HomeMy WebLinkAbout2075 LINDA LN; ; CB153526; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-19-2015 Residential Permit Permit No: CB153526
Job Address:
Building Inspection Request Line (760) 602-2725
2075 LINDA LN CBAD
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
RESDNTL
2051604700
0
0
$0.00
Sub Type: RAD
Lot#: 0
Constuction Type: SB
Reference #:
Structure Type:
Bathrooms: 0
Orig PC#:
Status: ISSUED
Applied: 10/19/2015
Entered By: SLE
Plan Approved: 10/19/2015
Issued: 10/19/2015
Inspect Area:
Plan Check#:
Project Title: MORTMAN: REPLACE 2 WINDOWS W/
2 SLIDING DOORS EXITING TO REAR PATIO// RE-ROUTE ELECTRIC
AND ADD EXTERIOR PORCH LIGHT
Applicant:
WIN-DOR
2220 E ORANGEWOOD AV
ANAHEIM CA 92806
714-385-1202
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
BTD #2 Fee
BTD #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
$0.00
$147.00
$0.00
$0.00
$0.00
$1.00
$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
$1.00
$0.00
Owner:
WORTMANN CHRISTOPHER
2075 LINDA LN
CARLSBAD CA 92008
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFO 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
TOTAL PERMIT FEES
Total Fees: $195.00 Total Payments to Date: $195.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: lf--I -11,e 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
$46.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$195.00
$0.00
I\OTICE: Rease take I\OTICE: that 'W'(Mll ct )<>Jr ,rqect irdudes tre "lrrpootiorl' o' f""', dedicaticrs, resevaticrs, or ether exa:>crs -cdlectivay "'ared to as '1ees'exaiicrs." Yoo have 9J days fromtt-edate !Hs pemit w,,; issued to p,'ctest irrpositia, ctthesefees'exa:>oos. If )OJ P"X9SI tt-<arn )OJ rru;t
fdlawtre ?")lest i=;ed.res sa forth in GcNe<m-ent Code Sectioo 60020(a), ard filett-e ?")lest ard a,yctrer ""!'red irlorrmlioov.ith tt-e aty ~fcr
pucsssng in acxxmrrev.ith Ca1sboo M.JiidJB Code Sectioo 3.32.CID. Failu-etoirreyfcilawthat proredu-ev.ill bar a,ysubsecµrl legal ooioo to afurl,
revi8V{, set aside, vcid, ex a-n..il their ifl"P)Sition.
Yw"" rereo; F\RT1-ER I\OTIFIED that your ri!tt to ?")lest tt-e specified fees'exaiioos OCES NOf J>PPL Y to v.eler ard,.,,... ooonecticn f""' ard ~ty
crmges, ra pa-ring, wring, g-adng or ctrer snilar appicatia, pucsssng or senioe f""' in oa,nectia, v.ith !Hs ,rtject. i'CR OCES IT J>PPL Y to a,y
•
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCO
{city of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date \0-1 SWPPP
SUITU/SPACE#/UNIT# APN
# OF UNITS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) B(eo IL /::>Ac: 1G-"'51"\)av ~P -riwo PIN ,-,; , t,q ~c.:o-"'-N (-.)i)O':,.J::, , c \,'T"\1 nq
-'j))EtJ Q:i,J,:J "it! ~(.ft(x_ \,ut \\->i 2.. ()4110 pq)/l.,. £.£12.0uni'"k:) pU.,;t:\ cJC' TO
~1Allc ..;, 1,.=rGGi-:lrSi,,•.:iTC.n ~ ~ericv-pcrl.h ~iTT
EXISTING USE
APPLICANT NAME
Primary Contact
CITY
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
PROPOSED USE
STATE
GARAGE (SF) PATIOS (SF)
CONTRACTOR BUS. NAME
ZIP
STATE UC.#
AIR CONDlTIONING
vesONoO
FIRE SPRINKLERS
YES0N00
(Sec_. 7031.5 Business and P_rofessions 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 per_mit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of 01v1sion 3 of the B_usiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION . '
Wo!l:ers' Compensation Declaration: / hereby affirm under penalty or 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.
'1::t1 have and will maintain work!rs' co111.'-1satlon, as reQui by Section 3700 of the Labor Code, for the performance of the work for w~ich this perf"!'lil is issued. My workers' compen~ation insurance carrier and policy
oombe, ,ra, lasccacce Co. n ~✓ 1 /l-.. · -e Pol;cy No. -r.:¥-'1 i l ·1 ~co \ ~ E,p;cauon Date \ -\ -~ i {,.
T,!li§.section need not be completed if 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: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll an (&100,000), in
addition to the cost of compensation, d ages as pr vided for ln ction 706 o e Labor code, Interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the wor'K 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 wt,o builds or improves thereon, and who does such work himse\1 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).
I, as owner of the property, am exclusively contractir,g 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 contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _____ Business 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 ONo
2. I (have/ have not) signed an application 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/ phone I contractors' license number)
4. I 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 wor'K indicated (include name I address I phone I type of wor'K):
RS PROPERTY OWNER SIGNATURE □AGENT DATE
' ' -, COMPL}!TE THIS SECTION FOR NON•Rli!SIDENTIAL BUILDING Pli!RMITS ONLY
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 t-b
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? Yes No
lF 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.
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).
I certify that I have read the application and state that the above lnfunnation Is correct and that the Information on the plans is accurate. I agree to comply~ all City ordinances and State lav.s relating to bulldlng construction.
I hereby authorize representative of the City of Cartsbad to enter up:,n the alxlve mentioned property for inspection PJrp:>Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CW SEQUENCE Of THE GRANTING OF THIS PERMIT.
OSHA: /v7 OSHA perm~ is required for excavations over 5'0' deep and demolition or coostruction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Buik:ling Oflk:ial under the provisions of this Code shall expire by limitation and become null and void W the buik:ling orv.ol'K authorized by such permit is notrommenced 'Mthin
180 days from the date of such permit or if the buik:Jing or 'l,Qn( authorized by such permit is suspended or abandoned at any tine aftar the v.ol'K is oommenced fof a period of 180 days (Section 100.4.4 Uniform Buikling Code).
,k5 APPLICANT'S SIGNATURE
~ Wl
DATE
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 City of Carlsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: ________________ _
A$ APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
'-------. -·
ZIP
Inspection List
Penni!#: CB153526 Type: RESDNTL RAD
Date Inspection Item Inspector
04/01/2016 19 Final Structural
04/01/2016 19 Final Structural PB
11/05/2015 18 Exterior Lath/Drywall PB
10/28/2015 14 Frame/Steel/Bolting/Weldin PY
Monday, April 04, 2016
Act
RI
AP
AP
AP
MORTMAN: REPLACE 2 WINDOWS W/
2 SLIDING DOORS EXITING TO REAR PA
Comments
PM PLEASE
Page 1 of 1
iil)NDoRI Customer Name: Wor.\-f{\~(\ -·. ·-
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Custom Window/ Door Lay-Out Form or
House Lay-Out Form
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( OUTSIDE/ STREET )
Please circle one
OCT I 9 2015
:: [.
Note: Please be informed that all drawings are from outside of the home looking in. We, Win-Dor, Inc. will
manufacture the window(s)/door(s) according to the specifications as stated above.
Customer Signature: ____ _ ___ Date: ____ _
Salesperson Signature: _ ___ Date: ___ _
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5