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Home My WebLink About2852 RANCHO GANADERO; ; CB040615; Permit.W City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ~2-25-2004 • Residential Permit Permit No: CB040615 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2852 RANCHO GANADERO CBAD RESDNTL Sub Type: RAD Status: 2225910500 Lot#: 0 Applied: $4,080.00 Construction Type: VN Entered By: Reference #: Plan Approved: 0 Structure Type: Issued: O Bathrooms: O Inspect Area: ARMENTROUT RES-136 SF LOFT Orig PC#: Plan Check#: Owner: ISSUED 02/25/2004 RMA 02/25/2004 02/25/2004 ARMENTROUT REVOCABLE LIVING TRUST 08-21-02 ARMENTROUT REVOCABLE LIVING TRUST 08-21-02 2852 RANCHO GANADERO CARLSBAD CA 92009 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 Total Fees: $121.96 $61.19 $0.00 $39.77 $0.00 $0.00 $1.00 $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 2852 RANCHO GANADERO CARLSBAD CA 92009 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) 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 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $121.96 Total Payments To Date: $0.00 Balance Due: $121.96 6053 02/25/04 0002 01 02 CGP 1;11 .. 96 FINAL APPROVAL DATE~CL~NCE SIGNATURE / \)A FOR OFFICE USE ONLY 1 PERi'\~IT APPLICATION PLAN CHECK NO. C/JDLf t) 6/3 EST. VAL. f(oro CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit _____ .....,,.. __ _ Address (Include Bldg/Suite #I Legal Description Lot No. 'pz-/--A. Business Name (at this address) -,...lCt tt1 Subdivision Name/Number Unit No. Phase No. Total # of units /), I ( z_ Propo~ed Use #of Stories # of Bedrooms # of Bathrooms 2. P.r#T.1\CJ.~RSON llf ilffferent frp!ll11ppUc1111tJ Name City for oX.n~- (.YS,~e City State/Zip Telephone # Fex # State/Zip Telephone# (Sec. 7031.6 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 fife a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commanding 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 tor a permit subjects the applicant to a civil penalty of not more than fivo hundred dollars ($5001). Name Address City State/Zip Telephone# State License II Licensn Class _________ _ City Business License II _______ _ Designer Name Addrsss City State/Zip Telephone State License II e. W.OAKE..f'~;:, COMPEN~M;;;;.~S;;;,\'fl~O;;:;N====;_ Workers' Compensation Declaration: I hereby affirm under pen11lty of re~j:.:,v. """ of the following declarations: 0 I hav~ ond will me;ntain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, tor 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 wc,rker's compensation insurance carrier and policy number are: Insurance Company-----·----------------Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED l\,l)f llE COMPLETED IF THE PERMIT IS FOR ONE HUNDRE0 DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to (ho$ Workers' Compensation Laws of California. WARNING: Failure to ■ec:ure worker,' compenaetlon C()\'er11ge la unlawful, and ahall subject an employer to crlmlnal penalties and civil fines up to one hundred thouaand dollar• ($100,000), In addition to tha c:ost of compen111tion, damagea es provided fo, In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE:;:::;:;:;::;::;::::;::;::;;;:;-;::::;::--::::;;:::::::;;:;;;;:;:;;;;;=:;;:::;;;==,:;;;;;;;;::;;;::;;;:;;:::;-;;;;;;~;--::;-:-:---:;;;::;:~ DA TE , WNER•twJ.riBiPE~P.lJ.QI · . -~ -;.;:;;::;;:;::::;::::;:;:;;;;;;:;:::::;;::::;,,"'"""'..,..'-="'.,,....... I hereby affirm that I am exempt from the Contractor's Llcen~e 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, Bu:.!ness 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 intende 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 no · prove for the purpose cf sale). 0 I, as owner of the property, am excluslvel Contractor's License Law does not pursuant to the Contracto,·s Licens ontracting with licensed r-tra ,___ uc ec. 7044, Business and Professions Code: The y who b Ids or reon ts for such projects with contractor(sl licensed D I am exempt under Section>--+-----B ode to on: 1. 2. 3. 4. I plan to provide portions number / contractors license n d prope y improvement. 0 YES ONO 5. I will provide some of the work, b•it I have contracted (hired) the following persons to provide the work indicated (incl include name / address / phone of work): ________________________________________ __,,,,._ ______________ _ PROPfRTY OWNER SIGNATURE --::--:==-:=7~=~--::--:------------ COMPLETE THIS SECTJON f.OR NON./f#SIDENTl4L BUILDING fERMITS ONLY DATE __________ _ 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 26605, 25633 or 26634 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control dist1ict or air quality management district? 0 YES O NO Is the hc!lity to be constructed within 1,000 feet of th? outdr boundary c,f a schoc.i site, 0 YES O NO IF ANY OF THE ANSWEAS 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. I hereby affirm that there is a constru,.tlon lending agency for the performance of the work for which this permit is issued (Sec. 3097111 Civil Code). LENDER'S N~A;;_M•~E;;;~;;:;;;:;:~;=::;::-----:;;---=:-~ [It ~Af(t&EI\Il~ON f certify that I have read the application and state th.at 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 Cit\! 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 lhe building Official under the provisions of this Code shall expire by limitalion and become null and void if the building or work authorized by such permit is n commenced within 180 days from the date of such permit or if the building or work aulhorized by such permit is suspended or abandoned at any time after the work is com ~ pe · of 1 1 8~ da~(Section 106.4.4 Uniform Building Code). ( APPLICANT'S SIGNATURE -~L...:.....;__Tl__c=~i.c....:''--.~--------------DATE C:-2.,s--{J)L WHITE: File YELLOW: Applicant PINK: Finance . .. FOR OFFICE USE ONLY ' PERJVIIT APPLICATION PLAN CHECK NO. ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Totel # of units Assessor's Parcel # Existing Use Proposed Use SO, FT. #of Stories # of Bedrooms # of Bathrooms 01las, '\ "66 ~~'"j ~ u..t~ CA- Name Address State/Zip Telenie(!/pO~~ City Owner ~<1/ ~lsb~ t:f "uJv~· City State/Zip Telephone # ddr E (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 ($5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ (Q,: :::..wQB!lERS' ~llTIO . 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 ($1001 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 la unlawful, and shall subject en employer to criminal penalties end 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 DA TE 7. OWNER-BViC-rfffll>~R~ION -:=;;;=::;;;;;;;:;;;:;;;;;;;;;;;;:;;;;:;;;;,,-- 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 &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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The tractor'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 / address / phone number / type o work): ~ PROPERTY OWNER SIGNATURE C:::::-,, i--2 a ~ DATE .:;..-,/ ~ / (J cf C PLETE THIS SECTlON FOR NON-RESIDENTIAL BUILDING PERMITS·ONl,Y r / 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? 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. CQ!,l_llfUJC..I!9Jl J.ENDI~ AG~.NCV.........__ .... ---··- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME AefLIC~~=NT;;:;~E;;:;-R;:;;T;:::;IF;:::;IC;;;A::;;;T;:::;IO;;N;::::;;;;;;;;::::--=----::;;:;;;;-:;:-- 1 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 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 time after the work is com r a period of 180 d s (Section 106.4.4 Uniform Building Code). /2 _/ PPLICANT'S SIGNATURE c;---DATE ,z_,, _,,qo tf: t WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/14/2004 Permit# CB040615 Inspector Assignment: JM Title: ARMENTROUT RES-136 SF LOFT Description: Type: RESDNTL Sub Type: RAD Job Address: Suite: 2852 RANCHO GANADERO Lot 0 --- Phone: 7606020717 Location: Inspector: APPLICANT ARMENTROUT REVOCABLE LIVING TRUST 08-21-02 Owner: ARMENTROUT REVOCABLE LIVING TRUST 08-21-02 Remarks: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical A Comment Requested By: JOHN Entered By: CHRISTINE Associated PCRs/CVs lnsQection HistOCL Date Description Act lnsp Comments 08/16/2004 89 Final Combo co JM NOONE HOME 03/16/2004 17 Interior Lath/Drywall AP JM 03/11/2004 14 Frame/Steel/Bolting/Welding AP JM VERIFY MECH VENT 03/11/2004 34 Rough Electric AP JM