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.
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