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HomeMy WebLinkAbout2032 CUMBRE CT; ; CB152818; Permit08-31-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CBI52818 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2032 CUMBRE CT CBAD MISC 2164911800 $9,990.00 Subtype: Lot#: REROOF 0 BLANEY: 2400 SF REMOVE AND REPLACE EXIST. TILE W/NEW FELT UNDERLAYMENT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/31/2015 JMA 08/31/2015 08/31/2015 Applicant: DIVERSIFIED CONTRACTING Owner: HAND MATTHEW T&BLANEY LAURA B TRS 940 WIND DRIFT DR CARLSBAD CA 92011 760-521-1821 2032 CUMBRE CT CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $197.00 $0.00 $0.00 $197.00 Total Fees: $197.00 Total Payments To Date: $197.00 Balance Due: $0.00 Inspector: ML FINAL APpROVAl^ Date: 7/^^^^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refened to as "fees/exactions." You have 90 days from the date this pemiit 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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired. THE FOLLOlflllNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING QENGINEERING QBUILDING QFIRE QHEALTH QHAZMATMPCD Ccityof Carlsbad Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov PlanCheckNo. f^S- PJ^10 Est. Value Plan Ck. Deposit Date 1^ SWPPP JOB ADDRESS -j "V"! Or SUITE#/SPACE#/UNIT# APN - CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) R (K\iV EXISTING USE jK, PROPOSED USE GARAGE (SF) b P K PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS YESr~l# N0| 1 YES QNO Q YES| | N0| | APPLICANT NAME ^ . ft . /> ^ Primary contact KTCS^y \^&^l ^ PROPERTYOWNER \f^Qf ADDRESS ^ ^ ^ ^ ' 1 CITY STATE ZIP FAX EMAIL DESIGN PROFESSIONAL ^ 0\u<2f!?iFitf) Controct-lM ADDRESS CITY STATE ZIP "t-arl()lari Ci PHONE FAX PHONE, , . , ^ , FAX EMAIL EMAIL ^ ^ STATE LIC. # STATE Lic.#^ , r I '1'^ r CL^S 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 the applicant 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 the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). wmnmens' COMPENSATIOI Workers' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe following declarations: LJ^Ifave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit Is Issued. ^1__| I have and will maintain woilurs' compaiKatioa as required by Section 3700 of t|)^ Labor Code, for the perfonnqnce of th&work for which this penriitJs issued. My workers' compensation Insurance canier and policy number are: Insurance Co. ^"^/Vl^ - V1fLS'A,<'C\.|f)C g Cc? PolicyNo., )rlurs' compaiKatioa as required by Sectloi miance of th&afork for which this pemiit,is issued. My ,.A6-n:t-iiVQi-o\ Expiration Date . Tte section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that In the perfonnance of the wori( for which this perniit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Califomia. 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 iiilriitinn tn thn rnif nf rnmpnmiitinn. iljiflpgr'i m prnTltlr^ fnr irf\irtinn ITflfi nftjir I alinr rndn. intnrnt nnti fittnmny'i fm Q / ") / /I C'\ CONTRACTOR SIGNATURE / JAA//} j Ir^^^''''^ QAGENT DATE 0 / ^( / 1^ O W M S »' I hereby affimi that I am exempt from Contractor's Ucense Law for the following reason: I j I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnicture 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 impravements are not intended or ottered 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan lo provide the major labor and materials for construction of the proposed property Improvement. •Yes I INO 2.1 (have / have not) signed an application for a building pennit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the praposed construction (ihclude name address / phone / contractors' license number): 4.1 plan to pravide portions of the wortc, but I have hired the following person to coordinate, supen/ise and pravide the major wortc (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 wortc indicated (Include name / address / phone / type of woric): yglTpROPERTy OWNER SIGNATURE QAGENT DATE NIPLert THIS SECTIOW FOft N O N - R E S I D E K T I A I. 8 O I i D f M (i PEIRiMITS OHIY 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 No Is the applicant or future building occupant required to obtain a permit tram the air pollution control district or air quality management district? Yes No Is the facility to be constnicted 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 OHtrau c TI o » t e w BING A G i N C r 1 hereby affimi that there is a construction lending agency for the perfonnance of the work this pemrit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address A PPt.1 C A war CERTIFICATION I ceitify that I have lead the applkatkin and state that th6 above information is conect and that the infbmiatkin on the plans is accurate. I agiee to complywith all City oidinances and State laws relating to builrfing constnictKin. I hereby authorize representative of the City of Caiisbad to enter upon the above mentbned property fbr inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CffY OF CARLSBAD AGAINST Aa LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CffY IN CONSEQUENCE OF THE GRANTING OF THIS PERMff. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolitbn or constructbn of stmctures over 3 stories in height. EXPIRATION: Every pemilt issued by the Buikling Oflicial under the provisbns ofthis Code shall expire by limitatbn and become null and void if the buikling or viork aulhorized by such petmlt is not commenced within 180 days ftom the date of such penmit orif tt^^uilding or woric autho(l2l|d by such permit is suspended or abandoned at any time atter the vwrk is oommericed for a^ieriod of 180 days (Sectbn 106.4.4 Unifonn Buikling Code). APPLICANT'S SIGNATURE DATE id 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 buildinq@car1sbadca.aov or Mall the completed fomi to City of Carisbad, Building Division 1635 Faraday Avenue, Cartsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACrr(Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^ef APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB152818 Date Inspection Item 09/09/2015 19 Final Structural 09/09/2015 19 Final Structural 09/08/2015 19 Final Structural 09/01/2015 15 Roof/Reroof 09/01/2015 15 Roof/Reroof Type: MISC REROOF Inspector AEK AEK Act Rl Fl Rl Rl AP BLANEY: 2400 SF REMOVE AND REPLACE EXIST. TILE W/NEW FELT UND Comments AM PLEASE Wednesday, September 09, 2015 Page 1 of 1