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HomeMy WebLinkAbout1813 COTTONWOOD AVE; ; CB110680; Permit03-31-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No: CB110680 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1813 COTTONWOOD AV CBAD PATIO 2155033730 Lot#: $1,600.00 Construction Type: SEAPORT HOA: REPAIR TERMITE DAMAGED JOISTS @ DECK 0 NEW Applicant: JON WAYNE CONSTRUCTION 2580 FORTUNE WY VISTA CA 92083 760 727-2494 Status: ISSUED Applied: 03/31/2011 Entered By: JMA Plan Approved: 03/31/2011 Issued: 03/31/2011 Inspect Area: Plan Check#: Owner: HENDRICKS JAMES M&DENISE L 1813 COTTONWOOD AVE CARt-SBADCA 92011 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Green Bldg Standards (SB 1473) Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $37.06 $0.00 $24.09 $0.00 $1.00 $1.00 $0.00 $0.00 $0.00 $0.00 $63.15 Total Fees:$63.15 total Payments To Date:$63.15 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: , 5//£/Z*Clearance: NOTICE: Please take NOTICE thai approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively 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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 www.carlsbadca.eov Plan Check No.\\ Est. Value Plan Ck. Deposit Date SWPP JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT*PHASE # I tt OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Are EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES Q #NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD EMAIL CONTRACTOR BUS. NAME I U*A 4 STATE I I ZlF^ ADDRESS CITY CITY STATE £^ ZIP PHONE PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS ST,STATE LIC.# CUSi 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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 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. I have and will maintain worker^ compensation, as required by Section 3700 of the Labor Code, for the performance oUhe work for which this permit is issued. My workers' compensatkm injurance carrier and policy number are: Insurance Co. YtQ(2^<« ' Policy No.(JLJCy *33Vt JCdO^ Expiration Date 11 t | I 2"-"" This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 (8,100,000), in addition to the cost of compensaSSnTdamlges as provided for in Section 3706 of the Labor code, interest and attorney's fees. / hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). D 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 contractors) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan tb provide the major labor and maten'als for construction of the proposed property improvement. CJ Yes • D No 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 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 / contractors' license number): 5.1 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 work): \ xfiS'pROPERTY OWNER SIGNATURE DAGENT DATE Is (he 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 n No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes D No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name ' Lender's Address I certify that I have read the application and state that the above information is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBADAGAINST 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 Die building or work authorized by such permit is not commenced within 180 days from the date of such permit or iftfaeJauilding or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period,of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE Ifr^Y^LH 00 "F^S>i DATE City of Carlsbad Bldg Inspection Request For: 05/13/2011 Permit* CB110680 Title: SEAPORT HOA: REPAIR TERMITE Description: DAMAGED JOISTS @ DECK Inspector Assignment: MC 1813 COTTONWOODAV Lot: 0 Type: PATIO Sub Type: Job Address: Suite: Location: OWNER HENDRICKS JAMES M&DENISE L Owner: HENDRICKS JAMES M&DENISE L Remarks: key key 9511 (small little inspection) Phone: 9492443159 Inspector: Total Time: CD Description 19 Final Structural Requested By: DOUG MORRIS Entered By: CHRISTINE Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 05/03/2011 14 Frame/Steel/Bolting/Welding AP MC KEY KEY 9511, PER PLAN 04/28/2011 14 Frame/Steel/Bolting/Welding PA MC 1127 E6, PRE-LIM FOR JOIST/JOIST CONNECTION CITY OF STORM WATER COMPLIANCE ASSESSMENT B-24 Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov am applying to the City of Carlsbad for the following type(s) of construction permit: ZJ Building Permit Q Right-of-Way Permit My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical ( Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing -^Patio/Deck ~Ro Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* Wo ThreaMssessmenf Criteria Q My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. r/erf • Low Threat Assessment Criteria Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 • Moderate Threat Assessment Criteria Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier3 • Significant Threat Assessment Criteria Q My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, O My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). / certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. *The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. Project Address:Assessor Parcel No. ner's Authorized Agent Name: Owner/Owner's Authorized Agent Signature: City CojxTurrence: QNO Title: ^&si ^KjpuTrt- Date: Project ID: B-24 Page 1 of 1 Rev.03/09 Check a License - Contractors State License Board Page 1 of2 Of Contractors Li card Contractor's License Detail - License # 472159 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071,17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Business Information 472159 Extract Date: 3/31/2011 JWC CONSTRUCTION INC dba JON WAYNE CONSTRUCTION & CONSULTING 2580 FORTUNE WAY VISTA, CA 92081 Jintjtyi ___ ___,__^^ ____________ ____™ Expire Date ' ____________ 04/30/201? ________________________ ____ ____________________ ........... ________ License status This license is current and active. All information below should be reviewed. JMdjtipnji|Sjtatus: __________________________ _ .......... _ ...... _______ ...... ____________________________________________________________________________________________ CLASS DESCRIPTION Classifications: B GENERAL BUILDING CONTRACTOR CONTRACTOR'S BOND This license filed Contractor's Bond number 0337037 in the amount of $12,500 with the bonding company INTERNATIONAL FIDELITY INSURANCE COMPANY. Effective Date: 01/01/2007 Contractor's Bonding History ™™™™.™.™-~™-, __________ ™™-,™™~~—~™~,,v,,, ________ ™,_m™,™m,,m,,w.™,,™_,,. ____ u,_m,,,™™,,,™™ ______ m™..m,™,_.,™?,,™™—— ,,u,~-™— ~,™,~— .™ ........ __ J,.,^,™,,^^™^m^™™™™™™,,-.,-,,™-.-™^^,^,^™^™™^-,- BOND OF QUALIFYING INDIVIDUAL 1 . The Responsible Managing Officer (RMO) WAYNE JON GREGORY certified that he/she owns 1 0 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 04/16/1985 BQI's Bonding History This license has workers compensation insurance with the Workers1 Compensation: CASTLEPOINT NATIONAL INSURANCE COMPANY https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=4... 03/31/2011 Check a License - Contractors State License Board Page 2 of 2 Policy Number:WCP331116011 Effective Date: 01/01/2011 Expire Date: 01/01/2012 Workers' Compensation History Personnel listed on this license (current or disassociated)Tare listed on other licenses. Personnel List Other Licenses Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=4... 03/31/2011 JON WAYNE CONSTRUCTION AND CONSULTING Building Solutions Building Relationships LIMITED POWER OF ATTORNEY Date: 3/31/11 The Limited Power of Attorney is used to give permission to Russ Hoffman to represent Jon Wayne Construction and Consulting to pull a permit in the City of San Carlsbad for Project Name: Seaport-1813 Cottonwood Jeffrey Phelps, Project Administrative Coordinator California Regional Office CORPORATE OFFICE Arizona Regional Office 4570 Campus Drive Newport Beach, CA 92660 949.252.2107 * 949.252.2118 Fax CA License 472159 B-l, HIC 2580 Fortune Way Vista, CA 92081 760.727.2494 * 760.727.2637 Fax * Toll Free 800.773.7147 * 8655 East Via de Ventura, Suite G-200 Scottsdale, AZ 85258 480.346.1270 * 480.471.3854 Fax AZ License ROC 190300 KB-1