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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-- fl ~o /l) @)fG-- 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