HomeMy WebLinkAbout2230 NOB HILL DR; ; CB082287; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-21-2009 Residential Permit Permit No: CB082287
Building Inspection Request Line (760) 602-2725
Job Address: 2230 NOB HILL DR CBAD
Permit Type: RESDNTL Sub Type: 2DU Status: WITHDRAW
Parcel No: 1671122700 Lot #: 0 Applied: 12/30/2008
Valuation: $74,840.00 Construction Type: 5B Entered By: JMA
Occupancy Group: Reference #: Plan Approved:
# Dwelling Units: 1 Structure Type: SFD Issued:
Bedrooms: 0 Bathrooms: 0 Inspect Area:
Project Title: JOHNSON: 640SF 2DU/4355F PATIO Orig PC#:
Plan Check #
Applicant: Owner:
JOHNSON FAMILY TRUST 08-20-08 JOHNSON FAMILY TRUST 08-20-08
2230 NOB HILL DR 2230 NOB HILL DR
CARLSBAD CA 92008 CARLSBAD CA 92008
Building Permit $532.18 Meter Size
Add'I Building Permit Fee $0.00 Add'I Red. Water Con. Fee $0.00
Plan Check $345.92 Meter Fee $0.00
Add'I Plan Check Fee $0.00 SDCWA Fee $0.00
Plan Check Discount $0.00 CFD Payoff Fee $0.00
Strong Motion Fee $7.48 PFF (3105540) $1,362.09
Park in Lieu Fee $0.00 PFF (4305540) $1,257.31
Park Fee $0.00 License Tax (3104193) $0.00
LFM Fee $0.00 License Tax (4304193) $0.00
Bridge Fee $0.00 Traffic Impact Fee (3105541) $1,052.80
Other Bridge Fee $0.00 Traffic Impact Fee (4305541) $1,187.20
BTD #2 Fee $0.00 Sidewalk Fee $0.00
BTD #3 Fee $0.00 PLUMBING TOTAL $0.00
Renewal Fee $0.00 ELECTRICAL TOTAL $0.00
Add'I Renewal Fee $0.00 MECHANICAL TOTAL $0.00
Other Building Fee $0.00 Housing Impact Fee $0.00
HMP Fee $0.00 Housing InLieu Fee $0.00
Pot. Water Con. Fee $0.00 Housing Credit Fee $0.00
Meter Size Master Drainage Fee $0.00
Add'I Pot. Water Con. Fee $0.00 Sewer Fee $1,096.00
Red. Water Con. Fee $0.00 Additional Fees $0.00
Green Bldg Stands (SB1473) Fee
TOTAL PERMIT FEES $6,840.98
Total Fees: $6,840.98 Total Payments To Date: $366.62 Balance Due: $6,474.36
FINAL APPROVAL
Insoector: Date: 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 "fees/exactions." You 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
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
Plan Check No. CJO& 2-2-
Est. Value
Plan Ck. Deposit
Date 143,(o — 4-
JOB JOB ADDRESS SUITE#/SPACE#/UNIT# APN
2 3.30 N. H LI— b - - -
CT /PROJECT U LOT PHASE U U OF UNITS U BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 40
C \) O
iF
5c25 t per S&4L
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLCE AIR CONDITIONING FIRE SPRINKLERS
YES#. NOD YES ILO 0 YES 0 NO P
CONTACT NAME (If Different Fern Applicant) APPLICANT NAME - -(S ADDRESS ADDRESS
Sct '
CITY STATE ZIP CITY STATE ZIP
PHONE d FAX PHONE FAX
o
EMAIL EMAIL
PROP RTY OWNER NAME CONTRACTOR BUS. NAME -
i ( '
ADDT ADDRESS
ILL
CITY STATE ZIP CITY STATE ZIP
PHONE F PHONE FAX 7o -53 —
EMAIL Lok\Sqs.) 7.f4L ?'/i\oo car EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# CLASS, CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or Couoey, which reqnires a permit to Conslroct, 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 jiurunant to the provisions of the Contractor's License Law (Chapte.r •9. commending with Section 1000 of Division 3 of the Business and Pro(essians Code) or that he is exempt there from. and the basis for the alleged eoemptioo. Any violation of
Section 1031.5 by any applicant for a permit subjects the applicant no a civil penalty of not more than Bye hundred dollars (S500)). ' .
VOW . . •-
Workers' CompensatIon Declaration: I hereby affirm under penalty of 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.
D I have and will maintain workers' compensation, as required by Section 370001 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 sectionneed not be completed if the permit is for one hundred dollars ($100) or less.
0 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 lathe Workers' Compensation Laws of
California. WARNING:, Failure to secure workers' compensat Ion 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 . DATE
Ou.tQl
thereby affirm that lam exempt from Contractor's License Law for the following reason:
O I, as owner of the property or myemployees with wages as their sole compensation, will do the work and the structure is not intended or offered for sate (Sec. 7044, Business and Professions Code:.The Contraclor's
License Law does not apply loan owner of properly 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
sate. 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 contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Conlraâlor'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).
O I am exempt under Section Business and Professions Code for this reasonf
1.1 personally plan 10 provide the major labor and materials for construction of the proposed properly improvement. DYes 0 No
2.1 (have ! 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 I contractors' license number): - I plan to provide portions of the work, bull 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, butt have contracted (hired) the following persons to provide the work indicated (include name! address phone type of work):
-
PROPERTY OWNER SIGNATURE l9//---- DATE
1fl 30
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? 0 Yes 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualify management district? 0 Yes 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CI 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.
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 L S Lenders Address
I ceitifythat I have read the application and state thatthe above infonnation is correct and thatthe information on the plans is accurate. I agreeto complywith all City ordinances and State laws relatlngto building construction.
thereby 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over FY deep and demolition or construction of structures over 3stodesin 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 authorized by such permit is not commenced within
180 days from the data of such permit or it thebuilding or work authorized by such permit is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code).
.APPLICANT'S SIGNATURE (I...))7' (\. DATE
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