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HomeMy WebLinkAbout2077 WESTWOOD DR; ; CB910772; PermitB U I L D I N G P E R M I T Permit No: CB910772 Project No: A9100934 Development No: 05/31/91 15:13 Page 1 of 1 Job Address: 2077 WESTWOOD DR Str: Fl .. ~74 /31 S1,e. 01 Permit Type: RESIDENTAL ADD/ALT (UNDR $10K) Parcel No: 167-180-08-00 Valuation: 5,616 Construction Type: VN Occupancy Group: Class Code: Description: 78 SF FAMILY ROOM+ REPLACE : 11 WINDOWS Appl/Ownr : WORTHING, 3POOKS CONTRACTOR 690 ELM AV, -TE #201 CARLSBAD, CA 92008 B.A. WORT 690 ELM CARLSBAD, CA 92008 OWNER BECKER, FREDERICK ~** Fees Required Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check * BUILDING TOTAL Enter "Y" for Plumbin Enter "Y" for Electric Enter "Y" for Remodel * ELECTRICAL TOTAL ($10 Minimum) Status: ISSUED Applied: 05/15/91 Apr/Issue: 05/31/91 Validated By : KZH 619-729-3965 619-729-3965 Credits ** '.I,; .00 53.00 96 .00 Ext fee Data 81.00 53.00 134.00 N 5.00 y 10 .00 y 15.00 APPROVAL ~~'~S DATE 1 ·;-7, 7 I "'!-i~----vLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carl sbad Building Department EST. VAL. ____ _,,__7"'-c_;:::__."-:.-77"-2075 Las Pal mas Dr ., Carls bad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT - 1. PERMIT TYPE VALID. BY_--:=-~..,....-~.,,,..------- DATE ----'---'---''--....c...,c... __ ~-::-:----- A • COMMERCIAL TENANT IMPROVEMENT B O INDUSTRIAL O NEW □TENANT IMPROVEMENT C ~ESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING ~DDITION/ALTERATION □DUPLEX □DEMOLITION ORELOCATIOII □MOBILE HOME □ELECTRICAL □PLUMBING □MECHANICAL □POOL OSPA □RETAINING WALL □SOLAR 00 ER 2. PROJECT INFORMATION PLAN CHECK No . Address '2_CY7t we~UJ Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subd1 v, s 1 on Name/Nurber Un1t Mo. Phase No. 2-z.. ssz.o CHECK BELOW If ~ITTED: js'.]'2 Energy Cales 02 Soils Report 0 1 Addressed Envelope EXI STING USE 3 0-00 # Of STORIES 3. STATE SIGNATURE CA- ADDRESS ZIP CODE q-z_ooE;> PROPOSED USE DAY TELEPHOIIE 4. APPLICA T ,Jir1:o NAME ~'? Ll.br<W\.~ D AGENT FOR CONTRACTOR O0IINER O AGENT FOR OW~R ADDRESS (t;>qo G#\..(A;ie_1~u1«:.'2..D I CITY W"°~ ZIP CODEq-zco,e, DAY TELEPHONE 7-z.q 5. PROPERTY OWNER. ,~ NAME Mf"*fral? ~l,C...e,r I q LESSEE ADDRESS 20'77 (Le~ p.,--, □TENANT CITY £¼,.I,~ bai. STATE C4: z1P CODE qzoo?:> DAY TELEPHONE '?'10 7-z....c, =:q GS 6. CONTRACTO~, 1 . LJ ...-.. NAME 13, /!, iutlt,;::rrdr-J'\ I ...µ.,C... ADDRESS {-§lo~ ~ 1 ~ ,~ ZD 1 7. CI TY w-I "'.:> ~ --..J STATE a- SIGNATURE Cl TY WORKERS' COMPENSATION ZIP CODE l{~ DAY TELEPHONE 72.q LICENSE CLASS CB-I TITLE CITY BUSINESS LIC. # DATe5 IS ~ \ DAY TELEPHONE 7z.q ~;rg/5 B--1 STATE LIC. # Workers' CCNT1)ensat ion Dectarat1on: hereby affirm that I have a certificate of consent to self -1nsure issued by the Di rector of Industrial Rel at1ons, or a certificate of Workers• Con-pensat ion Insurance by an ad'nitted insurer, or an exact copy or dupl icate thereof cert if ied by the Director of the insurer thereof fi led with the Building I nspection Department (Sect ion 3800, Lab. C). INSURANCE COMPANY POLI CY NO. EXPIRATION DATE Certif icate of Ex~tion: I certify t hat in the performance of the work for wh ich this permit is issued, I shall not eq:,loy any person in any manner so as to become subject to the Uorkers• C~nsation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner~Builder Declarat ion: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: DI as owner of the property or my ~loyees with wages as thei r sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Profess ions 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 en-.:,loyees, provided that such irrprovements are not intended or offered for sale. If, however, the building or irr4)rovement is sold within one year of COfl'C)letion, the owner-builder will have the burden of proving that he did not build or irrprove for the purpose of sale.). D I, as owner of the property, am exclusively cont racting 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 bui lds or irrproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Cont rector• s License Law). D I am ex~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, alt er, irrprove, 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 Cont ractor•s License Law (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exerrpt therefrom, and the basis for the alleged exef11)tion. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [S5001). SIGNATURE DATE COMPLETE THIS SECTIOII FOR N0N·RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to sut:rnit a business plan, acutely hazardous materials registrat ion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presl ey-Tanner Hazardous Substance Account Act? □YES O NO Is the applicant or future bu1lding occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES If ANT Of THE AIIS\IERS ARE TES. A FINAL CERTIFICATE Of OCaJPANCT HAT IIOT BE ISSUED AFTER JULY 1, 1989 UIILESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permi t is issued (Sec 3097( i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the applicat1on and state that the above informat1on 1s correct. I agree to COIT1)ly with all City ordinances and State laws relat1ng to building construction. I hereby aut horize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. l ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH HAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. 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 conmenced within 180 days from the date of such permit or if the building or work authorized by such permit i s suspended or abandoned at any time after the work is c need for a period of 180 days (Section 303(d) Uniform Building Code). O BY PHONE APPROVED BY: _______ _ DATE: ile YELLOW: Applicant PINK: Finance PERMIT# CB910772 DESCRIPTION: 78 SF FAMILY 11 WINDOWS CITY OF CARLSBAD INSPECTION REQUEST FOR 08/22/91 ROOM+ REPLACE INSPECTOR AREA PD PLANCK# CB910772 OCC GRP TYPE: RAD JOB ADDRESS: 2077 WESTWOOD DR APPLICANT: WORTHING, BROOKS CONTRACTOR: B.A. WORTHING, INC. OWNER: BECKER, FREDERICK REMARKS: MH/BARBAR/729-3965 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical CONSTR. TYPE VN STR: FL: STE: PHONE: 619-729-3965 PHONE: /] /L-. PHONE: 619-729-39~~~ INSPECTo0k ' ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 062891 Interior Lath/Drywall co PD NO ACCESS 062791 Insulation AP PD 062591 Rough Combo AP PD 061191 Ftg/Foundation/Piers AP PD 061191 Underground/Under Floor AP PD