HomeMy WebLinkAbout2870 RANCHO PANCHO; ; CB053208; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-14-2006 Residential Permit Permit No: CB053208
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2870 RANCHO PANCHO CBAD
RESDNTL Sub Type:
2225913000 Lot#:
$6,230.00 Construction Type:
Reference #:
O Structure Type:
O Bathrooms:
GRIMES RES 178 SF 3RD CAR
GARAGE CONVERT TO OFFICE
RAD
0
NEW
0
Statu~
Applie~
Entered By: KG
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check#:
Applicant: Owner:
GRIMES BARRY K&ALBERTON-GRIMES KRISTIN M GRIMES BARRY K&ALBERTON-GRIMES KRISTIN M
2870 RANCHO PANCHO 2870 RANCHO PANCHO
CARLSBAD CA 92009 CARLSBAD CA 92009
Building Permit $76.59 Meter Size
Add'I Building Permit Fee $0.00 Add'I Reel. Water Con. Fee
Plan Check $49.78 Meter Fee
Add'I Plan Check Fee $0.00 SDCWAFee
Plan Check Discount $0.00 CFD Payoff Fee
Strong Motion Fee $1.00 PFF (3105540)
Park in Lieu Fee $0.00 PFF (4305540)
Park Fee $0.00 License Tax (3104193)
LFM Fee $0.00 License Tax (4304193)
Bridge Fee $0.00 Traffic Impact Fee (3105541)
Other Bridge Fee $0.00 Traffic Impact Fee (4305541)
BTD #2 Fee $0.00 Sidewalk Fee
BTD #3 Fee $0.00 PLUMBING TOTAL
Renewal Fee $0.00 ELECTRICAL TOTAL
Add'I Renewal Fee $0.00 MECHANICAL TOTAL
Other Building Fee $0.00 Housing Impact Fee
HMP Fee ?? Housing lnlieu Fee
Pot. Water Con. Fee $0.00 Housing Credit Fee
Meter Size Master Drainage Fee
Add'I Pot. Water Con. Fee $0.00 Sewer Fee
Reel. Water Con. Fee $0.00 Additional 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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $127.37
Total Fees: $127.37
Inspector:
Total Payments To Date: $49.78
FINAL APPROVAL
Date:
Balance Due: $77.59
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the ~imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as '1ees/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 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.
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
f · hir.h'"'' h:iv-· I · -· i1"r•~· .... i,. ----·-· ·· · "11i....,i'· · "f""i"''"I" _,... · i"",l
0525501-3 0022 09/.12/2005 001 FOR OFFICE USE ON[Y
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. 0
Business Name (at this address) Address (include Bldg/Suite #) F 0
SlN6'.:£-fAM\L~ O'-'IEU.1 N6:::: Legal Description Lot No.
5(.o Ct\eL.SBAD TGT::tl--93-04 fkttocA:itluP VllLM-E S
Subdivision Name/Number Unit No. Phase No. Total # of unit
2.2:2...-S9 l -3 o-oo 01£\CJ:_
Assessor's Parcel #
Re:Moa::k ~::tO Olfl Ce-
Existing Use I ":t-8 SQ. i:--r: \
Description of Work SQ. FT. #of Stories
Proposed Use
# of ~rooms # of Bathrooms
f CONTACT PERSON (if different from applicant) ..,.
Name Address City State/Zip Telephone# Fax#
3. APPLICANT O Contractor O Agent for Contractor (X'owner O Agent for Owner SA:R R.t c:4-KR.\SII N 6-:f?\ME..S 2-B=to M-tJc.,H o PA-NCH o C '~ A-b I CA ".fZ.00~ ":1-f,o •
Name Address City State/Zip Telephone # q"3 l, 8~
t4. PROPERTY OWNER JW.J..'/ "-' l<Q.\STI I'\ 6'?..\ME:S 2e 1-o eA:"-Lt::# o ~/1:M:H o c.ldlU'6!-0 CA qZP?'\ ¼o,43\· Br~
Name Address City State/Zip Telephone #
5. CONTRACTOR • COMPANY NAME
(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 [$500}).
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 [$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 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, damages as provided for in Section 3706 of the Labor code, 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). Jl'{ I am exempt under Section 1 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.'p( YES ONO
2. I (have/ 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 / address / phone number / 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/ 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
of work): _________ --:.,........---,,~-::-..,.., ___ r..--:----,----::.,..--------------==-----------------
iWoPERTY OWNER SIGNATURE ~-~~ DATE Cf:·/~, 00
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 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. 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(i) 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 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 co e d a per' of 18 r, (Section 1~6.4.4 Uniform Building Code}.
rjPPLICANT'S SIGNATURE
WHITE: File YELLOW: Applicant
DATE 1-/~.os:
PINK: Finance
City
June 20, 2006
BARRY AND KRISTIN GRIMES
2870 RANCHO PANCHO
CARLSBAD CA 92009
RE:
APPLICATION DATE:
PLAN CHECK#:
ADDRESS:
EXPIRATION DATE:
PERMIT TYPE:
09/12/2005
CB053208
2870 RANCHO PAN CHO
09/12/2006
RESDNTL
of Carlsbad
1=1 1 ildii,i·M•l4·Eli ■,,14,ii
DESCRIPTION: GRIMES RES l 78SF 3•° CAR GARApE CONVERT TO OFFICE
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
Building Counter • (760) 602-2719 • FAX (760) 602-8558