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Home My WebLink About2425 LA COSTA AVE; B; CB023724; Permit\d-1{ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-27-2003 Residential Permit Permit No: CB023724 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: DANIEL UKROPINA Building Inspection Request Line (760) 602-2725 2425 LA COSTA AV CBAD St: B RESDNTL Sub Type: 216240551~ Lot#: $4,110.00 Construction Type: Reference#: O Structure Type: O Bathrooms: UKROPINA RES 137 SF LOFT RAD 0 NEW 0 Owner: PARKS APRIL Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: ISSUED 12/12/2002 SB 12/27/2002 01/27/2003 PD 2425 LA COSTA AV UNIT B 92009 633-1470 2425 LA COSTA AVE #E CARLSBAD CA 92009 56 .. i6 ')~, z: 03 .;oc: ::;~ ,C:c:Jr:., 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 Total Fees: $121.96 Inspector: $61.19 $0.00 $39.77 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Payments To Date: 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 Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $39.77 Balance Due: Clearance: $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $121.96 $82.19 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 Y) ./ •.. • PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Legal Description Lot No. Phase No. Tota # of units Assessor's Par: ,.J lo ¼:: t,{° Description of Wor1< Existing Use ~,::g &l. '2.... #of Stories Proposed Use 2,_ 2 .') # of Bedrooms # of Bathrooms City Sc.<0::f City State/Zip CJ State/Zip State/Zip Telephone# Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit kl 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 Prof9SSions 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# _______ _ Wor1<ers' 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 wor1< for which this pennit is issued. □ I have and will maintain wor1<er's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this pennit is issued. My worl(er'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 performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject ID the Wor1<ers' Compensation Laws of California. WARNING: Failure to secure worker&' coff1)enaatlon coverage la unlawful, and ohall subject an eff1)Ioyer to criminal penalties end civil fin•• up to one hundred thousand dollara($100,000), in addition to the cost of compensation, damages are provided for in Section 3706 ofth• Labor Code, interest and attorney's fees. SI GNA TUR E DA TE•-;;:;;:;;::;;;;:;:;;::;:;;;;::::;::;::::;;:::......,,., 7, OWiifaAIDl.,:;..CD'e_ . .;;..~.;.;;D.;.;.~....,_;...,.__--,-...,__.__......,... affirm that I am exempt from the Contractor's License Law for lhe following reason: , 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, s 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 wori( 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). A'! 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 -~icense 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). □ 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. □ YES □ NO 2. I (have/have not) signed an application for a building permit for the proposed wor1<. J. I have contracted with the following person (finn) to provide the proposed construction ~nclude name I address/ phone number/ contractors license number): -4. I plan to provide portions of the wor1<, but I have hired the following penion to coordinate, supervise and provide the major wor1c (include name /address / phone number / /ontractors license number): ------------------------------------------- 5. I will provide some ol the wor1<, but I have contracted (hired) the following persons to provide the wonc indicaled (incJude name/ address / phone number/ type of wor1<): PROPERTY OWNER s,~~N~~T~U~RE;,..----===;.z=--°""_.1.1-1---...::J~t:~:::i;,~•----------------DATE_\ .... ~_-_...1cl--_..;;:c:;.;aw:;.,L. __ WHITE: File YELLOW: Applicant PINK: Finance • PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pmsley-Tanner Hazardous Substance Aocount Ar.t? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control dislrict or air quality management dislrict? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ 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. a. c STRlie'ftON LENDING ~ENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _________________ _ LENDER'S ADDRESS ___________________ _ I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives 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, JUDGEMENTS, 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 of 5'0" deep and demolition or construction of structures aver 3 stories in height. EXPIRATION: Every pennit issued by the building Offlcial under the provisions of this Code shall expire by limitation and become null and void ii 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 pennit is suspended or abandoned at any time after 1he work is commenced for a period of 180 days {Section 106 4 .4 4 Uniform Bu't\ding Code). APPLICANT'S SIGNATL~ \ ~.:;, -~--.. : DATE \).. -l d--◊A f WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/14/2003 Permit# CB023724 Title: UKROPINA RES 137 SF LOFT Description: Type: RESDNTL Sub Type: RAD Job Address: 2425 LA COST A AV Suite: B Lot 0 Location: APPLICANT DANIEL UKROPINA Owner: Remarks: Total Time: Act Comment Inspector Assignment: PD --- Phone: 7608155755 Inspector: ----- Requested By: CHRIS Entered By: ROBIN CD Description 19 Final Structural ~------ Associated PCRs/CVs CV020851 CLOSED H-ILLEGAL CONST: EXTENSION OF LOFf lnsgection Histo!Y Date Description Act lnsp Comments 02/26/2003 17 Interior Lath/Drywall AP JM 02/24/2003 14 Frame/Steel/Bolting/Welding AP JM OK TO DRYWALL 02/14/2003 14 Frame/Steel/Bolting/Welding PA PD ADD LAGS EsGil Corporation 7n Partnersliip witli (jov,mment for !BuiUing Safety DATE: 12/24/02 □ ~ee1s3NT c(_URI_ JURISDICTION: City of Carlsbad PLAN CHECK NO.: 02-3724 SET: I □ PLAN REVIEWER □ FILE PROJECT ADDRESS: 2425 La Costa Ave. #B PROJECT NAME: Ukroping Residence Addition □ □ □ □ □ [2J □ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person V · REMARKS: : City to verify the existing master ~oom has adequate nature ventilation.(per Raenette) /\../ By: David Yao Enclosures: Esgil Corporation 0 GA O MB O EJ O PC 12/16 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 · ·city of Carlsbad 02-3724 12/24/02 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: David Yao PLAN CHECK NO.: 02-3724 DATE: 12/24/02 BUILDING ADDRESS: 2425 La Costa Ave. #B BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE PORTION ( Sq. Ft.) Multiplier Mod. addition per city Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance Bldg. Permit Fee by Ordinance I • I Plan aieck Fee by Ordinance I,.. I Type of Review: 0 Complete Review 0 Structural Only 0 Repetitive Fee 3 Repeats Comments: 0 Other D Hourly ~---~j Hour* Esgll Plan Review Fee ($) 4,110 4,110 $61.191 $39.77j $34.27j Sheet 1 of 1 macvalue.doc