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Home My WebLink About2361 SUMMERWIND PL; ; CB040776; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 3-10-2004 Residential Permit Permit No: CB040776 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2361 SUMMERWIND PL CBAD RESDNTL Sub Type: 2081701500 Lot #: $6,000.00 Construction Type: Reference #: O Structure Type: O Bathrooms: MORAN RES-CONVERT 1 CAR GAR. INTO OFFICE 200 SQ. FT. RAD 0 NEW 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: Applicant: Owner: CHALLENGER CONSTRUCTION 4310 LA PORTALADA DRIVE 92008 760-672-2700 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 Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $68.89 $0.00 $44.78 $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 MORAN KENNETH A&ALICIA B 2361 SUMMERWIND PL CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee 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 03/08/2004 KMT 03/10/2004 03/10/2004 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $19.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $154.17 Total Fees: $154.17 Total Payments To Date: $44.78 Balance Due: $109.39 7249 03/10/04 0002 01 02 CGF· 109.39 FINAL APPROVAL DATE s ,-, (1..,, (fl FOR OFFICE USE ONLY ~~ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. C,hoyo 77w EST. VAL. 4t£o.00io Plan Ck. Deposi; ?ie~<.J • 7'6 v,Hdat•~v i2 DateJ Cf-1 Legal Description 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 ,0,--~~o 6'l-l l~1> ~ t Fax# 3. 0 Owner Name Address City State/Zip Telephone# 4. PROPERTY O,NER K'.E""' + tt.L1c1tr MDBAnl Name Address City State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions 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 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 tion(.. ny . lation of Secti n 7031.5 b any appli3nt>for a permit subjec th appDant to a civil penaltye,';;;JEore than five hundredz;rs [$500]). City State/Zip Telephone # State License # -'""'--"==r.o,c.._1-__ License Class ---==<=..L:....c=.___ City Business License # .Ap:pl1 od Fit)/L.. Designer Name Address City State/Zip Telephone State License # _________ _ 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 this permit is issued. O 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 worker's compensation insurance carrier and policy number are: Insurance Company_____________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) ~ 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' Compensation 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 ($100,0 ·n ad itlo to the ost of compensation, damages as provided for in Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE: ___ _J'.LJ.~~LlL4 ~~~l.W!:..:._____________ DATE t#,.A t fJ '( 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). O 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). -~ 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 I 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):. _____________ _,,,+.,_-.1,__-:t'"l---:--1--------------------hM'--=,----,----------/'A. PROPERTY OWNER SIGNATURE ---~~~[a'.--)LL~~~~a.E~------DATE ~LL...l!!!.::...!.....L4L-_!!J... __ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PE 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 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 days from t e date of such permit or 1f the building or work authorized by such permit is suspended or abandoned 'v',.t any time after the work is comme r a riod 80 da s ect,on 106.4.4 Uniform Building Code). AA O /\APPLICANT'S SIGNATURE -~tf!_':.J.~~:__LL~~~~~u~==----------DATE ff /61 t7 0 7 PINK: Finance . m City of Carlsbad Bldg Inspection Request For: 05/14/2004 . Permit# CB040776 Title: MORAN RES-CONVERT 1 CAR GAR. Description: INTO OFFICE 200 SQ. FT. Type: RESDNTL Sub Type: RAD Job Address: 2361 SUMMERWIND PL Suite: Lot 0 Location: APPLICANT CHALLENGER CONSTRUCTION Owner: MORAN KENNETH A&ALICIA B Remarks: AM PLEASE Total Time: CD Description Act Comment 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs I ns1;1ection H isto!Y Date Description Act lnsp Comments 04/20/2004 18 Exterior Lath/Drywall AP PY 03/29/2004 17 Interior Lath/Drywall AP TP 03/26/2004 14 Frame/Steel/Bolting/Welding AP TP 03/26/2004 34 Rough Electric AP TP 03/25/2004 14 Frame/Steel/Bolting/Welding NS TP 03/25/2004 34 Rough Electric NS TP 03/24/2004 34 Rough Electric NR TP Inspector Assignment: TP --- Phone: 0000000000 #;?;/: ~'Z.-LiO"'> Inspector: /J,? 14,t.,IL__ Requested By: NA Entered By: CHRISTINE 03/12/2004 12 Steel/Bond Beam AP TP NEW SLAB OVER EXISTNG SLAB