HomeMy WebLinkAbout1019 WHIMBREL CT; ; CB992937; Permitrltwlf C OJuL City of Carlsbad
08/06/1999 Patio/Deck Permit Permit No:CB992937
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
CRSCOMPANY
Building Inspection Request Line (760) 438-3101
1019 WHIMBREL CT CBAD
PATIO
Lot#: 0 2157202700
$2,016.00 Construction Type: NEW
RUBIN RESIDENCE
DECK 168SF PER CITY SPEC
Owner:
RUBIN JUDITH
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/06/1999
OT
08/06/1999
08/06/1999
265 FRAXINELLA ST
ENCINITAS CA 92024
760-944-8226
1019 WHIMBREL CT
CARLSBAD CA 2661 08/06/99 0001 01 02
Total Fees: $87.34
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
TOTAL PERMIT FEES
Inspector: ..:3~;...:R~\.---
92009
Total Payments To Date: $0.00
FINAL APPROVAL
Date: ~ I ;;r, \ °'-°'
Balance Due:
$52.33
$0.00
$34.01
$0.00
$1.00
$0.00
$0.00
$0.00
$87.34
C-PRMT 87-34
$87.34
Clearance: _____ _
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of 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 Cartsbad 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 capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otheiwise exnired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
run urr,~c u.:,c u111L 1
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
PLAN CHECK No.@C/°j2, 7.Jf
EST. VAL. __ ----,5£2-..aO~/-<e:--
Plan Ck. Deposit __ ....,. _____ _
Validated By __ :gL.J-.4--=-=~~-r:.= .... (760) 438-1161 Oate, _____ --"-9"+--/4'~,~t ~o/'-~~
1. PROJECT INFORMATION
lt>/9 /#A,,,,,J.c,,c I
Address hnclude Bldg/Suite I I
H4m,e
Buainas Nem, let thi• 1ddr1NI
2, 7 4e46~ T~r:#9a-3< ll!Celf 2'o/
Legal Desc11ption
~ l(-7:J..f)-.l. Z-t?t'J
Lot No. Subdiviaion Nerne/Number Unit No. Ph11e No.
Ht?IHL. \ NQML
Total I of units
Assessor's Parcel ,
l)t;, Gt:
Exiating UH PropoHd UH
169
Description of Work SO. FT. lot Storie• I of Bed,ooms I of Bathrooms
Name AddreH City Stile/Zip Telephone I Fax I
3. APPLICANT 5l Contractor O Agent fo, Contractor O Owner -0 Agent ioi Owner -~ Clf5 t:!6.n,-116'1 v 6 6-S: e.<1t<11; e. (119: sr .!.'nt;.tiu1:.1 St1t1/Zip T1lephone I
6. CONTRACTOR • COMPANY NAME
(Sec. 7031.5 Business end Professions Cod■: Any City or County which raquirH I pe1mlt to construct, alter, Improve, cllmoliah 01 rapair 1nv structura, p1ior to Its
issuance, also requires the 1pplic1nt for such permit to file 1 1igned 1t1ttment that hi I• lie-Id l)Ulluent to the proviliona of the Contractor's License I.aw
(Chapter 9, commanding with Section 7000 of 0iviaion 3 of the Businesa end Profeuiona Codi) or that hi la exempt thlrafrom, and the b11is for th• alleged
exemption. Anv violation of Section 7031.5 by 1nv 1pplicent for• permit 1ubj1ct1 the 1pplic1nt to• civil penelty of not more then five hundred dollar• lt500)).
t!L$c!,.,,,n,c.ry 2.1:S /-A',1,ur1,,&Lt• a ?,n,;,o,rJ-1 C:Al 22<?2 l/ 7f't'. y2, 2 4 Name Addra11 City St1t1/Zip T 1l1phon1 I
State License I 7'f:i,, hO~ License Ci111 B City BUliM■I Ucenn I /2-,L>i,I,. 6 6
Designer Name Addrass City St1t1/Zip Tllephone
Stata License I ________ _
6. WORKERS' COMPENSATION
Workers' Compensation 01clar1tion: I heraby affirm undar penalty of perjUfy one of the following decler1ti-:
O I hava and will m1lnt1in I c1"11ic1te of cons■nt to self•inaura for workers' compena1tion H p,ovided by Section 3700 of th• Labor Code, for the perform1nc1
of the work for which this permit is issued.
D I hive and will m1int1in workers' comp,nHtion, 11 requirad by Section 3700 of the Labor Coda, for the performance of the work for whlch this permit is
issued. My worker's comp1n11tion insurance c1rriar end policy number ere:
Insurance Company ___________________ _ Policy No. ___________ _ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESSI
gi CERTIFICATE OF EXEMPTION: I ce"ify that in the performance of the w01k ·10, whieh tm pe,mlt ia llsuld, I lhall not employ any peraon in any menner ao 11
to become aubject to the Workers' Compensation L■w• of C1lifomi1.
WARNING: Fallura to secure work••· compena■tlon coverage la unlawful, and ■hall aub;ect an employ• to crtmklll penelttu end dvU flnea up to -hundfed
thou11nd dollafa 1•100.0001, In addition to the co1t of compeneetlon, dlmagea N pn,vlclld fo, In Section 3708 of the Labor c:ocll, lnt-t end 1nomey'1 f-.
SIGNATURE ~ DATE V-4-99'
7. OWNER-BUILDER DECLARATION ' • ,··t·:·•:··· .. ·• --:,7t•.;,-, •• -.-;~• •.•• ,.• ... •.,7,-,, •· •
I hereby affirm that I am exempt from the Contractor'1 License Law for th1 following raeson:
0 I, IS owner of the prope"y or my employHs with w111es H their sol• compena1tion, will do the wo,k and the structure ia not intended or off•ld to, Hie
(Sec. 7044, Business ind P1of1nions Code: The Contractor'a Uc•na• I.aw does not apply to 1n o-of property who bullda 01 imp,oves thereon, end who does
such work himself or through his own employees, provided that.such improv1m1nt1 are not Intended o, off111d for ..... If, however, the buliding 01 Improvement la
sold within one yHr of completion, the owner-builder wlll have the burden of proving that hi did not build o, Improve for the purpoee of 1111).
0 I, IS owner of the prope"y· 1m 1Xclusively contracting with licenaed contractors to construct the project IS.C. 7044, BuaiMaa and Prof111iona Codi: The
Contractor's License Law does not apply to 1n owner of prope"y who builds or lmp1ov1s thlleon, ind contract, fo, 1uch projects with contracto,lal lie.wed
pursu1nt to th1 Contractor's License I.awl.
0 I 1m exempt under Section ______ Business end Professiona Code for thia raeson:
1 . I personally plan to provide th• major labor ind m1teri1la for construction of the proposed prope"y Improvement. 0 YES ONO
2. I fh1ve / have not) signed 1n 1pplic1tion for I building permit for the propo11d work.
3. I have contracted with the following person ffirml to provide the propo11d conatruction Onclude name / •ddt•• / phone number / contracto,s lie-• numblrl:
4. I plan to provide po"ions of the work, but I have hirad the following person to c001dinet1, 1upervil1 and provide the major work Onclude name / 1ddrN1 / phone number / contractors license numberl: ____________________________________________ _
5. I will provide some of the work, but I h1v1 contracted lhiradl the following peraone to provide the work lndicltld llnclucll name/ eddrHs / phone numbe, / type
of workl: ______________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _
Is the applicant or futUfe building occupant 1equi1ed to submit • bualneas plan, . ecutely huardoue -teriale ~tlon form 01 risk management end prevention
program undar Sections 25505, 26533 or 25534 of the Presley-Tanner H11ardoua Sub1t1nc1 Account Act7 0 YES O NO
Is the 1pplic1nt or future building occupant raouirad to obt1in I permit from the 1i1 pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 fHt of the outer boundary of I school slte7 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 ANO THE AIR POUUTION CONTROL DISTRICT.
c8,. CONSTRUCTION LENDING AGENCY '' ' •. -·• •· • • ---• ~~►----;••.<,,.'<-~•~,..__,~~-.-. •r -•-~• ~--~•-•·o,•• • ----
1 hereby affirm that there is• construction lending_agency for the performance of the work for which this permit 11 issued ISec. 3097111 Civil Code).
LENDER'S ADDRESS _________________________ _
I certify that I have rHd the 1pplic1tlon ind state that the 1bov1 information is correct and that the Information on the plan■ ii 1ccurat1. I 1grae to comply with 111
City ordinances and Stlte l1w1 ral1ting to building construction. I heraby 1uthoriz1 raprn1nt1tiv" of the Citt of Cerl1b1d to enter upon the above mentioned
prope"v for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 reouirad for excavations over 5'0" dHP ind d1molition 01 construction of structuras over 3 1toriea in height.
EXPIRATION: Every permit Issued by the Building 0fflcl1I under the provi1lons of this Cod, 1heli 1xpira by limitation and become null end void If the building or
work 1uthorized by such permit is not commenced within 365 divs from the d1t1 of such permit 01 if the building or work authorized by such permit is suspend1d
or abandoned It 1nv time after the work i1 commenced for • period of 1 80 days (Section 108.4.4 Unlfo,m Building Code).
APPLICANT'S SIGNATURE ~ DATE fL~b-79
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 9/23/99
Permit# CB992937
Title: RUBIN RESIDENCE
Description: DECK 168SF PER CITY SPEC
Type:PATIO Sub Type:
Job Address:
Suite:
Location:
1019 WHIMBREL CT
Lot
APPLICANT CRS COMPANY
Owner: RUBIN JUDITH
Remarks :
Total Time:
CD Description
0
Act Comments
Inspector Assignment: SR
Phone: 7608031475
Inspector:$,__
Requested By: KIRT
Entered By: CHRISTINE
19 Final Structural ~F~
Inspection History
Date Description Act lnsp Comments
8/11 /99 11 Fig/Foundation/Piers AP SR