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Home My WebLink About2910 RANCHO RIO CHICO; ; CB020803; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-15-2002 Residential Permit Permit No: CB020803 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: OLIVER CORNELL 1027 3RD STREET ENCINITAS CA 92024 436-6813 Building Inspection Request Line (760) 602-2725 2910 RANCHO RIO CHICO CBAD RESDNTL Sub Type: RAD Status: 2226111800 Lot#: 0 Applied: $4,290.00 Construction Type: NEW Entered By: Reference #: Plan Approved: O Structure Type: Issued: O Bathrooms: 0 Inspect Area: BIRKENSTOCK RES/CONVRTNG129SF Orig PC#: ATTIC SPACE TO HAB., INSTAL WINDOW& DRYWALL Plan Check#: Owner: BIRKENSTOCK RICHARD D 2910 RANCHO RIO CHICO CARLSBAD CA 92009 ISSUED 03/18/2002 CB 03/21/2002 03/21/2002 JC Total Fees: $141.46 Total Payments To Date: $141.46 Balance Due: $0.00 Building Permit Add'I Building Permit Fee Plan Check Add'I 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'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Inspector: $61.19 $0.00 $39.77 $0.00 $0.00 $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 Date: Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee PFF PFF (CFD Fund) License Tax License Tax (CFD Fund) Traffic Impact Fee Traffic Impact (CFD Fund) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $19.50 $0.00 $0.00 $0.00 $0.00 $0.00 $141.46 NOTICE: Please take NOTICE tha approval of your project includes the "Imposition• of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Yo have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f · n . FOR OFFICE USE ONLY cfo'K PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO L {Boz..t)~ EST. VAL. 067& I -yz9() Plan Ck. Deposit 34. 7 7 Validated By kf:3 Date ,3-16-02 Lot No. d.ubd1v1sion Name/Number Unit No. Phase No. Total # of units Al\ LC. Existing Use L-i VAf>li.t!f 03$,(?~, 'll Proposed Use "- 0 -/ssessor's Parcel# Description of Work SO. FT. # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) I ·zq-tj:J Name Address City State/Zip Telephone# Fax# ~ 13. APPLICANT O Contractor O Agent for Contractor "I--QL\\lEr2 ~oQN£kL lo~ 0 Owner O Agent for Owner 3 C'lt> 5::rf, 'ENGi N )!AS CA Cf?b1J./ 1bD L/3la?llf3 State/Zip Telephone # Name Address City 6. CONTRACTOR • COMPANY NAME (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 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 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following 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 for which this permit is issued. O 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 worker's compensation insurance carrier and policy number are: Insurance Company ____________________ _ Policy No. ___________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 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. SIGNATURE. _______________________________ _ 7. OWNER-BUILDER DECLARATION i hereby affirm that I am exempt from the 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). O 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 P'(rsuant 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 materials for construction of the proposed property improvement. Jij:f YES ONO 2. I (have / ~) 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 number / 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 number/ 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/ address / phone number / type of work): -7"9 ~ PROPERTY OWNER SIGNATURE L ~ COMPLETE THIS SECTION FOR NOr/.,,;s,oENTIAL8UllDINGPE DATE_3.,_/e..~I ,_/ 0..:....--=2-::;:___ I 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? 0 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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. 8, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ 9. APPLICANT CERTIFICATION 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 representatives of the Cit'{ 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 stories 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 co enced within 180 days the date of such permit or if the building or work authorized by su h permit i suspended or abandoned at any time after the work is com e ce r a period of 18 d s (Section 106.4.4 Unif Building Code). PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/14/2002 Permit# CB020803 Inspector Assignment: JC --- Title: BIRKENSTOCK RES/CONVRTNG129SF Description: ATTIC SPACE TO HAB., INSTAL WINDOW& DRYWALL Type: RESDNTL Sub Type: RAD Job Address: 2910 RANCHO RIO CHICO Suite: Lot 0 Location: APPLICANT OLIVER CORNELL Owner: BIRKENSTOCK RICHARD D Remarks: Total Time: Phone: 7604312514 Inspector: ----- Requested By: RICK Entered By: CHRISTINE CD Description 19 Final Structural ·At: A , . omments , . • _ .. J 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs lns.iection HistQ(ll Date Description Act lnsp Comments 04/25/2002 18 Exterior Lath/Drywall AP JC 04/23/2002 17 Interior Lath/Drywall AP JC 04/22/2002 13 Shear Panels/HD's AP JC 04/22/2002 16 Insulation AP JC 04/22/2002 17 Interior Lath/Drywall PA JC ONE WALL MISSING 04/22/2002 44 Rough/Ducts/Dampers AP JC 04/19/2002 14 Frame/Steel/Bolting/Welding AP JC 04/19/2002 16 Insulation PA JC 04/19/2002 34 Rough Electric PA JC OK TO SHR WALL 04/19/2002 43 AirCond/Fumace Set PA JC