HomeMy WebLinkAbout2433 IMPALA DR; ; PC130064; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-14-2014 Plan Check Permit No: PC130064
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PLANCK
0000000000
$0.00
Lot#:
Construction Type:
0
Project Title: DEMO INTERIOR IMPROVEMENT FOR
BOTH 2431 & 2433 IMPALA DR
Applicant:
HEIMAN CONSTRUCTION
742 GENEVIEVE STREET
SOLANA BEACH 92075
858 84 7-0244
Plan Check Fee
Additional Fees
Total Fees:
Inspector:
Owner:
$0.00 Total Payments To Date:
FINAL APPROVAL
Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
$0.00 Balance Due:
Clearance:
APPROVED
12/04/2013
JMA
12/04/2013
$0.00
$0.00
$0.00
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
fees/i,xactions of which vo11 have nreviouslv been niven a NOTICE similar to this or as to which the stat11te of limitations has nreviouslv otherwise P.Xnired.
' ~c l ~ -(p '-{
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0 BUILDING O FIRE O HEALTH 0 HAZMAT/APCD .
«1~ Building Permit Application Plan Check No. ~13.2,qqo
~ CITY
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value c~,~ · 20,ct. I
OF Ph: 760-602-2719 Fax: 760-602-8558 '
CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date ,u lf Ir~ !SWPPP
SUITEt/SPACEf/UNIT# IAPN /)Je_ ---JOB:2D'f3/ :Z. rYJ f> /ti L f4
CT/2.o/33 ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
-,. 7-'t" -/) t/t'I OLl'f" 1 o u of ~x,s:T,,ve:., {? f S'Tofl( 2 VI l..t:> I ,v(,.. '/U Stl£ll C o '-J W:,,'TI o r.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE l AIR CONDITIONING I FIRE SPRINKLERS
YES(]# NcQ YES 0 ND 0 YES0 N00
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE !FAX
EMAIL EMAIL
PROPERTY OWNER NAME copif'/R B~AAME t' ")(2 ~ jp? JV OIVS. uc (i.:,N
ADDRESS ADDRESS 7f/e, ~J€tv£V1£v£ sr Su,T£. u
CITY STATE ZIP CITY STATE ZIP
l.s"o t. A ,v A E:,€.A<:.H c ~ '1?...o ?S-
PHONE !FAX tf~f-a IFAX fji./7-o 2. <-1 Lf ese, e <1, -o c... <..(,
EMAIL EMAIL
W1t,t.1/I~. 6£CK€( <eJ 6,1""1Htt.. • C. o .-__
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # •~ 'lf669B !cs l12Jt·~1t/
(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)).
WORKERS ' COMPENSATION .. ~ -~ ~
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 permtt is issued.
~ have and will maintain wo~' compensation, as reQuired bv Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. L v£~~5-r A/lf.r, oNi+C... PolicyNo?boo O O 3 8 'I 0 /2 / Expiration Date 10/t /I'/
JM,section need not be completed~ the perm~ is for one hundred dollars (S1CJO} or less. LJ 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 lo become subject to the Workers' Compensation Laws of
Cal~omia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 ~or code, Interest and attorney's fees.
_85 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not inlended 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 himseff or through his own employees, provided that such improvements are nol 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).
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 lo an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contraclor'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. 0 Yes 0 No
2. I (have I have not) signed an application for a building permil for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I 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 I address I phone I 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 I type of work):
_85 PROPERTY OWNER SIGNATURE 0AGENT DATE
•
Is the applicant or future building occupant required to submit a business plan, acutely hazaidous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 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.
Lender's Name Lender's Address
I certify that I have read the application and state that the above lnfonnation Is correct and that the lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building cons1ruction.
I hereby authorize rep-esentative of the City of Carlsbad tenter upon the alxwe 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 C{)llSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pe1111it is requred for excavations over SO' deep and demolioon or construction of struc\ures over 3 stories il height.
EXPIRATION: Every pe1111it issued by the Buikling Offcial under the provisilns of 1his Code shall expire by limitation and berome nul and YOO W the buikling or YtOlk authorized by such penmit is not cornmenred v.i1hin
100 days from the date of such pe1111it or if the buikl' orYtOlk authorized by such pe1111it is suspended or abandoned at any time after the YtOlk is cornmenred for a peood of 100days (Section 1~.4.4 Unifoon Buikling Code).
~ APPLICANT'S SIGNATURE DATE /2-..5 ) 3
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
C E r? f I F I ( /\ T E 0 f 0 C C U f' i\ 'J C Y 1 Cornn1crci :l p • 0 J ( t > 0,., j
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE
I
FAX.
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION
..#!S APPLICANT'S SIGNATURE DATE
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PC130064
DEMO INTERIOR IMPROVEMENT FOR
1:~[)TLI "'>A'11 9 "'>11':l'l IUnAI A nn
12-/LJ lt3 -rs sum
CB132991 2433 IMPALA DR
DEMO ALL PREVIOUS INTERIOR
'"nor.,,cuc!\ITC::=Ri::Tt IRNING SPACE TO SHELL
CB132990 2431 IMPALA DR
DEMO ALL PREVIOUS INTERIOR
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