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Home My WebLink About2416 LA COSTA AVE; ; CB042317; PermitCity of Carlsbad .. 1635 Faraday Av Carlsbad, CA 92008 06-23-2005 Residential Permit Permit No: CB042317 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2416 LA COSTA AV CBAD RESDNTL Sub Type: Lot#: 2161600500 $601,110.00 Construction Type: Reference #: Structure Type: 5 Bathrooms: ISLAS RES 5168 SF LIV 1830 SF HAS/BASEMENT, 1063 SF GARAGE SFD 0 NEW SFD 5.5 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: Applicant: Owner: ISLAS JOSE L P O BOX 232488 ENCINITAS CA 92023 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 $2,044.78 $0.00 $1,329.11 $0.00 $0.00 $60.11 $0.00 $0.00 $310.00 $530.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,274.00 D3/4 $0.00 $0.00 ISLASJOSE L P O BOX 232488 ENCINITAS CA 92023 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 Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES EXPIRED 06/10/2004 SB $0.00 $160.00 $2,004.00 $0.00 $0.00 $0.00 $0.00 $0.00 $460.60 $519.40 $0.00 $0.00 $0.00 $0.00 $2,925.00 $0.00 $0.00 $11.60 $0.00 $482.00 $15,110.60 Total Fees: $15,110.60 Total Payments To Date: $1,329.11 Balance Due: $13,781.49 Inspector: BUILDING Pb.a.NS FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your pro}ect includes the "Imposition' of fees, dedk:ations, 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 prolast procedures set forth in Govemrrent Code Section 66020(a), and file the protest and any other requred information with the City Manage-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 specttied fees/exactions DOES NOT APPLY to water and sewer connedion fees and capacity charges, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any · ,nfwhirh.,,.,,.i:_,~_ ' ,i.,.,,.,--: .. --,::11 '· rtn•i.: .. ,.,~ ... -:tn '·'·'-•L--•-•--~1: ... 1+ .. +:,.,.,.i,.,.,. · · · PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Telephone# Name Address City State/Zip Telephone# Fax# ~ffllffi~~~~r:f~lld\f'~•==~,t",;,.>¼,'' Name Address City State/Zip Telephone# t~ ·:::rct~til-~~'.1lffl;~~t!i:;\\{ik~v1?1:f:i~,T'rtt;\~'.:;t:1;;;:1t~'.¾t?!~-·BJ~~~rIDr;'~t1~:tt:!l:':~.:Jr: .. . (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 basls for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the appllcant 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# ________ _ e. V!IOlll<lii;i•~!!M1'111!t. 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 worker's compensation, as required by Section 3700 of the labor Code, for the periormance 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 [$100) OR LESS) □ CERTIFICATE OF EXEMPTION: I certify that in the periormance 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 Caritornia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars($100,000), In addition to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, Interest and attorney'• fees. SIGNATURE DATE 7. I hereby affirm that I am ~ I, as owner of the property or my employees with wages as their sole compensation, will d 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, provded 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 buHd 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 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES □ NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. J have contracted with the following person (firm) to provide the proposed construction (include name/ address/ phone number/ contractors f1cense 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 I address I phone number I /ontractors 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): PROPERTY OWNER SIGNATURE______________________ DATE - Bi!l!ilfmlll~~~lti~ii,~i!\il~ , ' - Is the applicant or future building occupant required to aubmit a buslnesa plan, acutely hazardous material• ragiatration form or riak management and prevention program under Sections 26606, 25633 or 26534 of the Presley-Tanner Hazardoi.Ja 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 dlstricti' 0 YES O NO Is the facility to ba~natructed within 1,000 feot of the outer boundary of a schoot site1 0 VES 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 ANO THE AIR POLLUTION CONTROL DISTRICT. tl1mRlffl1raij~ID~~:illl!lilti~ir.~t1!1~'lli~1l~J~~~~t~['.'.?~~~t;E~tJ~~/l~l!l'.!tWiUJRti~i~~J~~1t:1j~tilll~iti!1il~\µ]~l1~1ii\1!!!t~:iil~~~l-'l~llia~ I hereby affirm that there is a constructlan lending agency for the performance of the work for which this permit is iaaued {Sec. 30971il Civil Code). LENDER'S NAME________________ LENDER'S ADDRESS, __________________________ _ ~ji'~~~f¢;;j~~:~~,mH::1ti}J::::~).~M;~l,t~~[~lfu~::i~;J1ikii:!~tiiil~1£~j,hf.i~~~-~OC~"1)~l~ I certify that I have read the apptlcation and state that the above information is correct and that the information on the P'•n• is accu,ate. I ■CIHI 10 comply with ■U City ordinances and State laws relating to building construction. I hereby authorize representatlvea of the Cltt 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 s•o• 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 U the buildtng 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ApPLICANT'S SIGNATURE _________________________ _ DATE WHITE: FIie YELLOW: Applicant PINK: Finance ' ' 04/01/2005 ISLAS JOSE L P O BOX 232488 ENCINITAS CA92023 Re: Application Date: 06/10/2004 0:00:00 Plan Check#: CB042317 Address: 2416 LACOSTAAV Expiration Date: 06/10/2005 0:00:00 Permit Type: RESDNTL Description: ISLAS RES 5168 SF LIV 1830 SF HAS/BASEMENT, 1063 SF GARAGE You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. __ Project Abandoned -I will pick up plans within 10 days __ Project Abandoned -Plans may be destroyed. If you have any questions, please contact the Building Department at (760) 602-2702. Janean Hawney Building Department CB042317 2416 LA COSTA AV CBAO ISLAS RES 5168 SF LIV 1830 SF HABIBASEMENT 1063 SF GARAGE RESDNTL SFD Lot# ISLAS JOSE L ' / (ft/; 4 TO C:t, r IE-JI/ L W / /1 ~ ~ C/k l -J,~-o 'f i;;;:s ,,.;Ft'.-Cl)/\ ,(2. /DY -{!J.,) e,i f.C.- / v/ ol { ,\ () V f'M,c. .. -p::,--+--- I G ·-,-:, /'", ( (\ ''-\--"' .7' '-./ '(~ 1oc·,,,_j v/ T/V'SSc~/c_ . 10/1~)0'-{. ~J CLrvJ i/-;-lii.f ~-?fl fJ 1(!__, 1-// · 0":> -ffi{IAJJ£l, --v,u_p ,_LJ;f:V.A-1-o ifp. f; ? (J - -----•w ------~.cd ff) Pll0M --~ HEALTltDEPI' !WMATIAIIIIQUI¥.. OTHERl!EWER1J181111 IICHOO&.~ CFDFOIW PE & M WORKIHEET SLOG 1-EF.SCOMPLETE PI.ANCONI -ENGCORR ,-; f®"i}~:=~