HomeMy WebLinkAbout2080 WESTWOOD DR; ; CB973377; PermitB U I L D I N G
03/23/98 15:35
P E R M I T Permit No: CB973377
Project No: A9704354
Development No: Page 1 of 1
Job Address: 2080 WESTWOOD DR
Permit Type: RESIDENTAL ADD/ALT
Parcel No : 167-180-10-00
Valuation: 26,364
Suite;
Lot#:
Occupancy Group: Reference#:
Description: ADD 234 SF TO 2ND STORY&168 SF
: GARAGE ADDITION
Appl/Ownr : B.A. WORTHING
690 CARLSBAD VILLAGE DR
CARLSBAD CA 92008
760
5320 03/23/98 0001 01
C-PRMT
Construction Type:
Status:
Applied:
Apr/Issue:
Entered By:
729-3965
02
391-00
VN
ISSUED
11/05/97
03/23/98
RMA
*** Fees Required *** Collected & Credits ***
Fees:
Adjustments:
Total Fees :
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
Enter "Y" for Plu
Each Plumbing Fix ure or
Each Building Sewe
Each Install/Repai
Enter "Y" for Elect ic I'"'"'
Enter "Y for Remode
Enter 'Y' for Mechani
Each Exhaust Fan 6 .50
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
168.00
391 .00
Ext fee Data
265.00
172.00
3.00
440.00
20 .00 Y
35.00
15.00
7.00
10.00 Y
10 .00 Y
15.00 Y
6.50
PERMIT APPLICATION
FOR OFFICE USE ONLY
1 33 77
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
1 . PROJECT INFORMATION
Address (include Bldg/Suite #) _}
20 00 IJJeP<hu~
Legal Description
Assessor's Parcel # -10
EST. VAL
Plan Ck. De
va1rbli9~
Date f
Business Name (at this address)
Phase No.
DeMdionf ?;Ak f ~ Z ~ ~L SKr<U
2. CONTACT PERSON (If different from Jp11cant1 /
#of Stories
1"4-~7-.
# of Bedrooms
.()()
Total # of units
# of Bathrooms
'3rooks Wo r t hing 690 Carl5b1;10. Vi ll . Name Address Dr. 92008 p60)729 3965 Sta e/Zip Telephone # (729-0784) Fax#
3. APPLICANT ll Contractor O Agent for Contractor O Owner O Agent for Owner
B A Worthing , Inc , 6 9 ~dp3.rlsba d Vi 11. Dr Qif,Pbd, Name
4.
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 the applicant to a civil penalty of not more than five hundred dollars ($5001).
B.A.Worth ing , Joe 690 Ca rl s b ad ViJJ Dr CJsbd , C~ 920 0 8 (76~J729 396 5
Name Address City State/Zip e ephone #
State License # 3 9 8 7 6 1 License Class B -1 City Business License # ..-~Y~e_s ____ _ Brooks worthing 33 1 Jame s Dr . Ca•r l sbad, CA 92008 (760)7 29 1~65 Designer Name Address City State/Zip e ephone
State License # _B_-_1 __ 3_9_2_8_9_4_
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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
of the work for which this permit is issued.
O 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
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company s -t-· a t e En nd Policy No. 2 2 9-9 7uni t O 0 O 6 5 3 'lxpiration Date 1 -1 -9 8
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
O 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 secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($10 In ad h cost of compensation, damages as provided for in Section 3706 of the Lab r co , interest and attorney's fees.
SIGNATURE __ ....::,.~~..::..:..:....\-..L...=~---r~--------------DATE __ l_/'"--"-3,--t-...._....__ __
7. OWNER-BUILDER D CLARATION
I he eb affirm that I am exempt from the Contr ctor License Law for the following reason:
as owner of the property or my employe th wages as their sole compensation, will do the work and the structure is not intended or offered for sale
044, 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, t he building or improvement is
sold within one year of completion, the owner-builder w ill have the burden of proving that he did not build or improve for the purpose of sale).
O I, as owner of the property, am exclusively contracting wit h 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 t he 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 . ~ O NO
2. I (have / ~igned an application for a building permit for the proposed work.
3. I have contracted 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): __________ ,,,.......,...--------------------------------,-------..----------
X PROPERTY OWNER SIGNATUREr~-d-'9.,,~---,~;;..'ldi,~~".6::..------------7"\
COMPLETE THIS SECTION FOR
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? 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 w ithin 1,000 feet of the outer boundary of a school site 7 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 commenced within 365 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 wor • ced for a peri d of 180 days (Section 106.4.4 Unifo m Bui i~jl--Code). /
APPLICANT'S SIGNATURE __ .:::;-l(J.«<J.~'.!..!..~~~c--.1.:.....~~---:,~~Xj~l:2.--;~f.f(}~ dA°TE -'-'~~~-A~-7~------
WHITE: File YELLOW: Applicant PINK: Finance
City of Car l sbad
i -i•OGO,i·l•J4·Elii;,t;a,Ji
May 19, 1999
BA WORTHING
690 CARLSBAD VILLAGE DR
CARLSBAD CA 92008
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: RAD
Permit Number:
Issue Date:
CB973377
3/23/98
ADDRESS: 2080 WESTWOOD DR
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 5/1/99.
The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 commenced within one calendar
year from the date of such permit, or if the building or work authorized by such permit is stopped at any time
after the work is commenced for a period of six consecutive calendar months or if the building or work
authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be
presumed to have commenced if the permittee has obtained a required inspection approval of work authorized
by the permit by the Building Official within one year of the date of permit issuance. Work shall be presumed
to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official
within each six month period upon the initial commencement of work authorized by such permit."
Before such work can be recommenced, a new permit, or a renewal permit as specified in the attached copy of
the code, shall be obtained.
Any person holding an unexpired permit may apply for an extension of the time within which he may
commence work under that permit when he is unable to commence work within the time required by this
section for good and satisfactory reasons. The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days upon written request by the permittee showing that
circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be
extended more than once.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. (attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760) 438-3101.
If you have any questions, please contact the Building Inspection Department at (760) 438-3550.
PAT KELLEY
Principal Building Inspector
Attachment
2075 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (760) 438-1 161 • FAX (760) 438-0894