection Request Line (760) 602-2725
1811 PALISADES DR CBAD
Permit Type:
Parcel No:
Valuation:
RESDNTL
2073821600
$10,000.00
Sub Type: RAD
Lot#: 0
Constuction Type: 58
Reference#:
Status: ISSUED
Applied: 10107/2016
Entered By: SF
Occupancy Group:
# Dwelling Units: 0
0
Structure Type:
Plan Approved: 10/07/2016
Issued: 10/07/2016
Bedrooms: Bathrooms: 0
Orig PC#:
Inspect Area: PD
Plan Check#:
Project Title: ELLIOTT:CHANGE WINDOW INTO
71" x 81" DOOR, CHANGEOUT INSULATION & SIDING ON SAME
WALL, ADD ADDITIONAL 71" x81" DOOR ON SAME WALL ON
OPPOSITE END
Applicant:
ANNE ELLIOTT
1811 PALISADES DR
CARLSBAD CA 92008-3756
760-402-7152
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
STD #2 Fee
STD #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
$114.59
$65.00
$80.21
$0.00
$0.00
$1.30
$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
Total Fees: $262.10 Total Payments to Date:
Owner:
ELLIOTT BRUCE&ANNE
1811 PALISADES DR
CARLSBAD CA 92008
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFD 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
Fire Expedited PC Fees
TOTAL PERMIT FEES
$262.10 Balance Due:
1 A FINAL APPROVAL
Inspector: • {v L </-'I Date: 1 · '(-I l 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
$0.00
$262.10
$0.00
NOTICE: Please take N:mCE: that~ ci yrur i:<tjed irdudes the "lrrJl(JSition" cifees, dedicatioos, resavatioos, orctrer exactions heredtercdlectively
referred to as 1ees'exactioos." Yoo rave 00 days from the date this perrrit was issued to pictest irrJl(JSitim cithesefeeslexactions If yru pictest them yru ,rust
fcilo.vthe pictest ~ set forth in Go,,emrent Code Section 60J20(a), ard file the pictest ard a,ydher requred irlooretlmv.ith the aty Mmgerfcr
iJ'O(ESSing in aand!rrev.ith Gafsb.:o Mndpa CodeSedic,, 3.32.030. Faltreto tirreyfcilONthat proc,,:ltrewll bar a,ysubse<µart lega edionto~
rev1ew, set aside, vdd, er an.rl their irrµ,sition.
Yoo a-e heroo; FlRtl-ER NOTIREDthat yo.rri!tl to pictest the spedfieofeeslexedions OC£S I\OT APA.. Ytovvaa-ard SEMefwinedim fees ard ~ty
cm-gos, nor !Ja,nng, zmng, g,dng or ctrer ~nilar apJJia:tim iJ'O(ESSing or senAoe fees in oorinedim wth ths i:<tjed. t\OR Da'S IT APA.. Y to a,y
,i..,..,..,, ,lr"mrc: ' ,d<>+,•~r{' ' ' ,nvn/~
THE FCl'_'l.0WING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD
:· Ccityof Building Permit Application Plan Check No. CB, !~37'14
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value !UhOO
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date lo /7 / (?-. jSWPPP
JOB ADDRESS p
C °'--r \s b ~ SUITE#/SPACE#/UNTT# IAPN ,,,, 'l'b \\ ~h'sCNhs. Or ---
CT/PROJECT# r.o, # / !PHASE# I* OF UNITS I# BEDROOM::; # BATHROOMS I TENANT BUSINESS NAME I coNSTR. TYPE I acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
\ ,_ -k, cloar ---<.,-_ A~-, a,._ l, ~ .. ~ ,,. I ' -' I
S,--~0 L ✓o . fp r , ..+-~,~ t \1 A..,......\_ .. \ ,.,,J Sf\t,-,...c-v..lA-LL_
I
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS
YEsO_ No[] YEs0NoO vesONoO
APPLICANT NAME C'0fs.~ ~•• t .. J I i o Lt. Primary Contact ~
ADDRESS ADDRESS P~ 1,s.~ 0-, l'i1> I I CITY STATE ZIP CITY k ci-J STATE ZIP Cf2DD~ Cv-.1 b WA
PHONE IFAX PHONE I FAX 'lb o 1\-0 ,_ ·'74 s-2.
EMAIL EMAIL \ Q..\\ , t\-~ . I O'\ n ,,-,CL I o ,C\ l'Y'"\CI 1 , CO t'V\
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE I FAX
EMAIL EMAIL
!STATE UC.# STATE UC.# 'CLASS I CITY BUS. UC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such per_mit 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 [hat he is exempt therefrom, and the basis for the alleged exemption. Any vIolatIon cf Section 1031.5 by any applicanflor a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500}).
'WORKERS' COMPENSATION
Worti;ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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. D I have and will maintain worfl;ers' compensation, as required by 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
number are: Insurance Co. ______________________ Policy No, _______________ Expiration Date _________ _
~section need not be completed~ the permit is for one hundred dollars ($100) or less LJ 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: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crimlnal 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.
fi5 CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
..!!!reby affirm that I am exempt from 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-bu11der will have the burden of provi[ll that he did not build or improve for the purpose of sale).
□
□
I, as owner of the property, am exclusively contracting with licensed contractors D 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 _____ usiness and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement OYes 0No
2. \ (have I have not) signed an app'ica\ion 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 I phone I contractors' license number):
4. \ plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I 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):
j. fi5 PROPERTY OWNER SIGNATURE □AGENT DATE I'D lb
~OMl'LETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
is the applicant or future bu1ldfng 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 □ No
Is the appfoantor 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.
CONSTRUCTION LENDING AGENCY
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 Clly ordinances and State laws relating to build Ing oonstructlon.
I hereby au1hooze representative of the Cify of Carlsbad to enler upon ~e aix>1e mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is required for excavations (Nf.f 5'0' deep and demolitia1 Cf' construction of slrucb.Jres (Nf.f 3 stories in height.
EXPIRA TlON: Every pennit issued by the Building Official under the prcMSions of this Code shall expire by imitation and become nuK and void if the building or v«>rk authorized by such permit is not canmenced wthin
180 days from the date of such permit or if the b ilding orv«>rk authorized by such permit is suspended or abandoned at any time after the work is corrmenced for a period of 180 days (Section 106.4.4 Uniform Building Code) .
..@S°APPLICANT'SSIGNATURE DATE ,o "' r 6
• 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 building@carlsbadca.gov or Mail the completed form to Cify of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Calttomia 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CllY STATE ZIP CllY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
□ ASSOCIATED CB#•------------MAIL TO: □ CONTACT (Listed above) o OCCUPANT (Listed abOve)
o CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: ________________ _
□ CHANGE OF USE/ NO CONSTRUCTION
.J6 APPLICANT'S SIGNATURE DATE
, , PERMIT INSPECTION HISTORY REPORT (CB163794)
Permit Type: BLDG-Residential Application Dato: 10/07/2016 Ownec COOWNER BRUCE AND ANNE
ELLIOTT
Work Class: Addition Issue Date: 10/07/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 05/03/2017 Address: 1811 Palisades Dr
Carlsbad, CA 92008
IVR Number: 717562
Scheduled Actual Inspection Status Reinspection Complete Date Start Date Inspection Type Inspection No. Primary Inspector
11/04/2016 11/04/2016 BLDG-18 Exterior 002345-2016 Passed Jonathan West Complete
Lath/Drywall
03/08/2017 03/08/2017 BLDG-Final 015857-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLOG-Building Deficiency Yes
BLOG-Plumbing Final Yes
BLOG-Mechanical Final Yes
BLOG-Structural Final Yes
BLDG-Electrical Fina\ Yes
Marth 08, 2017 Page 1 of 1
Inspection List
Permit#: CB163794 Type: RESDNTL RAD ELLIOTT:CHANGE WINDOW INTO
71" x 81" DOOR, CHANGEOUT INSULATI
Date Inspection Item Inspector Act Comments
10/28/2016 16 Insulation JW AP
10/20/2016 14 Frame/Steel/Bolting/Weldin PD PA
10/20/2016 34 Rough Electric PD PA
Thursday, March 09, 2017 Page 1 of 1
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City of Carlsbad ~=-----------------, Building Division
OCT O 7 2016 L-----------------:A:PP::,R VED BY._:S~F' __ _
07
10/7/2016 I :47 Pt,,