HomeMy WebLinkAbout2076 AVENUE OF THE TREES; ; CB041474; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-64-20C14; Residential Permit Permit No: CB041474 9-t.h hieilding Inspection Request Line (760) 602-2725
Job Address:
Permit Type: RESDNTL SubType: RAD
Parcel No: 1562902300 Lot#: 0 Valuation: $9,500.00 Construction Type: NEW
Occupancy Group: Reference #:
# Dwelling Units: 0 Structure Type:
Bedrooms: 0 Bathrooms: 0
Project Title:
2076 AVaE OF THE TREES CBAD
EASTON RES 400 SF KITCHEN REMODEL
Applicant:
HOENIG SETH
P.O. 1958
CARLSBAD CA 9201 8
760-434-9668
Status: ISSUED Applied: 04/30/2004
Plan Approved: 06/04/2004
Issued: 06/04/2004
Entered By: SB
Inspect Area: Orig PC#:
Plan Check#:
Owner:
JOHNSON DAVID PAUL&EASTON JADE
2076 AVENUE OF THE TREES
CARLSBAD CA 92008
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 #3 Fee
Renewal Fee
Add'l Renewal Fee Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'l Pot. Water Con. Fee Recl. Water Con. Fee
$99.69
$0.00 $64.80
$0.00
$0.00
$1 .oo $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
Meter Size
Add'l Recl. Water Con. Fee
Meter Fee
SDCWA Fee
CFD Payoff Fee
PFF PFF (CFD Fund)
License Tax
License Tax (CFD Fund)
Traffic Impact Fee
Traffic Impact (CFD Fund) Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL Housing Impact Fee
Housing InLieu Fee
Housing Credit Fee
Master Drainage Fee Sewer Fee
Additional 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 $41 .OO
$20.00
$24.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 $250.49
Total Fees: $250.49 Total Payments To Date: $64.80 Balance Due: $1 85.69
3640 06/#4/Q4 9002 03. LDTNG PLANS d fN STORAGE ccip
__ATTACHED
02
185 = 69
FINAL APPROVAL
Date: ..- 3.3 6 Y Clearance:
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feeslexactions 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
~
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
,
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 Code1 or that he is exempt therefrom, and the basis for the alleged
exemption Any viola
Name Address City Statelzip
State License # 607q %I
031.5 by an applicant for a permit subjects the applicant t a ci il penalty of not more than five hundred dollars 1S5001). 5 e/& 1/3/-i-4668 ckl5LJ C=,%ax do* (SS-23 Telephone #
City Business License # I Tq
Designer Name Address City Statelzip Telephone
State License #
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued.
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
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
Expiration Date (O!I 8lO.r &sued. My worker's
Insurance Company Policy N0.j OS 30 - ~LJB 3 -. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
0 to become subject to the Workers' Compensation Laws of California.
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
s up to one hundred
attorney's fees.
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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).
0 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 contractor(s) licensed
pursuant to the Contractor's License Law).
0
1.
2.
3.
4.
am exempt under Section
personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
(have I have not) signed an application for a building permit for the proposed work.
have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
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
number I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
Cfl
UtU
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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.
0 YES 0 NO
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit). 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.
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 the building or work
authonzed by such permit is not commenced within 180 days from the date of such permit or if the buildinq or work authorized by such permit is suspended or abandoned
at any time after the work is
APPLICANT'S SIGNATURE DATE 4/9/09 ction 106.4.4 Uniform Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
PERM IT APPLl CAT10 N
. CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE 0 LY
PLAN CHECK NO.(,',& Y/ Y7y
EST. VAL.
Plan Ck. Deposit
Validated By
J
Business Name (at this address)
1. PROJECT INFORMATION
Address (include BidglSuite8)
5207h .e VLkL/l r_ 0
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
# of Bathrooms Description of Work SQ. FT. #of Stories # of Bedrooms
2
Name Address city Statelzip Telephone # Fax #
PERSON {if different from applicant)
ICANT 0 Contraator Agenr for Contractor 0 Owner 0 Agent for Owner
ERTY OWNER
Name Address city Statelzip Telephone #
by affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date
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
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
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS)
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
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
o ecome subject to the Workers' Compensation Laws of California.
3706 of the Lab cod , interest and attorney's fees.
'$6
DATE ,$AT/&
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, es owner of the property or my employees with wages as their sole cornpensation, 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).
0 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 contractor(s) licensed pursuant to the Contractor's License Law).
0
1.
2.
3.
4.
number / contractors license number):
5.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
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
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
Business and Professions Code for this reason:
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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.
0 YES 0 NO
CTlON LENDING AGENCY
hat there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
PLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans IS accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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.
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 the building or work
authorize? by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any tirr 7 after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICA'IT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 06/23/2005
Permit# CB041474
Title: EASTON RES 400 SF KITCHEN
Description: REMODEL
Inspector Assignment: PC
Type: RESDNTL SubType: RAD
2076 AVENUE OF THE TREES
Phone: 76061 33233 Job Address: I / &6 6 4
Suite:
Location:
Lot 0
APPLICANT HOENIG SETH
Owner: JOHNSON DAVID PAUL&EASTON JADE
Remarks: AM PLEASE
Total Time:
Inspector: 80
Requested By: DAVID
Entered By: CHRISTINE
CD Description Act Comment
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical r
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
01/04/2005 17 Interior Lath/Drywall AP PC
12/30/2004 14 Frame/Steel/BoltingWelding AP PY
12/30/2004 34 Rough Electric AP PY
12/15/2004 14 FramelSteellBoltingWelding NR PC INFO ONLY
License Detail Page 1 of 2
L..’C?’i License Detail
Contractor License # 833888
DISCLAIMER
A license status check provides information taken from the CSLB license data base. Before
on this information, you should be aware of the following limitations:
CSLB complaint disclosure is restricted by law (B8P 7124.6). If this entity is subject tc
complaint disclosure, a link for complaint disclosure will appear below. Click on the lin
button to obtain complaint and/or legal action information.
Per B&P 7071.17, only construction related civil judgments known to the CSLB are di
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 ont
Board’s license data base.
Extract Date: 12/27/2004
* * * Business Information * * *
PREMIER CONSTRUCTION & WOODWORKING
47 TORTUGA CAY
ALISO VIEJO, CA 92656
Business Phone Number: (949) 395-0662
Entity: Sole Ownership
Issue Date: 03/1 a2004 Expire Date: 03/31/2006
* * * License Status * * *
This license is current and active. All information below should be reviewed.
* * * Classifications * * *
Class Description
B GENERAL BUILDING CONTRACTOR
* * * Bonding Information * * *
$10,000 with the bonding company
AMERICAN CONTRACTORS INDEMNITY COMPANY.
CONTRACTOR’S BOND: This license filed Contractor’s Bond number 9088512 in the arr
12/27/2004
License Detail Page 2 of 2
Contractor Name Request
Effective Date: 01/13/2004
Personnel Name Request
* * * Workers Compensation Information * * *
This license is exempt from having workers compensation insurance; they certified that the)
employees at this time.
Effective Date: 12/11/2003 Expire Date: None
I Personnel List1
If you haw dilfictiily iii:i:i:sSilly any matsrial on this s~te because of a disabiiity, piease contact us in writing or via telephone and we will work i")
:ii:c:rnialion availabin. You can direct your request to: Peggy Cox, 9821 Business Park Drive, Sacramenta. CA 94827
(91Sj 255-4014.
ic) 2004 State of California. Conditions of Use Privacy Policy
http://w ww2.cslb.ca.gov/CSLB~LIBRARY/License+Detail.asp 12/27/2004
SO
CERTHOLDER COPY
P.O. BOX 807, SAN FRANCISCO,CA 94142-0807 COMPeNSATtON INJURANCP
)I u h! r?
ISSUE DATE 10-18-2003 GROUP: oooO46
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
POLICY NUMBER: 0010830-2003
CERTIFICATE ID: 20 CERTIFICATE EXPIRES: 10- 18-2004 IO-18-2003/10-18-2004
PROBLEM SOLVED SD
CARLSBAD CA 92018 PO BOX 1958
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the Catifornia insw anco Cirmrnrssioner to the ertijloysr ran;ed ba!ow far the p01:cy per~od ind!tated
This policy is not subject to cancellation by the Fund except upon 30days' advance written notice to the employer.
We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration
This certificate of insurance IS not an insurance policy and does hot amend, extend or alter the caverage afforded
by the policies listed herein Notwithstanding any requtrernent. term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein IS subject to all the terms. exclusions and conditions of such policies.
PRESIDENT AUTHORIZED REPRESENTATIVE
EMPLOYER LEGAL NAME
INTEGRITY CONCRETE, INC INTEGRITY CONCRETE, INC
PO BOX 501324 SAN DIEGO CA 92150
09-17-2003 F,0408 (REV.3-03) PRINTED:
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