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HomeMy WebLinkAbout2429 LA COSTA AVE; B; CB023866; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-28-2003 Residential Permit Permit No: CB023866 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: CHRIS SAUPSTAD 1128 DEWITT AVE ENCINITAS Building Inspection Request Line (760) 602-2725 2429 LA COSTA AV CBAD St: B RESDNTL Sub Type: RAD Status: 2162405511 Lot#: 0 $3,900.00 Construction Type: NEW Applied: Entered By: Reference #: Plan Approved: 0 Structure Type: Issued: 0 Bathrooms: O Inspect Area: CHRYSSOVERGIS RES-130 SF-LOFT WATER HEATER & GAS TO DRYER & RANGE Orig PC#: Plan Check#: Owner: CHRYSSOVERGIS CHRISTINE 2429 LA COSTA AVE #8 ISSUED 12/27/2002 CB 01/15/2003 01/15/2003 92024 815-5755 CARLSBAD CA 92009 5783 )c · 28 03 :)00'.2 J .. Building Permit $53.49 Meter Size Add'I Building Permit Fee $0.00 Add'I Reel. Water Con. Fee $0.00 Plan Check $34.77 Meter Fee $0.00 Add'I Plan Check Fee $0.00 SDCWAFee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $1.00 PFF $0.00 Park in Lieu Fee $0.00 PFF (CFD Fund) $0.00 Park Fee $0.00 License Tax $0.00 LFM Fee $0.00 License Tax (CFD Fund) $0.00 Bridge Fee $0.00 Traffic Impact Fee $0.00 Other Bridge Fee $0.00 Traffic Impact (CFD Fund) $0.00 BTD #2 Fee $0.00 Sidewalk Fee $0.00 BTD #3 Fee $0.00 PLUMBING TOTAL $34.00 Renewal Fee $0.00 ELECTRICAL TOTAL $20.00 Add'I Renewal Fee $0.00 MECHANICAL TOTAL $0.00 Other Building Fee $0.00 Housing Impact Fee $0.00 Pot. Water Con. Fee $0.00 Housing lnLieu Fee $0.00 Meter Size Master Drainage Fee $0.00 Add'I Pot. Water Con. Fee $0.00 Sewer Fee $0.00 Reel. Water Con. Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $143.26 Total Fees: $143.26 Total Payments To Date: $109.26 Balance Due: $34.00 Inspector: Date: 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 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, ~or planni~g, zoning, gradin~ or other sim!lar application pr?c~ssing o_r service fees _in connection wit~ !~is project. NOR_ DOES IT A~Pl Y to_ any 33(Q~ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Ca[lsbad, CA 92008 l AD~Gft5wA/c,,.#!tt~f .<vv~""-~"<-e Mowi<..{ 61'> FOR OFFICE USE ONLY PLAN CHECK No.C(2O2;,~ EST. VAL. ----=3::c_,~c.o,~"-'a~,'----- Plan Ck. Deposit -~~-3""-_4.._._, -n-1---+ Validated By _ _,,C-B>=""-------- Date /7--7,..7::02 · ,~~~i,~;:z~t!;~iL< avt , <tIArt Address Hncl'eodtul;• #I f"ra.ci-No-73-7 J. Business Name (at this add-44~9 l.2/27 /O2 0002 01 02 Legal Description Lot No. Subdivision Name/Number Unit No. Phase fuC.t3Frotal # of uniJ4" 77 Name Address City State/Zip Telephone # Fax # ~i i' !A~J[1¢Att!t!ic'~~1ttr~i!ll!i:I,,,lllif,i>;i!iilrr!iilii!'ci>•tiiiil•l .!LllE]'DWll~j 'i'ilii!Ji'i!i!llltt'for,'owne/,' . Name Address City State/Zip Telephone# 4i, Name i:r::1Ii~fflMO:t1~,coi,'111M.IYi'Nilllll!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]). /iOJ'.:>crloLD (Qs.'71:)m1:2.£~S l/2,S-Oc,._.,,rr!f:vC ~1vc,.,i,1,rTA.) <~ 7,off,,r7S'1 -; '-I .-, ,,-.,, ;-, (!£b. -,1( I -Name Address City State/Zip -.Tzel tdh ne # State License # _ _,_c_.e..c''-C'--'o'-= ,v___ License Class _ __,<..),,,________ City Business License # ,F' e ,y TQVU-"'-'\ ./ Designer Name Address City State/Zip Telephone State License # _________ _ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 _______ _ (T~CTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) J!f 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 sec pensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 the cost o pensatlon, damages as provided for In Section 3706 of the Labo7:code, !,pterest and attorney's fees. ~~~~~~~~~~~~:;;;;;~~~~:;;;;;~~~~~-•••"□DATE /,;J./ 21 /02, 1 hereby affirm that I am exempt from the Contractor's License Law for the following 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 sate. 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). O 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 / phone number / contractors license number): 4. 1 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): ______________________________________________________ _ 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 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 ls 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. 8i C<!NSTflUC'TIONWIDll'i<,c'l\GEN(}Y'' ' I hereby affirm that there is a construction fending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ 11. ,)IP,f'I.ICil!NTCEIITIFIOil!TIPN 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 Citt 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 lhe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not comme ced 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 comm ti for a p 10d f 180 day Section 106.4.4 Uniform Building Code). / >-APPLICANT"S SIGNATURE _j(.L~e'.'.'.'~~~-12,,~----=-----------DATE I,</ Z... 7 I~ WHITE: File YELLOW: Applicant PINK: Finance @ . . City of Carlsbad Bldg Inspection Request . . For: 02/02/2004 Permit# CB023866 Inspector Assignment: JM Title: CHRYSSOVERGIS RES-130 SF-LOFT Description: WATER HEATER & GAS TO DRYER & RANGE Sub Type: RAD --- Type: RESDNTL Phone: 7609087543 Job Address: 2429 LA COSTA AV Suite: B Location: APPLICANT CHRIS SAUPSTAD Owner: Lot Remarks. 2!2 11 S:71 JI! Cl! iii1!8. 0 Inspector: ----- Total Time: _____ Requested By: CHRIS Entered By: ROBIN CD Description 39 Final Electrical Act Comment (:~------~ Associated PCRs/CVs CV020854 CLOSED H-ILLEGAL CONSTRUCTION: EXTENSION OF LOFT lnsQection History Date Description Act lnsp Comments 09/04/2003 17 Interior Lath/Drywall AP JM 09/02/2003 23 Gas/Test/Repairs AP JM TO WATER HEATER 09/02/2003 24 Rough/Topout WC JM 09/02/2003 34 Rough Electric AP JM RECESSED CAN IN FAMILY RM 08/29/2003 24 Rough/Topout CA JM BY CHRIS 08/29/2003 34 Rough Electric CA JM 08/27/2003 14 Frame/Steel/Bolting/Welding AP JM 08/27/2003 24 Rough/Topout WC JM 08/27/2003 34 Rough Electric AP JM 08/27/2003 44 Rough/Ducts/Dampers WC JM EsGil Corporation 1n Parwrsliip witli qov,m~nt for 'lJuil,{ing Saf,ty DATE: 1/10/03 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 02-3866 SET:I PROJECT ADDRESS: 2429 La Costa Ave. Unit B PROJECT NAME: Chryssouergis Residence Addition CANT s REVIEWER □ FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. [gl 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: [gl Esgil Corporation staff did not advise the applicant that the plan check has been completed. D 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 [gl REMARKS: City to verify the existing master bedroom has adequate nature ventilation.(per Raenette) By: David Yao Enclosures: Esgil Corporation □ GA O MB O EJ O PC 12/31 tmsmU.dot 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 City of Carlsbad 02-3866 1/10/03 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: David Yao PLAN CHECK NO.: 02-3866 DATE: 1/10/03 BUILDING ADDRESS: 2429 La Costa Ave. Unit B BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING AREA Valuation Reg. VALUE PORTION ( Sq. Ft.) Multiplier Mod. addition 130 per city I Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance Bldg. Permit Fee by Ordinance I • I Plan Oleck Fee by Ordinance I ..,. I Type of Review: 0 Complete Review D Structural Only 0 Repetitive Fee ~ Repeats Comments: 0 Other D Hourly '-------..JI Hour* Esgll Plan Review Fee ($) 3,900 3,900 $53.491 $34.771 $29.951 Sheet 1 of 1 macvalue.doc PLANNINC/ENGINEERING APPROVALS PERMIT NUMBER CB oa-300"2 RESIDENTIAL RESIDENTIAL ADDITION MINOR / (<$10,000.00) OTHER ,J .&ik PLANNER~ 0-ex:J-<Nt.., COCSIMfsfOrmstPlannlng Englneertng ApprovalS DATE /-3-·3 TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLACE FAIRE COMPLETE OFFICE BUILDING DATE /-3-,3 DATE !p;i>)