HomeMy WebLinkAbout2824 WINTHROP AVE | 2826 WINTHROP AVE; ; CB071056; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-02-2007 Miscellaneous Permit Permit No: CB071056
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2824 WINTHROP AV CBAD
MISC
1674802136
$0.00
Subtype: REPAIR Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: PC070029
Project Title: VILLAS OF CALAVERA HILLS 2ND
FLR ENTRY DECK REPAIR-2824&2826
Applicant:
DEGROODT CONSTRUCTION CO.
21602 SURVEYOR CIRCLE
HUNTINGTON BEACH CA 92646
714-375-1325
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $120.00
Inspector:
PERMIT FEE
Owner:
KLAMM NANCY G
2824 WINTHROP AVE
CARLSBAD CA 92010
Total Payments To Date: $120.00
FINAL A/RO/VAL
Date: 8 / 3 <.J 7
Issued:
Inspect Area:
Balance Due:
Clearance:
ISSUED
04/18/2007
KG
05/02/2007
05/02/2007
$120.00
$0.00
$0.00
$120.00
$0.00
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 Carlsbad 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 capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
PERMIT APPLICATION . (i) FOR OFFICE USE ::"!:: C)
PLAN CHECK No.t!::J}l_~L
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
. EST. VAL. _________ _
.
CT INFORMA TIO,C,
Address (include Bldg/Suite I)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of unit1
Assessor's Pere el I Existing Use Proposed Use
I of Bathrooms
Name
Al'l'lJCANT
Name
4
Name
IS
Addre11
Address
Fax I
City
City
(Sec. 7031.6 Businest and Profes1ion1 Code: Any City or County which requires I permit to construct, alter, improve, demoliah or repair any structure, prior to ltt
Issuance, 1110 requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's Ucense Lllw
(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
xemption. Any violation f Section 7031.5 by any applicant for a permit subjects the applicant to a ci ·1 penalty f not more t n five hundred dollar, ft500)1.
~T" o.. CY\.... l ( .. • 1.<
Stat• Ucanse I SS'f ]-olf
Designer Name
State Ucen11 I
License Class --~----,_ ____ _
Address City State/Zip Telephone
8. WOR~CQ_~TION ---------~':.•--=-•-•-•-•--
Workers' CompenHtion Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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 ttyork for which this permit Is Issued.
td""" I have and will maintain worker,• compen,ation, 11 required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Issued. My worker's co~pensation insurance carrier and policy number are: Ci { l
Insurance Company :;:'5[.llrr]; '.3:~ Policy No. 14'? ( £s'i:f~ -200(e Expiration Dito iL I _ ')..o-o I.
CTHIS SECTION NEEO NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNOREO DOLLARS 1♦1001 OR LESSI
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work tor which this permit ia Issued, I shall not employ any person In any manner so as
to become subject to the Workers· Compensation Laws of California.
WARNING: Flllh.n to aecure wortr; .. • compenNtion cov•ea-la unlawful, and ahal aubject an employ• to criminal penllldH end clvM flnH up to one hundred
thouaend dol:::' 1~00, ~-::: to~}-:--ol compenHtlon, dam-H P<Ovldod lo, In Section 3701 ol the L-code, lntotNt and attorney·• fNa.
SIGNATURE 1_'_ -------=n...._ DATE q l!~:Jo:::J
7. ~Jl,!)Q -·---------1 hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 build• or Improves thereon, and who does
such work himself or through his own employees, provided that such improvements are not Intended or offered tor sale. If, however, the building or Improvement 11
sold within one yHr of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of aale).
0 I, 11 owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profession• Code: The
Contractor'• Licenst Lew does not apply to an owne, of property who builds or improves thereon, and contracts for such project, with contractor(s) licensed
pu,suant to the Contractor's License Law).
0 I am exempt under Section _____ Business and Professions Code for this reeson;
1. I personally plan to provide the major labor and materials for co~struction of the proposed property improvement. 0 YES ONO
2. I (have/ have not) signed an application for a building permit for the propcsed 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 1he work, bU1 I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors license numberl:. ________________________________________ _
5. I wilt provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include n1me / 1ddress / phone number I type of work):. __________________________________________________ _
PROPERTY OWNER SIGNATURE°:.c::::;=::::::::::::::::;:,::::::::::::::::::::-~~=:::::";"_,;-:_;;;_;;;_;;;_;;;_;;-_-:_;;;•;;;•;;;•;;;•;;;•;;;•;-•-•-;;•;;,•••••:D_A:_T.:;_E:._;;;_;;_;;_;;;_;;_;;;_;;_;;_;;_;;;_;;;.;;1-;;.;;;_;;;;;-;;;;;. __ COM~S IE ~ ~J!l!IMIIt _
11 the applicant or future building occupant required to submit • business plan, acutely hazardous materials registration ~r"'> risk management and prevention
program under Sections 26506, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES llr"""NO
Is the applic1nt or future building occup1nt required to obtain a permit from the air pollution control district or air quality management district? 0 YES ~O
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D YES ~
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL OISTRICT.
8, 0 U DJNQ 0
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued tSec. 3097(1) Civil Code).
LENDER'S NAMEiiijiiijijjjiiiii=~===~======= 9 ~~Jl(IN
I certify that I have read the application and st1t1 that the above lnform1tlon is correct and that the information on the pl1n1 is accurate. I 1gr11 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 inspactlon purposu. I ALSO AGREE TO SAVE. INOEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES,
JUOGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit Is required for excavations ovtr s·o• deep and demolition Of construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by the building Official under the pnwisloos of lhis Code shall expire by llmltallon and become null and void If the building or work
authorized by such permit Is nol commenced within 180 days Crom the date oC such permit or If lhe building or work authorized by such permit Is suspended or abandoned
al any time after the work Is comme"':or a period /l ~s')_~106.4 4 Uniform Building Code) ) l
APPLICANT'S SIGNATURE ~ 41\t.~.u.:: DATE Y. ~ lX\ ~,
f WHITE: File YELLOW: Applicant PINK: Finance
•
• -City of Carlsbad Bldg Inspection Request
For: 08/09/2007 .
Permit# CB071056
Title: VILLAS OF CALAVERA HILLS 2ND
Description: FLR ENTRY DECK REPAIR-2824&2826
Type: MISC Sub Type: REPAIR
Job Address:
Suite:
Location:
2824 WINTHROP AV
Lot: 0
APPLICANT DEGROODT CONSTRUCTION CO.
Owner: KLAMM NANCY G
Remarks: CARDS,..WILL BE@ 2-82&-eHATSWOR'FH
Total Time:
CD Description Act Comments
Inspector Assignment: PY ---
Phone: 7143885247
Inspector: ----
Requested By: CHRIS
Entered By: CHRISTINE
19 Final Structural ~-----
Comments/Notices/Holds
Associated PCRs/CVs Original PC# PC070029
Inspection History
Date Description
06/04/2007 18 Exterior Lath/Drywall
Act lnsp Comments
AP PY