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HomeMy WebLinkAbout2412 LA MACARENA AVE; ; CB043788; PermitLIL lf>9l City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-20-2004 Residential Permit Permit No: CB043788 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2412 LA MACERENA AV CBAD RESDNTL Sub Type: 2550701600 Lot#: $20,670.00 Construction Type: 0 0 BRUNO RESIDENCE Reference #: Structure Type: Bathrooms: 110 SF MSTR BEDROOM, 122 SF PATIO RAD 0 NEW 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: '~fg~':~6--~~~~~-~ Owner: STE D · -- 3149 JEFFERSON ST CARLSBAD CA 92008 760-434-1396 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 $184.39 $0.00 $119.85 $0.00 $0.00 $2.07 $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 BRUNO GREGORY D&MONICA A 2412 LA MACARENA AVE CARLSBAD CA 92009 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES ISSUED 10/07/2004 MOP 10/20/2004 10/20/2004 Total Fees: $350.31 Total Payments To Date: $119.85 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $24.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $350.31 $230.46 :3680 10/'2(\.-\iit .J'.)0:2 }_'.. ~='· ~3 :i ,- Inspector: FINAJ,A~J~ Date: -l.,.. --0 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 pennit 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 fees/ xacti n of which o h v reviou n iven N Tl E similar t this r which th of limita i n h s revi I h rwi e ex ire . ,. \ .<, \ c,,. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635. Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO.(!)'-\,• 'J> I~ EST. VAL. ul eo:10 __ Plan Ck. Deposit \ \G' es ~:~:._•_t•_d_B_y::::::.._,-o;:,...·._\;0:Ll·_,~,:-;;:_t"'{),,D:::-= CGP U.7' 35 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 2.~070/t. Assessor's Parcel # A Existing Use -.I-r 477 o - Description of Work 2 '-:J!J . FT. . . /t CJL~.'"~ ........ •,.•. ... l ... 'l.. . /ll:0i'.) C!liti',.11:o+n;;n~.,.,,.,.'.llllfiMilll": rom.;lipplfeantl>.• ·• #of Stories . 'I City 0 Owner ::Q\4!geri1:-tOrOwner' Proposed Use # of Bedrooms # of Bathrooms City State/Zip Telephone# Name Address City State/Zip Telephone# :s•,,.:.:::cbli'i'Ricir«>,ti,•cb.MPAllfYFllf:AiM&•:,•·F .. ·· (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 ex ption. 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 [$5001). t t.. C. C, °2P"i (j ~ Name Address City State/Zip Telephone# State License # Ii:// ?!{ tf,.J License Class _4~~-------City Business License # / 2 GI '-( 'f O 7 ' Designer Name Address City State/Zip Telephone State License # _________ _ &:::" :ii/lQIIKSA!li,COM~tNlfAti«:iJ'l,:F.•:: Workers' Compensation Declaration: I 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. ---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 ~Acna Policy No._____________ Expiration Date _______ _ iT,HIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 to become subject to the Workers' Compensation laws of California. t secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred 0,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, lnter:g• .. •d. attorney's fees. DATE /0-?('-CJ ~ 11:'Dl!Cl:AAA'ni:ltl:: :: " . ·. • > . " . ····• 1 hereby affirm that I am exempt from the Contractor's license Law for the following reason: D t, 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). 0 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. D YES 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 I 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 I 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 I address I phone number/ type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE------------------------------ ®MPI.EfJ!Ji!ll!$'.SECTii:)N,,QR:W/>N4/ESID.ENtfALiBi.iiLQ1lll<)'PERMl'fSFPNtY.·•·· DATE 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? D YES D 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? D YES D 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. J"f; "i'll'¢i,i$,Ti!U ~!tiQ~~~R!ri!l•~jjENiil'i'.i ,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). ~~~1~1r~:0%:~1;;•Cli;ll;j:jj,jfl;i·.·i;imi····ti'IO[jj····~t,1tc::•;;•,•:7222222~•·;: ... ·':·E.N !DER'S ADDRESS ______________________ _ I certify that l have read the application end 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 ANO 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 comm.,.,.,,.,....,thin 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 comm a period of 180 days (Section 106.4.4 Uniform Building Code). _ C--..,, (/· DATE Io·~ tf u / APPLICANT'S SIGNATURE ~~-+---------------------'-'---=:.._-~71------- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/04/2005 Permit# CB043788 Title: BRUNO RESIDENCE Description: 110 SF MSTR BEDROOM, 122 SF PATIO Type: RESDNTL Sub Type: RAD Job Address: 2412 LA MACERENA AV Suite: Lot 0 Location: OWNER BRUNO GREGORY D&MONICA A Owner: BRUNO GREGORY D&MONICA A Remarks: Total Time: Inspector Assignment: PC --- (, Phone: 7608461396 tJ (~{1t),q ·( UII f1ll1.trS Inspector: L Requested By: RICH Entered By: CHRISTINE CD Description 19 Final Structural w_o_m_m_e_n_t _________________ _ 29 39 49 Final Plumbing Final Electrical Final Mechanical Associated PCRs/CVs I ns~ection H isto!Y Date Description Act 1212212004 15 Roof/Reroof AP 1212212004 17 Interior Lath/Drywall AP 1212212004 18 Exterior Lath/Drywall AP 12120/2004 14 Frame/Steel/Bolting/Welding AP 12120/2004 34 Rough Electric AP 12120/2004 44 Rough/Ducts/Dampers AP 12106/2004 83 Roof Sheathing/Ext Shear AP 11/10/2004 11 Ftg/Foundation/Piers AP lnsp Comments PC PC PC PC PC PC PC PC • PLANNINC/ENCINEERINC APPROVALS PERMIT NUMBER CB 04 , 5] 6 (8 DATE / 0 -Cl t> -0 vr ADDRESS 2l/(2t LA M AlA/2EN A (Jff~ 6"),D--/f,) . l.6~38 Qu-Je,.. LBo-t(A-) e-,73-ca/~l,~\ . · RESIDENTIAL ADDITION MINOR < < $10,000.00) PLANNER~-~fl1>_.:.._··--=-·-+---- "" ... , ... , .. , ... _ .. ,... ....... ; ........... 1 ... -.................... .. TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLACE FAIRE COMPLETE OFFICE BUILDING · DATE / 0 -tJ If -0 Lf DATE t"t)lt,(q: I \;., CB043788 2412 LA MACERENA AV CBAD BRUNO RESIDENCE 110 SF MSTR BEDROOM, 122 SF PATIO RESDNTL RAO Lot# RICHARD CHASE CONTRACTING L l.) l I L Cl( {o ec,1-9 • ,_,__..~ \•ll--tl•vt 01..J-'-.VC\.---~ fc_. le/¢ Jll,,-'L lf-,,,,a...1 wf._..._ v-----5J CJ-f ~.e-f lao..e,,/c ,:J l6 l 1= LC>'{ :2~~Lt/ ~ 10 - IUI.DIG 1'1.-- ENGINEERING --ff&lll.'ltt OEPr -T/MIQIML --------...... ,_, ____ :, = ---COM