HomeMy WebLinkAbout2758 LA COSTA AVE; ; CB061200; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-02-2007 Residential Permit Permit No: CB061200
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Building Inspection Request Line (760) 602-2725
2758 LA COSTA AV CBAD
RESDNTL Sub Type: RAD Status:
Lot#: 0 Applied: 2162802200
$0.00 Construction Type: NEW Entered By:
Reference#: Plan Approved:
0 Structure Type: Issued:
0 Bathrooms: 0 Inspect Area:
NOBEL RES-REMODEL KIT,2 BATHS Orig PC#:
ISSUED
05/03/2006
LSM
05/03/2006
05/03/2006
PY
350 SF REPLACE ALL WINO, UPGRADE PANEL FROM 100 TO 200 Plan Check#:
Applicant: Owner:
NOBLE FAMILY TRUST 11-21-83 NOBLE FAMILY TRUST 11-21-83
4529 GLORIA AVE 4529 GLORIA AVE
ENCINO CA 91436 ENCINO CA 91436
Building Permit $0.00 Meter Size
Add'I Building Permit Fee $0.00 Add'I Reel. Water Con. Fee
Plan Check $0.00 Meter Fee
Add'I Plan Check Fee $0.00 SDCWAFee
Plan Check Discount $0.00 CFO Payoff Fee
Strong Motion Fee $1.00 PFF (3105540)
Park in Lieu Fee $0.00 PFF (4305540)
Park Fee $0.00 License Tax (3104193)
LFM Fee $0.00 License Tax (4304193)
Bridge Fee $0.00 Traffic Impact Fee (3105541)
Other Bridge Fee $0.00 Traffic Impact Fee (4305541)
STD #2 Fee $0.00 Sidewalk Fee
STD #3 Fee $0.00 PLUMBING TOTAL
Renewal Fee 0.00 ELECTRICAL TOTAL
Add'I Renewal Fee s MECHANICAL TOTAL
Other Building Fee Housing Impact Fee
HMP Fee Housing lnlieu Fee
Pot. Water Con. Fee Housing Credit Fee
Meter Size Master Drainage Fee
Add'I Pot. Water Con. Fee Sewer Fee
Reel. Water Con. Fee Additional Fees
TOTAL PERMIT FEES
Total Fees: $140.00 Total Payments To Date: $140.00 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
$34.00
$45.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$140.00
$0.00
NOTICE: Please take NOTIC 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
le x t\ f hi h hav r i I Tl simi r th· r t h. h h a Ii i i n h
------··-·---·
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. ~ / cX1D
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit-~---=~--
Validated By ___ ~><-,-~=,,..,..',~--
Date. ____ £..._,jc::3.=+-/'0=,,,=fo'--_
Legal Description Phase No. Total # of units
Assessor's Parcel # Pro o d Use
~·""m~~:_NE'tJ~ 1z,,~,>
Name Address City State/Zip Telephone#
i;b:i'°tOlii~tOlltl,GIIMliANY'N4Ml!'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
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 [$500ll.
Name Address City State/Zip Telephone#
State license # _________ _ license Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # --------------------------$; • ... Wli~ldillst d11MPEN$ll'lilll'ili
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 wilt 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 ($1001 OR LESS)
D 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: Fallure 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 of the labor code, Interest and attorney's fees.
SIGNATURE~;;:.,r,:;.~ii,;;;;;;;;;;:.;w;;;-:;-:--:;-:--:--:;-:;-:;-:--:;-:;-:;-:--:;-:;------:--:;:::: DATE ri,;;;:;OWJ'iE!l¥/ILilElfQECliAiiAT!!IN'
I hereby affirm that I am exempt from the 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),
0 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(sl licensed
pursuant to the Contractor's license Law).
G I am exempt under Section ______ Business and Professions Code for this reason:
I personally plan to provide the major labor and materials for construction of the proposed property improvement.JQ.. YES
I (have/ have not) signed an application for a building permit for the proposed work.
ONO
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. t 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 contracts hired) the following persons to provide the work indicated (include name / address / phone number / type
of work): _______ -cr---t,"-)'-----fc-:c-7'')-,-,..--,-----------------,----------
DATE ~S:-, .'--.. ~.,-3.._--_····""'0,,_, _,.~.,..; '--"' PRO.,:•.E•R::~':'NER S~~:~R' • Wmro .. uE::• ~!$ $110u-,,,. eu
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
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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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.
~::r,;ccii!'lli!'Fillil'lillPl'li;l\lllJl'iili\~l\ili:ft,· '
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 _____________ _
~;l, ,>,A~l;JCA!'fl' ci!FiTll'IC/!.TlilNF
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 ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA perm'1t is required for excavations ov r 5'0w deep and demolition or construction of structures over 3 stories in height,
EXPIRATION: Every permit issued by the building Offic1 I 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 need within 180 da s from the date of such permit or if the building or work authorized by such permit is suspended or abandoned N :t
1
any time after the work is c o a period of 1 days (S ion 1 .4.4 un· orm Building Code).
KPLICANT'S SIGNATURE ~~:..i.::&,,Q~~-J~~,,,i::::t,d:....1c~c:..-------DATE s:-3-o<&
PINK: Finance
lnspecti.on .List
Permit#: CB061200 Type: RESDNTL RAD NOBEL RES• REMODEL KIT,2 BATHS
350 SF REPLACE ALL WIND, UPGRADE P
Date Inspection Item Inspector Act Comments ------
09/27/2007 89 Final Combo RI
09/27/2007 89 Final Combo PY AP
09/25/2007 89 Final Combo RI
09/25/2007 89 Final Combo PY NR no one home
08/06/2007 32 Const. Service/Agricultural MC AP 100 AMP TO 200 AMP SERVICE
CHANGE DRIVEN ROD & CWB @ HOSE
BIB OK
08/03/2007 33 Service Change/Upgrade JM co NOTICE
04/23/2007 17 Interior Lath/Drywall RB AP
04/13/2007 17 Interior Lath/Drywall PC PA NOT COMPLETE N & E WALLS INC
04/10/2007 17 Interior Lath/Drywall PC co VERIFY WINDOWS@ M BED RM ARE
TEMP. (FULL HGTH W. SIDE. AND
COMPLETE D.W,
04/03/2007 14 Frame/Steel/Bolting/Weldin PY AP
04/03/2007 16 Insulation PY AP
03/28/2007 14 Frame/Steel/Bolting/Weldin PY co see notice attached
03/28/2007 23 Gas/Test/Repairs PY AP
03/28/2007 24 Rough/Topout PY AP
03/28/2007 34 Rough Electric PY AP
03/21/2007 24 Rough/Topout PY NR
03/21/2007 34 Rough Electric PY NR
03/12/2007 18 Exterior Lath/Drywall PY AP
02/16/2007 13 Shear Panels/HD's PC AP
02/16/2007 14 Frame/Steel/Bolting/Weldin PC AP BEANS, INT SHEAR
02/01/2007 11 Fig/Foundation/Piers PC AP
02/01/2007 21 Underground/Under Floor PC AP
02/01/2007 22 Sewer/Water Service PC AP
01/30/2007 11 Fig/Foundation/Piers PY co SEE CO LIST ATTACHED
Monday, October 01, 2007 Page 1 of 1
m ,
. Chy of Carlsbad Bldg Inspection Request
For: 09/27/2007 ,
Permit# CB061200 Inspector Assignment: PY
Title: NOBEL RES-REMODEL KIT,2 BATHS
Description: 350 SF REPLACE ALL WIND, UPGRADE PANEL FROM
100 TO 200 AMPS
Sub Type: RAD
---
Type: RESDNTL Phone: 8587753770
Job Address:
Suite:
Location:
2758 LACOSTAAV
Lot: 0
APPLICANT NOBLE FAMILY TRUST 11-21-83
Owner: NOBLE FAMILY TRUST 11-21-83
Remarks:
Inspector: -----
Total Time: Requested By: AMNON
Entered By: BINSPECT
CD Description Act Comments
19 Final Structural
29 Final Plumbing (xf __ _
39 Final Electrical
49 Final Mechanical
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
CV030371 CLOSED Q. BAGS OF YRD WSTON CURB: DAYS PRIOR TO PICKUP
CV040065 CLOSED N-TRASH LEFTON SIDEWALK; DAYS PRIOR TO PICKUP
Inspection History
Date Description
09/25/2007 89 Final Combo
08/06/2007 32 Const. Service/Agricultural
08/03/2007 33 Service Change/Upgrade
04/23/2007 17 Interior Lath/Drywall
04/13/2007 17 Interior Lath/Drywall
04/10/2007 17 Interior Lath/Drywall
04/03/2007 14 Frame/Steel/Bolting/Welding
04/03/2007 16 Insulation
03/28/2007 14 Frame/Steel/Bolting/Welding
03/28/2007 23 GasfT esURepairs
Act lnsp Comments
NR PY no one home
AP MC 100 AMP TO 200 AMP SERVICE CHANGE DRIVEN ROD & CWB@
HOSE BIB OK
CO JM NOTICE
AP RB
PA PC NOT COMPLETE N & E WALLS INC
CO PC VERIFY WINDOWS@ M BED RM ARE TEMP, (FULL HGTH W, SIDE,
AND COMPLETE DW,
AP PY
AP PY
CO PY see notice attached
AP PY