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HomeMy WebLinkAbout1195 STRATFORD LN; ; CB072141; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-23•2007 Residential Permit Permit No: CB072141 Buildin9 Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1195 STRATFORD LN CBAD RESDNTL Sub Type: 1561643100 $34,300.00 Lot#: Construction Type: Reference #: 0 Structure Type: O Bathrooms: COOK RES 980 SF REMODEL TO KIT,DINING,BDRM RAD 0 NEW 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: Applicant: Owner: COOK CLIFFORD W 1195 STRATFORD LN CARLSBAD CA 92008 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 $270.79 $0.00 $176.01 $0.00 $0.00 $3.43 $0.00 $0.00 $0.00 $0.0.0 $0.00 '. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 COOK CLIFFORD W 1195 STRATFORD LN CARLSBAD CA 92008 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 TOTAL PERMIT FEES ISSUED 08/16/2007 KG 08/23/2007 08/23/2007 Total Fees· $528.23 Total Payments To Date: $528.23 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 $34.00 $20.00 $24.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $528.23 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpositio • of fees, dedic tions, 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 lees/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 t I x ti n f'whi h o have r vi I n iv n N Tl E imil r hi hi h h f limi ati n ha r vi sl h rwi ...... _____ _ City of Carlsbad Plan Check Noc 12/Lj/ 1635 Faraday Ave., Carlsbad, CA 92008 76!)-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS cf/PROJECT# //C/5_ 2>TRA,Fo/ZC> l.AA1£... 1·'"-,-s·,-,---,-o·,~u-N-,,-s=----,-,-rn-,-o-o·M-s· LOT It DESCRIPTION OF WORK: lnfer,oll. Remodel - Est. Value Plan Ck. Deposit Date SUITE#/SPACE# /UNIT# II BATHROOMS TENANT BUSINESS NAM-E CONSTR. TYPE OCC. GROUP EXISTING USE /< et,10eV\ C €.- PROPOSED USE GARAGE {SF) PATIOS (SF) DECKS {SF) FIREPLACE YES □#_ NOD AIR CONDITIONING YES □ NOD FIRE SPRINKLERS YES O NO □ CONTACT NAME (ff Different Fom App/leant) APPLICANT NAME c a L,1F!=D/ZC> Dt:J~ ADDRESS CITY STATE ZIP FAX PHONE PHONE FAX (pl'l qyL{-8l/lZ (;1q oCft!J 3<{8~ EMAIL EMAIL c/1(fe ~Cl¥J-C:.V"C~1-kc-k, C0""1 PROPERTY OWNER NAME C l-J FF0120 Coo CONTRACTOR BUS. NAME ADDRESS l Sr _ ____ _ J 9 5 121'\-TFoeo ADDRESS CIT~ CA12 L$8~Q _____ ~s~'c•cc'A<-'-_____ .,_,,,__.,,,-=-i.....,_-i.c-1TY----------~sr_•r_• _____ '_" _______ _ PHONE ~{9_ _qtftf_P.Lf!_'Z-_ -FAX.ft;_t__CJ_jJ_=fj~~~--1--P-HO-NE-------~F-AX ________ _ EMAIL cl,(( cicm-t\v'c/,,.,-/-cc.-f; •CO WI EMAIL ARCH/DESIGNER NAME & ADDRESS CI., j FFell,() STATE UC.# CLASS CITY BUS. UC.# /Sec. 7031.5 Busine11 and Prolmion1 Code: Any City or Counr,: which requires a permit to construct. alter impron, demolish or rtP.air any structure prior to iu inuance, also requires the applicant for mh permit to file a 1igned stacement that he is ricensed J)urmnt to the provi1ion1 of the Contractor's License law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Cooe} or that he is mmpt therefrom. and the bas,s for the alleged exemption. Any violation of ~ecrion 7031.5 by any applim1 for a permit subjecu the applicant to a civil penalty of not more dlan five hundred dollars {S500}). WORKER$' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certlflcate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the won< for which this permit is issued. D 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 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: I certify that in the performance of the won< 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 crimlnal penalties and clvll 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. _g CONTRACTOR SIGNATURE DATE OWNIR•Bllh.0111 "u1u::t11fnAtloN· ~ " -·" "" -'' * ii, ' ~"' "'~~"''* \_,,,,,,.,,, * , __ I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: ~ I, as owner of the properly 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). D I, as owner of the property, am exclusively contracting with licensed contractors lo 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). / D I am exempt under Section, _____ Business and Professions Code for this reason ./" 1. I personally plan to provide !he 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 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 won<, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I co actors' license number) 5. I will provide some of 1he work, bu1 I have contracted (hired) the followin ide the work indicated (include name I address / phone / type of work) Is the applicant or future building occupant reQuired to submit a business plan, acutely hazardous materials registration form or risk management and prevenlion program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollu1ion control district or air quali1y 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 1 certify that I have read the application and state that the above information is correct and that the lnfonnatlon on the plans is accurate.1 agree to oomplywith all Cityordlnancesand State laws relating to building construction. I hereby aulhorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARtvl.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WilCH 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 d olition or construction of s stories in height EXPIRATION: Every permit issued by the Building Official under lhe p ions lh" and become null and void if the building or work authorized by such permit is not commenced within 180 days from lhe date of such permit or if the building or'M'.lr1< auth · ed,v, ,,,.,,, "'"'"' ed at any time after the work is ccmmenced for a period of 180 days (Section 106.4.4 Uniform Building Code). _g APPLICANT'S SIGNATURE DATE -----·---··· ----------- City of Carlsbad Bldg Inspection Request For: 11/28/2007 Permit# CB072141 Title: COOK RES 980 SF REMODEL TO Description: KIT,DINING,BDRM Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 1195 STRATFORD LN Lot: APPLICANT COOK CLIFFORD W Owner: COOK CLIFFORD W Remarks: <t__~ Total Time: 0 CD Description Comments 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Comments/Notices/Holds Associated PCRs/CVs Original PC# lns~ection Histo[Y Date Description Act lnsp Comments Inspector Assignment: PC --- Phone: 8582324746 Requested By: LORIE Entered By: JANEAN 11/26/2007 89 Final Combo co PC T & P RELIEF LINE TO OUTSIDE@ W.H. ALL ELSE OK 09/06/2007 17 Interior Lath/Drywall AP PC 09/04/2007 14 Frame/Steel/Bolting/Welding AP PC 09/04/2007 17 Interior Lath/Drywall WC PC 09/04/2007 34 Rough Electric AP PC 09/04/2007 44 Rough/Ducts/Dampers AP PC PLANNING/ENGINEERING APPROVALS PIIIMIT Nll•a CII 01'2-14-\ · DATI 0·11-t>1 ADDRD1 ___ ___._\l~q_0_0_rr"R_~ ......... -......... 2-~---------- ..... ,w R•DmlTIAL ADWIIOlf m r < $10,GGG.OOI INGIN---------- NW PIAZAC-WIIOnM aun.sa,u, COMPANY ffO- VILLAC.-PAln CGIIIPL8Ta OH.IC! BUILDING a•n 0-11-o, .. ___ ___.., __ _ DATI -------