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Home My WebLink About2804 JACARANDA AVE; ; CB031561; Permit06-04-2003 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title Applicant BROOK OLSEN City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Residential Permit Permit No CB031561 Building Inspection Request Line (760) 602-2725 2804 JACARANDA AV CBAD RESDNTL Sub Type 2551031500 Lot# $0 00 Construction Type Reference # 0 Structure Type 0 Bathrooms OLSEN RES REMOVE WALL @ LIV RM ADD 2 WINDOWS @ GARAGE RAD 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# Plan Check* ISSUED 06/04/2003 SB 06/04/2003 06/04/2003 2804 JACAANDA AV 92008 402 6082 Owner BRIA KENNETH S&KRIS 2804 JACARANDA AVE CARLSBAD CA 92009 6673 06/fif/03 0002 01 OH ,0 00 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 BTD #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 $0 00 Meter Size $0 00 Add I Reel Water Con Fee $0 00 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $1 00 PFF $0 00 PFF (CFD Fund) $0 00 License Tax $0 00 License Tax (CFD Fund) $0 00 Traffic Impact Fee $0 00 Traffic Impact (CFD Fund) $0 00 Sidewalk Fee $0 00 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL $0 00 MECHANICAL TOTAL $59 00 Housing Impact Fee $0 00 Housing InLieu Fee Housing Credit Fee $0 00 Master Drainage Fee $0 00 Sewer Fee Additional Fees TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $6000 Total Fees $6000 Total Payments To Date $000 Balance Due $6000 Inspector FINAL APPROVAL Date 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 ..-» CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit: Validated Date Address (include Bldg/Suite #)Business Name tat this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units /Assessor s Parcel #Existing Us.e Proposed Use .-r^.—# of Bedrooms ' # of BathroomsDescription of Work SQ FT #of Stories r Name Address City State/Zip Telephone # Fax tt Address City State/Zip Telephone # Name Address City State/Zip Telephone tt (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 [$500]) Name State License # Address License Class City State/Zip City Business License tt Telephone # Designer Name State License tt Address City State/Zip Telephone • '«p* 4 n "^ vi <$NN Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~| 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 CD 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) CD CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person m any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure 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 DATE I hereby affirm that I am exempt from the Contractor s License Law for the following reason FH 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) l~l 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) l~l 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 [~|NO 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 9f work) ,,, . DATE fa. - NO (PROPERTY OWNER SIGNATUI _ _ t _ fc l « " r* ~ "*" w >>* 1 %- ~ 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? CD YES CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES f~l Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? CD YES CD 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 QOtfSffUCTIOrlLENDING AGENCY 4* ^ *? __3 r ! 1 l t tw s I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME _^____ LENDER S ADDRESS 9 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 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 commenced 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 tir after the work is commenced for a pe/tod of 180 days(Secjwm 106 4 4 Uniform Building Code) \kpPL\Cfi S SIGNATUaE^^g^g^^ ^/. ^^^^~^) _ DATE (^ - V ~ d 3" _ I/1 v WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 08/08/2003 Permit* CB031561 Title OLSEN RES REMOVE WALL @ LIV RM Description ADD 2 WINDOWS @ GARAGE Inspector Assignment JE Type RESDNTL Job Address Suite Location APPLICANT BROOK OLSEN Owner OLSEN BROOK D Remarks AM PLEASE Sub Type RAD 2804 JACARANDAAV Lot 0 Phone 7604026082 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By N/A Entered By ROBIN Act Comment Associated PCRs/CVs CV030390 OPEN H GARAGE CONVERSION Inspection History Date Description Act Insp Comments 06/20/2003 14 Frame/Steel/Bolting/Weldmg AP JE WALL ALREADY COMPLETED WINDOWS FRAMED UP LATH INSTALLED OK CALL FOR FINAL / nrrin T v *-y BY APPROVED JUN (T4 2003 City of CARLSBAD- BUILDING DEPT \