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Home My WebLink About2429 LA COSTA AVE; A; CB042873; Permitv \\ ()1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 s_(o(.k( 07-28-2004 ,. Residential Permit Permit No: CB042873 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2429 LA COSTA AV CBAD St: A RESDNTL Sub Type: 216240551Jl.. Lot#: $3,990.00 Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: CARTER RES 133SF LOFT ADDITION RAD 0 NEW 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: Applicant: Owner: SUZANNE CARTER 2429 LA COSTA AVE #A CARLSBAD CA 92009 Building Permit Add'! Building Permit Fee Plan Check Add'! 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'! Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'! Pot. Water Con. Fee Reel. Water Con. Fee $53.49 $0.00 $34.77 $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 SUZANNE CARTER 2429 LA COSTA AVE #A CARLSBAD CA 92009 Meter Size Add'! Reel. Water Con. Fee Meter Fee SOCWA Fee 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 07/26/2004 SB 07/28/2004 07/28/2004 PD $0.00 Su llll $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $[)[10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $109.26 Total Fees: $109.26 Total Payments To Date: $0.00 Balance Due: $109.26 1=1t~AL APPROVAL □.ATE_::;( t,,'V\. -~lr,7c~ SIGNATURE ____ ~_µ'.L.~.::.__0--1-I--- 7506 ,Ti., ,/·_/q ..• '.•./., "r, , .. -" -J!A.C .',-· PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. c.4;J~ ~0 l_3 EST. VAL. 3 9 Cf c) ~ ~LI~ '\z,;tifti:P.fi®ECT.'JNFO,U,,4T,10N!..!,.t:, Address (include Bldg/Suite #) .,. \ Business Name (at this address) 2 1..l 2 5, 'A l-.. A Co!>,-f"I Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel # Existing Use Proposed Use ~ "ascription of Work SQ. FT. #of Stories II of Bedrooms # of Bathrooms ~ L o~rr "3:t..l F~ LL-\ 3 "3 ~G~;1:~~na~~=~~~qgantt~~Z~'~~~~~~I"~~~·~· :, ·o~~~~~~~~t,1t~~ A;:: .. ~ q';_·os·7 ; t l. c--L[ s ~-1 c;1: Name Address City State/Zip Telephone # Fax II jj ~l.m~!PA~J1ltiill!JJ'.~Qt~o;ta~·cgt~gent'f,f,p.fuiC9oif,:ior,iJ#,~j,itlfiiEJ'._tg■nt:f9r•~ner ',,,1·•. ,-~ ,··.--,. Id r~ . ..,.\ .. ',, . Address City State/Zip Telephone# ' !,~. _, bO ~ --;i7c Name Telephone# l.(lff,CftitfAAO,TOB~OJll(!ANYiNAf!'lf;j~~ .... ~'t~;!fil}'/\;;:··•):t:fa~:~·r-~1~,.-::"f''!'!'·'1•i;rz,_~.,. • ',:'..1''"":.::;.':/i<,:•.:; 'i ':'ti.».)!','.',;\'.;:!'t;· ··-~•:,; ·'!'-., ;,,.:~;~fa:.¥.< (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 parmit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ (4;~Q.R!'$S~'I.Qft'l~ft.~TIOft1'ik1., .,:;;.,lf:,,ii~._. ;...-.ro,,~,t;.'.;.,.r;_~~ .. : ,.-.,:...w.:..(. ..,, -.. t ... :, : r_: ,.r-'-,, ::• ;•:,..: •• 0Jl,· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. O 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 LESSI O 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 aecur■ worken' compenaatlon coverage la unlawful, and ahllll aubject an employer to crlmlnal panaltiea and civil fine• up to one hundrad thouaand dollar• ($100,0001, In addition to the coat of compenaatlon, dam■gea aa provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE. ______________________________ DATE _________ _ ~ffilffl'limMli!l!Il~'l'li:1'.l~~~~.iiifR~~'l!"~.•£"~.ff-+.,,;pi:-if.:·,,~c:~~"'"""~:::~½'s,,.:, .J:_: :/ ;:· ,:tt~•~:-t,;_·A;-~. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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, Busine11 and Professions Code: The Contractor's License Law does not apply to an owner of property wt,o builds or improves thereon, and who does such work himself. or through his own employees, provided that such improvements ere 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). 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). O 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. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the fallowing parson (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 soma 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 ~~==::~l...::::;c:a::::2:::::l'-,/s:.::;l...~....l."41,..LL.c::&~----DATE ________ _ t QMRl;Ui;,JfllS,'$(cnoij)F.ORW]:,f{,n , . ~$],!!l',JllN.(1.leE~!I$!P~\.-'Y;,~'t/l!£4!§\~~ldf.:iifiiil;~~'i!tll&k;iii.J;;:,ili~' }:;i';,r; ,. ,.~Jl::~~ •i Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention progrem under Sections 26605, 25533 or 26534 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of tho outer boundary of • school site 7 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. I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Coda). LENDER'S ADDRESS. ________________________ _ LENDER'S NAME ______________ _ [i\~j~e,\;!c;~:rlctehl'fl~Il9!1t~lt:,;M~~~~),l.';&~·~~~~"lk~~.;:i:-fi:1".~: .. ~..;,,t, ;:;.:,g,;, r -.,':.;Jm, .,_:,,.,-,,,.;,;, , .... ,-,,···b·.· ,-.il•·, ~-,,-,, I certify that I have reed 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 6'0" 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 shell expire by limitation end become null end 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 et any time after the work is com need for e period of 180 days (Section 1 .4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE ....t:...,.Ji..,=::_;z~,LI:.=~,a:::.L....i......J.~~==:.._--------DATE _____________ _ PINK: Finance ·city of Carlsbad Bldg Inspection Request For: 08/06/2004 Permit# CB042873 Title: CARTER RES 133SF LOFT ADDITION Description: Type: RESDNTL Sub Type: RAD Job Address: 2429 LA COST A AV Suite: A Lot Location: APPLICANT SUZANNE CARTER Owner: Remarks: late pm Total Time: 0 Inspector Assignment: PD --- Phone: 7604587575 Inspector: CD Description 19 Final Structural Requested By: TERRY '"'""' t:"'"""' Act Co1ent ~ / ~ A I //Le,/ 29 39 49 Date Final Plumbing Final Electrical Final Mechanical t--- Associated PCRs/CVs Inspection History Description Act lnsp Comments