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HomeMy WebLinkAbout2684 WATERBURY WAY; ; CB900247; PermitB U I L D I N G P E R M I T 02/08/90 11:36 Page 1 of 1 Job Address: 2684 WATERBURY WY Str: Permit Type : RESIDENTAL ADDITION/ALTERATION Parcel No: 167-441-22-00 Valuation: 3,744 Construction Type: NEW Occupancy Group: Class Code: Description: SUN ROOM ADD 384 SF Permit No : CB9002 47 Pro jec t No : A9 0003 34 Development No : Fl: Ste : ::?op 021 "' ic 0001 01 02 ~--PRHT 1. .. 0.CO CK-=fil=I 11; Status: Applied Apr/Issue Validated By: ISSUED 02/08/9 0 02/08 /9 0 JPY CONTRACTOR R.J'S SALES AND CONST. 16600 HARBOR BLVD SUITE A FOUNTAIN VALLEY CA 92708 Lie. C 351335 *** Fees Required *** *** Fees Collected & Credits *** Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 120 .00 .00 120.00 Enter "Y" for Plumbing Issue Fee > Enter "Y" for Electric Issue Fee > Other > * ELECTRICAL TOTAL ($10 Minimum) Enter 'Y' for Mechanical Issue Fee> Total Credits: Total Payments: Balance Due: Units Fee/Unit 10.00 CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 .00 .00 120.00 Ext fee Data 6 3.00 41.00 1.00 105.00 N 5.00 Y 10.00 REMODEL 15.00 N PERMIT APPLICATION City of Carlsbad Building Department EST. VAL·----+------'------- PLAN CK OEPOSIT;,------------- VALID. BY_?_, _ _,___,,,...,,----::,-,:,----,....--- 2075 Las Pal mas Or., Carlsbad , CA 92009 (619) 438-1161 1. PERMIT A COMMERCIAL B 0 I NDUSTRIAL □NEIi C D RESIDENT JAL D APARTMENT □DUPLEX 0 DEMOLITION □MECHANICAL □POOL TENANT IMPROVEMENT D TENANT IMPROVEMENT □CONDO ~SINGLE FAMILY DI/ELLING rnADDITION/ALTERATION □RELOCATION □MOBILE HOME 12i)ELECTRICAL □PLUMBING OSPA □RETAI N ING \/ALL □SOLAR DATE ___ _,.2=----E.J:'1----:;__!.j+Cv'>'-- 2. PROJECT INFORMATION PLAN CHECK No. F Address :i.t.;1/ W 47?fZ./3tJPY /.J.I•/ Nearest Cross Streets ~/,rl + e; Clbf'J/,AI, LEGAL DESCRIPTION lot No. Subdivision Name/Nunber Unit Mo. Phase No. CHECK BELOII IF SUBIIITTED: 02 Soils Report 0 1 Addressed Envelope EXISTING USE 3. 4. 5. 6. 7. 8. 0 2 Energy Cales [A)2 Structural Cales ASSESSOR'S PARCEL PROPOSED USE OESCRIPTION OF ,cc, BLDG. SQ. FTG. "5;r&-.... CONTACT PERSON NAME ?t:n: .I. 11>/JJ?,?O ADDRESS 'f ~,t;/ C9/v$ Q L).J2 • CI TY Oc.1.:»>15.,Dc STATE CQ, ZIP CODE 9:J.d.>~ DAY TELEPHONE 9'~1· 91PJ# SIGNATURE APPL! D AGENT FOR CONTRACTOR OOIINER D AGENT FOR 0\/NER NAME ,e~ s;;,k-$,.. c,,,.,t:,7>2~c:·77;,./ ADDRESS CITY ~..i:ffe/$,,Oe' STATE C'.g ZIP CODE ,;-~, ~t::: DAY TELEPHONE ~~/-'?lcf'tJ" PROPERTY OWNER ~ ~ LESSEE □TENANT NAME C.i:,9$4_,;,:? ,1/£ RC .14 ,,;,-,, ADDRESS :?~~"' l,(/,97£.,:? ._,ey W-/ CI TY CQEL-.5& .l> STATE Cl:1, ZIP CODE DAY TELEPHONE CONTRACTOR ADDRESS "/ 9'p / c;,,, ,L V S" ,I;/ NAME 'P.J"'s 6l)L{£(t -I-C4';,l67i2ve,T,p~I -0/2~ CI TY e>c.£n.v.s✓ ae STATEC-d ZIP CODE ?Jd'..5e DAY TELEPHONE Y"/ I -fl'/ <f>,p STATE LIC. #d::r7J>~ LICENSE CLASS 1.}. Cl TY BUSINESS LIC. # TITLE w'~/2 DATE i-,f'-9'~ DES I GNER ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers• Compensation Declaration: hereby affirm that have a certificate of consent to self·insure issued by the Director of Industrial Relations, or a certificate of Workers1 COl'Tl)ensation Insurance by an adnitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Depart..,nt (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRAT ION DATE Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not efll)loy any person in any manner so as to become subject to the ~orkers' C~nsation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner·Builder Declarat ion: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 sate. If, however, the building or improvement is sold within one year of completion, the owner·buildcr will have the burden of proving that he did not build or i,rprove 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 i,rproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor I s License Law). O I am exefll)t under Section ____________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, i"l)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, comnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom, and the basis for the alleged ex~tion. Any violation of Section 7031.5 by any appl icant for a permit subjects the applicant to a civil penalty of not more than five hundred dol I ars [S500J ) . 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? □YES □No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Dves D •o Is the facility to be const ructed within 1,000 feet of the outer boundary of a school si te' Ores IF ANY OF THE ANSIIERS ARE TES, A FINAL CERTIFICATE Of OCCUPANCY IIAT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS IIET OR IS IIEETINC THE REQUIREMENTS Of THE OFFICE OF EMERGENCT SERVICES ANO THE AIR POLLUTION CONTROL DI STRICT. 9. CONSTRUCTION LENnING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for whi ch this permit is issued (Sec 3097(i) Civil Code). LEN0ER 'S NAME 10. APPLICANT'S SIGNATURE I certify that I have read the application ands ate that th a with all C1ty ordinances and State laws relating to building construction. I hereby authorize representatives o ttie City of Carlsbad to enter upan the above mentioned property for inspection purposes . I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUJGl4ENTS, COSTS AND EXPENSES IIHICH IIAY IN ANY 1/AY ACCRUE AGAINST SAID C ITT IN CONSEQUENCE OF THE GRANT! NG Of TH IS PERM IT. Expiration. Every permit issued by the Bui lding Official under the provisions of this Code shall expire by l1mitation and become nul l and void if the building or work authorized by such pcrm1t 1s not comnenced 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 COl'ffllCnced for a period of 180 days (Section 303(d) Uniform Building Code). APPL! CANT'S SI GNA !URE D 0\/NER D CONTRACTOR D BY PHONE APPROVED BY: _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB900247 CITY OF CARLSBAD INSPECTION REQUEST FOR 08/23/90 INSPECTOR AREA MP PLANCK# CB900247 OCC GRP DESCRIPTION: SUN ROOM ADD 384 SF TYPE: RAD JOB ADDRESS: 2684 WATERBURY WY APPLICANT: R.JS SALES AND CONST. CONTRACTOR: R.J'S SALES AND CONST. OWNER: REMARKS: T2/MH/ANN/780-9039 SPECIAL INSTRUCT: NEEDS INSPECTION TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mecha nical CONSTR. TYPE NEW STR: FL: STE: PHONE: 941-9188 ::~::: ~1 /J_)\ -Ill INSPECTO (_;;t::;J.)~, ON TUESDAY OR THUR DAY, PLEASE CALL ACT COMMENTS ***** INSPECTION HISTORY***** DATE 041990 041390 041190 DESCRIPTION Final Combo Final Structural Final Combo ACT co CA co INSP PD PD PD COMMENTS NO ELEC PERMIT'CB891320 NO PLANS