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Home My WebLink About2652 LA COSTA AVE; ; CB013085; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, ·CA 92008 09-23-2002 Residential Permit Permit No: CB013085 Building Inspection Request Line (760) 602-2725----~__,-- Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2652 LA COSTA AV CBAD RESDNTL. Sub Type: Lot#: 2162801300 $288,747.00 Construction Type: Reference #: 1 Structure Type: 5 Bathrooms: RENKL Y -SINGLE FAMILY RESIDEN SFD 3180 SF, GAR 600 SF, BALC 60 SF SFD 0 VN SFD 3 Applicant: Owner: RENKLY HAROLD 1562 CALLE DEVENAR SAN MARCOS CA 92069 760-7 44-3697 Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: Total Fees: $13,062.57 Total Payments To Date: $733.64 Balance Due: $12,328.93 Building Permit Add'I Building Permit Fee Plan Check Add'I 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 STD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Inspector: $1,128.68 $0.00 $733.64 $0.00 $0.00 $28.87 $0.00 $0.00 $310.00 $530.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,400.00 D5/8 $0.00 $0.00 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee 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 Master Drainage Fee Sewer Fee Additional Fees TOT AL PERMIT FEES FINAL APPROVAL Date: _____ _ Clearance: $0.00 $140.00 $2,004.00 $0.00 $0.00 $0.00 $0.00 $0.00 $451.20 $508.80 $0.00 $175.00 $60.00 $67.50 $0.00 $4,515.00 $9.88 $0.00 $0.00 $13,062.57 NOTICE: Please take NOTICE that approval of your project includes. the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred toas "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the ·protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030 .. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest ihe specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any ~ x i n f hi h r i I · N T · whi h h flimi i n h ~ vi usl otherwise x ired. I 1t 30 rL( PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Validated B, :..,~-Lc::,--k---,.--~-,--- Date. ______ -'-:~"-"'-~,L--i~~- fiti~8-9JilQl:J~f.QijM~TIQ.!IJ . _ .. "7,.,.(p.$'1.-Li?\ · A Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units 0907 09/26/01 0002 01 02 Existing Use ~l)J ~ Proposed Use c' GF- <-.a ~ -733 ,·4 -~ 'fit ~ •O #of Stories # of Bedrooms # of Bathrooms 3 ~~~~-~-~"7&>L._~'?,'., ___ , _ _ __ y Address 1'4;',;_;P,_ROPERTY·OWNER,. _ .. _ · · : __ · .. ' ..-, __ Name Address City State/Zip Telephone# [5a;'.,'.."¢ON.IBAQtQR...-.®MeANXJi~l),t~ : -_. . '" . . ---------: ~---.. ·::.__. (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 pu_rsuant 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 [$5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Design·er Name Address City State/Zip Telephone State License # _________ _ ~:sW.QB,~EJJ~J~OMP~N,$'At!9ff.'": .. : · . ·-: .. ·--=----·-.-:--...... _--:_:,·: c~-:::,,i' ...• '".·"~----~·'.'.':YSf:::,:r-:s~:::f'S'.-;:tY:-i'L:';;:, -· · · ,"-= 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 nu~ber are: Insurance Company____________________ Policy No. ___________ _ Expiration Date _______ _ {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS} ·t:1· 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' compen~ation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,'000}, in additi n to the cost of compensation, damages as providl!d for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE•.J:.(:B~~~,___:;ii'f::_~~~~~~.,,...,.~----------------:,;:::::.;,-;':-,-:-;,-:-,---:-DATE ________ _ ~i;;f~Wti~ff':Q!JJ(Q~l(QECL:AR4IIPN~ .... :: · , ' _-· .. , .... ~ :.:·~----~:· ::: ( ·:-'-~ ''"'''"-'.'','VO'<·--, .. --· .. ' I 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 ~uch 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!\ 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). D 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. EZI, YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I hc1ve contracted _with the following person (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 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): _____________ --:::,------:-----=------~-------------------------- !c;;;;~~~;~!:E~~~~~~~~//:;;;:;;f!i~of~~-::· '::·:'.,,,~:~·;·:,,.~~-:?:;~~;l:£.~~~::8 :f'.-'.' >•~·-, ·. --,··-::'·. ---,_. .J 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 Is the facillty to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES D 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. l~lSJ:~qp_tf$JRUCT:IQ.~1;~.PmG~~~N.CY --L :/;· ___ .. :_. ~: .... __ .. ;;,. · .: ..... · ., I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil-Code). LENDER'S NAME LENDER'S ADDRESS 1=9-.,,,-_-\.=·,A"":e-P:.1; .. 1c_A:.N:.T.:..;::;c::;E::;R::;r;;;,1:;:;1c=AJ::::;::::r=10:::;flt::::-,= .. -_=--=.=.= •• =. _===-:::. ~---=-=~==-= .. =:-_. .-, .. , ...... , ..... ,-· ~--... ,. ;,; =-,~== ___ ,::;;t::::::::::".:::;::t;.,_~=:, __ ;::, __ = __ ::::::.= .. = ___ ::;:·: .. =,.::.;,= __ =. -~=,:;;_::;__,;::: ___ = __ ;;:;:-:;;:.:-;·:z..:::::<:;:_;~=i::::::r.;::_,::_.:_=-.,=-1,;::;:Jll;:;::.y;_;;;.:;:;:1'...=, .. :;:;:T;;::;~:.;i;-:'.::--:-/=,~=--_=:-=-_=_-_-;:\:-:.:;;-·,--:.-.. -_ :;;: .. , 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 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 wfthin 180 days from the date of such permit or if the building or work authorized by such perm.it is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE )/-,a. ,\&!!&:re ~ £,-~ WHITE: File LLOW: Applicant PINK: Finance DATE • City of Carlsbad 1-i·i•tM#illi·iii§l,t§III 06>/26/2002 REN KL Y HAROLD 1562 CALLE DEVENAR SAN MARCOS CA92069 Re: Application Date: 09/26/2001 0:00:00 Plan Check#: CB013085 .Address: 2652 LA COSTA AV Expiration Date: 09/26/2002 0:00:00 Permit Type: RESDNTL Description: RENKL Y -SINGLE FAMILY RESIDEN SFD 3180 SF, GAR 600 SF, BALC 60 SF You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The ·original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304: (d) of the Unifarm''Building Code state: · "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. ~reject Abandoned -J will pick· up plans within 1 O days __ Project Abandoned -Plans may be destroyed. If you ·have any· questions, please· contact lhe Building-Dep_~rtment at (760) 602-2718. Raenette-Abbey · Building Department 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2703 • FAX (760) 602-8560 @