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HomeMy WebLinkAbout1641 AMANTE CT; ; CB091893; Permit11-12-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB091893 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1641 AMANTE CT CBAD MISC 2159006400 $0.00 Subtype: OTHER Lot #: 0 HARELSON RES REPLACE 2 WINDOWS ©DINING RM,REPLACE SLIDER W/FRENCH DOOR.ADD 2 Status: ISSUED Applied: 11/12/2009 Entered By: KG Plan Approved: 11/12/2009 Issued: 11/12/2009 Inspect Area: Applicant: DH BROWN CONSTRUCTION CO. POBOX 1727 92065 760-840-0982 Owner: HARELSON FAMILY TRUST 06-11-03 1641 AMANTE CT CARLSBAD CA 92011 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $130.00 $0.00 $0.00 $130.00 Total Fees:$130.00 Total Payments To Date:$130.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: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 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. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check I Est. Value Plan Ck. Deposit DESCRIPTION OF WORK: Include Square Feet of EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE NO a AIR CONDITIONING YES 0NO D FIRE SPRINKLERS YES {B"Nba CONTACT NAME (If Different Fom Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY CITY STATE ZIP (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 i&uance, also requiems 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 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)). WO R K E R S COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: L~) 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. G 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 workers' compensation insurance earner and policy number are: Insurance Co. __ Policy No. __ Expiration Date _ Thft section need not be completed if the permit is for one hundred dollars ($100) or less. I3J 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 (4100,000), in addition to the cost of compensation, damages as provided tayn Section 3706 of the Labor code, interest and attorney's fees. AO AX 7~~X^--«i-l-~— — — OAGENT DATE /U 6 V.CONTRACTOR SIGNATURE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). D 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 contractors) licensed pursuant to the Contractor's License Law). I am exempt under Section _.Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes; G No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE OAGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 a No t Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? G Yes O No < / . Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a Yes a No Ay /" 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 007HE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name X1//V?" Lender's Address i'A PPL1CANT CERTIF1CA T'l O N AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CFTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An CSHApermrt is required for excavate EXPIRATION: Every permit issued by the Building Official under the provisions of this &xte shall expire by limitation and become nu«m*J void if ^ 180 days fexmtte date of such pemti/ifthebuWir^^ APPLICANTS SIGNATURE DATE /2L CITY OF CARLSBAD STORM WATER COMPLIANCE EXEMPTION B-24 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www.carlsbadca .gov I am applying to the City of Carlsbad for the following type(s) of construction permit: Building Permit Q Right-of-Way Permit p My project is categorically EXEMPT from / the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria Q My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tierl - Low Threat Assessment Criteria Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria FJ My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). TierS • Significant Threat Assessment Criteria Q My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or U My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, Q My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). f certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 I Page 1 of 1 Rev.03/09 City of Carlsbad Bldg Inspection Request For: 07/29/2010 Permit* CB091893 Inspector Assignment: PY Title: HARELSON RES REPLACE 2 WINDOWS Description: ©DINING RM,REPLACE SLIDER W/FRENCH DOOR.ADD 2 WINDOWS @ FAMILY RM.MOVE EXISTING A/C UNIT A r»r»r»/-\v A *»n Type: MISC Sub Type: OTHER Job Address: 1641 AMANTE CT Suite: Lot. 0 Location: APPLICANT DH BROWN CONSTRUCTION CO. Owner: HARELSON FAMILY TRUST 06-11-03 Remarks: Phone: Inspector: Total Time: CD Description 19 Final Structural 92 Compliance Investigation Requested By: CHRISTINE Entered By: CHRISTINE 9 Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 01/12/2010 14 Frame/Steel/Bolting/Welding AP PY OK TO COMPLETE WINDOW PATCHING 01/12/2010 18 Exterior Lath/Drywall AP PY ?'-g> 1/2'a 4)-J»i.-**• * 2'-fc" , 2'-8 3/4" 4'-0" ' ,l'-3 1/4" - || rj o g