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HomeMy WebLinkAbout1639 TAMARACK AVE; ; CB031158; Permit05-19-2003 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 CB031158 Building Inspection Request Line (760) 602-2725 1639 TAMARACK AV CBAD RESDNTL Sub Type 2071204400 Lot# $14,93500 Construction Type Reference # 0 Structure Type 0 Bathrooms GRANATA RES 145 SF FRONT PORCH ADDITION W/ELECTRICAL RAD 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# Plan Check# ISSUED 04/22/2003 SB 05/19/2003 05/19/2003 Applicant WORTHING INC, B A SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 Owner GRANATA JOSEPH F&NELLY TRS 1639 TAMARACK AVE CARLSBAD CA 92008 yrf9 WiQ/m iW> M TJ 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 #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee $13819 $000 $8982 $000 $000 $1 49 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 Meter Size Add'l Reel Water Con Fee Meter Fee SDCWA Fee 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 InLieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES CGF" 159 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $2000 $000 $000 $000 $000 $000 $000 $000 $249 50 Total Fees $249 50 Total Payments To Date $8982 Balance Due $15968 PPRQVAL DATE CLEARANCE. ,0 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 IV I, .PROJECT INTORMAflON •.... FOR OFFICE USE ONLY PLAN CHECK NO EST VAL / / 1 J 3 Plan Ck Deposr Validated By Date Li" ft?. Business Name (at this adddsiS 04/22/03 0002 01 0^ CGP " 89. B2 Address (include Bldg/Suite #) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #201- i-zo-Existing Use Proposed Use Description of Work SQ FT #of Stones tt of Bedrooms # of Bathrooms i 2 CtirJTACT PERSON <if different from applicant]! ! Name APPLICANT E^pntractor Address City Contractor (~H Owner fl Agent for Owner; State/Zip Telephone Name 4 ^PROPERTY OWNER, Address City State/Zip Telephone # (*T\ &*& Name Address City (Ji ^AXOpjState/Zlp Telephone # 5 CONTISaicTOR/- COMPANY NAME 1 ' .75. "3F . " 7 -If vifiF"' , ;:,.;.:Jil (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 Codel or that he is exempt therefrom, and the basis for the alleged ptioji /^ny yjolation of Section 7031 5 b>f-any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Address License Class VO H City State/Zip City Business License # Telephone # Designer Name . i I Address City State/Zip Telephone State License « ^>^ /^£r\H 6 -WORKERS' COMPENSATION :,. ". ,"7 " ..TV;/ .'" "/ '."" " : *|7" •/' ^~ •• -•, jit. Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 ^0T 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 ~~~}\S\ j\fi.^- -riL^V-1/"!/^ Policy No ( Jf) U 0 / AID — L£*&^^ Expiration Date / v I • Oi[ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) fj 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 ($100-006) m.d3>)ition to the cost of compensation, damages as provided for in Section 3706 of the Ijabor code interest and attorney s fees SIGNATURE ^$V^/fTvVl^. ^ DATE I hereby affirm that I am exempt from theXContractor s License Law for the following reason l~l I, as owner of the property or my ejnployees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and ProfessioVsCoae 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) C] 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) Q 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 O YES flNO 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 / 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) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOWJVON-RESIDENTIAL BUILDING PERMITS ONLY ISUiw^1 .,• : °J. ^'Sii. , ' ..... .„...„..' '••• .L:;: 1-,,,-uU 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? d YES |TJ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES f~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 ^""cjpNsTRuci^ ,5"IZ:""". ...... "IITP' ........... ;;7V:- ••''"'''":;''" " ":::" ....... """jgr ..... :'!-SK:;J ""yt" ;, ........ •• ....... ?r;; fr; 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 City 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 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 commenced for a^nod of-'rJiO days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE PINK Finance City of Carlsbad Bldg Inspection Request For 07/24/2003 Permit# CB031158 Title GR AN ATA RES 145 SF FRONT PORCH Description ADDITION W/ELECTRICAL Sub Type RAD Inspector Assignment JE 1639 TAMARACKAV Lot 0 Type RESDNTL Job Address Suite Location APPLICANT WORTHING INC, B A Owner GRANATA JOSEPH F&NELLY TRS Remarks Phone 7607283965 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By EMILY Entered By CHRISTINE Comment Associated PCRs/CVs Inspection History Date 07/23/2003 07/23/2003 07/23/2003 07/23/2003 07/03/2003 07/01/2003 07/01/2003 07/01/2003 07/01/2003 07/01/2003 06/30/2003 06/11/2003 06/10/2003 06/05/2003 Description 19 29 39 49 34 14 15 24 34 44 84 11 11 21 Final Structural Final Plumbing Final Electrical Final Mechanical Rough Electric Frame/Steel/Bolting/Weldmg Roof/Reroof Rough/Topout Rough Electric Rough/Ducts/Dampers Rough Combo Ftg/Foundation/Piers Ftg/Foundation/Piers Underground/Under Floor Act AP CO AP AP AP PA AP we NR we CA AP CO AP Ins; JE JE JE JE JE JE JE JE JE JE JE PS PS JE Comments VENT PIPE TERMINATION ALL PORCH EXCEPT RAILING OK TO COVER 1107-A3 BY TERESA COPPER PIPE & FITTING IN FOOTING ELECTRIC /NEW HOSE BIB PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR « $10,000.00) OTHER PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING PLANNER ENGINEER DATE DATE Docs/Misforms/Planmng Engineering Approvals D Plan Check No CB C&- PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Address /W(L Planner Rebeca Vazquez APN Phone (760) 602-4625 Type of Project & Use F^arvV- Zonmg ^-\ General Plan CFD (in/out) #_Date of participation. Net Project Density.DU/AC Facilities Management Zone \_ Remaining net dev acres Circle One (For non-residential development Type of land used created by this permit ) Legend. £3 Item Complete Environmental Review Required DATE OF COMPLETION Item Incomplete - Needs your action YES _ NO ^ TYPE Compliance with conditions of approval? If not, state conditions which require action Conditions of Approval _ Discretionary Action Required APPROVAL/PESO NO PROJECT NO YES NO /* TYPE DATE OTHER RELATED CASES Compliance with conditions or approval? If not, state conditions which require action Conditions of Approval Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES X NO CA Coastal Commission Authority? YES If California Coastal Commission Authority Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego CA 92108-4402, (619) 767-2370 Determine status (Coastal Permit Required or Exempt) Coastal Permit Determination Form already completed? YES _ NO If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log # _ D Follow-Up Actions. 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans) 2) Complete Coastal Permit Determination Log as needed Inclusionary Housing Fee required YES NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993 ) Data Entry Completed? YES.NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE') H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 Site Plan: • 1 Provide a fully dimensional site plan drawn to scale Show North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes) EH D 2 Provide legal description of property and assessor's parcel number Policy 44 - Neighborhood Architectural Design Guidelines D D 1 Applicability YES NO D D 2 Project complies YES. NO_ Zoning- D D 1 Setbacks Front Interior Side Street Side Rear Top of slope n n 2 Accessory structure setbacks Front Interior Side Street Side Rear Structure separation D D 3 Lot Coverage 10 | A- Required Required Required Required Required :ks f°(^ Required Required Required Required Required Required XO Shown =*-> \O' Shown VO' Shown 2-0 ' Shown UH ' Shown t Shown Shown Shown Shown Shown r& /° Shown v^^iO/ti n 4 Height Required.Shown 5 Parking Spaces Required Shown (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown Additional Comments OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER ATE H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 SD STATE COMPENSATION INSURANCE •_„ ..... 'OLICYHOLDER COPY PO BOX 807, SAN FRANCISCO.CA 94142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-01-20O2 GROUP OOOO4B POLICY NUMBER OOO8775-20O3 CERTIFICATE U> 5 CERTIFICATE EXPIRES 01-01-2004 01-01-2003/01-01-2004 COUNTY OF SAN DIEGO ATTN: BUILDING DEPARTMENT 5201 RUFF IN ROAD SAN DIEGO CA 92123 SD JOB: ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy ts not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer We will also give you 30 days' advance notice should this policy be cancetled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policies listed herein Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms exclusions and conditions of such policies AUTHORIZED REPRESENTATIVE EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS PRESIDENT $1 .OOO.OOO.OO PER OCCURRENCE ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTEVE O1-01-20O3 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER B.A. WORTHING, INC, PO BOX lOltl CARLSBAD CA 92018 THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND 12-13-2002 PRINTED P0409 SCIF 10285 («EV; 2-01)