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HomeMy WebLinkAbout1679 FISHERMAN DR; ; CB091331; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-12-2009 Page 1 Residential Permit Permit No: CB091331 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Building Inspection Request Line (760) 602-2725 1679 FISHERMAN DR CBAD RESDNTL Sub Type: RAD Status: 2150811000 $27,572.00 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: 0 Structure Type: Issued: 0 Bathrooms: 0 Inspect Area: SHULL RES-226 SF ADDITION Orig PC#: ISSUED 08/12/2009 LSM 08/12/2009 08/12/2009 OPTION BEDROOM# 7 FROM ORIGINAL PLANS . REDUCES THE Plan Check#: Applicant: SHULL GREGORY 0 1668 FISHERMAN DR CARLSBAD CA 92011 760 644 7663 Fee Description Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Standards (SB1473) 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 Potable Water Connection Fee Add'I Potable Water Connection Fee Reclaimed Water Connection Fee Add'I Reclaimed Water Connection Fee BUILDING TOTAL CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) LFMZ Transportation Fee Sidewalk Fee Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees PLUMBING TOTAL Owner: SHULL GREGORY 0 1668 FISHERMAN DR CARLSBAD CA 92011 Units 0 .S-'O,.·.· . ;,•, -· -.•. ;,. 0 0 0 0 0 0 0 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Ext Fee $274.02 $0.00 $178.11 $0.00 $0.00 $2.76 $1.00 $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 $455.89 $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 08-12-2009 Residential Permit Permit No: CB091331 Page 2 . Fee Description Units Ext Fee Electric Issue Fee $0.00 Single Phase per AMP 0 $0.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per AMP 0 $0.00 Remodel/Alteration per AMP 0 $0.00 Remodel Fee $0.00 Temporary Service Fee $0.00 i;est Meter Fee $0.00 Other Electrical Fees $0.00 ELECTRICAL TOTAL $0.00 Mechanical Issue Fee $0.00 Install/Furn/Ducts/Heat Pumps Fee 0 $0.00 Fireplace Installation Fee 0 $0.00 Exhaust Fan Fee 0 $0.00 Installation/Relocation Vent Fee 0 $0.00 Hood Fee 0 $0.00 Boiler/Compressor to 15HP Fee 0 $0.00 Other Mechanical Fee $0.00 MECHANICAL TOTAL $0.00 Housing Impact Fee $0.00 Housing In Lieu Fee $0.00 Housing Credit Fee $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Meter Fee $0.00 SDCWAFee $0.00 HMP Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $455.89 Total Fees: $455.89 Total Payments To Date: $455.89 Balance Due: $0.00 '4_ ' ,~1~ , \~ 'CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave .. Carlsbad, CA 92008 760-602-2717 / 2718 I 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Ci.o'l \ 3.3 J Est. Value J.7, 57;:i_ Plan Ck. Deposit Date q/ I ~O, JOB ADOlt-.ESS // 7 .n/11 SU1TE#/SPACE#/UNIT# 1APN [k__ 1' /-'if!'""¢_,,., Y</~ =or, I cor, J_'_"_"_'_' __ L1•_0_,_"_N_"_'_JL'_'_'_o_•o_o_M_s_---'_'_'_A'_"_"_o_o_"_' __ Ll'_'_N_A_N'_'_"_'_'N_'_'_'_N_,_"_''~---_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_~:1c:o:N_'~_,~•:-:TY:P:E::1:o:c_c~_.-o:•:o:u:,~ DESCRIM"ION OF WORK: Include Square Feet of Affected Area(s) ~-.-2.-~'""---~£<"-'Ql!l.__,_e-__,__f'_,,'---------"AJ"')).""!P'-"1~?";.,,,:Bc.::-______________________ _ ~---~~__,_B~r&rf'.=--c..-'-----"Tl"rft.1-'--'-~~-'-'--'-'-------'-'C,-p..,z'-Cll~Q,,.-~~e..__~~~~~~~~~~~~~~~ "...-~~-~r.-~~..,,....,~~G,o:Q_£-~~·~~~611'~$~'TV~4t3~r~m===-~"""====---racm'oo5i,n,rrs,;-EXIS11Ns ·use oPoseo use GARAGE (SF) PATIOS (SF) I DECKS (SFJ FIREPLACE IAIR c0Nmr10N1NG IFIRE SPRINKLERS YES0 # __ NOD YES O NOD YES O NOD ..... ~ ...... ~ ..... ~~~~~~~~~~~~~~~~~~~~~~~-+""""""""""""'"""""""''"" ... ~~~~~~~~~~~~~~~~~~~~~~~~-PROPERTY ~WNE~ NAME ( CONTRACTOR BUS. NAME L____ ,:. .. '~-~~Jl't ~ ADDRESS r-., J/ "?ft pt/ /il~p.,p fl CllY , ,. STATE . n , e-,6()t> A ,411 c,,,, ADDRESS CllY STATE ZIP PHONE IFAX L2d't2 -o:r ,-~ Jt&5 EMAIL PHONE EMAIL ARCH/DESil~•~ER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS l CITY BUS. LIC.# /Sec. /OJI.~ Btr.11ess and Profen1ons Code: Any City or County which requires a permit to comtrucc, .alter/ improve,_ demol11h or reP.a1r any structure, prior to 111 111uanre, also requires the applicant for mch Jl:'nmt to file a signed sta_tement that he 1s ficeme~ .P~•s 1ant to the provisions of !he (ontr1ctor's Liceme Law {Chapter 9, commending with Section 000 of 01v111on 1 of the Business and Proremons (ode} or that he is exempt there from, and the basis for the alleged exemption. Any Yiolation of Section /~3:.S by any applicant for a permrt subject! the applicant to a civil penalty of not more than five hundred dollars {$S00}). wop~:ERS' COMPENSATION --, ' -' Workers' Compensation Declaration: I hereby affim1 under penalty of perjury one of the following declarations: D I ha•,.:! :,ind will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. D I hav~ ,1nd will maintain workers' compensation, as required by Section 3700 of the labor Code, for !he performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy num'.'t•r are: Insurance Co. Policy No. Expiration Date----------- This secti011 need no1 be completed if the permi1 is for one hundred dollars ($100) or less. D Cer1n::ate of Exemption: I certify thal 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 !o the Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to tlie cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. _g CO:'fiRACTOR SIGNATURE DATE . ' I hereby atfim1 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 Licer1se Law does not apply to an owner of property who builds or improves thereon, and who does such worl< himself or through his own employees, provided that such improvements are not intended or offered for sale. II. 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). 0 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 prore ~Y who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license Law). D I arr e.tempt under Section _____ Business and Professions Code for this reason: i. : oersonally plan to provide the major labor and materials for construction of the proposed property improvement. JiYYes D No 2. t (have f 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 I phone 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/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the worll indicated (include name I address I phone I !ype or work): • 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? O Yes O No Is the applican1 or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district? D Yes O No !s the lacilitv t:;. be constructed within 1,000 feel of the outer boundary of a school site? O Yes D No IF ANY OF n~E 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 EMERGENC" SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I. I certify t1c:t I hate read the application and state that the above Information is correct and that the infonnatlon on the plans is accurate. I agree tocomplywlth all City ordinances and State laws relating to building construction. I hereby <1.L1!horize representative of the City of Carlsbad to enter upon the above menboned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ,\LL 1.,ABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY 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. EXPIRATIOl\l: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void tt the building or work authorized by such permit is not commenced within 180 days fro"l the date of such permit or tt the building or work a · ed by such permit is suspended or abandoned at any time after the WOOi is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). £S APPIJ(;ANT'S SIGNATURE DATE City of Carlsbad ~ldg Inspection Request For 09/f/2009 Permit# CB091331 i.,,3 Inspector Assignment: _J_M __ Title: SHULL RES-226 SF ADDITION Description: OPTION BEDROOM# 7 FROM ORIGINAL PLANS . REDUCES THE SIZE OF THE GARAGE FROM 658 SF TO • ., .. Cor.' Type: RESDNTL Sub Type: RAD Job Address: 1679 FISHERMAN DR Suite: Lot: 0 Location: APPLICANT SHULL GREGORY 0 Owner: SHULL GREGORY 0 Remarks: Total Time: CD Description Act Comments Phone: 7606447665 Inspector: ---- Requested By: GLENN Entered By: JANEAN I 19 Final Structural ....... --~..-'----"' - 29 Final Plumbing 39 Final Electrical 49 Final Mechanical -------------- Comments/Notices/Holds Associated PCRs/CVs Original PC# lns(lection Histo[Y Date Description Act lnsp Comments 08/17/2009 14 Frame/Steel/Bolting/Welding AP JM 08/17/2009 16 Insulation AP JM 08/17/2009 34 Rough Electric AP JM