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Home My WebLink About1285 SHOREBIRD LN; ; CB111070; PermitCity of Carls~ad 1635 Faraday Av Carlsbad, CA 92008 07-27-2011 Residential Permit Permit No: CB111070 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1285 SHOREBIRD LN CBAD RESDNTL Sub Type: 2157801100 $74,295.72 Lot#: Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: DUSSIN: 564 SF ADDITION OF BED/BATH RAD 0 5B 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check# Applicant: Owner: TRAVIS DEAL 3545 BROOKFIELD WY CARLSBAD CA 92010 760-458-8750 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 $532.18 $0.00 $345.92 $0.00 $0.00 $7.43 $0.00 $0.00 $0.00 $Q.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 DUSSIN SUSAN M PO BOX 8108 RANCHO SANTA FE CA 92067 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 05/20/2011 JMA 07/27/2011 07/27/2011 Total Fees: $1,013.03 Total Payments To Date: $1,013.03 Balance Due: Inspector: FINAL APPROVAL Date: .Z · ,;_ · 1 -z._ Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $76.00 $20.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,013.03 $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 thls 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 x in fwhi h h v I n iv n N T ii r hi r flimi i h rwi City of c·arlsbad 1635 Faraday Av Carlsbad, CA 92008 07-27-2011 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW110213 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: TRAVIS DEAL 1285 SHOREBIRD LN CBAD SWPPP 2157801100 CB111070 DUSSIN ADDITION 3545 BROOKFIELD WY CARLSBAD CA 92010 760-458-8750 Emergency Contact: JOE BARILLE 760-802-2307 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Issued: Inspect Area: Tier: Priority: Owner: DUSSIN SUSAN M PO BOX 8108 RANCHO SANTA FE CA 92067 ISSUED 05/20/2011 JMA 07/27/2011 1 L $45.00 $54.00 $0.00 $99.00 Total Fees: $99.00 Total Payments To Date: $99.00 Balance Due: $0.00 FINAL APPROVAL DATE 5 · 1 . '~CE. ___ _ SIGNATURE ____ _ /4f ~" ~~,rt-> ~ CITY Of CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadr;a.gov Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS SUITE#/SPACE# /UNIT# CT/PROJECT# LOT# PHASE II # OF UNITS II BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) A 5(, \!I. I toN 1V EXISTING USE 6 r ~ GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD AIR CONDITIONING FIRE SPRINKLERS CONTACT NAME (ff Different Fom Appllcsnt) ADDRESS I I ,, CITY STATE PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS I 2}; 5 STATE PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS ZIP ZIP STATE LIC. # APPUCANTNAME T ADDRESS oS 5 g,1 FAX EMAIL U' 6)}i~ ~ i (}flii i'<c/4 c,;, ~ ( EMAIL cJ-Ci"-J,£ <Jb-• ( STATE UC.'-B-1 J / 2-tS-- YES D NO □ YES O NO □ ZIP'f2_c,( 0 CITY BUS. LIC.# /2-32.- (Sec: 7031.5 Business and P_rofessions 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 apphcant for such permit to f1le a sI1;ned 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 fhat 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}). -' WOffKl!as· COMPENSATION . • -· • . . Workers' Compensation Declaration: I hereby affirm under penelty of perjury one of the following declarations: r\a-1 have and will maintain a certificate of consent to self-insure for workers' compensatioo as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued ~ have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co .. ______________________ Policy No, ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars {$100) or less. D Certificate of Exemption: t certify that in the performance of the wOl'k for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers· Compensalion 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 {&100,0D0), in addition to the cost of compensation, d as provid d for in Section 3706 of the Labor code, interest and attorney's fees . .JE! CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense 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 Coo tractor's License Law does no! 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). □ 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 contraclor{s) licensed pursuant to the Contractor's License Law). :::J 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. □ Yes D No 2. I (have I have not) signed an application for a building permll for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name ad(J'ess / phone I contractors' license number): 4, I plan 10 provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have conlracted (hired) the following persons to provide the work indicated (inch.ide name I address I phone/ type of work): ~PROPERTYDWNERSIGNAT\JRE ~-:D-./~ □AGENT DATE 7 €7 j,1 , Is the applicant or Mure 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 111e Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permrt 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 bouridary of a school site? O Yes D 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 DlSTRICT. I certify that I have read the application and state that the above infonnatlon is correct and that the lnfonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to bullding oonsb'Uction. I hereby authorize representative of the City of Carlsbad lo enter upon the above mentioned property for i'lspecti:)n 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 OFTHE GRANTING OF THIS PERMIT. OSHA: AA OSHA permn is required for excavations over 5'0' deep and demolition or construe.fun of structures r:Joler 3 stories J1 height. EXPIRATION: Every perm~ issued by the Building Official under the provisions of this Code shall expi'e by li'nilation and become null and void n the bu~dhg or work authof2ed by such perm~ is not commenced 'Mlhin 180 days from the date of such permit a-ff the buidJlg or work authorized by such perm~ is suspended or abandoned at anytime after the work is commenced for a pen'od of 180 days (SeCOOTI 106.4.4 Uniform Building Code) . ./IS APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 03/01/2012 Permit# CB111070 Title: DUSSIN: 564 SF ADDITION OF Description: BED/BATH Type: RESDNTL Sub Type: RAD Job Address: 1285 SHOREBIRD LN Suite: Lot: 0 Location: APPLICANT TRAVIS DEAL Owner: DUSSIN SUSAN TRUST 08-26-10 Remarks: 858-794-9744 GATE CODE 8899. Total Time: Inspector Assignment: PD --- Phone: 7604769264 lnspector:tJk Requested By: SUSAN Entered By: CHRISTINE CD Description Act Comments 19 Final Structural * 29 Final Plumbing 39 Final Electrical ' -- 49 Final Mechanical Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns11ection Histoty Date Description Act lnsp Comments 02/27/2012 89 Final Combo CA MC PER CONTRACTOR 10/21/2011 89 Final Combo co MC 09/30/2011 17 Interior Lath/Drywall AP PD 09/30/2011 18 Exterior Lath/Drywall AP PD 09/28/2011 13 Shear Panels/HD's AP MC 09/27/2011 16 Insulation AP MC 09/26/2011 84 Rough Combo AP MC SEE CARD FOR MINOR PICK -UP. 09/23/2011 13 Shear Panels/HD's AP MC DBL CK. WEST WALL PER REVISED PLANS 09/21/2011 13 Shear Panels/HD's co MC COMPLETE ALL WORK 09/21/2011 84 Rough Combo WC MC 09/02/2011 22 Sewer/Water Service AP PD 09/01/2011 15 Roof/Reroof AP MC ROOF SHEATHING, NEED SKYLIGHT REVISION APPROVED 07/28/2011 11 Fig/Foundation/Piers AP MC • «'~ ~ CITY OF CERTIFICATION OF SCHOOL FEES PAID B-34 Development Services Building Departmept 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov CARLSBAD This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior to issuing a building permit. The City will not issue any building permit without a completed school fee form. Project Name: DUSSIN RESIDENCE Building Permit Plan Check Number: CB111070 ..=::....:....c..c..;:..:....::..._ _____________________ _ Project Address: 1285 SHOREBIRD LN A.P.N.: 215-780-11-00 _ _;_:..._:..._ _ _:.. ____________________ _ Project Applicant _S;:_U;:_S.=.A:...::..:N_:D;:_U;:_S;:_S::.;l;:_N:__ _________________ _ (Owner Name): Project Description: RESIDENTIAL ADDITION Building Type: _V_;:__:;•B=------------------------ Residential: New Dwelling Unit(s) Square Feet of Living Area in New Dwelling Second Dwelling Unit: Square Feet of Living Area in SOU -----'---------='------------------ Reside n ti a I Additions: 564 Net Square Feet New Area Commercial/Industrial: Net Square Feet New Area ----'-'-'..;._-'-.:.;;_:-'-'-'-'-_;__:..._ _______________ _ City Certification of Applicant Information: Date: 5-31-11 SCHOOL DISTRICTS WITHIN THE CITY OF CARLSBAD [8:1 Carlsbad Unified School District 6225 El Camino Real Carlsbad CA 92009 (331-5000) D Encinitas Union School District 101 South Rancho Santa Fe Rd Encinitas, CA 92024 (944-4300 ext 166) D Vista Unified School District 1234 Arcadia Drive Vista CA 92083 (726-2170) D San Marcos Unified School District 215 Mata Way San Marcos, CA 92069 (290-2619) Contact: Nancy Dolce (By Appl. Only) D San Dieguito Union High School District 710 Encinitas Blvd. Encinitas, CA 92024 (753-6491) Cerlification of Applicant/Owners. The person executing this deciaration ("Owner") certifies under penalty of perjury that (1) the information provided above is correct and true to the best of the Owne~s knowledge, and that the Owner will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of un~s or square Signature: ~::::,Y~i.;f,,;;i~..,..!lt..">2...TY.J.u!&..!~=~~L:.. ________ Date: ~/2<--/~1 B-34 Page 1 of2 Rev. 03/09 ,,d to be incorrect, and that (2) the Owner is the owner/developer of the above descrtbed project(s), or ,son executing this declaration is authorized to sign on behalf of the Owner. SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school district(s)) ****************••~················································································ THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED. SCHOOL DISTRICT: The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder, or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District. The City may issue building permits for this project. SIGNATURE OF AUTHORIZED SCHOOL DISTRICT OFFICIAL TITLE NAME OF SCHOOL DISTRICT DATE PHONE NUMBER B-34 Page 2 of2 D i~tr;c_t Sup er',v1.f Q.Y1Je.,ct CARLSBAD UNIFIED SCHOOL DISTRICT 62?5 El CAMINO REAL CARLSBAD, CA 92009 7~-;}.<c,~ // 7 lo tJ -3 3 I -5 oo o Rev. 03/09