HomeMy WebLinkAbout2044 CHESTNUT AVE; ; CB071235; Permit06-12-2007
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 CB071235
Building Inspection Request Line (760) 602-2725
2044 CHESTNUT AV CBAD
RESDNTL Sub Type RAD
2053302200 Lot # 0
$78 117 00 Construction Type VN
Reference #
0 Structure Type
0 Bathrooms 0
FRYE RES-547 SF ADD,KITCHEN
DIN RM GRT RM.ADD DORMER REMOD 240 SF
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Ong PC#
Plan Check*
ISSUED
05/03/2007
RMA
06/12/2007
06/12/2007
Applicant
FRYE KEVIN P&SHANNON
Owner
FRYE KEVIN P&SHANNON
2044 CHESTNUT AVE
CARLSBAD CA 92008
2044 CHESTNUT AVE
CARLSBAD CA 92008
Building Permit
Add I 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
HMP Fee
Pot Water Con Fee
Meter Size
Add'l Pot Water Con Fee
Reel Water Con Fee
$465 71 Meter Size
$0 00 Add'l Reel Water Con Fee
$302 71 Meter Fee
$0 00 SDCWA Fee
$0 00 CFD Payoff Fee
$781 PFF (3105540)
$0 00 PFF (4305540)
$000 License Tax (3104193)
$0 00 License Tax (4304193)
$0 00 Traffic Impact Fee (3105541)
$000 Traffic Impact Fee (4305541)
$0 00 Sidewalk Fee
$0 00 PLUMBING TOTAL
$0 00 ELECTRICAL 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
TOTAL PERMIT FEES
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$7600
$2000
$3050
$000
$000
$000
$000
$000
$000
$902 73
Total Fees $902 73 Total Payments To Date $902 73 Balance Due $000
PLANS
IN STORAGE
ATTACHED
Inspector 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
1635 Faraday Ave Carlsbad CA 92008
760 602 2717 / 2718 / 2719
Fax 7606028558
Building Permit Application
JOB ADDRESS SUITE#/SPAC£#/UNIT#
# BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK (Please describe present use and proposed use)
" ADDITION ID EISTIM srarrure: of
TYPE OF CONST
To
. ADO TD
Mo
BUILDING AREA (SF) TOOTTI0N AREA (SF) GABAGE (SF) PATIOS (SF)
5^7
CONTACT NAME
ADDRESS
1 CITY STATE ZIP
PHONE FAX
EMAIL
OWNER NAME \/ ^\ /111 ^T? i_J A K t 1 V*\ k ^ T *T^t )C
ADDRESS
2044 CH£STMorAV£
CITY STATE ZIP
/^tAisI ^PZvAl"^ ^^A ^'<7/*v~>^*I— -ri JS.U- "Jf^r\\^ t_ A1 /^C*\_X O
f7^?)73O'^^S
^EMAIL
ARCH/DESIGNER NAME & ADDRESS SOITt l<3fc STATE LIC #
QAVMDA K4£CH 3l6S"' OvniWOCAftoTRAMO. SAW CTAllO CA1
DECKS (SF) FIREPLACE
YE-'S^ # ' NOD
APPLICANT NAME
AIR CONDITIONING FIRE SPRINKLERS
YES D NOJ^*' YES D NOfcC
ADDRESS
CITY
PHONE
STATE ZIP
FAX
EMAIL
CONTRACTOR BUS NAME
ADDRESS
CITY
PHONE
STATE ZIP
FAX
EMAIL
STATE LIC #
'enzujo . CA
CITY BUS LIC#
(Sec 703 1 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 islicensed pursuant to the provisions of the Contractors License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom and the basis for the alleged exemption Any violation of
Section 703 1 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
Workers Compensation Declaration I hereby affirm under penalty of pequry one of the following declarations
CH 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
n 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 carrier and policy
number are
Insurance Co Policy No Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less
O 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 (&100 000) in
addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees
^CONTRACTOR SIGNATURE DATE
/ hereby affirm that I am exempt from Contractor s License Law for the following reason
O 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)
Ml 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)
O 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 CJ Yes Cl No
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 / 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 / contractors license number)
5 I will provide some of the work but I have coijtwcted (hirgd) the following persons to provide the work indicated (include name / address / phone / type of work)
^PROPERTY OWNER SIGNATURE /f^/^^7 DATE
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 Q No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district'-1 d Yes O No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' 3 Yes G No
IF ANY OF THE ANSWERS ARE YES ,
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
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 Lender's Address
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 representative 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
OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones 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 period of 180 days (Section 106 4 4 Uniform Building
Qode)
V ^APPLICANT S SIGNATURE DATE
Inspection List
Permit# CB071235 Type RESDNTL RAD
Date Inspection Item
10/14/2008 89
10/14/2008 89
08/27/2008 14
08/27/2008 89
10/24/2007 17
10/18/2007 16
10/18/2007 84
10/16/2007 84
09/21/2007 18
09/04/2007 1 3
09/04/2007 18
08/30/2007 33
08/23/2007 14
08/23/2007 15
08/01/2007 16
07/27/2007 66
07/25/2007 1 1
07/25/2007 21
07/24/2007 1 1
07/23/2007 1 1
Final Combo
Final Combo
Frame/Steel/Bolting/Weldm
Final Combo
Interior Lath/Drywall
Insulation
Rough Combo
Rough Combo
Exterior Lath/Drywall
Shear Panels/HD's
Exterior Lath/Drywall
Service Change/Upgrade
Frame/Steel/Bolting/Weldm
Roof/Reroof
Insulation
Grout
Ftg/Foundation/Piers
Underground/Under Floor
Ftg/Foundation/Piers
Ftg/Foundation/Piers
Inspector Act
PC AP
-
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PY
PY
PY
PC
Rl
we
PA
AP
AP
AP
CO
AP
AP
we
AP
PA
AP
PA
AP
AP
AP
PA
CA
FRYE RES-547 SF ADD.KITCHEN
DIN RM, GRT RM.ADD DORMER, REMOD 2
Comments
1ST AM PLEASE
ELECT FINAL OK DIRT PILE AT FRONT
TO BE MOVED WITHIN 30 DAYS
SEE BACK OF INSP CARD FOR
CORRECTIONS - OK TO INSULATE
EMR - release meter
U/F POS FS
U/F INSUL
REAR STEMS
ROLL OVER TILL TUES 7-24 AM PLEASE
Wednesday October 15 2008 Page 1 of 1
City of Carlsbad Bldg Inspection Request
For 10/14/2008
Permits CB071235
Title FRYE RES-547 SF ADD,KITCHEN
Description DIN RM, CRT RM.ADD DORMER,REMOD 240 SF
Inspector Assignment PC
Sub Type RAD
2044 CHESTNUT AV
Lot
Type RESDNTL
Job Address
Suite
Location
APPLICANT FRYE KEVIN P&SHANNON
Owner FRYE KEVIN P&SHANNON
Remarks 1ST AM PLEASE
Phone 7607309093
Inspector
Total Time
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
A
Requested By SHANNON
Entered By JANEAN
Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Comments
PCR07144 ISSUED FRYE INCREASE FOOTIr
Inspection History
Date
08/27/2008
08/27/2008
10/24/2007
10/18/2007
10/18/2007
10/16/2007
09/21/2007
09/04/2007
09/04/2007
08/30/2007
08/23/2007
08/23/2007
Description
14
89
17
16
84
84
18
13
18
33
14
15
Frame/Steel/Bolting/Weldmg
Final Combo
Interior Lath/Drywall
Insulation
Rough Combo
Rough Combo
Exterior Lath/Drywall
Shear Panels/HD s
Exterior Lath/Drywall
Service Change/Upgrade
Frame/Steel/Bolting/Welding
Roof/Reroof
Act
we
PA
AP
AP
AP
CO
AP
AP
we
AP
PA
AP
Insp
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
ELECT FINAL OK DIRT PILE AT FRONT TO BE MOVED WITHIN 30
DAYS
SEE BACK OF INSP CARD FOR CORRECTIONS - OK TO INSULATE
EMR - release meter
U/F POSTS
City of Carlsbad Bldg Inspection Request
For 08/27/2008
Permit* CB071235
Title FRYE RES-547 SF ADD.KITCHEN
Description DIN RM, GRT RM,ADD DORMER.REMOD 240 SF
Inspector Assignment PC
2044 CHESTNUT AV
Lot 0
Type RESDNTL Sub Type RAD
Job Address
Suite
Location
APPLICANT FRYE KEVIN P&SHANNON
Owner FRYE KEVIN P&SHANNON
Remarks a_m_please^ did not say what type insp
Total Time
Phone
Inspector
Requested By KEVIN
Entered By CHRISTINE
CD Description Act Comments
14 Frame/Steel/Boltmg/Weldmg
Comments/Notices/Holds
10Associated PCRs/CVs Original PC#
PCR07144 ISSUED FRYE INCREASE FOOTING SIZE FOR FUTURE 2ND STORY
Inspection History
Date
10/24/2007
10/18/2007
10/18/2007
10/16/2007
09/21/2007
09/04/2007
09/04/2007
08/30/2007
08/23/2007
08/23/2007
08/01/2007
07/27/2007
07/25/2007
07/25/2007
07/24/2007
07/23/2007
Description
17 Interior Lath/Drywall
16 Insulation
84 Rough Combo
84 Rough Combo
18 Exterior Lath/Drywall
13 Shear Panels/HD s
18 Exterior Lath/Drywall
33 Service Change/Upgrade
14 Frame/Steel/Bolting/Weldmg
15 Roof/Reroof
16 Insulation
66 Grout
1 1 Ftg/Foundation/Piers
21 Underground/Under Floor
1 1 Ftg/Foundation/Piers
1 1 Ftg/Foundation/Piers
Act
AP
AP
AP
CO
AP
AP
we
AP
PA
AP
PA
AP
AP
AP
PA
CA
Insp
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PC
PY
PY
PY
PC
Comments
SEE BACK OF INSP CARD FOR
EMR - release meter
U/F POSTS
U/F INSUL
REAR STEMS
ROLL OVER TILL TUES 7 24 AM
CORRECTIONS
PLEASE
OK TO INSULATE
EsGil Corporation
In (Partnership with government for Quitting Safety
DATE June 8, 2007 a APPLICANT
JURISDICTION Carlsbad a PLAN REVIEWER
a FILE
PLAN CHECK NO O7-1235 SET II
PROJECT ADDRESS 2O44 Chestnut Ave
PROJECT NAME Frye Residence Addition and Remodel
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes
XI The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck
The check list transmitted herewith is for your information The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person
The applicant's copy of the check list has been sent to
Al Esgil Corporation staff did not advise the applicant that the plan check has been completed
Esgil Corporation staff did advise the applicant that the plan check has been completed
Person contacted ^Felephone #
Date contacted (by ) / / / Fax #
Mail Telephone Fax In Person
XI REMARKS The Special Inspection Forraynhst be completed for epoxy anchors
By Bill Elizarraras / Enclosures
Esgil Corporationn GA n MB n EJ n PC 6/4/07
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858)560-1468 + Fax (858) 560-1576
EsGil Corporation
In Partnership witfi government for <Buif<fing Safety
DATE May 16, 2007
JURISDICTION Carlsbad Q PLAN REVIEWER
Q FILE
PLAN CHECK NO 07-1235 SET I
PROJECT ADDRESS 2044 Chestnut Ave.
PROJECT NAME Frye Residence Addition and Remodel
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck
XI The check list transmitted herewith is for your information The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck
] The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person
XI The applicant's copy of the check list has been sent to
Kevin & Shannon Frye
2044 Chestnut Ave Carlsbad, CA 92008
Esgil Corporation staff did not advise the applicant that the plan check has been completed
XI Esgil Corporation staff did advise the applicant that the plan check has been completed
Person contacted Kevin or Shannon Frye Telephone # 760-730-9093
Date CQr\terted0'b * Fax #
Mail Telephone .X Fax ^/m Person
REMARKS
By Bill Ehzarraras Enclosures
Esgil Corporation
D GA D MB D EJ D PC 5/7/07
9320 Chesapeake Drive, Suite 208 * San Diego, California 92123 + (858)560-1468 4 Fax (858) 560-1576
Carlsbad 07-1235
ifoay 16, 2007
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK NO O7-1235 JURISDICTION Carlsbad
PROJECT ADDRESS 2044 Chestnut Ave
FLOOR AREA 547 sq ft Dwelling Add'n STORIES 2
240 sq ft Remodel
207 sq ft Roof Restructure HEIGHT 22'
REMARKS
DATE PLANS RECEIVED BY DATE PLANS RECEIVED BY
JURISDICTION ESGIL CORPORATION 5/7/07
DATE INITIAL PLAN REVIEW PLAN REVIEWER Bill Ehzarraras
COMPLETED May 16, 2007
FOREWORD (PLEASE READ)
This plan review is limited to the technical requirements contained in the Uniform Building Code,
Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws
regulating energy conservation, noise attenuation and access for the disabled This plan review
is based on regulations enforced by the Building Department You may have other corrections
based on laws and ordinance by the Planning Department, Engineering Department, Fire
Department or other departments Clearance from those departments may be required prior to
the issuance of a building permit
Present California law mandates that residential construction comply with the 2001 edition of
the California Building Code (Title 24), which adopts the following model codes 1997 UBC,
2000 UPC, 2000 UMC and 2002 NEC
The above regulations apply to residential construction, regardless of the code editions adopted
by ordinance
The following items listed need clarification, modification or change All items must be satisfied
before the plans will be in conformance with the cited codes and regulations Per Sec 106 4 3,
1997 Uniform Building Code, the approval of the plans does not permit the violation of any
state, county or city law
To speed up the recheck process, please note on this list (or a copy) where each
correction item has been addressed, i e , plan sheet number, specification section, etc
Be sure to enclose the marked up list when you submit the revised plans
Carlsbad O7-1235
May 16, 20O7
. PLANS
1 Please make all corrections on the original tracings, as requested in the correction
list Submit two sets of plans for residential projects For expeditious processing,
corrected sets can be submitted in one of two ways
1 Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave , Carlsbad, CA 92008, (760)
602-2700 The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments
2 Bring one corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments
2 Final Plans, specifications and calculations shall be signed and sealed by the
California state licensed engineer or architect responsible for their preparation
Specify expiration date of license (California Business and Professions Code)
3 On the cover sheet of the plans, specify any items requiring special inspection, m
a format similar to that shown below Section 106 3 2
• REQUIRED SPECIAL INSPECTIONS
In addition to the regular inspections, the following checked items will also
require Special Inspection in accordance with Sec 1701 of the Uniform Building
Code
ITEM REQUIRED REMARKS
EPOXY ANCHORS YES Reference (Detail)
4 When special inspection is required, the architect or engineer of record shall
prepare an inspection program which shall be submitted to the building official
for approval prior to issuance of the building permit Please review Section
106 3 5 Please complete the attached form
5 Glazing in the following locations should be of safety glazing material in
accordance with Section 2406 4 @ Entry and Nook
a) Fixed or operable panels adjacent to a door where the nearest exposed
edge of the glazing is within a 24-inch arc of either vertical edge of the door
in a closed position and where the bottom exposed edge of the glazing is
less than 60 inches above the walking surface
6 Show the size of the new window at the Family Room
Carlsbad O7-1235
May 16, 2O07
7 Show minimum underfloor access of 18" x 24" Section 2306 3
8 Specify the connections of the girder floor beams to footing connections
9 Every dwelling unit shall be provided with heating facilities capable of maintaining
a room temperature of 70 degrees F at 3 feet above the floor in all habitable
rooms Show basis for compliance UBC, Sec 31011 extending ducts'?
To speed up the review process, note on this list (or a copy) where each correction item
has been addressed, i e , plan sheet, note or detail number, calculation page, etc
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list If there are other changes, please briefly
describe them and where they are located in the plans
Have changes been made to the plans not resulting from this correction list?
Please indicate
Yes a No a
The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake
Drive, Suite 208, San Diego, California 92123, telephone number of 858/560-1468, to
perform the plan review for your project If you have any questions regarding these plan
review items, please contact Bill Elizarraras at Esgil Corporation Thank you
Kevin and Shannon Frye 760-730-9093 p 6
Carlsbad 07-1235
May 16, 2007
City of Carlsbad
Buildinq Department
BUILDING DEPARTMENT
NOTICE OF REQUIREMENT FOR SPECIAL INSPECTION
Do Not Remove From Plans
Plan Check No O7-1235
Job Address or Legal Description 2O44 Chestnut Avc.
Owner MtUf& tgYifiJ &&*£ Address &O44>
You arc hereby notified that in addition to the inspection of construction provided by the
Building Department, an approved Registered Special Inspector 1$ required to provide continuous
inspection during the performance of the phases of construction indicated on the reverse side of
this sheet
The Registered Special Inspector shall be approved by the City of Carlsbad Building
Department prior to the issuance of the building permit. Special Inspectors having a
current certification Jfrom the City of San Diego, Los Angeles, or ICBO are approved as
Special Inspectors for the type of construction for which they are certified
The inspections by a Special Inspector do not change the requirements for inspections by
personnel of the City of Carlsbad building department The inspections by a Special
Inspector arc in addition to the inspections normally required by the County Building
Code
The Special Inspector is not authorized to inspect and approve any work other than that for which
he/she is specifically assigned to inspect The Special Inspector is not authorized to accept
alternate materials, structural changes, or any requests for plan changes The Special Inspector is
required to submit written reports to the Oty of Carlsbad building department of all work that
he/she inspected and approved The final inspection approval will not be given until all Special
Inspection reports have been received and approved by the City of Carlsbad building department
PJcase submit the names of the inspectors who will perform the special inspections on each of the
items indicated on the reverse side of this sheet
900 d 94SI 099 898 dHOO 1I9S3 91 tl i002-/,I-AVW
Kevin and Shannon Frye 760-730-9093 p 7
900 d moj,
SPECIAL INSPECTION PROGRAM
Carlsbad 07-1235
May 16, 2007
ADDRESS OR LEGAL DESCRIPTION.
PLAN CHECK NUMBER. l-lZZS" OWNER'S NAME-Vftr^MtS.
I, as the owner, or agent of the owner (contractors may not employ the special inspector).
certify that I or the architect/engineer of record, will be responsible for employing the special
inspectors) as required by Uniform Building Code (UEIC) Section 1701 1 for the construction
project located at the srtfUisted above UBC Section 106 3 5
Signed
i, as the engineer/architect of record, certify that I have prepared the following special inspection
program as required by UBC Section 106 3 5 for the construction project located att£§BSjjfi4med above
^^
Signed
1 List of work requiring special inspection1
Q Soils Compliance Prior to Foundation Inspection Q Field Weldi
8 Structural Concrete Over 2500 PSI D High Strength Bolting
Prostressed Concrete ]§£ Expansion/Epoxy Anchors
D Structural Masonry D Sprayed-On Fireprooflng
D Designer Specified D Other
2 Name(s) of individual(s) or firm(s) responsible for the special inspections listed
above
A.
B. A/AglO
c
3 Duties of the special inspectors for the work listed above:
B
Special inspectors shall check in with the City and present ttidr credentials for approval prior to beglnrtlng work on the )o6 site
900 d 9^.91 095 8S8 JHOO TI9S3 9T tT iOOZ-it-AVW
Carlsbad 07-1235
May 16, 2OO7
VALUATION AND PLAN CHECK FEE
JURISDICTION Carlsbad
PREPARED BY Bill Ehzarraras
BUILDING ADDRESS 2044 Chestnut Ave.
PLAN CHECK NO O7-1235
DATE May 16, 2007
BUILDING OCCUPANCY R3/U1 TYPE OF CONSTRUCTION VN
BUILDING
PORTION
Dwelling Add'n
Remodel
Roof Restructure
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code
Rlrfn Pprmit FPP hv HrHina
AREA
(Sq Ft)
547
240
207
cb
Valuation
, Multiplier
' 121 94
121 95
1441
By Ordinance
nrp 1 T i
Reg
Mod
VALUE ($)
66,701
29,268
2,983
98,952
$533 71
Plan Check Fee by Ordinance ^ |
Type of Review 0 Complete Review
PI Repetitive Fee~^n Repeats
Comments
D Other
i—i Hourly
Structural Only
Hour*
Esgil Plan Review Fee
$34691
$298 88
Sheet 1 of 1
macvalue doc
City of Carlsbad
Public^ Works — Engineer! rig
BUILDING ADDRESS
PROJECT DESCRIPTION
ASSESSOR'S PARCEL NUMBER
BUILDING PLANCHECK CHECKLIST
PLANCHECK NO
- 330 -EST VALUE
ENGINEERING DEPARTMENT
APPROVAL
The item you have submitted for review has been
approved The approval is based on plans,
information and/or specifications provided in your
submittal, therefore any changes to these items after
this date including field modifications, must be
reviewed by this office to insure continued
conformance with applicable codes Please review
carefully all comments attached, as failure to comply
with instructions in this report can result in
suspension of permit to build
D A Right-of-Way permit is required prior to
construction of the following improvements
DENIAL
Please see the attached report of deficiencies
marked with D Make necessary corrections to plans
or specifications for compliance with applicable
codes and standards Submit corrected plans and/or
specifications to this office for review Only the
applicable sheets have been sent
By
By
By
Date
Date
Date
By
FOR OFFICIAL USE ONLY
JION TO ISSUE BUILDING PERMIT
Date •->
ATTACHMENTS
U Dedication Application
LJ Dedication Checklist
D Improvement Application
D Improvement Checklist
C] Neighborhood Improvement Agreement
D Grading Permit Application
G Grading Submittal Checklist
Right-of-Way Permit ApplicationD
D
ENGINEERING DEPT CONTACT PERSON
_ KATHLEEN M FARMER
City of Carlsbad
Address 1635 Faraday Avenue, Carlsbad, CA 92008
Phone (760) 602-2741
NOTE If there are retaining walls
associated with your project, please check
with the Building Department if these walls
need to be pulled by separate RETAINING
WALL PERMIT
Right-of-Way Permit Submittal Checklist
and Information Sheet
A-4
, CA 9200)8-7314 • (760) 6O2-2720 • FAX (760) 6O@»8S62
BUILDING PLANCHECK CHECKLIST
-,ND
D
D
SITE PLAN
Provide a fully dimensioned site plan drawn, to scale Show
h Arrow Jr Right-of-Way Width & Adjacent Streets
xistmg & Proposed Structures / G/^Dnveway widths
Existing Street Improvements S(\ J&xistmg or proposed sewer lateral
'operty Lines (show all dimensiofis) 1/iExistmg or proposed water service
Easements /J Existing or proposed irrigation service
2 Show on site plan
A Drainage Patterns
1 Building pad surface drainage must maintain a minimum slope of one
percent towards an adjoining street or an approved drainage course
2 ADD THE FOLLOWING NOTE "Finish grade will provide a minimum positive
drainage of 2% to swale 5' away from building "
B Existing & Proposed Slopes and Topography
C Size, type, location, alignment of existing or proposed sewer and water service (s)
that serves the project Each unit requires a separate service, however, second
dwelling units and apartment complexes are an exception
D Sewer and water laterals should not be located within proposed driveways, per
standards
3 Include on title sheet
A Site address
B Assessor's Parcel Number
C Legal Description
For commercial/industrial buildings and tenant improvement projects, include
total building square footage with the square footage for each different use,
existing sewer permits showing square footage of different uses (manufacturing,
warehouse, office, etc ) previously approved
EXISTING PERMIT NUMBER DESCRIPTION
Show all existing use of SF and new proposed use of SF
Example
Tenant Improvement for 3500 SF of warehouse to 3500 SF of office
F \rariiier1-<niny\MASrtRS\Biiiidii!g Plancheck CWst Form (Generic) doc
BUILDING PLANCHECK CHECKLIST
1S1 2NO 3KU DISCRETIONARY APPROVAL COMPLIANCE
D D D 4a Project does not comply with the following Engineering Conditions of approval for
Project No
CD CH EH 4b All conditions are in compliance Date
DEDICATION REQUIREMENTS
D 5 Dedication for all street Rights-of-Way adjacent to the building site and any storm
drain or utility easements on the building site is required for all new buildings and
for remodels with a value at or exceeding $ 17.000 . pursuant to Carlsbad
Municipal Code Section 18 40 030
Dedication required as follows
Dedication required Please have a registered Civil Engineer or Land Surveyor
prepare the appropriate legal description together with an 8 Yt" x 11" plat map and
submit with a title report All easement documents must be approved and signed
by owner(s) prior to issuance of Building Permit Attached please find an
application form and submittal checklist for the dedication process Submit the
completed application form with the required checklist items and fees to the
Engineering Department in person Applications will not be accept by mail or fax
Dedication completed by Date
IMPROVEMENT REQUIREMENTS
CD d 6a All needed public improvements upon and adjacent to the building site must be
constructed at time of building construction whenever the value of the
construction exceeds $ 82.000 . pursuant to Carlsbad Municipal Code Section
1840040
Public improvements required as follows
Attached please find an application form and submittal checklist for the public
improvement requirements A registered Civil Engineer must prepare the
appropriate improvement plans and submit them together with the requirements
on the attached checklist to the Engineering Department through a separate plan
check process The completed application form and the requirements on the
F \Farmer\KATHY\MASTERS\Buifdfng Piancheck Cklst Form (Generic) doc
BUILDING PLANCHECK CHECKLIST
1ST
D
ND2a
RD3
D
nan
checklist must be submitted in person Applications by mail or fax are not
accepted Improvement plans must be approved, appropriate securities posted
and fees paid prior to issuance of building permit
Improvement Plans signed by Date
6b Construction of the public improvements may be deferred pursuant to Carlsbad
Municipal Code Section 1840 Please submit a recent property title report or
current grant deed on the property and processing fee of $ 41000 so we may
prepare the necessary Neighborhood Improvement Agreement This agreement
must be signed, notarized and approved by the City prior to issuance of a
Building permit
Future public improvements required as follows
n n
n n
6c Enclosed please find your Neighborhood Improvement Agreement Please return
agreement signed and notarized to the Engineering Department
Neighborhood Improvement Agreement completed by
Date
6d No Public Improvements required SPE CIAL NOTE Damaged or defective
improvements found adiacent to building site must be repaired to the satisfaction
of the City Inspector prior to occupancy
n n n
n
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for a grading permit are found in Section
11 06 030 of the Municipal Code
7a Inadequate information available on Site Plan to make a determination on grading
requirements Include accurate grading quantities in cubic yards (cut, fill import,
export and remedial) This information must be included on the plans
7b Grading Permit required A separate grading plan prepared by a registered Civil
Engineer must be submitted together with the completed application form
attached NOTE The Grading Permit must be issued and rough grading
approval obtained prior to issuance of a Building Permit
D D D
Grading Inspector sign off by Date
7c Graded Pad Certification required (Note Pad certification may be required even
if a grading permit is not required )
\FAR,MER\KATHY\MASTERS1.Buli.'na Pisncheck Cklst Form (Generic) doc
ST1
D
ND2
D
D D
5RD
a
a
nan
BUILDING PLANCHECK CHECKLIST
7d No Grading Permit required
7e If grading is not required, write "No Grading" on plot plan
MISCELLANEOUS PERMITS
8 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or
private work adjacent to the public Right-of-Way Types of work include, but are
not limited to street improvements, tree trimming, driveway construction, tying
into public storm drain, sewer and water utilities
Right-of-Way permit required for
D D D INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad
sewer service area, you need to contact the Carlsbad Municipal Water District,
located at 5950 El Cammo Real, Carlsbad, CA 92008 District personnel can
provide forms and assistance, and will check to see if your business enterprise is
on the EWA Exempt List You may telephone (760) 438-2722, extension 7153,
for assistance
Industrial Waste permit accepted by
Date
D
D
NPDES PERMIT
D 10a Storm Water Requirements Applicability Checklist Completed
D 10b Priority Determination and compliance
D Priority Project
D Subject to^tandard Permanent Storm Water BMP's
D Exemf
11 D Required fees are attached
No fees required
WATER METER REVIEW
12a Domestic (potable) Use
Ensure that the meter proposed by the owner/developer is not oversized
Oversized meters are inaccurate during low-flow conditions If it is oversized, for
the life of the meter, the City will not accurately bill the owner for the water used
• All single family dwelling units received "standard" 1" service with 5/8" service
F \FarmertKATHY\MASTERS\BuildinQ Plancheck Cklst Form (Generic) doc
,ST -,ND -,RD
D D D 12b
BUILDING PLANCHECK CHECKLIST
• If owner/developer proposes a size other than the "standard", then
owner/developer must provide potable water demand calculations,
which include total fixture counts and maximum water demand in gallons
per minute (gpm) A typical fixture count and water demand worksheet is
attached Once the gpm is provided, check against the "meter sizing
schedule" to verify the anticipated meter size for the unit
• Maximum service and meter size is a 2" service with a 2" meter
• If a developer is proposing a meter greater than 2", suggest the
installation of multiple 2" services as needed to provide the anticipated
demand (manifolds are considered on case by case basis to limit
multiple trenching into the street)
Irrigation Use (where recycled water is not available)
All irrigation meters must be sized via irrigation calculations (in gpm) prior
to approval The developer must provide these calculations Please follow
these guidelines
1 If the project is a newer development (newer than 1998), check the recent
improvement plans and observe if the new irrigation service is reflected on
the improvement sheets If so, at the water meter station, the demand in
gpm may be listed there Irrigation services are listed with a circled "I",
and potable water is typically a circled "W" The irrigation service should
look like
STA1+00 Install 2" service and
5 meter (estimated 100 gpm)
If the improvement plans do not list the irrigation meter and the
service/meter will be installed via another instrument such as the building
plans or grading plans (w/ a right of way permit of course), then the
applicant must provide irrigation calculations for estimated worst-case
irrigation demand (largest zone with the farthest reach) Typically, Larry
Black has already reviewed this if landscape plans have been prepared,
but the applicant must provide the calculations to you for your use Once
you have received a good example of irrigation calculations, keep a set for
your reference In general the calculations will include
• Hydraulic grade line
• Elevation at point of connection (POC)
• Pressure at POC in pounds per square inch (PSI)
• Worse case zone (largest, farthest away from valve
• Total Sprinkler heads listed (with gpm use per head)
• Include a 10% residual pressure at point of connection
In general, all major sloped areas of a subdivision/project are to be
irrigated via separate irrigation meters (unless the project is only SFD with
no HOA) As long as the project is located within the City recycled water
'- \Farmtr\hathy\MASTr-HS\Biiilcjing Riancficck Cklsl Form (Generic) doc
..ST 2ND 3RD
BUILDING PLANCHECK CHECKLIST
service boundary, the City intends on switching these irrigation
services/meters to a new recycled water line in the future
G D 12c Irrigation Use (where recycled water is available)
1 Recycled water meters are sized the same as the irrigation meter above
2 If a project fronts a street with recycled water, then they should be
connecting to this line to irrigate slopes within the development For
subdivisions, this should have been identified, and implemented on the
improvement plans Installing recycled water meters is a benefit for the
applicant since they are exempt from paying the San Diego County Water
Capacity fees However, if they front a street which the recycled water is
there, but is not live (sometimes they are charged with potable water until
recycled water is available), then the applicant must pay the San Diego
Water Capacity Charge If within three years, the recycled water line is
charged with recycled water by CMWD, then the applicant can apply for a
refund to the San Diego County Water Authority (SDCWA) for a refund
However, let the applicant know that we cannot guarantee the refund, and
they must deal with the SDCWA for this
D D 13 Additional Comments
f tfclrmenKalli/MAS I ERS'-Buudma Plancheck Cklsl Form (Generic) doc
D
D
ENGINEERING DEPARTMENT
FEE CALCULATION WORKSHEET
Estimate based on unconfirmed information from applicant
Calculation based on building plancheck plan submittal
Address Bldg Permit No
Prepared by Date Checked by Date
EDU CALCULATIONS List types and square footages for all uses
Types of Use Sq Ft /Units
Sq Ft /UnitsTypes of Use
APT CALCULATIONS List types and square footages for all uses
Types of Use Sq Ft /Units
Types of Use Sq Ft /Units
EDU's
EDU's
ADT's
ADT's
FEES REQUIRED
WITHIN CFD D YES (no bridge & thoroughfare fee in District #1 reduced Traffic Impact Fee) D NO
PARK AREA & #
X NO UNITS =$
D 1 PARK-IN-LIEU FEE
FEE/UNIT
D 2 TRAFFIC IMPACT FEE
ADT s/UNITS
D 3 BRIDGE AND THOROl
ADT s/UNITS
D 4 FACILITIES MANAGE
UNIT/SO FT
D 5 SEWER FEE
EDU's
FEE/ADT = $
JGHFARE FEE
tfENT FEE
(DIST
X
ZONE
X
#1 DIST #2
FEE/ADT
FEE/SQ FT /UNIT
DIST #3 )
= $
-$
BENEFIT AREA
EDU's
FEE/EDU
FEE/EDU
D 6 SEWER LATERAL ($2 500)
D 7 DRAINAGE FEES PLDA
ACRES
D 8 POTABLE WATER FEES
UNITS CODE CONNECTION FEE
= $.
= $_
= $
HIGH /LOW
X FEE/AC = $
METER FEE SDCWA FEE IRRIGATION
Word\Oocs\Mlsforms\Fee Calculation Worksheet
1 Of 2
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No CB
Planner Chris Garcia
APN
Address
Phone (760) 602-4622
Type of Project & Use _
Zoning K, ( General Plan
Net Project Density.DU/AC
. Facilities Management Zone
CFD (in/out) #_Date of participation Remaining net dev acres
Circle One (For non-residential development Type of land used created by this
permit )
Legend Item Complete
Environmental Review Required
DATE OF COMPLETION
I Item Incomplete - Needs your action
YESNO TYPE
Compliance with conditions of approval? If not, state conditions which require action
Conditions of Approval
Discretionary Action Required
APPROVAL/RESO NO
PROJECT NO
YES NO V TYPE
DATE
OTHER RELATED CASES
Compliance with conditions or approval? If not, state conditions which require action
Conditions of Approval
n
NO<2.
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES_
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) /£ x-e^pp
Habitat Management Plan
Data Entry Completed? YES NO
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and
assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat Type
impacted/taken, UPDATE')
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 3/06
Site Plan
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)
Provide legal description of property and assessor's parcel number
--si ty n
BZf10 n
n
OCm
n
Policy 44- Neighborhood Architectural Design Guidelines
1 Applicability YES > NO
2 Project complies YEsT^ NO
Zoning
1 Setbacks
Front
Interior Side
Street Side
Rear
Top of slope
2 Accessory structure setbacks
Front
Interior Side
Street Side
Rear
Structure separation
3 Lot Coverage
Required <=•<£>
Required /65£> /W «,
Required /o
Required^%> /#1 n
Required -i/X&
jksx^^
Required -
Required
Required
Required
Required
Required V^/o
Shown
thst-bl Shown
Shown
'fe/V/ Shown
Shown
Shown
Shown
Shown
Shown
Shown
r
Shown
4 Height
5 Parking
Required
Spaces Required '/A
Shown
Shown
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required Shown
Additional Comments^wi
i^-infyt
/C
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE
H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 3/06
10-15-2008
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plan Check Revision Permit No PCR07144
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2044 CHESTNUT AV CBAD
PCR
2053302200 Lot # 0
$0 00 Construction Type NEW
CB071235
FRYE INCREASE FOOTING SIZE
FOR FUTURE 2ND STORY
Applicant
FRYE KEVIN P&SHANNON
2044 CHESTNUT AVE
CARLSBAD CA 92008
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Owner
FRYE KEVIN P&SHANNON
2044 CHESTNUT AVE
CARLSBAD CA 92008
ISSUED
07/18/2007
JMA
07/18/2007
07/18/2007
Plan Check Revision Fee
Additional Fees
$000
$000
Total Fees $0 00 Total Payments To Date $0 00 Balance Due $000
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
1635 Faraday Ave Carlsbad CA 92008
760 602 ?71 V 2718/2719
Fax 760 602 8558
Building Permit Application
Plan Check No
Est Value
Plan Ck Deposit
Date
JOB ADDRESS , _•2&& cnesnoo i
CT/PROJECT# LOT* PHASE # # OF UNITS ((BEDROOMS
CCol 12.3 S"
DESCRIPTION OF WORK
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (If Different Fom Applicant)
**.
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME \\sf I/ / L? O7 )"
ADDRESSZo44- ^egfrjur Aue
CITY ^TWf ^'P
PHONlT -x FAX
EMAIL^
ARCH/DESIGNER NAME & ADDRESS STATE LIC #
SUITE#/SPACE#/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES D # NO D YES D NO D YES D NO D
APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC # CLASS CITY BUS LIC #
(Sec 70315 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 1 commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption Any violation of
Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
GiOlMlRIElNISMWIJIOfNI
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
G 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
d 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 carrier and policy
number are Insurance Co _ Policy No __ Expiration Date _
This section need nol be completed if the permit is for one hundred dollars ($100) or less
n 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 cnminal 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
CONTRACTOR SIGNATURE DATE
/ hereby affirm fhaf / am exempt from Contractor s License Law lor the following reason
O 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)
n 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)
O 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 D Yes O No
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 / 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 / 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 / iddress / phone / type of work)
) PROPERTY OWNER SIGNATURE DATE
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 Act7 O Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' D Yes O No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 d Yes O No
IF ANY OF THE ANSWERS ARE YES
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
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 Lender's Address
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
thereby authorize representative 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 stones in height
1 80 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 penod of 1 80 days (Section 1 06 4 4 Uniform Building Code)
^APPLICANT s SIGNATURE DATE
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