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HomeMy WebLinkAbout1302 TAMARACK AVE; ; CB150624; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CB150624 Building Inspection Request Line (760} 602-2725 Job Address: Permit Type: 1302 TAMARACK AV CBAD RESDNTL Sub Type: RAD Lot#: 0 Constuction Type: 5B Reference #: Status: ISSUED Applied: 02/26/2015 Entered By: JMA Parcel No: Valuation: 2054305900 $13,796.00 Occupancy Group: # Dwelling Units: 0 0 Structure Type: Plan Approved: 02/27/2015 Issued: 02/27/2015 Bedrooms: Bathrooms: 0 Orig PC#: Inspect Area: Plan Check #: Project Title: ST. PATRICK'S: 200 SF REMODEL OF KITCHEN IN PRIEST'S HOUSE Applicant: LLOYD& ASSOCIATES 2138 CURTIS DR VISTA CA 92084-2527 760-403-5297 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'l 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 Green Bldg Stands Plan Chk Fee $149.47 $0.00 $104.63 $0.00 $0.00 $1.79 $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 $0.00 $1.00 $0.00 Total Fees: $336.89 Total Payments to Date: Owner. ROMAN CATHOLIC BISHOP OF SAN DIEGO PO BOX85728 SAN DI EGO CA 92186 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CF□ 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 $336.89 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $45.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $336.89 $0.00 Inspector: FINAZ APPROVAL Date: £' · IO · /-.J Clearance: ______ _ NOTICE: Please take NOTICE ltiat 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 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 Cooe 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 lo 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 es/ · · · · I E si i · or to · es e o nm· · has vio sl · THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD (? (_Cicyof Carlsbad JOB ADDRESS . -:;·1,z,.. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNITI I Est. Value Plan Ck. Deposit Date CT/PROJECT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Jncludr, Square Feet of Affected Atea(s) EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESS10NAL ADDRESS CITY PHONE EMAIL -£otJ ""A' lt4..v-- ~ PROPOSED USE GARAGE (SF) PATIOS (SF) STATE FAX STATE ZIP FAX STATE UC.# SWPPP C~~TYPE OCC. GROUP (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demolish or repair an~ structure, pnorto its issuance, also requires the applicant for such permit to file a signed statement tnat he Is licensed pursuant to the provIsIons of the Contractor's License Law {Chapter 9, commending with Section 7000 of DIvIs1on 3 of the Business and Professions Code) or that 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 ($5001). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decfaraoons: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for1he pertormance of the work for which 1his permit is issued. D I have and will maintain worbrs' 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 _ Policy No ______________ Expiration Date _________ _ not be completed ~ the permit is for one hundred dollars ($100) or less. f Exemption: I certify 1hat in the performance of 1he woi1< for which lliis permit is issued, I shall not employ any person in any manner so as to t>ecome subject to the Workers' Compensation Laws of NING: Failure to s · I, and shall subjec:t an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000,, In st of compensatio -~ ... .-:.r 1r:,)ll,-lle9!1PJll'"j Labor code, interest and attorney's fees. 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ or through his own employees, provide<! that such improvements are not intended or offered for sale. 11, however, the building or improvement is sold wilhin 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 proje<:t (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 lhe 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 construclion of the proposed property improvement QYes 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 / conlractors' 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 I oontractors' 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 I address I phone I type o! work): ,£5 PROPERTY OWNER SIGNATURE DATE '<:I • 0 C'OMP1E1''1 THJS: SJ'CTION f'OR NON-RlUIDENTIA.L BUILDING PERMITS ONLY Is the applicant or future building occupant required 10 submit a business plan, acutely hazardous materials registration form or risk management and prevention program undef Sections 25505, 25533 or 25534 at tie Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required 10 obtain a poonilfrom the air pollubon control disticl or ar aualily management district? Yes No Is the facility to be constructed within 1,000 feel of Ille outer boundary of a school S1le? 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. I certify ttlat I have read the application and slate lhattheabove infoffllil1ion isooirect and lhatthe inbmation on 1he plans is aa:urate. 1 agree to comply llffll • City oninances and SlalB laws ielallng" building construcllon. I hereby authorize represen1ative of the City of Cansbad to enter upon the above menooned property u inspection ~rposes. I ALSO AGREE TO SAVE, NDEMNIFY AND KEEP HARMLESS HE CITY OF CARLSBAD AGI\INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGI\INST SAID C1TY IN CDNSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolitoo or conslruclion of structures over 3 stores in height EXPIRATION: Every permhsued by 1he Building Official under the provisoos of this O:xte shall expire by limlafon and become null and void ~the buikling or v.ork aulhoozed by such permit is ootcommenrad \WhJi 180 da~ from 1he date of such permit or if 1he buld1ng or wrk authorized by such permit is suspended Of abandoned at any time afler the v.ork is commeoo!d for a period of 180 days (Section 100.4.4 Unibrm 9.Jiking Code). ,6 APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form 10 City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office uaa Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed aboYil) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ______________ _ ~ APPLICANT'S SIGNATURE ASSOCIATEDCB#·------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB150624 Type: RESDNTL RAD Date Inspection Item Inspector 06/10/2015 89 Final Combo 06/10/2015 89 Final Combo PD 04/23/2015 17 Interior Lath/Drywall PD 04/08/201 5 84 Rough Combo PD Friday, June 12, 2015 Act RI AP AP AP ST. PATRICK'S: 200 SF REMODEL OF KITCHEN IN PRIEST'S HOUSE Comments Page 1 of 1