HomeMy WebLinkAbout2245 NOB HILL DR; ; CB091891; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-12-2009 Miscellaneous Permit Permit No: CB091891
Building Inspection Request Line (760) 602-2725
Job Address: 2245 NOB HILL DR CBAD
Permit Type: MISC Subtype: OTHER Status: ISSUED
Parcel No: 1671121700 Lot #: 0 Applied: 11/12/2009
Valuation: $0.00 Entered By: MOP
Reference #: Plan Approved: 11/12/2009
PC#: Issued: 11/12/2009
Inspect Area: PD
Project Title: FEND RESIDENCE
REMOVE POOL EQUIP, DEMO DECK, PUNCH DRAIN HOLES
Applicant: . Owner:
FEND JAMES I&BAMBI L FEND JAMES I&BAMBI '
2245 NOB HILL DR / 2245 NOB HILL OR-) )
CARLSBAD CA 92008 / - 'CARLSBAD CA 1420b8
/ I -- -,-- '-'. ',-. I \•
Miscelaneous Fee #1 PERMIT ' " -- ç $65.00
Miscelaneous Fee #2 / -- ' /' \ \< -';$0.00
Additional Fees / 'j' $0.00
I •i. -- - -'
TOTAL PERMIT FEES )
• ' \$6500
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Total Fees: $65.00,' Total PaymentsTo.Date: - $65.00 Balance Due:) $0.00 , '-
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R ATED
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FINAL APPROVAL I
InsDector: Date: 7 Clearance: I
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
PIii flhrnevii Nn
.r , uilaing Permit Application
<K$141115'SS .7
1635 Faraday Ave., Carlsbad, CA 92008 \, CITY OF 760-602-2717/2718/2719
CARLSBAD
Fax: 760-602-8558
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Est. Value
PlaCk. :0s1t
JOB ADDRESS SUITE#/SPACE#/UNIT# APN
CT/PROJECT A LOT A PHASE U U OF UNITS U BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP
DES$IPTION OF WORK: Include Square Feet of Affected Area(s)
?eV14I
Ptac le. iY(Jt (ii i Poo I
FU / LA W cin&c1 14 - EXISTING USE ¶liOPOSED USE GA9IGE (SF) jllOs (SF) j'DECKS (SF) IREPLACE \JIR CONDITIONING
YES 0 NO YES D NOD
FIRE SPRINKLERS
YES 0 NO
CONTACT NAME (if Different Fern Applicant)
Oda Fei.4. (
APPLICANT NAME
ADDR ADDRESS
CITY ST E ZIP fl"N
PHONE
19 4-
CITY STATE ZIP
FAX PHONE
EMAIL ç .
I
EMAIL
PROPERW OWNER NAME CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE 1FAX PHONE FAX
EMAILEMAIL
____________________________________________________
EMAIL
1•
,kRCH/DESIGNER NAME & ADDRESS STATE UC. U STATE uc.# CLASS CITY BUS. UC.#
(Sec. JU1.b 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 applicant for a permit subjects the applicant to a Civil penalty of not more than five hundred dollars ($500)).
12 010-
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
13 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. 0 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 Data
This section need 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 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 (9100,000),ln
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
CONTRACTOR SIGNATURE (]AGENT DATE
®!)D @A11A1?o€
thereby affirm that! em exempt from Contractor's License Law for the following reason:
1, 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, Busihess and Professions Code: The Contractor's J,ietise 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, Ihe building or Improvement is sold wiihin one year of completion, the owner-builder will have the burden of proving thai he did not build or Improve for the purpose of sale). (1 I, as owner of the propCrty, am exclusively coniraôting with licensed contractors 10 construct the projeci (Sec. 7044, BusIness and Professions Code: The Coniractor's Ucense 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 Contractors Ucense 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. DYes 0 No
2.I(have I have not) signed an application fora building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the pro d construction (include name address /phone /contractors' license number):
4.1 plan to provide portions of the work, t I have hi the foll Ig person to coordinate, supervise and provide the major work (Include name! address Iphone Iconlraclors' license number):
5.1 will provide some of the work e con cted Ire e following persons to provide the work indicated Ondude name! address/phone/type of work):
PROPERTY OWN TURE
Z OAGENT DATE
GQ 17CIO3 @D€M) (® ®o O®OJU 0(6 0(a aiwo, ®E6W1 77
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? DYes CI No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYes CI No Is the facility lobe constructed within 1,000 feet of the outer boundary of a school site? DYes CI 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.
€1?O®( @I)®D1IC @(c
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
ø€a1i? OOGO®
Iceititythati have readthe application and state thatthe ab velnformationisconectandthattheinlbmwtlonontheptanslsacmjiate. lagree to a,rnplywtth all Cityordinances and State laws ielatingto buildlngconstiuctlon.
I herebyauthorice representative of the Cityof Carlsbad toenterupon the above mentioned property for inspection purposes. I AIM AGREE TOSAVE, INDEMNIFY AND KEEPHARMLESS THE CITY OFCARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAIDCF1Y INCONSEQUENCE OF THE GRANTING OF THISPERMIT.
OSHA:- An OSHA permit is requited for excavations over 5'O' deep and demoliticn or construction of structures over 3 stories is height
EXPIRATION: Every permit issued by the Building Cffil under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by Wi permit is riot commenced within
180 days from the date of such pod or if the building or work authorized by such permit is suspended or abandoned at any fin after the work is commenced for a period of 180 days (Section 106.4.4UnifoiTn Building Code)..
.APPLICANTS SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 11/17/2009
Permit# CB091891 Inspector Assignment: PD
Title: FEND RESIDENCE •
Description: REMOVE POOL EQUIP, DEMO DECK, PUNCH DRAIN
HOLES IN POOL & UNCOMPACTER FILL
Type: MISC Sub Type: OTHER
Phone: 8588633881
Job Address: 2245 NOB HILL DR
Suite: Lot 0
Location: Inspect
OWNER FEND JAMES I&BAMBI L
Owner: FEND JAMES I&BAMBI L
Remarks: REMOVAL OF ELECT I MOVE POOL EQUIP
Total Time: Requested' By: JAMES
Entered By: JANEAN
CD Description Act Comments
92 Compliance Investigation ,41Q p L L t4/1. £YL) tO 34
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
rvi -
2-
STORM WATER Development Services
<Ovk
C ITY O F COMPLIANCE Building Department
C 1635 Faraday Avenue ARLSBAD EXEMPTION
760-602-2719
B-24 www.carlsbadca.gov
I am applyin=ilding City of Carlsbad for the following type(s) of construction permit:
Permit U Right-of-Way Permit
My roJect is categorically EXEMPT from m
the requirement to prepare a storm water
pollution prevention plan (SWPPP) because it
only requires issuance of one or more of the
following permit types:
Electrical
Fire Additional
Fire Alarm
.. Fixed Systems
Mechanical
Mobile Home
Plumbing
Patio/Deck
Re-Roofing
Sign
Spa-Factory
Sprinkler
Water Discharge
Project Storm Water Threat Assessment Criteria*
No Threat Assessment Criteria
U My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because
it meets the "no threat” assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier
Level. My project does not meet any of the High; Moderate or Low Threat criteria described below.
Tier I - Low Threat Assessment Criteria
O My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project
meets one or more of the following criteria:
Results in some soil disturbance; and/or
Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste
stockpiling).
Tier 2 - Moderate Threat Assessment Criteria
U My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria:
Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carisbad Municipal Code); or,
Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria:
Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or
Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or
Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or
Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30).
Tier 3 - Significant Threat Assessment Criteria
U My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or
U My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and maintenance areas: or,
U My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant
potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s).
I certify to the best of my knowledge that the above
checked statements are true and correct I understand
and acknowledge that even though this project does
not require preparation of a construction SWPP, I must
still adhere to, and at all times during construction
activities for the permit type(s) check above comply
with the storm water best management practices
pursuant to Title 15 of the Carlsbad Municipal Code
and to City Standards.
"The City Engineer may authorize minor variances from the Storm
Water Threat Assessment Criteria in special circumstances where it
can be shown that a lesser or higher Construction SWPPP Tier Level is
warranted.
Project Address:
On ,Ub N,'ii
Assessor Parcel No.
èaJdc
Owner!Owner's Authorized Agent Name: Tile:/
Owner/Owner's Authonz ate Date:
City
YES
u nee:
NO
By. Date:
~:~J
P14t •t
oject ID: /
B-24 • Page 1 of 1 Rev.03/09