HomeMy WebLinkAbout2779 PALMETTO DR; ; CB043191; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-06-2006 Miscellaneous Permit Permit No: CB043191
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2779 PALMETTO DR CBAD
MISC Subtype: OTHER
Parcel No: 2131802500 Lot#: 0
Valuation: $0.00
Reference #:
Project Title: BRESSI RANCH -PRIMROSE POINT
TEMP CONVRSN OF GAR. FOR SALES OFFICE
Applicant:
GREYSTONE HOMES
101
5973 AVENIDA ENCINAS
CARLSBAD CA 92008
760-804-7700
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Owner:
PERMIT FEE
$75.00 Total Payments To Date: $75.00
Inspector:
FINAI)\Pl;'ROVAL
Date: V ~--tly
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Balance Due:
Clearance:
ISSUED
08/11/2004
KMT
12/06/2004
08/11/2004
PC
$75.00
$0.00
$0.00
$75.00
$0.00
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
f v r vi I I "mil r hi r whi f limi i n h vi I
PERMIT APPLICATION
' .
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INF RMATION
'7 <-M.€rTO \)~V~
Legal Description
-Z.17> -tee:>-z.~ -60
Subdivision Name/Number
Assessor's Parcel # Existing Use
~ 6 AYo . 1()s~\(S ~ce:of stories
FOR OFFICE USE ONLY
PLAN CHECK No.Gf3Cf( ol q {
Unit No. Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
t from a lean~
--1\JL.£1;~~~~~..1.';:2;~~~~..n:.:-..l!.lli...~~~~L:::I..~~Jw.,;.:...ll..Q..:..L..!.~~-11,7 City
p x~wn~ qwo~ .,700
City State/Zip Telephone#
4. PROPERTY OWNER . L. &He, /lo ~)y
Name Address City State/Zip Telephone#
5. CONTRACTOR • COMPANY NAME
(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
exem~ Any violatwn of SEif~" 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$50011.
}:8._,W--; ~'$ ACDOJ:fu
Name "-'2..2-1 A..-?.. Address City . . . State/Zlp j a Telephone#
State License# _ll/_;.} ___ \?=--1""('--'-;;_,)---License Class A I C2:) City Business License# I 1,.() _\t>2--
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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. )g{ 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 n ion i surance arrier a olicy number are: . lt "\"~....,1~•~ . . L t I
Insurance Company ...J~!:'..l.---1=pl!!lll..1ll.L-1JLLL-~-L._______ Polley No.~W\l u]l_ ' ~ Exp1rat1on Date ll_ r O,
(THIS SECTION NEED NOT BE CO PLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) --+--o------
0 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 p sation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
e cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE.4J.=.=.L..£Z'.La'---,lf~:..:~:!_~_:... _____ -_ -_ -_-_ -----------------DATE --:::;:;::::=:=:=:::::::::;:::::::.. ____ ~~
7. OWNER-BUILDER DECLARATION
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 w ith 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
~d 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).
N 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).
0 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. 0 YES O NO
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) t o provide the proposed construction (include name / address I phone number / contractors license number):
4. I plan to provide portions of t he work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone
number I contractors license number): ______________________________________________ _
6. I will provide some of the work, but I have contracted ired) the following persons to provide the work indicated (include name I address I phone number I type
of work):.-;;;~~;~;;;~~~~~~[t~~~~~§~~:::=:~==========--;;:~;-::-=====================--------PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 25605, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES O 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.
8, CONSTRUCTION LENDING AGENCY
construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME _-.JL>I-.J--L-----------LENDER'S ADDRESS. ________________________ _
9. APPLICANT CERJIFICATION
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 commence wit in 18 d fr e date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after lhe work is commen (Section 106.4.4 Uniform Building Code).
DATE _____________ _
WHITE: File YELLOW: Applicant PINK: Finance
m City of Carlsbad Bldg Inspection Request
. . . . For 12/06/2006
Permit# CB043191 Inspector Assignment: PC
Title: BRESSI RANCH -PRIMROSE POINT
Description: TEMP CONVRSN OF GAR. FOR SALES OFFICE
Type: MISC Sub Type: OTHER
Job Address: 2779 PALMETTO DR
Suite: Lot 0
Location:
APPLICANT GREYSTONE HOMES
Owner: MODEL HOMES PARTNERS L LC
Remarks:
Total Time: -----
CD Description
19 Final Structural
~Comment
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lns12ection Histo[Y
Date Description Act lnsp Comments
11/16/2006 17 Interior Lath/Drywall AP PC
11/13/2006 89 Final Combo PA PC FRAMING OK
---
Phone: 7608017465
Inspector: _L
Requested By: BING
Entered By: CHRISTINE
01/03/2005 32 Const. Service/Agricultural AP PC NO SVC REL REQUIRED
12/09/2004 17 Interior Lath/Drywall AP PS
12/08/2004 18 Exterior Lath/Drywall NR PD
12/07/2004 16 Insulation AP PS