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HomeMy WebLinkAbout2357 SUMMERWIND PL; ; CB041164; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ~8-20~ Residential Permit Permit No: CB041164 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2357 SUMMERWIND PL CBAD RESDNTL Sub Type: 2081704000 Lot#: $2,500.00 Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: GRUGEL RES 120 SF GARAGE CONVERTION TO CREATE OFFICE RAD 0 NEW 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: GRUGEL WILLIAM S&SANDRA L ISSUED 04/06/2004 SB 04/08/2004 04/08/2004 CHALLENGER CONSTRUCTION 4310 LA PORTALADA DRIVE 9507 04/08/04 0002 01. 92008 760-672-2700 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 Total Fees: $120.55 $45.79 $0.00 $29.76 $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 2357 SUMMERWIND PL CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Payments To Date: $0.00 Balance Due: Fl NALJPPROVAL Date: ~(]✓o Clearance: CC,F $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 $24.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $120.55 $120.55 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. 120, 55 PERMIT APPLICATION FOR OFFICE USE ONLY <-ti( 3/ PLAN CHECK NO. CBo ( b CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 '7 {; OC!> EST. VAL.--~:;,"'--------- Plan Ck. Deposit,....=------- Validated B~ ~ Date CJ/ la _ __q____ I f, , . 1. PROJECT INFORMATION \ 2--3 b 1 0t1t+'.ltl erw1Y1c Address (include Bldg/Suite #) pface Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bedrooms # of Bathrooms Name 3. City 0 Owner O Agent for Owner -e-e- Fax# City C$(5/J St~Zipqic,aa Telepho/lo-7 :c / 61D 2 Name 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. An iolation of S tio"f 7031 by any applican for a . stx t~plicant to a civil penalty of not more than ive hundred dollars:/ 50! ()I> Name City Sta a/Zip ;elepnore # State License # --Y.i'--'J,_,"JF-➔---License Class __ ...._.'--------City Business License # A--, 7P ; e cl ~ f Designer Name Address City State/Zip Telephone State License # _________ _ WORKERS' COMPENSATION orkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 f the work for 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 ssued. My worker's compensation insurance carrier and policy number are: nsurance Company _____________________ Policy No.____________ Expiration Date _______ _ SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) CE~TIFICATE OF EXEMPTION: I certify that in the performance of the work for which this perm(t is issued, I shall not employ any person in any manner so as t oome subject to the Workers' Compensation Laws of California. ensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred he cost of compensation, damages as provided for in Section 3706 of the bor c de, interest and attorney's fees. DATE d 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 pursuant to the Contractor's License Law). 0 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. 0 YES ONO 2. I (have / have not) signed an application for a building permit f or the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / 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).:_--------------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 ~truction 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 Citt 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 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 commence for pe 'od of 80 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE -J/ill~"'-"6~()Ll-r---- YELLOW: Applicant PINK: Finance . m City of Carlsbad Bldg Inspection Request . For: 05/14/2004 . Permit# CB041164 Title: GRUGEL RES 120 SF GARAGE Description: CONVERTION TO CREATE OFFICE Type: RESDNTL Sub Type: RAD Job Address: 2357 SUMMERWIND PL Suite: Lot 0 Location: APPLICANT CHALLENGER CONSTRUCTION Owner: GRUGEL WILLIAM S&SANDRA L Remarks: AM PLEASE Total Time: CD Description Act Comment 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs lns12ection Histo[Y Date Description Act lnsp Comments 04/20/2004 14 Frame/Steel/Bolting/Welding AP PY 04/20/2004 16 Insulation AP PY 04/20/2004 34 Rough Electric AP PY 04/16/2004 14 Frame/Steel/Bolting/Welding AP PD 04/16/2004 34 Rough Electric AP PD 04/09/2004 1 1 Ftg/Foundation/Piers AP PY 04/09/2004 12 Steel/Bond Beam WC PY Inspector Assignment: PY --- Phone: o,aoooo Inspect~ Requested By: NA Entered By: CHRISTINE ~ ~ Jl Jl • • C 0 ~ J;-.'l;; N .. ~ iS • ~ () C C ~ • " JQD □ ~□□ _D(DD }i,'o □ PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST ., Plan Check No. CB (?{_j / / ~ C/ Planner Greg Fiiher Address '23~ 1 ,)°fJVYI rn.erw t nd {)/_ Phone (7601602-qG29 ----------- APN: ------------------------------- Type of Project & Use: _____ ~_ Net Project Density: DU/AC Zoning: /?It /blJCO General Plan: {?lfn Facilities Management Zone: g) CFO (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: D Item Incomplete -Needs your action YES_ NO~ TYPE ___ _ DATE OF COMPLETION: ________ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES NO XTYPE __ _ APPROVAL/RESO. NO. _______ DATE __ _ PROJECT NO. _________ _ OTHER RELATED CASES: ___________________ _ Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: ______________________ _ Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES __ NO)< CA Coastal Commission Authority? YES NO.).::- 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): Coastal Permit Determination Form already completed? YES NO If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-Up Actions: 1 I Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 21 Complete Coastal Permit Determination Log as needed. lnclusionary Housing Fee required: YES NO 'x (Effective date of lnclusionary Housing Ordinance -Ma~, 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\CDUNTER\BldgPlnchkRevChklst Rev 9/01 )efo □ ct,□□ 1ef'□ □ □□□ ~□□ A_□□ ~□□ ~□□ ~□□ □□□ Site Plan: 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improverrients, right- of-way width, dimensional setbacks and existing topographical lines (including a11· side and rear yard slopes), 2. Provide legal description of property and assessor's parcel number. Policy 44 -Neighborhood Architectural Design Guidelines 1. Applicability: YES ____ ,NO x::: 2. Project complies YES ___ NO ___ _ Zoning: 1 . Setbacks: Front: Interior Side: Street Side: Rear: Required "J:_t'J' Shown 7.o' Required ~7 Shown /D 7 Required -Shown Required r2/ Shown %7 Top of slope: Required Shown - 2, Ace sory structure setbacks: Front. Required Shown Required Shown Required Shown Required Shown Required Shown 3. Lot Coverage: Required $> L/(}~ Shown t._ l/ tJC/. 4, Height: Required L 2:Q/ Shown -!f!r:i $(/oWN ~ /l,/7ePll)I--l}fnz/r-d/11/, y 5. Parking: Spaces Required )..., Shown ,___ (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required _____ _ ( Shown _____ _ Additional Comments ________________________ _ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTE~TE_+-.r---t--- H:\ADMIN\COUNTER\BldgPlnchkRevChklst Re.v 9/01