HomeMy WebLinkAbout2622 LEWIS LN; ; CB091616; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-09-201,0 Residential Permit Permit No: CB091616
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2622 LEWIS LN CBAD
RESDNTL
1552722300
Sub Type: RAD Status:
Lot#: 0 Applied:
Valuation: $4,882.00 Construction Type: NEW Entered By:
Occupancy Group:
# Dwelling Units:
Reference #: Plan Approved:
0 Structure Type: Issued:
Bedrooms: 0 Bathrooms: 0 Inspect Area:
KOLLER RES-ADD 26 SF TO Orig PC#: Project Title:
KITCHEN AND NEW 114 SF DECK OFF GUEST
BDROOM/add 1 00amps to
Plan Check#
Applicant:
JOHN SIMKO
5662 DELANO AVE
SAN DIEGO 92120
619 916 9949
Building Permit
total 200amps
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
HMP Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
$72.31
$0.00
$47.00
$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
$0.00
$1.00
Owner:
KOLLER ERICH
2622 LEWIS LN
CARLSBAD CA 92008
Meter Size
Add'\ Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFD Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
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
09/30/2009
LSM
11/03/2009
11/03/2009
PY
Total Fees: $228.31 Total Payments To Date: $228.31 Balance Due:
Inspector: Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
$45.00
$35.00
$0.00
$0.00
$0.00
.00
$0,00
NOTICE: Please take NOTI 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 Carisbad 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
in fwhih v rviul Tl Esimilr hi ras ihh s tie f!imit insh rviousl th i xire.
'~· Building Permit Application Plan Check No. (!..& C)91 f,,, If,,.,
<"'•sf·•··· '-I '?3°8' d ' •• 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value --~-. CITY 0 F 760-602-2717 / 2718 / 2719 c..f?.oD CARLSBAD Fax 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date C/Jao/OC/ 11/...../_ )
JOB ADDRESS 2.(;.Z2. L.t\/l/1 '::,. l-i:>.wt:--, Ci,.et,S.i'¼ D CA-qr.rn(
SUITE#/SPACE#/UNIT# l7s_s--272 -Z-3 -oo
CT/PROJECT# I LOT# IPH,IISE# I# OF UNITS • 1 # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I DCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(a)
-New z_<,, s._vi,e¢-fu:r,\(.((C,t\ei-1 ie,cye1,.11,.roN ~ \::'..rK-1-l!Et-,.j ~e/Vl!>D£L
-Ne'...w \14 <;,.(t,uoet.. ~<JI Stio>--i1') lt:'-112L-f~e.c.(. eJFr" ~r 13 I) R-oo rn.
EXISTING USE s. f'. R_ I PROPOSED USE sf(<'._ I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE 'AIR CONDITIONING I FIRE SPRINKLERS
YESO No□ YES □No □ YES□No□
CONTACT NAME (ff Different Fom Applicant) APPLICANT NAME .1\1' Ii\ Sr ... K,) • I\
ADDRESS ADDRESS
t::bb-1 Dt\0< __ ,c,, f>.v-<..,
CITY STATE ZIP CITY:> STATE ZIP ,.. .... 'i) \{b <.J C.,J>r qz,?D
PHONE
I"" PHOtt). 91~-l 'f)t,j PJ IFAX
EMAIL EMAIL
~"'. L ,.~ I{, {) r... rv, &1 1\ l, O"'-')
PROPERTY OWNER NAME ce,cl\' \:'..01;1.,t( CONTRACTOR BUS. NAME
ADDRESS 2-"ZL L-e-w, s. l.-A1--1t ADDRESS
CITY(' STATE CA ZIP'1ZOO~ CITY STATE ZIP
,p.P 1.,~8Af"--
PHONE I FAX PHONE IFAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS r STATE UC.# STATE LIC.# I CLASS I CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such per.met to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor·~ license Law {Chapter 9, comme_ndin~ with Sect19n 7000 of D1vis101') 3 of the Business and Professions Code} or fuat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any apphcanffor a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)).
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 permit is issued. D I have and will maintain workers' compensation, as reouired by 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 _____________________ Policy No, ______________ Expiration Date _________ _
~section need not be completed if the permit is for one hundred dollars ($100) 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 to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage 11 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 of the Labor code, interest and attorney's fees.
,Ji$ CONTRACTOR SIGNATURE
11111
DATE
I hereby affirm that I am exempt from Contractor's License 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)
\, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(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 Contracto(s License Law),
□ I am exempt under Section _____ ,Business and Professions Code for this reason: ..L-,,(
51 _ally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes OONo
I (have/ ave not) signed an application for a building permit for the proposed work. , ,
3. ntracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): T O ~ l.... 'D..e-~.r-. "'-,e ....
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/ contractors' license number)·
5 I will provide some ofther.ork b~ I have contracted (hired) the following persons to provide the work indicated {include name I address I phone /type of work) To "e,a... Q<...-\e. /'"": .... ,e;)
,/i$pRQp~~AT~ DATE q iq }lltf'\
I
Is the applicet or future building occupant required to submit a business..12lm!, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account kt? D Yes L.JNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control.2i§!rict or a~ality management district? Des D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJYes LJNo
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 certify that I have read the application and state that the abcwe Information ts oonectancl that the information on the plans Is accurate. I agree to comply with all Clfy ordinances and state laws relating to building coostructlon.
I hereby au1horize represen1ativo of lhe City of Cwlsbal 1o er!erupon lhe _,, mentioned pruperty for inspedion purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE GrTY OF CARLSBAD
AGAINST ALL LL'.BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN A~ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA perrrit is required k>r excavalions over 5'0' deep a,d demolition or construction of structures over 3 stOOes in height.
EXPIRATION: Every pemit issued by the Buiklng Official under the pl'CMSKlllS of this Code shall expire by hrritation a,d become null Md void if the building er WOO(. authorized by such permit is not corrmenced IMlhin
180 days from lhe date of such pemit or rrlhe buildflQ or""'1< by such pemit • suspemled or abandoned at anytime allerlhe ""'1< is oorrwnenced for a period of 180 days (Section 106.4.4 Uniloon Buiklr,J Code).
NS APPLICANT'S SIGNATURE DATE "> l--'i I ZA7p "/
•
City of Carlsbad Bldg Inspection Request
For: 03/09/2010
Permit# CB091616
Title: KOLLER RES-ADD 26 SF TO
Description: KITCHEN AND NEW 114 SF DECK OFF GUEST
BDROOM/add 100amps to total 200amps
Type: RESDNTL Sub Type: RAD
Job Address: 2622 LEWIS LN
Suite:
Location:
APPLICANT JOHN SIMKO
Owner: KOLLER ERICH
Remarks:
Total Time:
CD Description
Lot: 0
Act Comments
Inspector Assignment: PY ---
Phone: 6195049701
Inspector: -----
Requested By: NA
Entered By: CHRISTINE
19
29
39
Final Structural
Final Plumbing
Final Electrical
q2--
49 Final Mechanical
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lns12ection Hislo!Y
Date Description Act lnsp Comments
02/04/2010 33 Service Change/Upgrade AP PY NEED PERMIT FOR UPGRADE
01/26/2010 17 Interior Lath/Drywall AP PY
01/26/2010 18 Exterior Lath/Drywall AP PY
01/19/2010 84 Rough Combo AP PY
01/12/2010 83 Roof Sheathing/Ext Shear AP PY
12/09/2009 14 Frame/Steel/Bolting/Welding PA PY
12/09/2009 15 Roof/Reroof AP PY
11/19/2009 11 Fig/Foundation/Piers AP PY NEED ENG LETTER FOR CHANGE
11/18/2009 11 Ftg/Foundation/Piers co PY SEE NOTICE
II j
Building Division
200 East Main Street
El Cajon, CA 92020
Phone: 441-1726 / 1727
CIRCUIT CARD AND LOAD SUMMARY (CEC 2007)
***This card must be filled out and available at the service equipment for the rough irlSpection***
Address ? l-? '2.. I~\' I· I\\ rML, Ron Pemi.it Number
Owner ""1l I C).L 14( l'IL..1.rlL. Phone,r.1\-21'-1-l"IS<'3S APN
Contractor 1 1 """'~ ~/ f;'1, l:!t., \ Phonea, -Sc~<-1..-,.1,fA Area in Sq. Ft.
PANEL Z,oO 4-Mf> A.LC ? .., ----
WIRE
BKR
LOCATION CKT SIZE SIZE TYPE MISC LGT
V -d l .., -~ I.., , \ .
v. . ( 3 ., \) I-, ~.'
Q -. ..,..r-r:/L 5 .," p uJ
I I. -.A ('\ 7 1.-, ,'\ I -, /,\
., . -9 I (., ,u (. \
f.M 0,tO 11 I C ,u tu
V,-n-L 13 1< \U (..<.) <::lf " ,., , 15 I <:. ru c..u L-t .
C ,_, -rnP 17 ·I <; IU , v
' · ·_. ob~( 19 2.-~ \ "L C.rJ TIO
1i-l, o,iA\ 21 "2. ·" 10 c...J -~-,t..-,P 23 C. {'\ ~ t,J
25
27
29
31
33
35
37
39
41
MAIN:~ ('o/) AMP@FUSE O MLO
BUS: 2..rtO AMP
Service entrance or feeder conductors·
A)Si" No ___ 8) Type O CU~ AL SQ (r ~
C) lnSl!lation: ___ D) Conduit Size: :2,...
Service ground/bond l...J
A) Size: No __ -.._I_ B) Type:~ CU O AL
C) Clamp location(s): /' _f UFER 250.52a.3 & 250.66b_VWater Pipe 250.52a 1
Ground Rod 250.52.5
fi,{t" vJ-.\,-n:!'IL \.\-~ n::12-
GFC! locations 2J.0,.8 & 680 •
Bathroom(s) _If_ Kitchens • ✓
Garage(s) V Hydromassage tub __ _
Outdoors V::: Other ___ _
12,,-2<10V0L1s I 0 £ WIRE
REC
s
~
I
I
J
1
I
1
\
WIRE
BKR
REC LTG MISC TYPE SIZE SIZE
( p ,<.T" ' ' -~ v,e l'?Jrf
(
,,)
I
'-\-.iv -~ ~rY ~
{2,· \ \ (,
, ,.,,
Computed Load __________ AMPS
See Calculation Worksheet on Back
Branch circuits required:
A) Lighting circuits/
B) Two small appliance circuits
C) Laundry circuit
D) Central heating equipment
E) Bathroom
220.12
210.52b 1-3
21052 f
422.12
21052(d)
CKT
2
~
6
8
IO
12
14
16
18
20
22
24
26
28
30
32
34
36
38
40
42
LOCATION
Remarks _________________________ _
I certify that all terminations have been torqued in accordance with manufactures
instructions and that the work sho,.,,.T\ on this circuit card represents the full extent of
the work performed under this ermit
\--\"3,-\0
Rev 8/08
DATE: 10/8/09
JURISDICTION: Carlsbad
PLAN CHECK NO.: 09-1616
EsGil Corporation
In <Partnership with qovernment for ()3ui(ifing Safety
SET: I
PROJECT ADDRESS: 2622 Lewis Lane
PROJECT NAME: Erich Koller Residential Remodel
~NT
~ □ PLAN REVIEWER
□ FILE
D 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.
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:
~ 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
~ REMARKS: The revised beam size clouded in red on sheet A-4 of the approved plans
from EsGil must be made to the city set of plans. The revision is based on the required
beam size listed in the engineer's design calc's.
By: Chuck Mendenhall
EsGil Corporation
0 GA O EJ O PC
Enclosures:
10/5/09
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad 09:1616
10/8/09
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: Chuck Mendenhall
BUILDING ADDRESS: 2622 Lewis Lane
PLAN CHECK NO.: 09-1616
DATE: 10/8/09
BUILDING OCCUPANCY: R 3 TYPE OF CONSTRUCTION: VB
BUILDING AREA Valuation Reg. VALUE
PORTION (Sq.Ft.) Multiplier Mod.
Deck & Remodel 125 City Est
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
------------~----
Bid . Permit Fee b Ordinance g y I...,
Plan Check Fee by Ordinance .. G
Type of Review: □ Complete Review D Structural Only
D Repetitive Fee I ..,. I Repeats
* Based on hourly rate
Comments:
D Other
[J Hourly
EsGil Fee
1------1-11 Hr. @ *
($)
4,882
4,882
$86.001
Sheet 1 of 1
macva1ue.doc +
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB ('.:::/3-/ ¼ I )0
ADDRESS_-=2~ta_'"2_"1. __ L__g_ __ Lu----'L'--~----------
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
(<$17,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER. __________________ _
PLANNER __ ---A---r---t'----
ENGINEER .... t'--~-tuA-___ C-t.. __
DATE _______ _
DATE--+/-=-u-+-/-~ ....... \L'_/i_O-:;_J __
Docs/M1sforms/Planrnng Engineering Approvals
•
~□□
~□□
~□□
~□□
~□□
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No. CB 09-1616 Address 2622 Lewis Lane
Planner Chris Sexton Phone .,_,(7..,6"'0,...l ,,60,.,2==..-_4,._,,6,.,,2~4 _______ _
APN: 155-272-23
Type of Project & Use: addition Net Project Density:1.0 DU/AC
Zoning: R-3 General Plan: RMH Facilities Management Zone: 1
CFD (in/out) #_Date of participation: __ Remaining net dev acres: __
Circle One
(For non-residential development: Type of land used created by this permit:
Legend: ~ Item Complete
Environmental Review Required:
DATE OF COMPLETION:
D Item Incomplete -Needs your action
YES O NO O TYPE
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
Discretionary Action Required: YES O NO O TYPE __
APPROVAURESO.NO. DATE
PROJECT NO.
OTHER RELATED CASES:
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval: __
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES D NOD
CA Coastal Commission Authority? YES D NO 0
If California Coastal Commission Authority: Contact them at -7575 Metropolitan Drive, Suite 103,
San Diego, CA 92108-4402; (619) 767-2370
Determine status (Coastal Permit Required or Exempt):
Habitat Management Plan
Data Entry Completed? YES O NO 0
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and
assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat Type
impacted/taken, UPDATE!)
lnclusionary Housing Fee required: YES D NO D
(Effective date of lnclusionary Housing Ordinance -May 21, 1993.)
Data Entry Completed? YES O NO 0
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N,
Enter Fee, UPDATE!)
H:\ADMIN\Template\Building Ptancheck Review Checklist.doc Rev4/08
Site Plan:
~□□
~□□
□□□
~□
~□□
~□
~□□
~□□
Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements,
existing and proposed structures, streets, existing street improvements, right-of-way width,
dimensional setbacks and existing topographical lines (including all side and rear yard slopes).
Provide legal description of property and assessor's parcel number.
Policy 44 -Neighborhood Architectural Design Guidelines
1. Applicability: YES □ NO □
2. Project complies: YES D NOD
Zoning:
1. Setbacks:
Front:
Interior Side:
Street Side:
Rear:
Top of slope:
Required 20' Shown 20'
Required ..,5_'.____ Shown5....'._
Required __ Shown __
Required J.n.:__ Shown .1.J2.:_
Required __ Shown __
2. Accessory structure setbacks:
Front:
Interior Side:
Street Side:
Rear:
Structure separation:
Required __ Shown __
Required __ Shown __
Required __ Shown __
Required __ Shown __
Required __ Shown __
3. Lot Coverage: Required <50% Shown '±ft,
4. Height: Required <30' Shown <30'
5. Parking: Spaces Required g Shown g
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required __ Shown __
@-7 D Additional Comments 1 l Please provide lot coverage on the plans. 2) The sideyard setback is 10% ~ of the lot width measured 20 feet back from the front property line. Please provide the lot width at
20' so staff cannot determine the side yard setback.
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER ~ATE/ 1j..aJ. /
H:\A.DMIN\Template\Building Plancheck Review Checklist.doc Rev 4108