HomeMy WebLinkAbout2721 ABEJORRO ST; ; CB070037; Permit03-07-2007
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
# Dwelling Units
Bedrooms
Project Title
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No CB070037
Building Inspection Request Line (760) 602-2725
2721 ABEJORRO ST CBAD
RESDNTL Sub Type CONDO Status ISSUED
2153003600 Lot# 0 Applied 01/05/2007
$0 00 Construction Type VN Entered By JMA
Reference # Plan Approved 03/07/2007
2 Structure Type MF2-4 Issued 03/07/2007
0 Bathrooms 0 Inspect Area
& 2723 CONDO CONVERSION-FROM Orig PC#
DUPLEX TO CONDOMINIUM Plan Check#
Applicant
PHILIP DOWELL
3502 SIMSBURY CT
CARLSBAD CA 92010
760525-1417
Owner
ROZANSKY HADASSAH
2723 ABEJORRO ST
CARLSBAD CA 92009
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l 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'l Renewal Fee
Other Building Fee
HMP Fee
Pot Water Con Fee
Meter Size
Add'l Pot Water Con Fee
Reel Water Con Fee
$0 00 Meter Size
$60 00 Add'l Reel Water Con Fee
$0 00 Meter Fee
$0 00 SDCWA Fee
$000 CFD Payoff Fee
$100 PFF (3105540)
$0 00 PFF (4305540)-
$0 00 License Tax (3104193)
$000 License Tax (4304193)
$0 00 Traffic Impact Fee (3105541)
$0 00 Traffic Impact Fee (4305541)
$0 00 Sidewalk Fee
$0 00 PLUMBING TOTAL
$000 ELECTRICAL TOTAL ,
$0 00 MECHANICAL TOTAL
$0 00 Housing Impact Fee
$0 00 Housing InLieu Fee
$0 00 Housing Credit Fee
Master Drainage Fee
$0 00 Sewer Fee
$0 00 Additional Fees
TOTAL PERMIT FEES
$000
- $000
$000
$000
$1,85676
' $1,71394
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$3,631 70
Total Fees $3,631 70 Total Payments To Date $3,631 70 Balance Due $000
Inspector
AL
Clearance
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/exactions of-Which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise'expired
PERMIT APPLICATION
6lTY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
PROJECT, INFORMATION*
FOR OFFICE USE ONLY
+
PLAN CHECK NO?
EST VAL
Plan Ck Deposit
Validated By Q"KVW"
Date I
Address (include Bldg/Suite ft)
Z72./-2.72?rr.Business Name (at this address)
AA °i
Legal Descriptiont-QT 2VV
Lot No Subdivision Name/Number
HAP
Unit No Phase No Total tt of units
Assessor's Parcel Existing Use Proposed Use
Description of Work SQ FT #of Stories
! 2.' f r* CONTACT, PERSON (if different8 from applicant) s
Name
/APPLICANT8 j^sOiContractorJ
State/Zip Telephone #Fax#
Address City State/Zip Telephone #
2;? '
Addr/ss City State/Zip Telephone #Name*toQM
;5»i ^CONTRACTOR!? COMPANY^AME?irfT5 ' jT^w! jL.^C.ii/^fl^lTlliS w 'V«'»' <T' V'!T //^T^Y r7'i;2^/J" ^ • ^.^I^T^M^ «s
(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
ptuan Anyrviyation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty oLnot more than five hundred dollars I$500I)
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t^fame
State Lice~hse~#
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License Class 9-City " State/Zip "^ ""telephone #
City Business License # ~^f _-* / /fl"^"~?
Designer Name Address City State/Zip Telephone
State License #
6.SJ1 WORKERS' COMPENSATION h jCiFI TT.'i,,p8 !4<!1"V ''<''']''' !.¥( $''} ^™££x2&.'h* ™!"' ! i''1'''' " '$ "^' >\"!1 P:I?r™Lf d rl,''' ,V,'<i! $££&', £ ?,{; s ?!r rn rV! ''u' '2
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 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 [$100] OR LESS)
KL 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 Failwtf^o secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
•tion damages as provided for in Section 3706 of the Labor «ode, interest and attorney s fees\thousand dollar i.OOO), in addition to tb
DATE
DECLARATION; _._ ,
hereby affirm that I am exempt from the Contractor's License Law for the following reason
[I] *l, 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)
d 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)
n 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 l~l YES n^O '
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have 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)
PROPERTY OWNER SIGNATURE DATE
COMPLETE THlSiSECTlON FOR NON-RESIDENTIAL BUILDING PERMITS
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? Q YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES d NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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
'a'^i; CONSTRUCTION f ENDING AGENCY/1;' "£ IT^ln N' /!
s '% • "' V ^V l&'t J,' i^ 'I ^Vt J rPJJS!', 4"" I™! I » ","Y J,?,-/ fC^r/rl,' pM'
1 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
" ** * ~~ ~ ~ "'*'
. '!
City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV 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 cp/nTfenced within 180 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 conrfmended for a period of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE b&6CcJb? vjll)-4^£—&-&-^ DATE /' ^T i~^) /
WHITE File YELLOW Applicant PINK Finance
Inspection List
Permit* CB070037 Type RESDNTL CONDO
Date Inspection Item
03/14/2007 17 Interior Lath/Drywall
03/14/2007 19 Final Structural
Interior Lath/Drywall
Interior Lath/Drywall
03/13/2007 17
03/13/2007 17
03/09/2007 14
03/09/2007 14
Frame/Steel/Bolting/Weldm
Frame/Steel/Bolting/Weldm
JnspjBctor
JM
JM
JM
JM
Act
AP
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& 2723-CONDO CONVERSION-FROM
DUPLEX TO CONDOMINIUM
Comments
1hr fire wall
VERIFY EAST SIDE UNIT
CONDO CONVERSION
NO ONE HOME
Thursday, March 15 2007 Page 1 of 1
UNSCHEDULED BUILDING INSPECTION
DATE "S-VA-^T INSPECTOR
PERMIT # •£y-7^'X"7 PLAN CHECK #
JOB ADDRESS _
DESCRIPTION
CODE DESCRIPTION ACT COMMENTS
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APPLICANT TCMATION WITHI| CITY OF CARLSBAD-BUILDING DEPARTMENTAPPLICATION & PERMITtSS^SS^SSS^SSyL USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525^
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< 2 G I <PLICATION AND PIS TRUE AND COP_D TO COMPLY WlDNSTHUCTION WHINDEMNIFY ANDTIES JUDGMENTS1 HAVE CAREFUL-LY EXAMINED THE COMPLETED AHEREBY CERTIFY THAT ALL INFORMATION HEREON,'~ FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUi COUNTY AND STATE LAWS GOVERNING BUILDING C""SPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVE-LESS THE CITY OF CAHLS8AD AGAINST ALL LIABILV^Certifled copy Is hereby furnished\7 v\ CERTIFICATE OF EXEMPTION FROM"(JpRKERS COMPENSATION INSURANCE\s*sectlon need not be completed if the perVOr one hundred dollars ($100) or less)\fy that in the performance of the work forf~ >s permit is issued, I shall not employ any'»ny manner so as lo become subiecl to*s Compensation Laws of Californiav APPLICANT If after making this Cer"^•"'ptlort you shoold become sub|ocl __?Xv^ Compensation provisions of thef ' "•- ihj ^usl forthwith comply with such ^, %V*??im)t shall be deemed revoked^
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