HomeMy WebLinkAbout1730 CATALPA RD; 104; CB132546; Permit10-21-2013
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: CBI32546
Building Inspection Request Line (760) 602-2725
1730CATALPARDCBADSt 104
RESDNTL Sub Type 2DU Status- WITHDRAW
2155111400 Lot# 0 Applied 10/17/2013
$61,255 00 Constuction Type. 5B Entered By LSM
Reference # Plan Approved.
1 Structure Type SFD Issued
1 Bathrooms 1 5 Inspect Area
Ong PC #• Plan Check #•
SHELTON RES= BUILD NEW 556 SF
DETACHED SDU
Applicant
JON MEHNERT
Owner
SHELTON MARK W
1209 FALL RIVER WY
SAN MARCOS CA 92078
760-727-3000
1730 CATALPA RD
CARLSBADCA 92011
Building Permit $509 42 Meter Size
Add'l Building Permit Fee $0 00 Add'l Red Water Con Fee $0.00
Plan Check $356.59 Meter Fee $0.00
Add'l Plan Check Fee $0 00 SDCWA Fee $0 00
Plan Check Discount $0 00 CFD Payoff Fee $0 00
Strong Motion Fee $6 13 PFF (3105540) $0.00
Park in Lieu Fee $0 00 PFF (4305540) $0 00
Park Fee $0 00 License Tax (3104193) $0 00
LFM Fee $0 00 License Tax (4304193) $0 00
Bndge Fee $0 00 Traffic Impact Fee (3105541) $0 00
Other Bndge Fee $0.00 Traffic Impact Fee (4305541) $0.00
BTD #2 Fee $0.00 Sidewalk Fee $0 00
BTD #3 Fee $0.00 PLUMBING TOTAL $0 00
Renewal Fee $0 00 ELECTRICAL TOTAL $0 00
Add'l Renewal Fee $0 00 MECHANICAL TOTAL $0 00
Other Building Fee $0 00 Housing Impact Fee $0 00
HMP Fee $0.00 Housing InLieu Fee $0 00
Pot. Water Con. Fee $0.00 Housing Credit Fee $0 00
Meter Size Master Drainage Fee $0.00
Add'l Pot Water Con Fee $0 00 Sewer Fee $0 00
Red Water Con Fee $0 00 Additional Fees $0 00
Green Bldg Stands (SB1473) Fee $1 00 Fire Spnnkler Fees $0 00
Green Bldg Stands Plan Chk Fee $0 00
TOTAL PERMIT FEES $873 14
Total Fees $873 14 Total Payments to Date $356 59 Balance Due: $516.55
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 nght 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 vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
10-21-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Permit/Project No: SW130335
Job A(ddress
Permit Type
Parcel No-
Valuation
Reference #:
Project Title:
Fee Summary Listing
1730 CATALPA RD CBAD St 104
SWPPP
2155111400 Lot#-
$0 00
SHELTON RES= NEW 556 SF SDU
Status
Applie(j
Entered By
WITHDRAW
10/17/2013
LSM
Applicant
JON MEHNERT
1209 FALL RIVER WY
SAN MARCOS CA 92078
760-727-3000
Owner
SHELTON MARKW
1730 CATALPA RD
CARLSBAD CA 92011
Fee Desc Total Fee
SWPPP INPSECTIONS-BLDG
SWPPP PLAN CHECK
221.00
52 . 00
Payments
. 00
. 00
Balance Due
221.00
52 . 00
Total Fees to Date; $273.00
Balance Due to Date: $273 . 00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERIVIIT ISSUANCE: H^Li 'UNNING ENGINEERING "HBUI BUILDING nFIRE • HEALTH • HAZMAT/APCD
^'ciTY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph. 760-602-2719 Fax. 760-602-8558
email: building<Scarlsbadca.gov
www carlsbadca gov
Plan Check No. 06 15^.*^^'^
Est. Value
Plan Ck. Deposit
Date/o//-7//3 SWPP \^ -oSSS"
JOB ADDRESS
irs |LOT# 1 PHASE tt CT/PROJECT
SUITE#/SPACE#/UNIT#
tt BATHROOMS
APN
- Sit - i4-<30
TENANT BUSINESS NAME CONSTR TYPE
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES D # NO •
AIR CONDITIONING
YES • NOJZ
FIRESPiJINKLERS
YES NOJW
APPUCANT NAIVIE (Primary Contact) APPLICANT NAIVIE (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE
~tu>0 •t2-"7-2,£!feS>t3
FAX PHONE FAX
ElVIAIL EMAIL
PROPERTY OWNER NAIVIE CONTRACTOR BUS. NAIVIE
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE PHONE FAX
EMAIL
'AReyJ'DESIGNER NAME & ADDRESS STATE LIC (t STATE LlC # CLASS CITY BUS LIC #
(Sec 7031 5 Business and Professions Code Any City or County whicii 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 vntti SecUon 7000 of Division 3 of the
Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exempUon 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 ($500))
Wori(ers' Compensation Declaration / hereby affirm under penalty of perjury one of the foiiowing declarations
O 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 (or which this permit is issued
• 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
This section need not be completed if the pemiit is for one hundred dollars ($100) or less
n Certificate of Exemption. 1 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 Lavre 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
jS^ CONTRACTOR SIGNATURE •AGENT DATE
/ terefjy affirm that i am exempt from Contractor's License Law for the foliowing reason
• 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)
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)
I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement • Yes • No
2 I (have / have not) signed an application for a building permit for the proposed wori(
3 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / co ntractors' license number)
4 1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise 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 vrork)
j^PROI PROPERTY OWNER SIGNATURE •AGENT DATE /C
'dm
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf • Yes • No
Is the applicant or future building occupant required to obtain a pemiit from the air pollution control distnct or air quality management distncf • Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'' • Yes • No
IF ANY OF THE ANSWERS ARE YES, A FiNAL CERTiFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS IMET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance ofthe work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certly that I have nead the application and state tliatttieabovemfomialon IS correctandthatthe infomiation on the plans isaccuratE 1 agree tocomply with all Cilyordinancesand State laws neiating to building construcbon.
I hereby authonze representative of the City of Caiisbad to enter upon the above mentioned properly for inspection puiposes 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 demolton or constmction of stmctures over 3 stones in height
EXPIRATION Every penrit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or vrork authonzed by such pemiit is not commenced within
180 days from the date of such perniit or if the building or woik authorized bjteflchTJejiiit is sy^nded or abandoned at any time after the WDI1< e commenced for a penod of 180 days (Sedcn 106 4 4 Unifomi Building Code)
ygTAPPLICANT'S SIGNATURE ^'^'^^^ "7/^ DATE
UM^ -^Z^Y -fir ^^T^^s-^^ Ay/^e^
Monday /o/2.//,y ^ ^^^^^
^h^uvK ^'^'^ ide^bp^o^
QvyAcy ii-ho U^f^cf fid-
CB132546 1730 CATALPA RD 104
SHLETON RES= BUILD NEW 556 SF
Final Inspection required by;
• Plan • CM&I Fire
•cv.
Approved Date By
BUILDING
PLANNING
ENGINEERING
FIRE Expedite? Y N
AFS Checked by
HazMat
APCD
Health
Forms/Fees Sent Reed Due? By
Encina Y N
Fire Y N
HazHealthAPCD Y N
PE&M lOlnjiS Y N
School Cjfif Y N
Sewer Y N
Stormwater y N
Special inspection Y N
CFD Y N
LandUse Density ImpArea FY Annex Factor
PFF Y N
Comments Date Date Date Date
Building
Planning
Engineering
Fire
Need?
• Done
• Done
• Done
• Done