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HomeMy WebLinkAbout2011 CIMA CT; ; CB111087; Permit06-28-2011 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: CULLEN BRYANT 2022CIMACT CARLSBAD CA 92009 858-204-6503 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CB111087 Building Inspection Request Line (760) 602-2725 2011 CIMACTCBAD RESDNTL 2164910900 $12,910.00 0 0 Sub Type: Lot#: Construction Type: Reference #: Structure Type: Bathrooms: RAD 0 NEW ESTRADA: 98 SF ADDITION=BATHRO & CLOSET Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check # ISSUED 05/23/2011 JMA 06/28/2011 06/28/2011 Owner: HOLLENBECK THOMAS P E&ESTRADA-HOLLENBECK MICHELL 2011 CIMA CT CARLSBAD CA 92009 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD#3Fee Renewal Fee Add'l Renewal Fee Other Building Fee HMPFee Pot. Water Con. Fee 'v- Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB 1473) Fee $145.11 Meter Size $0.00 Add'l Reel. Water Con. Fee $94.32 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $1.29 PFF (3105540) $0.00 PFF (4305540) $0.00 License Tax (3104193) $0.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) $0.00 Traffic Impact Fee (4305541) $0.00 Sidewalk Fee $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 Housing Impact Fee $0.00 Housing InLieu Fee $0.00 Housing Credit Fee Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $1.00 Fire Sprinkler Fees TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $48.00 $20.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $340.22 Total Fees:$340.22 Total Payments To Date:$340.22 Balance Due:$0.00 Inspector: FINAL Date:Clearance: NOTICE: Please take NOTICE traf approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." ffou 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. 06-28-2011 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit PermitNo:SW110214 2011 CIMACTCBAD SWPPP 2164910900 CB111087 ESTRADA: 96 SF ADDITION Applicant: GREENLINE CONSTRUCTION INC. 2022 CIMA CT CARLSBAD CA 92009 858-204-6503 Emergency Contact: CULLEN BRYANT Status: ISSUED Lot#: 0 Applied: 05/23/2011 Entered By: JMA Issued: 06/28/2011 Inspect Area: Tier: 1 Priority: L Owner: HOLLENBECK THOMAS P E&ESTRADA-HOLLENBECK MICHELL 2011 CIMACT CARLSBAD CA 92009 858-204-6503 SWPPP Plan Check SWPPP Inspections Additional Fees $45.00 $54.00 $0.00 TOTAL PERMIT FEES $99.00 Total Fees:$99.00 Total Payments To Date:$99.00 Balance Due;$0.00 SIGNATURE Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.ca risbadca .gov Plan Check No.\\QS7 Est. Value Plan Ck. Deposit SWPP (l-2A£/- PHASE* I#OF UNITS I # BEDROOMS CONTACT NAME (If Different Fom Applicant) (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 issu/njfe, 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 peijury one of the following declarations: G . 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. CD 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 issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _ Policy No. _ Expiration Date __ _ This section need not be completed if the permit is for one hundred dollars ($1 00) or less. G$— 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 (&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. CONTRACTOR SIGNATURE CJAGENT DATE / 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). O 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). O 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. O Yes O 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): yfifpROPERTY OWNER SIGNATURE OAGENT DATE 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? O 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? D Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes a No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAN 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 information on the plans is aci^rate. I agree to comply with all City ordinances and State laws relating to building constnictjon. J 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 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. OSH A: An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. 180 days from the date of such permit or if the building 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 DATE LL City of Carlsbad Bldg Inspection Request For: 09/30/2011 Permit# CB111087 Title: ESTRADA: 98 SF ADDITION=BATHRO Description: & CLOSET Inspector Assignment: NIC Phone: 8582046503 Type: RESDNTL Sub Type: RAD Job Address: 2011 CIMACT Suite: Lot: 0 Location: Inspector: OWNER HOLLENBECK THOMAS P E&ESTRADA-HOLLENBECK MICH Owner: HOLLENBECK THOMAS P E&ESTRADA-HOLLENBECK MICHELL Remarks: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: COLLIN Entered By: JANEAN £ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# SW110214 ISSUED ESTRADA: 96 SF ADDITION; Inspection History Date Description Act 09/16/2011 22 Sewer/Water Service AP 09/07/2011 17 Interior Lath/Drywall AP 08/29/2011 17 Interior Lath/Drywall PA 08/29/2011 18 Exterior Lath/Drywall AP 08/25/2011 16 Insulation AP 08/24/2011 89 Final Combo AP MC 08/15/2011 83 Roof Sheathing/Ext Shear AP MC 08/04/2011 11 Ftg/Foundation/Piers AP MC 08/03/2011 22 Sewer/Water Service AP MC Insp Comments PY SEWER FROM ADDITION TO LATERAL MC TUB/SHOWER LATH MC NEED TUB / SHOWER LATH MC MC MINOR PICK-UP, SEE CARD 1147 F2, WASTE ONLY, TO OUTSIDE OF BLDG NO P.O.C. n IS GG£ *- 'a s!5 3 £ P^\A S-Do<m