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Home My WebLink About2704 WATERBURY WAY; ; CB020494; PermitJ..t ')L,1'n City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-01-2002 Residential Permit Permit No: CB020494 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Building Inspection Request Line (760) 602-2725 2704 WATERBURY WY CBAD RESDNTL Sub Type: 1674411000 Lot#: $91,800.00 Construction Type: 0 0 SHEFFER RESIDENCE Reference #: Structure Type: Bathrooms: RAD 0 NEW 0 900 SF BEDROOM & BATHROOM ADDITION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: ISSUED 02/15/2002 MDP 04/01/2002 04/01/2002 Applicant: MAUS MARK SHEFFER SHIRLEY E 1999 REVOCABLE TRUST 04-13-99 660 BENNETT AVE 92069 760 294-1169 Total Fees: $1,332.78 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 STD #2 Fee STD #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: 2704 WATERBURY WAY CARLSBAD CA 92008 ~33 ) ')' ; -, CG Total Payments To Date: $335.24 Balance Due: $997.54 $515.76 $0.00 $335.24 $0.00 $0.00 $9.18 $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 FINAL A Date: I Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO Payoff Fee PFF PFF (CFD 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 Master Drainage Fee Sewer Fee Additional Fees TOT AL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $69.00 $20.00 $37.00 $0.00 $0.00 $346.60 $0.00 $0.00 $1,332.78 VAL '"3 Clearance: ______ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition' o 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 . . . . . . . • ' . 9 } lit \_11» FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. oc./· q q y EST. VAL. Cf£ y:o·D ,. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave ., Carlsbad, CA 92008 Plan Ck. Deposit 33 & ~'?JLf Validated By ___ L..--,IIL,:.....IL'!l...L;:__ __ Date ____ ----'-1--4-1~'--"'...,.=----- 1. PROJECT INFORMATION Deszp;n~J./ O!-6;:ol?d)H 1 ,J;;; ~O{) s't Storie~ t (tl )of~~~ 2. CONTACT PERSON (If different from applicant) MAl2K MAU,S /au:> &/NbTT Ave: , 5A-u /v1J4,/W)J 12,0'19 Name Address City State/Zip 3. APPLICANT ~ontractor O Agent for Contractor O Owner O A~nt for Owner ~bd awsr 2lttD 6iljWa Av«:? JP,:r-1 Vit>-r:;a. Name Address City qu,B3 State/Zip 5. 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~ applicant to a civil penalty of not more than five undred ollars ($5001). , -✓,n,"7,c-> • ~ -J • State License # ------=-~~--- 6. WORKERS' COMPENSATION W ers' Compensation Declaration: I hereby afform 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 e 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 d. My worker's com ensation insurance carrier and policy number are: Policy No .. ____________ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) Expiration Date I I, /z.oo-a I 1 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 thouso ensation coverage Is 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 La or cod interest and attorney"s fees. DATE /0 -z<>,o%--. I hereby a firm that I am exempt from the Contractor's License Law for the following reason: 0 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). 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 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 for the proposed work. 3. I have contract8d 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 26505, 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? 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 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 commence ithin 180 da from the date of such permit or if the building or wor1< authorized by such permit is suspended or abandoned at any time after the work is commence a period of days (Section 106.4.4 Uniform Building Code). DATE Z // < l--..z_.. APPLICANT'S SIGNAT h V /~ r7 YELLOW: Applicant PINK: Finance Inspection List Permit#: CB020494 Type: RESDNTL RAD SHEFFER RESIDENCE 900 SF BEDROOM & BATHROOM ADDITI Date Ins ectlon Item Ins ector Act Comments 01/17/2003 89 Final Combo RI 01/17/2003 89 Final Combo JM Fl 05/20/2002 17 Interior Lath/Drywall RCB AP PM -RETURNED AND AP 05/20/2002 17 Interior Lath/Drywall RCB NA AM -NOBODY ON SITE -NO ANSWER 05/20/2002 18 Exterior Lath/Drywall RCB AP PM 05/15/2002 84 Rough Combo RCB AP OK TO INSULATE 05/07/2002 11 Fig/Foundation/Piers RCB AP OK TO POUR PIERS AT STEEL POSTS 05/07/2002 24 Rough/Topout RCB AP 04/25/2002 13 Shear Panels/HD's RCB AP 04/25/2002 15 Roof/Reroof RCB AP OK TO COVER 04/25/2002 18 Exterior Lath/Drywall RCB WC OK TO WRAP 04/05/2002 11 Fig/Foundation/Piers RCB CA APP ON 4/4 04/05/2002 12 Steel/Bond Beam RCB CA 04/04/2002 11 Fig/Foundation/Piers RCB PA OK TO POUR ALL BUT PIER FOR 4 X 4 X 1/2 STEEL POST. NOTES ON INSP CARD 04/03/2002 21 Underground/Under Floor RCB AP OK TO COVER Wednespay, January 22, 2003 Page 1 of 1 ~ ~ City of Carlsbad Bldg Inspection Request For: 01/17/2003 Permit# CB020494 Inspector Assignment: RCB Title: SHEFFER RESIDENCE Description: 900 SF BEDROOM & BATHROOM ADDITION /✓1-vlf ~ Type: RESDNTL Sub Type: RAD Phone: 7605352552 Job Address: 2704 WATERBURY WY Suite: Location: Lot 0 Inspector: ~ APPLICANT MAUS MARK Owner: SHEFFER SHIRLEY E 1999 REVOCABLE TRUST 04-13-99 Remarks: Total Time: Requested By: GREG Entered By: CHRISTINE CD Description KComment 19 Final Structural ,( 29 Final Plumbing ~ 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs lnsQection Histo[Y Date Description Act lnsp Comments 05/20/2002 17 Interior Lath/Drywall NA RC AM -NOBODY ON SITE -NO ANSWER 05/20/2002 17 Interior Lath/Drywall AP RC PM -RETURNED AND AP 05/20/2002 18 Exterior Lath/Drywall AP RC PM 05/15/2002 84 Rough Combo AP AC OK TO IN SULA TE 05/07/2002 11 Fig/Foundation/Piers AP RC OK TO POUR PIERS AT STEEL POSTS 05/07/2002 24 Aough/Topout AP RC 04/25/2002 13 Shear Panels/HD's AP AC 04/25/2002 15 Aoof/Aeroof AP AC OK TO COVER 04/25/2002 18 Exterior Lath/Drywall WC AC OK TO WRAP 04/05/2002 11 Fig/Foundation/Piers CA RC APP ON 4/4 04/05/2002 12 Steel/Bond Beam CA RC 04/04/2002 11 Fig/Foundation/Piers PA RC OK TO POUR ALL BUT PIER FOR 4 X 4 X 1/2 STEEL POST. NOTES ON INSPCARD 04/03/2002 21 Underground/Under Floor AP RC OK TO COVER ~ CoNSTRUCTION TESTING & ENGINEERING, INC. ESCONDIDO •TRACY •CORONA •OXNARD •LANCASTER ENGINEERING, INC. INSPECTION REPORT PAGE OF PROJECT NAME: gf/QFB f.J... At2DIT1Qtt/ ADDRESS: ~ 7o'f w;,,t:t?-BU8,: ~A Y- ?'z1RLz13A:D ARCHITECT: f?,4 f< fV fE.17= ENGINEER: C IVG1 rvr;f;.e., o€;zt6/1/ Gf.Vup CONTRACTOR: 'f?A&,ft/e7T C O IVz[, INSPECTION DATE: ~lf_-~5~--0_2_~----- PLAN FILE: ____________ _ BLDG PERMIT: C-:12 ·-0 )_,. 0 <.f Cf'lf: OTHER: _____________ _ CTE JOB # Jo -£--{?~) REPORT# ______ _ ~N a,.TDJALIDEN11P.ICA110N !¥~~ ., OONC MIXffSI_6..___L_---.~----- ( .}M_ASONRY OROVTMIXM'SI_.....,,.....,..-:-,:::~-~~--• ) P.T. ~-MORFARl'YP£/PSI --:=-:::-::,--,-,..,...-..,.,....,.--..,,,-..:-1 ( )FIELD WElD RSBARORADE ______ _ WELDING •snt. Sll!EL __________ _ arvJNG RS;BOLT ___________ ,1 ( )BATCHPLANT MAS.BLOCK _______ _ ) EXP. ANCHOR 1!LBCI'RODE ~-~:-:::-:--:~~:---.,,~ )OTHER Sv f 13-/(,, 10 fx Material Sampling t/) CONCRETE ( ) MORTAR ( ) GROUT ( ) FIREPROOFING ( ) MASONRY BLOCK ( ) REBAR ( )STRUCTURALSTEEL ( )BOLTS ·,te,trcr .:.,r:;:J../§4'7 ~ JOB PROBLEM, MATERIAL IDENTIFJCATION, PAOORESS..WORK REJECTED, REMARKS M¢/'!V t rots ED ; J A-c /11 o M f0t/T col-v 111& Foor1 ,v 6 5 - C tlG C..KG'O ? 7 C!?l r &'E?--r e,yt,./AJ ptg,& 7, Certfflcatlon of Compliance: AU work, Lmless otherwise noted, complies with the approved plans and speciflcatlQns and the • unlfonn. b4lildlnlircode. ' NAME: (PRINT) A I _ qc.,1 5 CERTIFICATION NO: {O ~6 2-6 )._ '7 -5 tJ SlGNATURE ae. a,.-404 L GE0 TECHNICAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION 2414 VINEYARD AVENUE SUITE G ESCONDIDO. CA 92029 (760) 746-4955 FAX (760) 746-9806 Construction Testing & Engineering, Inc. 2414 Vineyard Ave Escondido, CA 92029 (760) 746-4955 Fax:(760) 746-9806 ENGINE:.ERING, INC. REPORT OF COMPRESSION TEST Sample Group # 54931 Waterbury Way Project No 10-5493 Project Name Project Address Gen. Contractor Engineer ------- 2704 Waterbury Way Barnett Construction Sub-Contractor ---------------- N/A Architect NIA ---------------- CB-02-0494 Plan File No Bldg Permit No Gov't Contract # ---------------0 SA/OS HP D Sample Group Data Report of Placement Date Supplier/Plant Mix Number Concrete Cylinders Measured Specified Mix Description Mix Design Required Strength 4/4102 Superior Ready Mix 67P 3000 PSI, 7 SK,PEA GROUT 3000 psi ----20.7 3000 psi ----20.7 Slump Air Temp Mix Temp Air Content MPa Unit Weight MPa Dry Weight Truck No. 217 Ticket #: 215478 Age: 45 Min. Samples Made By: Al Cacas (in.) (•F) (•F) (%) pcf pcf -----------Date Rec'd In Lab 4/8/02 ------Cement Type _N_IA ______ _ Admixture POZZ ---------------Specific Location MOMENT COLUMN FOOTINGS 4.25 NIA 60 NIA 69 NIA NIA NIA NIA Special Instructions/Remarks _1 __ @'""7_-_2 __ @'""2_8_-_1_H_O_LD __________________________ _ Compression Laboratory Data Sample Lab No. Date Dimensions Test Area Max Load Compressive Strength Fracture Age Tested Type 7 1A 4/12/02 4x8 in 12.57in2 30,366 lbs 2420psl 16.7MPa D 28 18 5/3/02 4x8 in 12.57 in' 55,912 lbs 4450psl 30.7MPa D 28 1C 5/3/02 4x8 In 12.57in2 51,855 lbs 41 30psl 28.5MPa D Cone A Cone/Split B Cone/Shear C Shear D Columnar E ~QJ0 DWJ Comments: 28 day test meets specifications. Sampling and testing conducted in accordance with ASTM Standard designations: C31-98, C39-96, C78-94, C138-92, C143-98, C172-97, C231-97, C617-98, C780, C1019, C1 077-98, E447 ~ /4,. -..;-? Checked by: ____________ Date: __ Reviewed by: ~ -~~ -Date: , Douglass Johnston, cc: Barnett Barnett City of Carlsbad City of Carlsbad i=i!i•Gii,l·■•l§•Eliii,i§,1 • CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FEES OR OTHER MITIGATION This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior to issuing a building permit. The City will not issue any building permit without a completed school fee form . Project Name: Building Permit Plan Check Number: Project Address: A.P.N.: Project Applicant (Owner Name): Project Description: Building Type: Residential: Second Dwelling Unit: Residential Additions: Commercial/Industrial: City Certification of Applicant Information: . >It l f /'[I{ $ Oo ~ J IJ//t ~ I 7 -'t -I C> oo (3d k 6c;:;ii ~ Number of New Dwelling Units Square Feet of Living Area in New Dwelling Square Feet of Living Area in SDU Net Square Feet New Area e Feet Floor Area Date: J Carlsbad Unified School District San areas Unified School District 215 Mata Way 801 Pine Ave. • Carlsbad CA 92009 (729-9291) Encinitas Union School District IO I South Rancho Santa Fe Rd Encinitas, CA 92024 (944-4300) San Marcos, CA 92069 (736-2200) San Dieguito Union High School District 710 Encinitas Blvd. Encinitas, CA 92024 (753-6491) I Certification of ApplicanUOwners. The person executing this declaration ("Owner") certifies under penalty of perjury that (1) the information provided above is correct and true to the best of the Owner's knowledge, and that the Owner will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect, and that (2) the Owner is the o er/develope of the above described project(s), or that the person executing this declaration is authorized to sign on beh the Owne Date: 92008-731 4 • (760) 602-2700 • FAX (760) 602-8560 @ Revised 4/20/00 . . SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school district(s)) ................................................................................................... THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE _ BEEN OR WILL BE SATISFIED. SCHOOL DISTRICT: The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder, or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District. The City may issue building permits for this project. SIGNATURE OF AUTHORIZED SCHOOL DISTRICT OFFICIAL TITLE NAME OF SCHOOL DISTRICT DATE PHONE NUMBER CB020494 2704 WATERBURY WY CBAD SHEFFER RESIDENCE \ 900 SF BEDROOM & BATHROOM ADDITION RESDNTL RAD Lot#· MAUS MARK ·~ £.s:;; ( '( c),; ') ·)1/oY ~ ~ Fe 3 / t ! o 2 &11. W #L+-r/4 /2 -':X7-o:J_ F5~ CLIJJ 3 -15-02 "q1( UL ~ tt(1 (02-- <Av ~ 1IJ eklu-.v lI[ 0hv 11r@0 cs~ <::-LJ., RT(--N 1iiANs @ ~t-J t;J;~J / O I ~ I ()'J--r. D. ~ )\,o -&a QJ(.-r -iD S/ I ~ ( o 3 tv-f ,( 2210~ Pl lLtA. KJJ__, l.Wl;L ~ \ _ 1(i:,fv 'i_..--Z~<- 2 ·:71--o:z PLANNING ENGINEERING FIRE APPR/FORM HEALTH DEPT HAZ MAT / AIR QUAL _____ OTHER SEWER DISTR BLDG GRADING LETTER TO FROM APPLICANT APPLICANT ---"'----PL.At,-; CORR --,-,H-,,...-,,..,-+-,..-1-,-.J~.,...ENG CORR -=1-~....,__,_~f..J.I-IJ.=--SCI-IOOL FORM --.--c:=---,,,-+=-~-CFD FC9M -....:a'-'--'-.«::-~~-P E & M WORKSHEET ___ _.__ __ 81.['G i:i:-::c; COMPLETE