HomeMy WebLinkAbout1285 OAK AVE; ; CB043707; PermitCity of Carlsbad
635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No: CB043707
Building Inspection Request Line (760) 602-2725
Job Address: 1285 OAK AV CBAD
Permit Type: RESDNTL Sub Type: RAD Status: ISSUED
Parcel No: 2050201100 Lot#: 0 Applied: 09/28/2004
Valuation: $10,080.00 Construction Type: NEW Entered By: RMA
Occupancy Group: Reference #: Plan Approved: 09/28/2004
# Dwelling Units: 0 Structure Type: Issued: 09/28/2004
Bedrooms: 0 Bathrooms: 0 Inspect Area:
Project Title: COATES RES-420 SF STORAGE SHED Orig PC#:
WITH ELECTRIC
Applicant:
COATES HEIDI
1285 OAK AVE
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
STD #2 Fee
STD #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
$107.39
$0.00
$69.80
$0.00
$0.00
$1.01
$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
Owner:
COATES HEIDI
1285 OAK AVE
CARLSBAD CA 92008
Meter Size
Plan Check#:
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFO Payoff Fee
PFF
PFF (CFO Fund)
License Tax
License Tax (CFO Fund)
Traffic Impact Fee
Traffic Impact (CFO 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
$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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$178.20
Total Fees: $178.20 Total Payments To Date: $0.00 Balance Due: $178.20
FINA
Inspector: Date:
2074 09/28/04 0002 01
CGP
Clearance:
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 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 requred 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.
02
178° 20
FOR OFFICE USE ONLY
'PERMIT APPLICATION '
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK No.{l}._QL{ '? 7 07
EST. VAL. !Qrxf{) • Plan Ck. Deposit -----,ft--,/'----
Validated By_,_ ____ __,_......,,__ __ _
Date __ =f-r--""""~r-~-"'-+------
1. PROJECT INFORMATION
J 2 s, 5= 0 f}[L f}-J-L
Business Name (at this address) Address (include Bldg/Suite #)
legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
of Bedrooms # of Bathrooms
2. CONTACT PERSON (If different from applies-it)
Name .~ddress
3. APPLICANT 0 Contractor O Agent fv Contractor ~er
City
0 Agent for Owner
Name
4.
Address J 2 ~ F iJ ft. (C 1</&-City
Name Address City
5. CONTRACTOR • COMPANY NAME
State/Zip Telephone# Fax#
State/Zip Telephone#
(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
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).
Name Address City State/Zip Telephone #
State License # ----------License Class ----------City Business License # --------
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:
0 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.
0 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)
0 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 ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees.
SIGNATURE DATE--========:::_ _____ _
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason: • IO fi2I' 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 f" (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) . . Al,i;a-I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The f' 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).
0 I am exempt under Section Business and Professions Code for this reason:
1. ally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ~O
2. (have I have not) signed an application for • building permit for the proposed work.
3. I have contracted with the following person lfirm) to provide the proposed construction (include name I address I phone number 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 I address I phone
number I contractors license number):-------------------------------------------------
5. I will provide some of the work, but I have ton acted (hired) the following persons to provide the work indicated (include name I address I phone number I type
of work): 0 ,e I
PROPERTY OWNER SIGNATURE ~t-L~~~~:___-1.~;;~~§':::====-------
COMPLETE THIS SECTION FOR NON-
ls 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
ls 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 7 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 com enced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is comm ce~ for ~eri~d of 180 days (Section 106.4.4 Uniform Building Code).
41
/:z '(~ c-/
APPLICANT'S SIGNATURE ~£..1... DATE f--~
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 11/15/2005
Permit# CB043707
Title: COATES RES-420 SF STORAGE SHED
Description: WITH ELECTRIC
Type: RESDNTL
Job Address: 1285 OAKAV
Suite:
Location:
APPLICANT COATES HEIDI
Owner: MEYER RUTH L
Remarks: AM PLEASE
Total Time:
CD Description
39 Final Electrical t4-~-ft V\/rl..,
Sub Type: RAD
Lot 0
Comments/Notices/Hold
Associated PCRs/CVs
CV010583 CLOSED VEHICLES PRKD IN FRT YRD;
CV020394 CLOSED HORSE& CONVERTED GARAGE;
Inspection History
Date Description Act lnsp Comments
08/19/2005 31 Underground/Conduit-Wiring AP PC UFERIN
08/19/2005 34 Rough Electric WC PC
Inspector Assignment: PC
Phone: 7604344271
Inspector: ~
Requested By: HEIDI
Entered By: CHRISTINE
08/18/2005 34 Rough Electric NR PC RESCHEDULE FOR 8/19/
05/23/2005 89 Final Combo co JM ELECTRICAL NOT COMPLETE
05/02/2005 14 Frame/Steel/Bolting/Welding AP PC
05/02/2005 83 Roof Sheathing/Ext Shear AP PC
11/24/2004 11 Fig/Foundation/Piers AP PC NO LIFER@ INSPECTION OWNER WILL INSTALL.
11/23/2004 11 Fig/Foundation/Piers NR PC NOT HOME GATE LATCHED-LEFT HANGER