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HomeMy WebLinkAbout2822 FOREST VIEW; ; CB041120; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-09-2006 Residential Permit Permit No: CB041120 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2822 FOREST VIEW WY CBAD RESDNTL Sub Type: 1563202800 Lot #: $64,240.00 Construction Type: Reference #: 0 Structure Type: O Bathrooms: STAPLETON RES 584 SF ADDITION OF OFFICE AND LIVING ROOM RAD 0 NEW 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: Applicant: Owner: IMELDA BERNARDO 33515TH STREET 92101 619-231-4005 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 HMP Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $411.81 $0.00 $267.68 $267.68 $0.00 $6.42 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? $0.00 $0.00 $0.00 STAPLETON GLENES D 2822 FOREST VIEW WY CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnLieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES ~ 005 SB 08/24/2004 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $24.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $997.59 Total Fees: $997.59 Total Payments To Date: $525.35 Balance Due: $472.24 Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmpositionn 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 fne 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 I . ,(.~0 ~RMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO.C..j?a L///2:c) EST.VAL. :t10l5 'f_;(?~z4ar-- Plan Ck. Deposit ~ •./f;!J.:., Validated ~Y S[5 /}Zt;i; ~ Date lf/2JaxJ 02 (iw,J O. r:mtlt?rol-l 9010 04/02/04 0002 01 -A-dd-re_s_s -(ln_c_lu-~e-B-ld_g_/S-u-ite-#) ___ __..;;2.;..._0_:i._!l __ fO_P. .......... :Ef; .... T.ll,.L.;._"..:;..'~.;;.....;.K)~~-/h,/--:-:-us-:-in-ec-s,11>-:-N:-a-~-e C-l51t'O.,...(a-t t-,-h,-is-a-,-dd.,...re-s-:sC,4 ___ C/_2_0i_1J._>g-fC""T'G:sF!::,--· ---""':2~J"'!"-. (J7 Legal Descr~ I~ /VI MJ q gJ~ Lot No. Subd~vision N~me/Nu~ C£ ~nit No. Phase No. Total # of units Assessor's Parcel # JtO/) J2-!1til oFFIC:E , Existing Use ~E i:f PMSICYI Or WV/rt~ tlJr:M 267-68 Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms ~~'/-C!«. Pi. 2-<JVfl.lt{ 2. BOtioan,g 0~ 2. CONTACT PERSON (If different from applicant) {3/dY{llfU)O a~'2 IS!tf Q::. <,;4M OlflU) 1 C A q217J C&-2;3 1 t/oos Name 3. APPLICANT fb2£Ulll Name 4 . 0 Contractor Bf?(l.M(/{)O Address City State/Zip Telephone# 0 Agent for Contractor O Owner (!fAgent for Owner 3:3'2 ISTtf-<:f. Um r:Jt@o cA q/'2/t, I Address City State/Zip Telephone# Name -r An T Address City State/Zip Telephone # Fax# 6. CONTRACTOR~OMPANY NAME _[) ~ lf, J Lf. LI O ) < (Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, alter, i;,lro~e. demolish or rtpair 'ny st~e. 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 ($5001). Name Address City State/Zip Telephone# State License # ----------License Class----------City Business License # -------- 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: 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. 0 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) 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 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, damagas as provided for In Section 3706 of the Labor coda, Interest and attorney's fees. SIGNATURE 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 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(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 ONO 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) to provide the proposed construction (include name I address I phone number I 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 I 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 I address / phone number / type of work): _______________________________________________________ _ 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 25506, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME--------------LENDER'S ADDRESS ----------------------------9. APPLICANT CERTIFICATION 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 u 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 com d within 180 da from e 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 co enced for eriod of 1 days ( · n 106 .. 4 Uniform Building Code). APPLICANT'S SIGNATURE DATE------------- PINK: Finance March 1, 2006 GLEN 5fAPLEfON 2822 FOREST VIEW WY CARLSBAD CA 92008 RE: APPLICATION DATE: PLAN CHECK#: ADDRESS: EXPIRATION DATE: PERMIT TYPE: DESCRIPTION: City of Carlsbad l=l'IIGll,l·l•J4·Fliii,14,il 05/02/2005 CB041120 2822 FOREST VIEW WY 05/02/2006 RESDNTL STAPLETON RES 584SF ADDITION OF OFFICE AND LIVING ROOM 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 Uniform 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. __ Project Abandoned-I will pick up the plans within 10 days __ Project Abandoned -Plans may be destroyed If you have any questions, please contact the Building Department at (760) 602-2719. Building Department 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @ ' ' • J • 02/01/2005 IMELDA BERNARDO 335 15TH STREET92101 Re: Application Date: 04/02/2004 0:00:00 Plan Check #: CB041120 Address: 2822 FOREST VIEW WY Expiration Date: 04/02/2005 0:00:00 Permit Type: RESDNTL Description: STAPLETON RES 584 SF ADDITION OF OFFICE AND LIVING ROOM 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 Uniform 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. __ Project Abandoned - I will pick up plans within 10 days __ Project Abandoned -Plans may be destroyed. If you have any questions, please contact the Building Department at (760) 602-2702. Janean Hawney Building Department To. Terry Page B or9 2004·06-25 17:20:06 (GMT) 15617600364 From John Kavan 06122120a4 13:47 61953107 • ''UM-'1'1_2CO,. •''E 58 • -11 c;.c .. -1::2e A"1 cr ·y ~if ~HRSJ.SA[ St.RE pro,: NO, 760 602 8558 -·-City Qf Carlsbad CQliflCAD or COMPLL\NAf PAGE 07 ::i, 06 PA)'.MJ:NT Of SCJIOOL FE~SI i'.>R OTIIQ. Ml1IG,WON Tors ~orm must ~ corr,pla&cd by the City tt,11 .ipp:tcant antKtti:,proprt1t1 ie!IOOI diltricla end retumid to the Ci~ pnor to luYfng • building p$tm1t Tt1• C:ty w.11 not lsaue any buildin; permit w1tMu1 a completed echool t.. form . Project Name: :,~,.., ~: ~ :~ Building Permit Plan Check Number: A.P.N.: Project Appficant (OWner Name); Project Description: BuildinQ Type: Resldentlal: Second Dwelling Unit: Residential AddlUOni: _c_:B~e>--·-~-/._1'2.cl~--~~-~~--~~~-~~- -z.6 n_ fi,('Q St- ~5ey711 'fei~~--~~+-~-~-· ~~~~-­ u,.,eJ hv..t.r,,:,.- Nurobttc of Nu Owelllna l/aitl Sguare Feet Of Ltvlng ~· In Nww~_IU_n_g ________ _ Square Feet of Living Ar$11 in sou Net Square Fee~ New Are-a Square F'eet Floor Area Sllll Marcos lJniOcd Scnool District :t~ Mm W1,y Carlsba.c! CA 91009 (H !·~-----Sill Mari:o,, CA 92069 (290-2649) ~~=;;;;;;;;~==~======-=-~~ NlllL'Y Doli.c (By App1. Onl)L__ li•"initu Union School Oi~t ~ Ple;uiw U11ion J !it,h Scl)OC>I OmM 101 S~ F.V>el\o Santa f'r Kd 710 E11cinitt1 Blvtt. Enclr,is.. Ch 9l024 (944-4 300 ext 166 J &~, C,\ 920:.l~ {1H -11&9 I) To· Terry Page 9 of9 2004·06·25 17.20:06 (GMT) 15617600364 From. Jonn Kava, • 06/2~/20B4 13:47 6:353107 58 SI.RE • .. :uN-22-2~04 ·.-~IE l '. : 2"7 A~ C i'"Y" OF >'tRSL:Au FA>: NC•, 76C 602 3f58 PAGE 08 P. 07 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the :1chool distnot(a}) • ·*'· ...... .,, ...................................... , .......... ""'''*·--······••1t•• ..................... _ .................................. . THIS FORM INDICATES THAT THE SCHOOL [)!STRICT f~EOUtRe~cNTS FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED SCHOOL DISTRICT: The undersigned, bell"lg duly authori1.0d by the appli,;able School D1Stnct. certifies that the developer, bulldtr. or owner has satisfied the obb9c1tion for school fac:ilrti~. Tni~ i, to eartify that the ~pplles nt ti,ted on page: 1 has 081d all amounts <•r completed otner applicable school mitigation de1ermin~d by thr, Soriool Olctrict. Tne Citt m.:,y issun building permit~ for t1is proJeCt. SIGNAiURE 0~ AUTHORIZED SCHOOL DISTRICT OFFICIAL TITLE NAME OF SCHOOL DISTRICT DATE PHONE NUMBER ~~~ -~m1~FREEMAN -~- IY &uPERINTENDENf CARLSBAD UNIRED-SCHOOL DIStR~~f-- 6225 EL CAMINO REAL -CAIUIAD1CA82009 --7 ·41-~tltJ y -r2k-t!__33/ 5!)3.:-~---- I CB041120 2822 FOREST VIEW WY CBAO STAPLETON RES 584 SF ADDITION OF OFFICE ANO LIVING ROOM RESDNTL RAD Lot#: !MELDA BERNARDO _5/9/05 fl~ lJ.uu A/~ fa. ~ ~ J/w1. ;i J,V ~~~rp~ ~c~--~~~ ~!li/~s D~ ~ { J-~ ~ / ~ -~.J ~ ; [./6/L fr f/. c;!L/./.Ld a/l_ .<:J O{,,P,,.P_ a..:1 w-£cr 4J ~ ~~ . e, l 1Y !rT F c_ CB041120 2822 FOREST VIEW WY CBAO STAPEL TON RES 584 SF ADDITION OF OFFICE AND LIVING ROOM RESDNTL RAD Lot# !MELDA BERNARDO v/i /cL, 1oc~(· ! f C ·, f <---/ T-2 if j-<,.f,.,,c-lcr ,,./c... TO FROM APPLICANT APPUCANT I Pl../<N CORA j , "NG COAR !/ . r -C. ,v\ : la!;J)l()9 #cZo,,;, SO•OOL FORM 7 ,,.; ~'1 -:,,ev...x L,,, ,. · . cFo FoAM \ ? I . I . 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