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