HomeMy WebLinkAbout2567 STATE ST; ; CBR2018-0021; PermitPrint Date: 09/27/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2567 State St
BLDG-Residential
2030543445
$ 11,394.95
Residential Permit
Work Class: Alteration
Lot#:
Reference#:
Construction Type
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: SHARON: REMODEL 245 SF TO CONVERT LOFT TO BEDROOM
Applicant:
BARBARA LAM
619-764-9360
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
Owner:
KC URBAN RENEWAL GROUP, LLC
MARTY SMITH
Po Box 339
Carlsbad, CA 92018-0339
619-990-9800
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $ 269.07 Total Payments To Date : $ 269.07
Ccityof
Carlsbad
Permit No: CBR2018-0021
Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Final
Inspection:
Closed -Expired
01/03/2018
02/05/2018
AMOUNT
$132.70
$92.89
$41.00
$1.00
$1.48
Balance Due: $0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division
EXPIFtED PERMIT
PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C.
SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030
DAre'1-~7-/8 s1GNAr11RE. 1'-fR.._ MI K,£ P
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
□BUILDING □FIRE □HEALTH O HAZMAT/APCD
Plan Ck. Deposit
( Cicyof
Carlsbad www.carlsbadca.gov Date SWPPP
JOB ADDRESS 2567 STATE ST.
SUITEf/SP /UNITf
203 054 -
LOT# # Of UNITS • BEDROOMS #BATH
1 2
DESCRIPTION OF WORK: Include Squan Feet of Affected Arell(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS(SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
RESIDENTIAL CONDO SAME 397 N/A N/A YESQ _Nc@ YES[lJNo□ YES(lJNo□
APPLICANT NAME BARBARA LAM PROPERTY OWNER BETH SHARON Pr/mar Contact
ADDRESS 601C EAST PALOMAR ST. #144 ADDRESS 2567 STATE ST.
QTY STATE ZIP CITY STATE ZIP
CHULA VISTA CA 91911 CARLSBAD CA 92008
PHONE FAX PHONE FM
6193701403 NIA
EMAIL EMAIL
barbaralam@dlamdesiQn.com
DESIGN PROFESSIONAL D'LAM DESIGN CONTRACTOR BUS. NAME JBUILD CONSTRUCTION, LLC.
ADDRESS 601C EAST PALOMAR ST. #144 ADDRESS 1447 CALLE MARSELLA
CITY STATE ZIP CITY STATE ZIP
CHULA VISTA CA 91911 OCEANSIDE CA 92056
PHONE FAX PHONE FAX
6193701403 N/A (425) 623-5877 N/A
EMAIL EMAIL
barbaralam@dlamdesign.com jkbaptie@gmail.com
STATE UC.# STATE UC.# ClASS CITYSUS.
NIA 1013947 B
(Sec. 7031.5 Business and Professions Code: Any Qty or County which requires a permit to construct. alter, improve, demohsh or repair any structure, pnor to ,ts 1SSuance, a o equires the applicant for such perm,t to rne a signed statement ttiat he 1s hcensed pursuant to the prov1s1ons of the Contractor"s License Law (Chapter 9. commending with Sectloo 7000 of D1vis1on 3 of the Business and Professions Code) or !hat he is exempt therefrom, and the basis for the alleged exemption. Any Violation of Sectioo 7031.5 by any apphcant for a permit subJects the apphcant to a
CIVIi penalty of not more than five hundred dollars {$500)).
Worl<ers' Compenution Dedaration: I hereby affinn under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self~nsure for workern' compensalion as provided by Section 3700 of the Labor Code, for the perfomiance of the worl< for which this pem,it Is Issued. D t have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of lhe work for which this pem,lt Is issued. My workers' compensation Insurance carrier and poicy
number are: Insurance Co. Policy No. Expiration Date
J:1$,section need nol be completed W the permit is for o hundred dollars {$100) or less. LLJ Certificate of Exemption: I cer1ify that In the orm ce 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
Califomla. WARNING: fallure to secure wor1<e ensat!on 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, da for In Section 3706 of the Labor code, Interest and attorney's fees.
25 CONTRACTORSIGNATURE _,_~.,,,,.,., @AGENT DATE ~,~/I e,
I hereby afflnn that f am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees wilh wages as their sole compensation, will do the work and the slructure is not inlended or offered for sale (Sec. 7044, Business and Professioos Code: The Contraclor's
License Law does not apply 10 an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided lhat such improvemenls are not intended or offered for
sale. If, however, lhe 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 tor the purpose of sale).
□
□
I, JS owner of the propelty, ;im exc!usive!y contrxting with l:censed contractors to construct the pro)ect (Sec. 701M, Business and Professions Code: The Conlr.Jctor's license Law does not apply to an o~mer of
property who builds or Improves thereon, and contracts for such projects with cootractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section ____ Business and Professions Code for this reason:
1. I personaHy plan to provide the major labor and materials for construcllon of lhe proposed propelty Improvement. 0 Yes 0 No
2. I (have/ have nol) signed au application for a building permit for the proposed work.
3. I have conb'acted with the following person (firm) to provide the proposed COJ/Struction (include name address I phone / conlractors' license number):
4. I plan to provide portions of the work, but I have hired lhe following person tcfoooroinate, supervise and provide the maJor wor1< (include name, address I phone I contractors' license number):
5. I will provide some of the work, bul I have contracted (hired) the following persons to provide the work ind1caled (include name I address/ phone/ type of work):
25 PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk mil!lagement and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Ha1.aroous Substance Acl:ount Act:/ i.l Yes l'1 No
Is lhe applicant 0< future building occupant required to OWlln a pennit from lhe a,r pollution control district or air quality management district? □ Yes □ No
Is lhe tadlity to be consllucled within 1,000 feel of the oo1er boundaiy of a school site? □ Yes O No
IF ANY OF me ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF me OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permtt is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I ceitifylhatl 11.we read lheappllcation and state that the above lnfonnatlon Is correct end lhatlhe lnfonnetlon on the plans Is accurate. I agree to complyv.ilh all City ordlnanoes and Slate laws relating to building construction.
I hereby aulhorize representative of the City of Carlsbad to enleruPo11 the above mentioned JJOP€flY for inspedioo puJIX)ses.1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABIUTIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Cf THE GRANTING Cf THIS PERMIT.
OSHA: An OSHA permtt is reqtJied for excavations ave, 5'0' deep and demolition or ronstruction o/ struclulllS Olllf' 3 stories ii height.
EXPIRATION: Every permft Issued by lhe Building · der the ~visions of this Code shal expire by timitaoon and berome nul and void if the building or l'olJ!1< authorized by such permit is not coovnenced \\ffhin
180days from the date of such permttor if the authorized by such permtt is suspended or abandoned at anytime after the l'olJ!1< is commenced for a period of 180days (Section m,.4.4 Unifoon BJikJing COde) .
..@S' APPLICANT'S SIGNATURE DATE 'b I ' e>
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY fCommercial Proj€'cts 0 n I y I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Buttding Division 1635 Faraday Avenue, Carlsbad, California 92008. l ··coif (Office u~ ~ly, ----
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANrs BUS. UC. No.
DELIVERY OPTIONS
PICKUP: □ CONTACT (Usted above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg, 1)
o ASSOCIATED CB# MAIL TO: □ CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg, 1) o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION
LS APPLICANT'S SIGNATURE DATE
-
I (cicyof Building Permit Application Plan Check No. --
1635 Faraday Ave .• Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 780-602,2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov Plan Ck. Deposit
www.carlsbad!;;;a.gov Date
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN ---
CT/PROJECT# I LOT# I PHASE#
1
# OF UNITS -1 ROOMS ~fHRobMS ---rENANT BUSINESS NAME I coNSTR. TYPE I acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) I FIREPLACE AIR CONDITIONING I FIRE SPRINKLERS
YES □# __ NO □ YES □ NO □ YES □ NOD
APPLICANT NAME (Primary Contact) PROPrJ,OWNc"JZ'tJ,t,,,,, ~fl.I ~ & ..,,p ' I..L6
ADDRESS ADDRESS l'o -'3.oA 33,'f
CITY STATE ZIP CITY Ca,,, I 'i i,,,_cl GtTE ZIP ""I z 01 B
PHONE I FAX PHOi 1'1· 99C,9y'OO I FAX.
EMAIL EMAIL ,ly r-M hoM--< b...,1~vs, c..,.,.,... f11,._v 4
DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME
ADDRESS ADDRESS
-CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE I FAX
-· EMAIL EMAIL
·-., ---------I STATE UC.# STATE UC.# I CL.ASS I CITY BUS. UC.#
(Sec. 7031.5 Business and P_rofess1ons Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a si.e;ned statement tliat he 1s licensed pursuant to the provisions of the Contractor's License LawjChapter 9, comme_nding with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or [hat he is exemJlt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars \$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations·
□ 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.
□ I have and will main lain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit 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.
□ Certificale 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 lo criminal penalties and civil fines up to one hundred thousand dollars (&100,000). in
addilion lo the cost of compensation, damages as provided for in Section 3706 of the Labor code, interesl and altorney's fees.
~ CONTRACTOR SIGNATURE □AGENT DATE -
OWNER-BUILDER DECLARATION
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 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). ~ 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),
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. □ Yes □ No
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 I phone 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/ contractors' license number):
5. I will provide some of the work, but I have contrac d (hired) the following persons to provide the work indicated (include name I address / phone I type of work):
,Ji$ PROPERTY OWNER SIGNAT □AGENT DATE "2--7 /
,J!OMPt,Jl!TE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Presley-Tanner Hazardous Substance Account Act? □ Yes
Is the appli.cant or future building occupant required to submit a business~cutely hazardous ma. le,.ials reg. istration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Is the applicant or future building occupant required to obtain a permit fro the air pollution control d1stnct or air quality management district? □ Yes l(yo
Is the facility to be constructed within 1,000 feel 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there rs a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1} C1v1I Code}
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infonnation Is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize represen1ative of the City of Car1sbad 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: AA OSHA pem,lt is requred for excavations over 5'0' deep a11d demolition or C011struction of struclJ.Jres over 3 stories in height
EXPIRATION: Every pennit issued by the Buildi Official under the pra,.,isioos of this Code shall expire by limitation and become nuU and vokl if the building or work authorized by such permit is not commenced 'Mthin
180 days from the date of sud1 permit or· · orized b~is suspended or abandoned at any ~me after the work is commenced for a period of 180 days {Section 106.4.4 Uniform Building Code}.
-@S'APPLICANT'SSIGNATUR ~ ,?,---DATE 2-I / ~
June 12, 2018
Owner/renant
2567 STATE ST
Carlsbad CA 92008-1624
(City of
Carlsbad
PERMIT NUMBER: CBR2018·0021
RE: BUILDING PERMIT EXPIRATION ISSUE DATE: 02/05/2018
PERMIT TYPE: BLDG-Residential, Alteration ADDRESS: 2567 STATE ST
Our records indicate that your building permit will expire by limitation of time on 08/04/2018.
18.04.030 Section 105.5 amended -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 calendar days from the
date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is
commenced for a period of 180 calendar days, or if the building or work authorized by such permit exceeds three
calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee
has obtained a required inspection approval of work authorized by the permit by the Building Official within 180
calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not
obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial
commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one
half the amount required for a new permit for such work, and provided that no changes have been made or will be
made in the original plans and specifications for such work, and provided further that such suspension or
abandonment has not exceeded one year. ln order to renew action on a permit after expiration, the permittee shall
pay a new permit fee.
Any permittee holding an unexpired permit may apply for an extension of time within which work may commence
under that permit when the permittee is unable to commence work within the time period required by this section
for good and satisfactory reasons.
Please check below indicating your intentions and return this letter to us.
D Project abandoned. A new permit will be obtained prior to commencing work.
D Permit 180 day extension request, with written explanation including phone number and email address.
Request will not be considered without explanation
D Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at
{760) 602-2725.
If you have any questions, please contact the Building Inspection Division at 760-602-2700.
Community & Economic Development
Building Division I 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 I I www.carlsbadca.gov