HomeMy WebLinkAbout1745 BLACKBIRD CIR; ; CB140181; Permit01-23-2014
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: CB140181
Building Inspection Request Line (760) 602-2725
1745 BLACKBIRD CR CBAD
RESDNTL Sub Type: RAD Status:
2156016000 Lot#: 0 Applied:
$9,657.00 Constuction Type; 5B Entered By:
Reference #: Plan Approved;
1 Structure Type; Issued:
0 Bathrooms: 0 Inspect Area:
Orig PC #: Plan Check #:
BODDEN RES- REMODEL 168 SF
KITCHEN. REMOVE SECTION OF LOAD BEARING WALL BETWEEN
KITCHEN & DINING ROOM, MOVE SINK & REFRIGERATOR W/ WATER
LINE. MOVE STOVE W/ GAS LINE.
ISSUED
01/23/2014
RMA
01/23/2014
01/23/2014
Applicant:
RICHARD AND RICHARD CONSTRUCTION
STE 100
234 VENTURE ST
SAN MARCOS CA 92078
760-759-2260 X325
Owner:
BODDEN JASON M&DIANA P REVOCABLE TRUST 05-05-05
1745 BLACKBIRD CIR
CARLSBADCA 92011
Building Permit $126.87 Meter Size
Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee $0.00
Plan Check $88.81 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 $1.00 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
Bridge Fee $0.00 Traffic Impact Fee (3105541) $0.00
Other Bridge 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 $38.00
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 BIdg Stands (SB1473) Fee $1.00 Fire Sprinkler Fees $0.00
Green BIdg Stands Plan Chk Fee $0.00
TOTAL PERMIT FEES $255.68
Total Fees: $255.68 Total Payments to Date $255.68 Balance Due: $0.00
inspector:
FINAL AEPI
Date: 0 '<
JOVALr
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively
refen'ed to as "fees/exactions." You have 90 days from the date this peimit 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 Carisbad 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions nf which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired.
/[THE FOLLOWING APPROVALS REQUIRED PRIORTO PERMIT ISSUANCE: • PUNNING DENGINEERING DBUILDING DFIRE • HEALTH DHAZWAT/APCD
Building Permit Application Plan Check No. (M / ^ Q ///
CARLSBAD
CITY OF
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax; 760-602-855i
email; building@carlsbadca.gov
www.carlsbadca.gov
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS SUITE*/SPACE*/UNIT*
CT/PROJECT # # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: fncfude Square Feet of Affected Area(s)
EXI^UNG USE 1 4^ /(it^Mi
AIR CONDITIONING FIRE SPRINKLERS EXITING USE ARAGE'(3 PATIOS (SF) FIREPtACI
YES|~|» N0| 1
AIR CONDITIONING
YES QNO I I
FIRE SPRINKLERS
YES I |NO| I'
APPLICANUIAME (Primary Contact) , APPLICANTN^Uf (Secondary Coi]iact; .
ADDRESS
CITY ZiP CITY ZIP
PHONE ^ FAX PHONE FAX
EMAIL
IQBERTY OWNER NAME, , . , CONTRAI
ADDRESS ADDRESS
CITY STATE ZIP CITY
PHONE PHONE
EMAIL EMAIL
ARCH/DESIGNER NAME SiADDRESS
(Sec. 7031.5 Business and Professions Code: Any City or County whioh requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WORKERS IP WHS Atti
Workers' Compensation Declaration: / hereby aflirm under penalty ofpeijuiy one ofthe follovi/ing declarations:
B l 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.
I have and will maintain woriiers' compensation, as required bv 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 ,
TIjjs section need not be completed if the permit is for one hundred dollars ($100) or less.
LJ Certificate of Exemption: I certify that in the performance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure woriters' compensation coverage Is unlawful, and shall subject an employerto criminal penalties and cKrII 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 attomey's fees.
JS^ CONTRACTOR SIGNATURE • AGENT DATE
'-U^.M'Mm-ft UlLDER ;0 e C L A.R A Tl O I
/ /lereby affirm that I am exempt from Contractor's License Law for the following reason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 constmct the project (Sec. 7044, Business and Professions Code: The Conlractor'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:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I lYes I iNo
2.1 (have / have not) signed an application for a building pennit for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the wori(, but I have hired the following person to coordinate, supen/ise and provide the major wori< (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) Ihe following persons to provide the wori( indicated (include name / address / phone / type of work):
/SS'PROPERTY OWNER SIGNATURE •AGENT DATE
tETE THIS SIECTION POR nil
Is the applicant or future building occupant required to submit a business plan, acutely hazanlous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit fram the air pollution control district or air quality management district? Yes No
Is the facility to be constracted 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 MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
C O N S T R U CTION JL IE N O I N GAGE HC V
I hereby affirm that there is a consbuction lending agency fbr the perfonnance of the work this pennit is issued (Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
*l»|.iCA«IT CERTIFICATION
1 certify that I have read the appllcatnn and state that the above Intbrmation Is conect and thatthe intbnnation on the plans Is accurate. I agree to comply with all Cify ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above menttoned property fbr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST Aa 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 fbr excavations over 5'0' deep and demolitton or construction of stnjctures over 3 stories in heighl
EXPIRATION: Every pemiit issued by theSuikJing OlScial under thepiDvistonsofthis Code shall expire by limitation and become nullandvoidifthebuildingor work aulhorized by such permit is not commenced within
180 days from the date of such pemiit or if the building or wortt authorbe^ by such peimit is suspended or abandoned at any time after the wortt is commenced for a period of 180 days (Sectton 106.4.4 Unifbnm Building Code).
APPLICANT'S SIGNATURE /^^-l ^iJ^'^-l"'^^^^-^ DATE ' / j I ^
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buildinq(S)carlsbadca.aov or Mali the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Oniy)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
iVIAIL/FAX TO OTHER:
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB140181 Type: RESDNTL RAD BODDEN RES-REMODEL 168 SF
KITCHEN. REMOVE SECTION OF LOAD B
Date Inspection Item Inspector Act Comments
08/06/2014 89 Final Combo - Rl AM PLS, UNSURE OF TYPE OF FINAL
08/06/2014 89 Final Combo PD AP
02/20/2014 17 Interior Lath/Drywall PY AP
02/14/2014 84 Rough Combo PY AP
Monday, August 11, 2014 Page 1 of 1
13'0"
EXISTING PLAN VIEW AT:
8'9"
1745 BLACK BIRD CIRCLE
CARLSBAD, CA 92008 C$NO I n
= TO BE REMOVED
S'')"
PROPOSED CHANGES AT:
1745 BLACK BIRD CIRCLE
CARLSBAD, CA 92008
Stmctatal Bt^;faK«»it^ Setvkes Project gtfbZ>f5V fAJMMdi
EngineeE Brian QuaPs
Sheet
Job#:
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