HomeMy WebLinkAbout2692 WATERBURY WAY; ; CB901834; PermitB U I L D I N G P E R M I T Permit No: CB901834
ProJect No: A9002095
Development No:
11/20/90 13:57
Page 1 nf 1
Job Address: 2692 WATERBURY WY Str : Fl: Ste :
Permit Type: RESIDENTAL ADD/ALT (UNDR $10K)
Parcel No: 167-441-24-00
Valuation: 2,310
9477 11/' O O
Construction Type: NEW
Occupancy Group: Class Code : ~ 1t7t:: ISSUED
11/20/90
11/20/90
KZH
Description: 220 SF PATIO CVR ICBO #432 3P
Appl/Ownr : R .E. LIPPARD
4901 COLUSA DR
OCEANSIDE, CA 92056
CONTRACTOR R.J. CONSTRUCTION
4901 COLUSA
OCEANSIDE , CA 92056
OWNER SALERMO, NICHOLAS
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
App]ied:
Apr/Issue:
Validated By:
619-941-9188
C 351335 619-941-9188
Lie . OWNER
Fees Collected & Credits ***
tal Cred ts :
al Payments:
Due :
ee/Unit
.00
.00
90 ,00
Ext fee Data
54.00
35,00
1. 00
90.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbill!f Buil~ing Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL. ___ __.'-"'q...+-~=J..r.~----
1.
A
8
C
PERMIT TYPE
COHMERCIAL
D INDUSTRIAL
(lg RESI DENTIAL
O NEIi
QAPARTMENT
QDUPLEX QDEHOLITI0N
Q MECHANICAL QPOOL
TENANT IMPROVEMENT
QTENANT IMPROVEMENT
QC0ND0 l8]SINGLE FAMILY 0IIELLING QA00JTI0N/ALTERATION
QRELOCATION QH081LE HOHE CijELECTRICAL □PLUMBING
QSPA QRETAINING IIALL QS0LAR Q0THER
PLAN CK OEPOSIT-;--::--:---------
::~~0. er -~~b--5-'0
2. PROJECT I NFORMATION PLAN CHECK No .
Address '.2.' 92 W"1t-~8.,;3y INII'/
Nearest Cross Street s
LEGAL DESCRIPTION Lot No. Sutxh v1 s ion Name/Nl.l'Tber Unit Mo. Phase No.
CHECK BEL<M IF SUBMITTED: 0 2 Energy Ca I cs
ASSESSOR 'S PARCEL
bESCRIPT ION OF WORK
02 Structural Cales D 2 Soi ls Repcrt 0 1 Addressed Enve I ope
EXISTING USE PROPOSED USE
BLOG. SQ. FTG. 2 )..c:' # OF STORIES /
3 . CONTACT PERSON
4.
5 .
NAME (<, -;;r," C,µ61)2vc.:7i "1 i-t
CITY (?c,,£1ffl~ IQ-!=
SIGNATUREO? ~
APPLICANT (llC0NTRACTOR
NAME R,£ L,?_1')4Rt>
c1n CcE 4NSn>£
PROPERTY OWNER
NAME ,V,t:-/.1 ,:,/.dS S,'1.L.c.em,
STATE ZIP COOE
0 AGENT FOR CONTRACTOR
ADDRESS
CITY Cl12J.S 81'11z STATE ZIP COOE
DAY TELEPHONE
?41'1'/rr~
OOIINER D AGENT FOR OIINER
QLESSEE
W#7l:e5'vt.7 ~/
DAY TELEPHONE
□TENANT
6. CONTRACTOR
NAME 1?,J,s J#)i:fi q-C;,4/~L'&//,IH ADDRESS C?c51'/~l6/l:>./c"
ZIP COOE 'J'~S-q
7.
8 .
CITY3/9't?/ C.:,J,e,,6 4 I)£1✓£ STATEC/.f
STATE LIC. # ,7,c1.::is-.s-
CITY STATE
LICENSE CLASS __ /Y...,_ __ _
ADDRESS
ZIP CODE
CITY BUSINESS LIC. #
DATE
DAY TELEPHONE 9' L.//-9/f',:P STATE LIC. # J'~?JJ,f"'
WORKERS' COMPENSATION \Jorkers• Corr.,ensat1on Declarat1on: hereby affirm that I have a certi ficate of consent to self·insure issued by the 01rector of Jndustr1al Relations ,
or a certificate of \Jorkers • C~nsat ion Insurance by an actni t ted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COHPANY POLICY NO. EXPIRATION DATE
Certif;cate of Exeq:,t1on: I certify that in the performance of the work for whkh this permit 1s issued, I shall not eq:,loy eny person in any manner
so as to become sl.bjK:t to the \.lorkers• CC>n1)ensat1on Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Bullder Declaration: I hereby affirm that I am exempt from the Contractor•s License Law for the following reason:
D I es owner of the property or my employees with wages as their sole compensation, will do the work and the s t ructure 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 irrproves thereon., and who
does such work himself or through his own ~loyees, provided that such irrprovcmcnts are not intended or offered for sale. If, however, the building
or i""rovement is sold within one year of coq,letion, the owner-builder will have the burden of proving that he did not build or '""rove for the purpose
of sale.).
O J, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Bvs1ness and Professions Code:
The Contractor's License Law does not apply to an owner of property who builds or iq,roves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
~ I am exen1)t under Section __________ _ Business and Professions Code for this reason:
(Sec. 7031 .5 Business and Professions Code: Any Ci ty or County which requires a permit to construct, alter, i~rove, 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, coomencing 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 $5001).
SIGNATURE DATE
Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Pres I ey-Tanner Hazardous Substance Account Act>
Ores □No
Is the applicant or future bu1ld1ng occupant required to obtain a permit from the air pollut ion control district or air quality management d istrict?
O res O •o
I s the facility to be constructed within 1,000 feet of the outer boundary of a school site?
QYES
I f ANT Of THE ANSWERS ARE TES, A FINAL CERTIFICATE Of OCaJl'ANCY MT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
Of THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION IXlNTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is• construction lending agency for the performance of the worlc for which this permit is issued (Sec 3097Ci) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE 1 certify that I have read the application and state that the above information 1s correct. I agree to c~ly with all City ordinances and State laws relating
to bu1ld1ng construct1on. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for ,nspcction purposes. I ALSO
AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JWGMCNTS, COSTS ANO EXPENSES IIIIICH IIAY IN ANY IIAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT.
Exp1ret1on. Every permit issued by the Building Off1c1al under the provisions of this Code shall expire by l1mitijtion and become null and void if the building
or work authorized by such permit 1s not conmenced w1th1n 180 days from the date of such permit or if the building or work authorized by such permit 1s suspended
or abandoned at any t1me after the work 1s conmcnced for a period of 180 days (Sect1on 303(d) Uniform Bui lding Code).
0 OIINER J;;;:!tONTRACTOR OBY PHONE APPROVED BY: _______ _
DATE: __________ _
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB901834 FOR 02/01/91
DESCRIPTION: 220 SF PATIO CVR ICBO #4323P
TYPE: RAD
JOB ADDRESS: 2692 WATERBURY WY
APPLICANT: R.E. LIPPARD
CONTRACTOR: R.J. CONSTRUCTION
OWNER: SALERMO, NICHOLAS
REMARKS: MH
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB901834
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619-941-9188
619-941-9188
CD
39
LVL DESCRIPTION ACT COMMENTS
EL Final Electrical AI ----
-------------------
-------------------
DATE
012891
122890
DESCRIPTION
Final Structural
Final Structural
***** INSPECTION HISTORY*****
ACT INSP
CO PY
CO PY
COMMENTS
SEE COMMENTS 1/28/91
5' OR LESS FM POOL REQ BONDIN
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB901834 FOR 01/28/91
DESCRIPTION: 220 SF PATIO CVR ICBO #4323P
TYPE: RAD
JOB ADDRESS: 2692 WATERBURY WY
APPLICANT: R.E. LIPPARD
CONTRACTOR: R.J. CONSTRUCTION
OWNER: SALERMO, NICHOLAS
REMARKS: MH/PETE/941-9188
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB901834
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619-941-9188
619-941-9188
CD
19
LVL DESCRIPTION ACT COMMENTS
ST Final Structural M ail m£i;;/' 6 /rt--!..-~,,.,_ IA'c::t:;,
______________ l'-!-1/,,(,/4/1.,1,, /3:&IIJ>1A1e, MrtjlAw,hfJ
-------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
122890 Final Structural
ACT INSP
CO PY
COMMENTS
5' OR LESS FM POOL REQ BONDIN