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HomeMy WebLinkAbout2727 WATERBURY WAY; ; CB041373; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CB041373 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2727 WATERBURY WY CBAD RESDNTL Sub Type: 1674321200 Lot#: $69,216.00 Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: CUMMING RES 672 SF RAD 2BEDROOMS FAMILY RM AND KITCHEN RAD 0 NEW 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: ISSUED 04/26/2004 SB 05/24/2004 06/03/2004 WORTHING INC, B. A. SUITE #201 CUMMING FREDERICK L IV&DIANA L J 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 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: $796.17 Inspector: $431.06 $0.00 $280.19 $0.00 $0.00 $6.92 $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 2727 WATERBURY WAY CARLSBAD CA 92008 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee 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 TOT AL PERMIT FEES 3535 06/03/04 0002 01 CGP $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.00 $20.00 $24.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $796.17 Total Payments To Date: $280.19 Balance Due: $515.98 FINAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of ees, 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 Ca~sbad 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 d. 02 515-98 FOR OFFICE USE ONLY <)..{ c_,, ~~ \.kh ~ . pffiW ~PPLICA T~l'\\~ PLAN CHECK r;;J;· Cf'ro,j(':, 7 3 EST. VAL. 7 7 ~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. DepositBt:> f-- 1 . PROJECT INFORMATION 0719 04/26/04 oor 'J ""' Business Name (at this address) Assessor's Parcel # l r 7 -#z. -1--z._ Existing Use Proposed Use R. Description o.!_ Worf . ~A•' r,.J.-J . ~-z_.~_7 n<lTV\\t.)frf'\~ #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If Jtferent frfn applicant) Name 3. 4. 6. CONTRACTOR • COMPANY NAME Address I City --z_ State/Zip Telephone# Fax# State/Zip (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 tor the alleged exemptionw~r.iola;on of Sectionz031. by~Xlicant for a wi~t;~rhe a plica~ripenalty of not more tha?/i,~undredz_qars [q0)). City State/Zip Telep one 5 State License # 'yt 'f... f3':l 't State/Zip 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of 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 issued. My worker's co ens tion insurance carrier and policy number are: / / Insurance Company -L..:-.c. .... 4-! ... '..:,"'-._--"4-~~--'~l,,Ll.,,,_,"""----------Policy No. ccoe 77'2 -'2 C04-' Expiration Date I / -0 5 r , (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) W CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure w orkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($ 00) • addition to the cost of compensation, damages as provided for in Section 3706 of the La or code interest and attorney's fees. SIGNATURE:~~~'.,,/,,it:l!ll'.IL~,q.-,,.:===----------------==::::-DATE -4-j,__..=-<'-f-l<C...f--- 7. OWNER-BUil I hereby affirm that I am exempt f m the Contractor's License Law tor the following reason: 0 I, as owner of the property o y 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 ha did not build or improve for the purpose of sale). 0 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 tor 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 for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I 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-RESIDENnAL 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 ANO 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 commenced for eriod of 180 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance DATE -~+-,/'--'~=--'=='..,._/~;::;..;---- .... City of Carlsbad Bldg Inspection Request For: 10/19/2004 Permit# CB041 373 Title: CUMMING RES 672 SF RAD Description: 2BEDROOMS FAMILY RM AND KITCHEN Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 2727 WATERBURY WY Lot 0 APPLI CANT WORTHING INC, 8. A. Owner: CUMMING FREDERICK L IV&DIANA L J Remarks: Total Time: Act Comment Inspector Assignment: JM --- Phone: 7607293965 Inspector: Req uested By: TERESA Entered By: CHRISTINE CD Description 19 Final Structural ~------ 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs lnsQection Histo!}'. Date Description Act lnsp Comments 08/18/2004 17 Interior Lath/Drywall AP JM 08/18/2004 18 Exterior Lath/Drywall AP JM 08/16/2004 13 Shear Panels/HD's AP JM SHEAR OK INTERIOR 08/13/2004 16 Insulation AP JM 08/11/2004 84 Rough Combo AP JM w/list @ insulation 08/10/2004 84 Rough Combo co JM LATH NOT COMPLETE 08/03/2004 13 Shear Panels/HD's AP JM ok to wrap 07/26/2004 15 Roof/Reroof AP PD 07/01/2004 11 Ftg/Foundat1on/Piers AP JM OK TO POUR FRONT SIDEYARD AND INTERIOR 06/29/2004 21 Underground/Under Floor AP JM