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HomeMy WebLinkAbout2530 LA COSTA AVE; MULTI-PERMIT FILE; CB160656; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 · 02-19-2016 Miscellaneous Permit Permit No: CB160656 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: 2530 LA COSTA AV CBAD MISC 2163600400 $0.00 Subtype: REPAIR Lot#: 0 Project Title: C S F R COLFIN: REPLACE SOME Status: Applied: Entered By: Plan Approved: Issued: ln~pect Area: ROOR JOISTS AND FLOOR PLYWOOD IN KITCHEN DUE TO Applicant: Owner: ISSUED 02/19/2016 JMA 02/19/2016 02/19/2016 LAKESIDE GENl::RA CS FR COLFIN AMERICAN INVESTORS TRS LL C 11828 ORANGE GROVE CIR MORENO VALLEY CA 92555-6564 951-697-8877 · Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $130.00 PERMIT FEE 9305 EVIA DE VENTURA #201 SCOTTSDALE AZ 85258 Total Payments To Date: $130.00 Balance Due: $130.00 $0.00 $0.00 $130.00 FINAL APPROVAL Date: 9 ..-Zo-/ b Clearance: ------ $0.00 f\OllCE: Rease ta<e f\OllCE tta ~ <:I ;wr ptject irdudes tJ-e "lrrp:,sition" <:I fees, dedcaticns, reseivaticns, er ctfer exocticns hereafter cdlectively referred to as ''fees'exocticns." Yru have 00 days frcm tJ-e date tfi~ pemitW:1S issued to prctest irrp:,sitia, of these fees'exoctions. If ,ai putest them, ,ai rrust fdlONtre prctest µ-cx:ecires set fath in <?oJerrrrent Qxle Section Em20(a), a-x;i file tf-e prctest a,d a,y other req..ired infootation v.ith !he aty M:na.Jerfa- fXOO:lSSirg in a:wclm:e'Mth Ca1sboo M.ridf:01 Qxle Section 3.32.030. Fah.re to tirrelyfdlONthat poo:dre wll ta-a,ysu~ lega action to attock, · _ rEMew, set aside, vdd, a-an4 their irrp::f?ition. Yru ere rereby R.RTI--ERf\OllFIEDthat }d.r rigt to p-ctest tJ-e spoofied fees'exocticns IXES !'Of PPPL Ytowater a,d &Mer romectia, fees ard ~ chcrig3S, ra plarirg, zcrirg, gcdrg er other sirrila-~ic:aion fXOO:lSSirg a-sen,ioe fees in c:cmectia, wth ttis ptject. N:R IXES IT AFR Y to a,y fees'exoctia,sofwich · have ·ru,1 beerl \1enaf\Oll sirrila-tottis a-towichtf-estautedlirritationshas 'cXJSI cthe!wse 'red. j \ I. ,r ~ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING OENGINEERING _ qsu1LDING _ OFIRE OHEALTH OHAZMAT/APCD CCitynf Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602~2719 Fax: 760-602-855a email: buildihg@carlsbadca.gov Plan Check No. CB ( (o O f, 5 ~ Est. Value Plan Ck. Deposit www.carlsbadca.gov Date 2.. l c=t SWPPP APN #BATHROOMS TENANT-BUSINESS NAME EXISTING USE PROPOSED USE GARAGE (SF} PATI0S(SF) DECKS (SF} FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESU_NoD YES0No0 YEsONoO APPLICANT NAME PROPERTY OWNER Primary Contact ADDRESS ADDRESS CITY STATE ZIP · .CITY STATE ZIP PHONE FAX PHONE ·FAX EMAIL. EMAIL DESIGN !'ROFESSIONAL .,-- ADDRESS -CITY S'fATE ZIP ·PHONE· FAX ~9.2' -,7 -EMAIL EMAIL. & ~ 6 l°"k~.si -e . ,W<o.r STATELIC.# STATE UC.# '1'/'J:2~2- (Sec. 7031.5 Business and Professions Code: Any City or County which requlres·a. permit to construct, alter, improve, demolish or repair any structure, prior to its lssua e, 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 no_t more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarailons: D I have and will maintain a certificate of consent to self•lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. . .~I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation ins ranee c rrier and policy . number are: Insurance Co. '8 'B C Policy No. JR W C f y.g 5 :2 C J ~ r Expiration Date o 6. I 2.0 I This section need not be completed.if the permit is for one hundred dollars ($100) or less. · 0 Certificate of Exemption: I certify that in the.perfonnance of the work for which this pe · issued, I shall not employ any person in any manner so as to become subject to the Woikers' Compensation Laws of California. WARNING: Failure to secure workers' compensation cov age is uni ul, an 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 I • 3Z e L r code, interest and attomey_'s fees. Ji:! CONTRACTOR SIGNATURE ---DATE I hereby af/inn that I am exempt from Contractor's Ucense 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 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 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 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 qnder 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. OYes 0No 2. I (have I have not) signed an application for a building pennit for the proposed work. 3.1 have contracted with the following person-(firm) to provide the proposed construction (include name address/ phone/ 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/ 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/ type of work): fl5 PRbPERTY OWNER SIGNATURE 0AGENT DATE I 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? D Yes D No ,Js 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes Cl No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAt,lCY 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 lending agency for the performance of the work this permit is issued (Sec. 3097 (i)Civil Code). Lender,s Name Lender's Address I certifythatl have read the application and state that the above information is correct and that the information on the plans is accurate. I agree t;o comply with all City ordinances and State law.. relating to building construction. I hereby aulhorize representative of lhe City of Carlsbad to enter upon lhe above mentioned property br 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit iJ, required for excavations over 5'0' deep and demolition or coostruction of structures over 3 stories in height. EXPIRATION: Every permitissued by lhe Building,Offbial under lhe provisklns of lhis shall expire by limitation and become null and void if the building ormik aulhorized by such permit is not commenced ½ilhin 180 days from lhe date of such permit or if lhe building ormik aulhorized by such it is s pended or abandoned at any time after the mik is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). DATE • 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 r 1, 1 , , , r -< it ' r; ( ( l_J !' A N C Y /Commcrc,al Pro1ccts 0 n I y 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, 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 PICKUP: o CONTACT (Listed above) o 'OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# ,MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) tJ CONTRACTO.R (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION ;MAIL/ FAX TO OTHER: o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE ln-spection List Permit#: CB160656 Type: MISC Date Inspection Item 04/20/2016 19 Final Structural 04/20/2016 19 Final Structural 03/22/2016 14 Frame/Steel/Bolting/Weldin 03/07/2016 14 Frame/Steel/Bolting/Weldin 03/07/2016 21 Underground/Under Floor Wednesday, April 20, 2016 REPAIR Inspector Act RI PB AP MC AP PB PA PB CA CS F R COLFIN: REPLACE SOME FLOOR JOISTS AND FLOOR PLYWOOD I Comments Page 1 of 1 B U I L D I N G P E R M I T Permit Project Development No: CB911399 No: A8903328 10/16/91 08:26 Page 1 of 1 Job Address: 2530 LA COS'l'A Permit Type: ELECTRICAL Parcel No; 216-360-04-00 Valuation: O Coristruction Type: NEW Occupancy Group: Description: TPP ...,_ --- AV Str: Class Code: 619 ---- -, CITY OF CARLSBAD No: Fl: Ste: 4826 10/16/91000101 C-PRMT 02 CA s k_ Status: Applied: Apr/Issue: Validated By: 462-1158 ISSUED 10/16/91 10/16/91 DC 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 \ > PERMIT APPUCATION PLAN CHECK NO. City of Carlsbad Building Departllll!l"lt 2075 Las Palms Dr •• tarlsbad, CA 92009 (619) 438-1161 FSf. VAL.,__ ____________ _ PLAN CK DEPOSIT_--' _____ _ VAIJD.BY. __________ _ 1. PmtMJ.I 1'YP£ DATE A -LI commercial O New Builclmg U Tenant Improvement B -D Industrial D'New Building D Tenant Improvement . C -U Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration r;:l Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other_:.,.____.._ FOR OFFICE USE ONLY ~ Cross Street Bmldmg or Smte No. mt o. CHECK BEIDW IF SOBMII 1£0: Cl 2 Energy Cales ra,a 2 Structural Cales C 2 Soils Report Cl 1 Addressed Envelope EXISTING USE PROPOSED USE NAME ADDRESS CITY STATE ZIP CODE 4. APPI.Jt!ANt NAME u CUN l'RACIOR D AGEN'I FOR CON'IMC !OR ADDRESS DAY TELEPHONE DOWNER . DAGENl'F'OROWNER CITY STATE ZIP CODE DAY. TELEPHONE S. PROP£ltlY oWNER. . NAME -- -~ A-015 HA-t\ STATE ADDRESS ZJPCODE DA'f TELEPHONE NAME .e?--S-J t:J L~'4 > -r Ir f¢:J~ss G qz.._aO ~ CITY STATE ZIP CODE DAY TELEPHONE STATE LlC. # CITY BUSINESS LlC. # DESIGNEfl NAME LlCENSE CI.ASS ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. wottREltS' WMPENSA:fiON Workers' Compensation beclaratlon: I hereby afhrm that I have a certthcate of consent to self ~msure issued by the Director of lndustnal · Relations, or ·a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLlCY NO. EXPIRATION DATE Qrt1hcate of Exemption: I certify that m the·performance of the work for whtch thts permit ts issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-aun:om DECLARA.TION owner-Bmider beclarat1on: I hereby afhrm that I am exempt from the Contracto?s Llcense Law for the following reason: 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 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 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.). tJ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coqe: 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: (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, commencing 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)). · SIGNATIJRE DATE · COMPLETE THIS SECTION FOR NON-RESIDENTIAL BotIDING PERMITs bNLY: 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? DYES 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? C YES CJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES tJ NO IF ANY OF TilE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY Nor BE~ AFl'ER JULY 1, 1989 UNLESS TilE APPUCANT HAS MET OR IS MEETING TilE REQUIREMENTS OF TilE OFFICE OF EMERGENCY SER.Vla:5 AND TilE AIR POLUmON OONTROL DISTIUCT. 9. wNsrnOCTION I.ENDING AGENCY . . I hereby afhrm that there 1s a construct10n lendmg agency for the performance of the work'ror whtch thts permit ts issued (Sec 3097(1) C1VJI Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllcANT cmtTIF1cAnM · I certify that I have read the appltcatton and state that the above mformatton 1s correct. I agree to.comply with all Ctty ordmances 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. J A1SO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TilE CITY OF CARISBAD AGAINST AIL UABIUilF.S, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACX:RUE AGAINST SAID CITY IN OONSEQUENCE OF TilE GRANTING OF TIIlS 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 the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 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 303(d) Uniform Building Code). L____IJCANl' SIGNA DATE, )4 ---(Cdj I File YEILOW: Applicant PINK: Finance PERMIT# CB911399 DESCRIPTION: i:i'PP ';['YPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 11/06/91 INSPECTOR AREA TP PLANCK# CB911399 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2530 APPLICANT: REYNOLDS, CONTRACTOR: LA COSTA AV STEVEN STR: FL: STE: OWNER: REMARKS:. RS/DAVID-FROM ENG TAPE LINE SPECIAL INSTRUCT: TOTAL TIME: --REtATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB891861 SFD PHONE: 619 462-1158 PHONE: PHONE: -;--_ INSPECTOR _ __Jl~~l!Md~?======~~--- STATUS ISSUED · ACT COMI1ENTS • 32 EL Const. Service/Agricultural //I */#tJ .(ZvP --"-......._,_......;.;;;...-c::::=:::::::==~-----------,.------------------- -· ---------------------------------------------------------'-- ***** INSPECTION HISTORY***** DATE 103091 102-491 101791 DESCRIPTION Const. Service/Agricultural Const. Service/Agricultural Const. Service/Agricultural ACT INSP CO TP NR TP CO TP COMMENTS SEE INSP NOTES