Loading...
HomeMy WebLinkAbout1318 CHUPAROSA WAY; ; CB110375; Permit04-01-2011 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CB110375 Building Inspection Request Line (760) 602-2725 1318 CHUPAROSA WY CBAD RESDNTL 1561104500 $102,653.00 0 0 Sub Type: RAD Lot #: 0 Construction Type: 5B Reference #: Structure Type: Bathrooms: 0 LANDES RESIDENCE 692 SF 2ND STORY ADDITION & REMODEL 200 SF OF EXISTING Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check # ISSUED 02/18/2011 RMA 04/01/2011 04/01/2011 Applicant: ROBERT BONFANTI Owner: LANDES THOMAS M&MINDY A 619857-6816 1318 CHUPAROSA WAY CARLSBAD CA 92008 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD#2Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee HMP Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee $656.85 Meter Size $0.00 Add'l Reel. Water Con. Fee $426.95 Meter Fee $0.00 SDC.WA Fee $0.00 CFD Payoff Fee $10.27 PFF (3105540) $0.00 PFF (4305540) $0.00 License Tax (3104193) $0.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) $0.00 Traffic Impact Fee (4305541) $0.00 Sidewalk Fee $0.00 PLUMBING TOTAL$0.00 ELECTR'ICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 Housing Impact Fee $0.00 Housing InLieu Fee $0.00 Housing Credit Fee Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $4.00 Fire Sprinkler 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 $111.00 $20.00 $50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,279.07 Total Fees:$1,279.07 Total Payments To Date:$1,279.07 Balance Due:$0.00 Inspector: FINAL APPR Date:Clearance: NOTICE: Please take NOTICE thay 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 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 limitations has previously otherwise expired. 04-01-2011 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW110074 1318 CHUPAROSA WY CBAD SWPPP 1561104500 Lot#: LANDES RESIDENCE 692 SF 2ND STORY ADDITION & REMODEL 200 SF OF Priority: M Status: ISSUED Applied: 02/18/2011 Entered By: RMA Issued: 04/01/2011 Inspect Area: Tier: 1 Applicant: ROBERT BONFANTI 619857-6816 Emergency Contact: JAMES SCHELL 760 712-6691 Owner: LANDES THOMAS M&MINDY A 1318 CHUPAROSA WAY CARLSBAD CA 92008 SWPPP Plan Check SWPPP Inspections Additional Fees $49.00 $208.00 $0.00 TOTAL PERMIT FEES $257.00 Total Fees:$257.00 Total Payments To Date:$257.00 Balance Due:$0.00 DATE Itf^/M,, ,. CIEARAM£E_ SIGNATURE CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.cartsbadca.g0v DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) FT Z-NID EXISTING USE PROPOSED USE PATIOS (SF) K>ECKS(SF) 7? FIREPLACE YESgj* NCQ AIR CONDITIONING YES I ll FIRE SPRINKLERS YESf CONTACT NAME {If Olffewnt fflm Appl/cairt) fep fsj Fft K! -T APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP CQ PHONE FAX PHONE FAX EMAIL r \/EMAIL i>£5> PROPERTY OWNER NAME BUS, ADDRESS J4SH CITY ARCH/DESIgNER NAME & f Cn&PJL"T (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 isttdtfce, also require! theapplicant 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 Seapon 7000 of Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). WORKERS ' COM PEN SATION LJI 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. LJI have and will maintain workers' compensation, as required by Section 3700 of trBLaixir&xfe, for the perforrnarK» of tlw work for which this pemtt is tesue^ number are: Insurance Co ; PollcyNo. . __ ExpiratfanDate 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 trfcpemiH is issued, I shaBntf employ any person in any niannerw Somla. WARNING; Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil Ones up to one hundred thousand dollars (8.100,000), in addition to the cost of compensation, dajfike* as provided tor m Section 8708 of jhe Labor code, Interest and attorney's has. JES'CONTRACTORSIGNATURE DTI/VI^ A MM/ JO W « E R - B U I L CHE K S3 E C I A RW '-T+O N I Imsbyaff^ that I am exempt Irm Contractors License l^mlm^ following reason: r~\ I, as owner of the property or my employees with wages as their sole compensation, will do the vw* ard the sBucturete not Intended or oftoedta sate (S«.70H Business and— Uwnse Law <k^ rot apply loan owrar of property who buttts or i^/sate. If, hoimver, the building or Improvement Is sold within one yea ot completion, the owner-builder^ |V] I, as owmr of the property, am exclusively contracting v^ltcsrised contractors to constnict the projactf not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). {""} I am exempt under Section.Justness and Professions Code for this reason: 1.1 personalty pten to DrovidetTB major labor ami maerta^^ fives 2.1 (have / have not) signed an application for a building permit for the proposed wort. 3.1 have contracted with the following person (firm) to provide the proposed constrocflOT (Include name aMress/ 4.1 plan to provide portions of the work, but I have hired (he following person to coordinate, supervise ami p^ 5.1 wi» provide some of tte work, but I have contracted (hired) the follo*gpersOTS to provide ttiewo^ ^PROPERTY OWNER SIGNATURE QAGENT DATE **^Is ttieapplkant or ftrture building occupant required to submit a business ol^, acutely hazartous materials r^istrato Prestey-TannwHazartous Substance Account Act? flYas PHNo . x- Is me appHoantorlulmebullilIno occupant required lo obtalnarjemut from the air DCJIutlQnainMdtein^ or alf qi«lt» management dtetrtet? LJYes 0No IslhefaclBtytobeconstmctedwIiriinl.OOOteetoftheouterbouridaryofaschoolsite? CjYes EMERGENCY SERVICES AND THE AIR POLtUTtON CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the wo* this permit is issued (Sec. 3097 (i) Civil Code). Lendei*sName : Lender's Address I remfythatlhave iead tte application and statethatthealMveinformaton is con^andtto I hereby autJiorize represenawrftte^rfCarisbadto ate upon tJwab^ QSHA; An OSHA permit is reou&ed for excavations owsr 5t? desp and deiTK3lition or construct)^ of structures over 3 stories iri heightEXPIRATION Every pemt Issued by the BuJkJng Official under SB povtete of ttte Code shafl expire by w^ DATE City of Carlsbad Bldg Inspection Request For: 10/27/2011 Permit* CB110375 Title: LANDES RESIDENCE Inspector Assignment: PY Description: 692 SF 2ND STORY ADDITION & REMODEL 200 SF OF EXISTING Sub Type: RADType: RESDNTL Job Address: 1318 CHUPAROSAWY Suite: ) Lot: 0 Location: OWNER LANDES THOMAS M&MINDY A Owner: LANDES THOMAS M&MINDY A Remarks: Phone: 7607126691 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: CHIP Entered By: JANEAN Act Comments *. Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# SW110074 ISSUED LANDES RESIDENCE; 692 SF 2ND STORY ADDITION & REMODEL 200 SF OF EXISTO Inspection History Date Description Act Insp Comments 06/22/2011 82 Drywall/Ext Lath/Gas Test AP PY 06/15/2011 84 Rough Combo AP PY 06/02/2011 21 Underground/Under Floor AP PY 06/02/2011 22 Sewer/Water Service AP PY 05/23/2011 13 Shear Panels/HD's AP PY 05/23/2011 15 Roof/Reroof AP PY 05/03/2011 14 Frame/Steel/Bolting/Welding PA PY HOLD DOWNS OK TO COVER 04/07/2011 11 Ftg/Foundation/Piers AP PY PROVIDE ENG LETTER FOR FOOTING 04/07/2011 21 Underground/Under Floor AP PY x-OL ____,., .^..e,,,..^^.,-.., Development ServicesSPECIAL INSPECTION Building Division CITY OF AGREEMENT 1635 Faraday Avenue CARLSBAD B'45 ™719 www.carfsbadca.gov In accordance with Chapter 17 of the California Building Code the following must be completed when work being performed requires special inspection, structural observation and construction material testing. Project/Permit: ^6" ^ " ^37S" project Address: l^ 8 f.M OPftr£-pc,fl- A. THIS SECTION MUST BE COMPLETED BY THE PROPERTY OWNER/AUTHORIZED AGENT. Please check if you are Owner- Builder Q. (If you checked as owner-builder you must also complete Section B of this agreement.) Name: (Please print)L^fiU (First) (M.I.) (Last) Mailing Address: I'M % C\\ OpA f2^)S^ U? ft*-/ ^>r2j."S<36O ? 2. VO% Email: l^flLQf\d? S (ffi V ft M&3 . CO r^. Phone: 1L 0 I am: j^Property Owner OProperty Owner's Agent of Record QArchitect of Record QEngineer of Record State of California Registration Number; _ __ _ _ .......... Expiration Date: _ AGREEMENT: I, the undersigned, declare under penalty of perjury under the laws of the State of California, that I have read, understand, acknowledge and promise to comply with the City of Carlsbad requirements for special inspections, structural observations, construction materials testing and off-site fabrication of building components, as prescribed in the statement of special inspections noted on the approved plans and, as required by the California Building Code. Q Signature: y^AAC^ dfox-jXS-^ _ _____ Date: J"Z3' I I _ _____ B. CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC, Ch 17, Section 1706;. This section must be completed by the contractor / builder / owner-builder. ( OH^TfcUL H °^Contractor's Company Name: (_^. ?C OH^UL Ptease ^^^ if you are owner-Builder a_ (_ \\ [ V (First) (M.I.) _ (Last) Name: (Please print) _ Mailing Address: ^ ft fcPV W?" Oft.fclSfeftO Email: O^CMfctU^-fe^^fc0^1^^ fCO^ Phona- 7£0 7/7 State of California Contractor's License Number / /ISoJ Expiration Date: ^^P ( , \Z- * » I acknowledge and, am aware, of special requirements contained in the statement of special inspections noted on the approved plans; I acknowledge that control will be exercised to obtain conformance with the construction documents approved by the building official; I will have in-place procedures for exercising control within our (the contractor's) organization, for the method and frequency of reporting and the distribution of the reports; and I certify that I will have a qualified person within our (the contractor's) organization to exercise such control. J(""\ A _ JV*1 f, /J If, Signature: l.^WOffifr/y, Date:. B-45 Page 1 of 1 f Rev. 02/10 rJ. € T^T.fOG- ~/0?1 SPECIAL INSPECTION SERVICE | " REGISTERED INSPECTOR'S DAILY REPORT | DAY WED | DATE 4/27/1 1 TYPEOF e NSPECTION: B 8 Reinforced Concrete D Reinforced Masonry D Structural Steel/Welding Q Shotcrete D Pre-Stressed Concrete D Fireproofing D Other. Project Name: LANDES RESIDENCE Project No: RteNo: Application/ Permit No:CB1 10375 Project Street Address 1318 CHUPAROSA WAY CARLSBAD Jurisdiction CARLSBAD LEA No: Project Plans/ Specifications Title & Date (Revision) Architect RB DESIGN Engineer LATTIMER General Contractor C SCHELL Contractor Doing Reported Work CODE TIME ON SITE 130 DESCRIPTIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT- AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED; NUMBER, TYPE, & IDENTIFICATION NUMBERS OF TEST SAMPLES VERIFIED USING CITY APPROVED PLANS THAT 45 SILL PLATE ANCHOR BOLTS AND TWELVE HOLDOWN ANCHOR BOLTS AT GRIDLINES A-E@1/A@2/E@1-2/D@1-2/C@1-2 EMBEDMENT DEPTH AND SPACING OF ANCHOR BOLTS CONFORM TO HOLDOWN SCHEDULE AT S-2 AND SHEARWALL SCHEDULE AT S-3 VERIFIED THAT SIMPSON SET-XP ICC-ES ESR-2508 WAS UTILIZED AS PER MANUFACTURERS INSTRUCTION ALL HOLES DRILLED TO CORRECT DIAMETER AND DEPTH THEN WERE BLOWN FREE OF DUST AND DEBRIS PRIOR TO EPOXY TIME OFF SITE 230 REG. O.T. # OF TEST cjrOTT VAW<iFRHOURS HOURS SPECIMENS 5OO 1 F VAWfcER a tyPT6 Pf Reoj&ered Inspector (Print) w£m/OjuMAN CODE: RW = Rework NIC = Not In Contract ST= Standby Signature of Registered Inspector WC = Work Cancelled Code -(No. of hours) THE WORK |Q| was with the CITY approved < THE WORK INSPECTED the requirements of the _ documents. pw^na, inspect in .ccordancs "--~f« ^SSSSSZ locuments. > 9 met Q did not meet THBRW)OTA^a)IscHAR(^A(eTHERESPo^ls«lUTYOFo^He» CITY approved Signature: Owner-Authorized Job Site Contact School Project Distribution: Project Architect, Structural Engineer, Project Inspector, DSA Regional Office, School District WHITE = File Copy YELLOW = Site Copy Page of CITY OF CARLSBAD CERTIFICATION OF SCHOOL FEES PAID B-34 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior to issuing a building permit. The City will not issue any building permit without a completed school fee form. Project Name: Building Permit Plan Check Number Project Address: A.P.N.: Project Applicant (Owner Name): Project Description: Building Type: Residential: LANDES RESIDENCE CB110375 1318 CHUPAROSA WAY 156-110-45-00 MINDY LANDES RESIDENTIAL ADDITION V-N New Dwelling Unit(s) Square Feet of Living Area in New Dwelling Second Dwelling Unit:Square Feet of Living Area in SOU Residential Additions: 692 Net Square Feet New Area Commercial/Industrial: City Certification of Applicant Information: Net Square Feet New Area KATHY GIRVJN Date: 3-07-11 SCHOOL DISTRICTS WITHIN THE CITY OF CARLSBAD I3 Carlsbad Unified School District 6225 El Camino Real Carlsbad CA 92009 (331-5000) Q Vista Unified School District 1234 Arcadia Drive Vista CA 92083 (726-2170) Q San Marcos Unified School District 215MataWay San Marcos, CA 92069 (290-2619) Contact: Nancy Dolce (By Appt. Only) Q Encinitas Union School District 101 South Rancho Santa Fe Rd Encinitas, CA 92024 (944-4300 ext 166) n San Dieguito Union High School District 710 Encinitas Blvd. Encinitas, CA 92024 (753-6491) Certification of Applicant/Owners. The person executing this declaration ("Owner") certifies under penalty of perjury that (1) the information provided above is correct and true to the best of the Owner's knowledge, and that the Owner will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect, and that (2) the Owner is the owner/developer of the above described project(s), or that the person executing this declaration is authorized to sign on behalf of the Owner. Signature: R-34 Date: 3-30-I \ 1 nf?Rev 03/09 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school districts))************************************************* THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED. SCHOOL DISTRICT: The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder, or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1 has paid ail amounts or completed other applicable school mitigation determined by the School District. The City may issue building permits for this project. SIGNATURE OF AUTHORIZED SCHOOL DISTRICT OFFICIAL TITLE NAME OF SCHOOL DISTRICT CARl^A0IJNIRroSCHOOtiaST«Cf 6225aCAMINOREAL CARLS BAD, CA 92009 DATE PHONE NUMBER B-34 Page 2 of 2 Rev. 03/09 &> EHK> 2 00 COO **^i m H»to en o§S3cog w Sg <C> f»> m CO 3o 30 8o CO ss I/I o S' L> i qa s OM ^5^