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Home My WebLink About1133 SCRUB JAY CT; ; CB051222; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-23-2005 Residential Permit Permit No: CB051222 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1133 SCRUB JAY CT CBAD RESDNTL Sub Type: Lot#: 2145800401 $6,076.00 Construction Type: Reference #: 0 Structure Type: O Bathrooms: HOFFIUS RES-196 SF LOFT INFIL RAD 0 NEW 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: Applicant: Owner: Building Permit $76.59 Add'I Building Permit Fee $0.00 Plan Check $49.78 Add'I Plan Check Fee $0.00 Plan Check Discount $0.00 Strong Motion Fee $1.00 Park in Lieu Fee $0.00 Park Fee $0.00 LFM Fee $0.00 Bridge Fee $0.00 Other Bridge Fee $0.00 BTD #2 Fee $0.00 BTD #3 Fee $0.00 Renewal Fee $0.00 Add'I Renewal Fee $0.00 Other Building Fee $0.00 Pot. Water Con. Fee $0.00 Meter Size Add'I Pot. Water Con. Fee $0.00 Reel. Water Con. Fee $0.00 HOFFIUS RANDALL J 1133SCRUBJAYCT CARLSBAD CA 92009 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee 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 ISSUED 04/04/2005 LSM 04/04/2005 04/04/2005 Total Fees: $182.37 Total Payments To Date: $182.37 Balance Due: Inspector: FINAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $20.00 $15.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $182.37 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fe s, 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 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 · fl . FOR OFFICE USE ONLY PERMIT .APPLICATION PLAN CHECK NO. Cb Q SI c)o-d--. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EsT. v AL. _ _,(a_· '-"o'--':2:...JOc,=.,_,o~D=------ P1an Ck. Deposit ~ Validated Bv_.....,...-~=-,...c:c-=--....,....----- Date. ___ 'f__,_,_/ '-f~/__,,0£=-...__ ___ _ 1. PROJECT INFORMATION Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms 1'10 State/Zip Telephone# Fax# 3. State/Zip Telephone# 4. 5. State License # -~~~~~t::...J.-__ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 t his permit is issued. ~ 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 w orker's c?~ns~_e ~ and policy number are: i3?7,e:::__ _.,,_,_ / ! Insurance Company--~..,,,....,._.,~..--~.,._...._--'--==----------Policy No. {:a::> ✓-££,U/ Expiration Date I I ft>J,, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 1 • 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' Compensat ion Laws of California. WARNING: Failure to secure workers' ensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in a the cost of compensation, damages as provided for in Section 3706 of th L or c e, interest and attorney's fees. SIGNATURE: _____ _:=::::::111:::_.:~~'"7.,c:_:_________________ DATE O => 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Co 0 I, as owner of the property or my emp yees ith 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: he ontractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or t hrough 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, es 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). O 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 / 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):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ 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 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 Otticial 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 comme ed with' 80 days from the date of such permit or of the building or work authorized by such permit is suspended or abandoned at any time after the work is com e 180 daY-ection 106.4 4 Uniform Building Code). DATE 4; L !~c; APPLICANT'S SIGNATURE _ __.__ __ i::_,_-.t~'-"C./=--~--------- YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/25/2005 Permit# CB051222 Title: HOFFIUS RES-196 SF LOFT INFIL Description: Type: RESDNTL Sub Type: RAD Job Address: Suite: 1133 SCRUB JAY CT Lot 0 Inspector Assignment: JM --- Phone: 7609308853 Location: Inspector: OWNER HOFFIUS RANDALL J Owner: HOFFIUS RANDALL J Remarks: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comment ----- Requested By: RANDY Entered By: CHRISTINE J¾ _____ _ Associated PCRs/CVs lnsl)ection Histoty Date Description Act lnsp Comments 09/02/2005 17 Interior Lath/Drywall AP JM 09/02/2005 18 Exterior Lath/Drywall AP JM 08/29/2005 14 Frame/Steel/Bolting/Welding AP JM 08/29/2005 34 Rough Electric AP JM 08/11/2005 14 Frame/Steel/Bolting/Welding co JM COMPLETE FLOOR FRAMING