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