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HomeMy WebLinkAbout2581 REGENT RD; ; CB153397; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-09-2015 Residential Permit Permit No: CB153397 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2581 REGENT RD CBAD RESDNTL Sub Type: RAD Lot#: 0 2081331243 $4,810.00 Constuction Type: 5B Reference #: Status: ISSUED Applied: 10/09/2015 Entered By: RMA Occupancy Group: # Dwelling Units: 0 0 Structure Type: Plan Approved: 10/09/2015 Issued: 10/09/2015 Bedrooms: Bathrooms: 0 Orig PC#: Inspect Area: Plan Check #: Project Title: DECK RES-REMODEL MASTER BATH REPLACE APPROX 350 SF DRYWALL, REPLACE TRAP & SINK@ 1ST FLR BATH W/ FAN, REPLACE FIREPLACE SURROUND Applicant: JACKSON DESIGN & REMODELING STE B 4797 MERCURY ST SAN DIEGO CA 92111 619-442-6125 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 $70.24 $0.00 $49.17 $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 $0.00 $1.00 $0.00 Total Fees: $268.47 Total Payments to Date: Inspector: ~ FINA Date: Owner: DECK STEPHEN R LIVING TRUST 12-14-01 2581 REGENT RD CARLSBAD CA 92010 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO 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 $268.47 Balance Due: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $59.00 $46.00 $42.06 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $268.47 $0,00 NOTICE Rease take NOTICE that appruval ci your ptject irdudes the "lrrµ,;tion" ci fees, dedcatims, re5ElM!tio1s, er ctrer e,mcrs hereafter cdledtvety referred to as '1eas'exooioro." You rave oo days Iron the-tis penrit was issued to pictest irrµ,;tion ci ttese feas'e,mons. If you pictest !tern you rrust fdlootre p-ctest p,-oreciJres set fc,th in GcMmrent COOe Section 60020(a), ard filetre p-ctest ardany ctherrequred infctrrationwth the aty Mnlgerf<r in,cessng in aaxmn:ewth Ca1sba:J MJiidpal COOe Section 3.32.030. Failu-etoti,,..yfdlc,,vthat p-oredu-ewll bar any~ lega oction toattad<, 1'81.1ew, set aside, \dd, cr a,rul their irrµ::sitioo. You ae heret,; Ft.RT1-ER NOTIREDthat yo.r rig,! to p-ctest the specified feas'exooions OCES NOf N'PLYtol'.0ter ard se,.eroonnedton fees ard c,µ,dty changes, ncr ~aving, zoring, gaclng er ctrer sinila-appiaJJon in,cessng a serVoe fees in oonnecton wth tis ptject. i'OR OCES IT N'PL Y to_ any THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE Ccicyof Carlsbad· JOB ADDRESS CT/P OJECT # ADDRESS CITY PHONE EMAIL Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov r0rVt Plan Check No. Est Value TEN BUSINESS NAME EMAIL CONTRACTOR BUS. NAME ZIP STATE LIC. # ST SWPPP CONSTR. TYPE (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, p_riorto its issuance, a o requir 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 clvil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Oedaratlon: / hereby affirm under penalty of peljuf'f one of the following declarations: ave and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. "and wm maintain ••~~~"''A'wl· ~ bvj,ectio~).7(10_ of !1iJ ~~W-,,.rtonnance of)'y,i(' fQhjl:11.~i!:!,ued My work1l~' compensrJpt'J'n c,,,/r I'?-policy number are: Insurance Co. ~ LVYY~l2Ml.L 11!.A M 'Po~lcy No. ---"::Z..l_,_~U~-~L~c'c:::>M~-~~/Y-~2_,_ __ ExpiratiOn Date_~/ l""/"'"~~-~~~/~-~ //~~~ <P~_ Jt!,i§.section need not be comp~ if the permit. is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallure to secure worke comp s · erage 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 on 3706 of the abor code, interest and attorney's fees. ,/IS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from 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 won( 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 himseH 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 OWflElr-builder will have the burden of proving that he did not build or improve for the purpose of saK!). I, as owner of the property, am exclusively contracting with licensed contractors to constnx:t 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). 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 OYes ONo 2. I (have I have not) slQned an application for a building pennit for the proposed work. 3. I have contracted wilh the following person (fimi) to provide the proposed construction (include name address I phone/ contractors' lk:ense number): 4. I plan to provide portions of the woll(, but l have hired the following person to coordinate, supervise and provide the major worll (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the worll indicated (include name I address I phone I type of work): ,6$ PROPERTY OWNER SIGNATURE □AGENT 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account AC1? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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. I certtfy that I have 188d the appllcatlon and state that the above infomiatlon Is co!l'eCtand that the Information on the plans Is accurate. I ag188 to~ all City ordinances and State laws relating to buRcRng construction. I t,,reby au~orize representath,e of lhe Cly of Carlsbad I'.> en~r Ul')n ~• above mentioned property br inspeclon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF C/>RLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Af/1 WAY ACCRUE AG.AJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is requi'ed t,r excavations ' deep and dem(jfbn or construcoon of structures over 3 sbries in height EXPIRATION: Every permit mied the Buikiing ,x·-:;:;"' the provisOOS of this Code shall expire by limitatm and beoome nuU and 'vOO if the bulkling or v.ork authorized by sudl permit is not oommenced Ylithin 180 days fiool the date of such or if the buikf authorized by such nnlt is suspended or abancbned at any time after the YOk is commenced for ape · of 1 days (Section 106.4.4 Unifonn Buikling Code). ,f!5 APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Offlce Use Dnty) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ _.65 APPLICANT'S SIGNATURE ASSOCIATEDCB#•------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP • Inspection List Permit#: CB153397 Type: RESDNTL RAD Date . _ lnspectio_njtem _ ... Inspector 02/17/2016 89 Final Combo 02/17/2016 89 Final Combo AEK 12/21/2015 17 Interior Lath/Drywall AEK 12/16/2015 16 Insulation AEK 12/14/2015 84 Rough Combo AEK Thursday, February 18, 2016 Act RI Fl AP AP AP DECK RES-REMODEL MASTER BATH REPLACE APPROX 350 SF DRYWALL, RE Comments Page 1 of 1