HomeMy WebLinkAbout2326 KEATS PL; ; CB022751; Permit09-16-2002
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No: CB022751
Building Inspection Request Line (760) 602-2725
2326 KEATS PL CBAD
RESDNTL
2121502500
Sub Type:
Lot#:
$0.00 Construction Type:
Reference #:
O Structure Type:
0 Bathrooms:
SIMPSON RES REMOVE NON BARING
PARTION W/ GAS AND ELEC
RAD
0
NEW
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/16/2002
SB
09/16/2002
09/16/2002
Pla~~~ffl? 09/16/02 0002 01
CGP
02
JAMES & STACY SIMPSON HAUNSCHILD RAQUEL B <AKA BARRIOS-HAUNSCHILD RAO
2326 KEATS PL 92008
431-7714
Total Fees: $108.00
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
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Inspector:
26048 EL CAMINO REAL #368
CARLSBAD CA 92008
Total Payments To Date: $0.00 Balance Due:
$0.00
$0.00
$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
$60.00
$0.00
$0.00
$0.00
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
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 lnLieu Fee
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
FINAL AP7iROttL
Date: :2.. / 15 I) ":2, I Clearance:
$108.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$108.00
· t approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." ou 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 Ca~sbad 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 . .
108-00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.C:-Bc:1'<-2 ?.5')
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated Bv.1-----,:7""'""'--'--0---1--------
~ Address (include Bldg/Suite #)
Legal Description
Assessor's Parcel # Existing Use
Date tjt6(2.z"!._
usiness Name (at this address)
Unit No. Phase No. Total # of units
Proposed Use
!~~~~~~ ~~:;J~h::;,•d•c.;~~ /td-{e~hmoms
Name Address City State/Zip Telephone # Fax #
miil!!AIRl:ifflli,iikl!liilll~i!ir~~:,;~rriilll!Jlii!ill~Ili!i!~nli.iit••,,;,131Piv,i,, J;,13;111iiinl/ori0<Nne,i ·
Name Address City State/Zip Telephone#
r':~~~~~~;"'3,w,:.~:;····~·22Z~
City
(?~~S'~ C!A>z<eo Y3/·72/V
State/Zip Telephone # '
ili,,!_.~fI!Wt!IU\fiiflli!if,il!illlflliii);iiii;,)fafi:i
(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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]),
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
'-~-fil~~~iwi;i;: ;;~Jf;~i,L,
Workers' Compensation Declaration: 1 hereby affirm under penalty of perjury one of the following declarations:
D 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 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company______________________ Policy No._____________ Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
D 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 la 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.
SIGNATURE,______________________________ DATE l'~~~:~!D~~1~~;~~~~~:~~~~r'./:-i;~;i~~~:~'.!~:~,~~:;~~::·~:~;~~ing 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).
D 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).
D 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. Jd'YES ONO
2. I (have/ have not) signed an application for a building permit for the proposed work. r
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 / address / phone number/ contractors license number):. ________________________________________________ _
5. 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 of work):1 ____________ ~--~;,c__ _________________________________ _
~ROPERTY OWNER SIGNATURE :....~=-~:).~-~------------DATE_~~~--<..-----
~l,il~j$¥JEdffill,l)j;'q)i•!YlfJi/' . '.PERMff•11t11tvii; 1 ..
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 O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
:lli!ii;;~Jlliil\®!loil!fflfll!il~ll.Gi!iWYiJ·• ••; ,. 1. • •
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _
tt,":1 ii\ii!Ll~cl!irtl.!l'iolllif;;i• ' .
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
authorized 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 time after the work is com ced lo eriod of 180 days (Section 106.4.4 Uniform Building Code).
¥APPLICANT"SSIGNATURl1<..,-J.,~:__::..,_~===--------------DATE 2 -/4 ·t[?.
WHITE: File YELLOW: Applicant PINK: Finance
UNSCHEDULED BUILDING INSPECTION
DATE ?-) l~ / o3
PERMIT# 0 2._ -2, S l . PLAN CHECK# ___ _
. JOB ADDREss __ ~3_2-(p--'---_...K._.....o fµ--=~"---'----/1-~------
DEscruPTioN ________________ _
CODE DESCRIPTION
~J
ACT COMMENTS
City of Carlsbad Bldg Inspection Request
For: 02/14/2003
Permit# CB022751 Inspector Assignment: PY ---
Title: SIMPSON RES REMOVE NON BARING
Description: PARTION W/ GAS AND ELEC
Type: RESDNTL Sub Type: RAD
Job Address: 2326 KEATS PL
Suite: Lot 0
Location:
APPLICANT JAMES & STACY SIMPSON
Owner: SIMPSON JAMES S&STACY L
Remarks:
Total Time: -----
Phone:
Inspector: ----
Requested By: JIM SAMPSON
Entered By: CHRISTINE
CD Description
19 Final Structural
Act Comment ,--;1 L' c,n._ ~)P,f} G·[J, ' @ tab~
29 Final Plumbing 14 4J S ?,:ac---41::G\ '.3, ·,
39 Final Electrical
49 Final Mechanical
Associated PCRs/CVs
lnsgection Histoty
Date Description Act lnsp Comments
09/26/2002 34 Rough Electric WC PY ALREADY DONE
09/25/2002 34 Rough Electric AP PY OK TO DRYWALL, NO ROMEX UNDER SLAB.
09/23/2002 23 Gas/Test/Repairs AP PY
09/23/2002 24 Rough/T opout WC PY
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