HomeMy WebLinkAbout2870 HIGHLAND DR; ; CB112045; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-22-2011 Residential Permit Permit No: CB112045
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2870 HIGHLAND DR CBAD
RESDNTL Sub Type: RAD Status:
Lot#: 0 Applied:
Valuation:
1562001900
$27,303.00 Construction Type: 58 Entered By:
Occupancy Group:
# Dwelling Units:
Reference #: Plan Approved:
0 Structure Type: Issued:
Bedrooms: O Bathrooms: 0 Inspect Area:
Project Title: KLEIN: 475 SF INTERIOR REMODEL Orig PC#:
OF MASTER BEDROOM AND BATHROOM, ELECTRIC
FROM 100 TO 200
Plan Check#
AMPS
Applicant:
KLEIN FLORENCE
2870 HIGHLAND DR
CARLSBAD CA 92008
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
Green Bldg Stands (SB1473) Fee
Green Bldg Stands Plan Chk Fee
$295.08
$0,00
$206.56
$0.00
$0.00
$2.73
$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
$0.00
$1,00
$0.00
Owner:
KLEIN FLORENCE
2870 HIGHLAND DR
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
Fire Sprinkler Fees
TOTAL PERMIT FEES
ISSUED
09/21/2011
JMA
09/22/2011
09/22/2011
Total Fees: $705.87 Total Payments To Date: $705.87 Balance Due:
Inspector:
FINAL APPROVAL
Date: (• J/. I 7 Clearance:
$0.00
$0.00
$0,00
$0.00
$0,00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$79.00
$65.00
$56.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$705.87
$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 Govemment 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.
<<, Building Permit Application Plan Check No. ( ~ \ \ 2f?ll S--
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Z7, 303_ ~ CITY 0 F 760-602-2717 / 2718 / 2719
CARLSBAD Fax 760-602-8558 Plan Ck. Deposit
www.car1sbadca.gov Date q / '2-1. / 1 1 J SWPPP
JOB ADDRESS 1.a1r, ,-/I·~ l\ I ""'J Ave sUITE#/SPACE#/UNIT# IAPN ,, IS"~ -100 --00
CT/PROJECT# I LOT# ._ PHASE# # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONv·eE I OCAG~3
DESp'.;;~w;;: include ie"~~-;~7:,..;• "3;:~ ( (' :) hr'f 1-1., ... >~ f-c C.te ... ,~ "-iAe cJ M...r t e ,J 8 eJ~
t"\<~de.r b .. t-Lt I tiJ-'J.\cr..e.1 < lore t-. tle~el Lei.u~.,.7 1 cu-{'41i(' c>.. b ... ~ /f'd f f.llA, ,,,..,
~dJ "'/....,.; w;.AJow · tl~ft,'co.l Se.,.111'"'~ ,.t r 1 ,-0.~ e-f"""" fod ayJ Io t.ot?o.'1'
"'·•~-,. 1.41)-, ... feet
EXlSTING USE " FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
YES(j],
1 IAIR CONDITIONING I FIRE SPRINKLERS "'° YES □No □ YES □NogJ
APPLICANT NAME(Prlmary Contact) Tom Lopez APPLICANT NAME (Secondary Contact) Doug Morris
ADDRESS ADDRESS
2870 Highland Ave 4240 Fiesta way #2
CITY STATE ZIP CITY STATE ZIP
Carlsbad Ca 92008 Oceanside Ca 92057
p71,,o -77..4, f-,· I 't IFAX PHONE I FAX (760) 960-3367
'1""1.h5:; ct rt,& L • I EMAIL
IMJ I .v._t'.l. I t C..OM morrisonfire@cox.net
PROPERTY OWNER NAME Michele Klein CONTRACTOR BUS. NAME
ADDRESS ADDRESS
2870 Hiqhland Ave
CITY STATE ZIP CITY STATE ZIP
Carlsbad Ca 92008
PHONE I FAX
PHONE IFAX -VJO · l? 't, ei1.1'1
EM IL C EMAIL
:'.Ill\. IL 1..e1\I'\ ~ L1v.Q.~ c.oM
ARC ~/DESIGNER NAME & ADDRESS '-STATE UC.# STATE LIC.# I CLASS l CITY BUS. UC.#
(Sec, 7031.5 Bus mess and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the
applicant for such permit to file a s1gned 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 exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$500}). _, ,
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
B I have and will maintain a certificate of consent to self-insure for workers' compensation as provkled by Sectkln 3700 of the Labor Code, for the perfonnance of the work for whieh this pennlt is Issued.
I have and will maintain workers' compensation, as reQulred by Section 3700 of the Labor Code, for the pertonnance of the work for v.tlich this pennit is issued. My workers' compensation Insurance carrier and poliey
number are: Insurance Co ___________________ Polley No. _____________ Expiration Date ________ _
~secuon need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertonnance of the wor11 for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Worllers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage ls 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 attomey'& fees.
JtS CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I Ml exempt tram Contractor's license Law for the following reason:
□
□
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 empklyees, provkled 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 root build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with ltcensed contractors to construct the project (Sec. 7044, Business and Professklns Code: The Contractor's License Law does not apply to an owner of
roperty v.i1o builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Sectkln ----~,uslness and Professklns Code for this reason:
1. I personally plan to provide the major labor and materials forconstructkln of the proposed property improvement. Oves 0No
2. I (have I have not) signed an appllcatkln for a building permit for the proposed work.
3. I have contracted with the following person (flnn) to provtcle the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portiOns Of the work, but I have hired the following person to coordinate, supervise and provkle the major wor11 (Include name t address I phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the f~klwing persons to provide the work Indicated (include name/ address I phone/ type of work):
,..S PROPERTY OWNER SIGNATURE 0AGENT DATE 9--20, {I
I
I
I
!
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business~, 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 W No
Is the applicant or future building occupal'll required to obtain a permit from the air pollution control dlstr1ct or a![.fil!altty management district? Oves @No
Is the facility to be constructed within 1,000 feet of the outer bourdary of a school site? Oves I.LJNo
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 DJ STRICT.
ONSTRUCTION LENDING AGENC''.V'
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infonnation is corractand that the infonnation on the plans is accurate. I agree to comply'Mth all City ordinances and State laws relatingto building construction.
I hereby authorize representative of the City of C.rlsba:l to enter UJX)l'l lhe above mentioned prql0'ty for ins~ purposes. I ALSO AGREE TO &\VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES \'VHICH MAY IN Afff WAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA i:amlt is required for excavatbns over 5'0' deep and demolition or cmstructioo ct structures over 3 stories in height.
EXPIRATION: Every permit ISSUed by the Buildi'lg Official urder the ~skins this Co::le shall expire by limitation c¥"d be::x:ffle null i31d \Oki if the bulding or work auttorized by such permit Is rot oommerlll:ld within
180days frcm the date of such permit er if the bui ing ocwork authorized by i:amlt is suspended or bandoned at any~rre after the work isoomrrerlll:ldfor a J:eriod of 180 da~ (Section 100.4.4 Uniform Building Code) .
..@S° APPLICANT'S SIGNATURE DATE I
Inspection List
Permit#: CB112045 Type: RESDNTL RAD KLEIN: 475 SF INTERIOR REMODEL
OF MASTER BEDROOM AND BATHROOM
Date Inspection Item Inspector Act Comments
01/29/2013 89 Final Combo RI
01/29/2013 89 Final Combo PD AP
07/03/2012 27 Shower Pan/Roman Tubs PD AP
03/27/2012 82 Drywall/Ext Lath/Gas Test PD AP
03/21/2012 18 Exterior Lath/Drywall PD AP
03/21/2012 84 Rough Combo PD AP
03/01/2012 33 Service Change/Upgrade PD AP ELECTRIC METER RELEASE
02/28/2012 13 Shear Panels/HD's PD AP
01/27/2012 21 Underground/Under Floor PD AP
Thursday, January 31, 2013 Page 1 of 1
CB112045 2870 HIGHLAND DR
Kl FLN: 475 SF INTERIOR REMODEL
1(z. z.,/ l ( fl,T's--
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Approved Date By
7 ,1.fJ ' BUILDING q
Pt.ANNING C ,/ 1/? "
ENGINEERING 'ff 7. 7 I
ARE
_,
y N ~
AFS Checked by:
HazMat
APCD
Health
FormsjFees Sent Rec'd Due7 By • Encina y N
2t~ ~°" \ \\ \ rsv SA)
Fire y N
HazHealthAPCD y N
PE&M y N
School y N
Sewe, y N
Stormwater y N
Special Inspection y N
CFO: y N
LandUse: Density lmpArea: FY Annex: Factor:
PFF: y N
Comments Date Date Date Date
Building
Planning
Engineering
Fire
Need?
□Done
□Done
□Done
□Done
□Done
SW □ Issued