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
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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
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