HomeMy WebLinkAbout2820 WINTHROP AVE | 2822 WINTHROP AVE; ; CB071055; Permit-~ ...... .~ ..
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-02-2007 Miscellaneous Permit Permit No: CB071055
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2820 WINTHROP AV CBAD
MISC
1674802138
$0.00
Subtype: REPAIR Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: PC070029 Issued:
Inspect Area:
Project Title: VILLAS OF CALAVERA HILLS 2ND
FLR ENTRY DECK REPAIR-2820&2822
Applicant: Owner:
DEGROODT CONSTRUCTION CO. STOCKWELL MARCIA J
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
2820 WINTHROP AVE
CARLSBAD CA 92010
Total Payments To Date: $120.00
FINAL A/ROVAL
Date: '$ / 3 / a 7
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 ~ 9 PLAN CHECK NO. ~
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1, CT INFORMATION
Addresa (include Bldg/Suite fl
Legal Description Lot No. Subdivision Name/Number
Asseuor' • Pare~ I Existing Use
D~ofW~ I<.€ -~.FT. L-
_a ~or~11....,.S!~,~ ... ·-~-O_O_i'l_l ~
.
.
Name Address City
3. AMICANT o·~c~----... ---~Ag-1n-,~, ... --c~01.!!119l--... ~-□ Owner O Agont '°' 0w-
Name
4.
Name
AddreH
Address
Unit No. Ph11t No. Total I of units
Proposed Use
I of Bathrooms
State/ZJp
(Sec. 7031.5 BusineH and Profas1ion1 Code: Any City or County which requires I pe,mrt l'o construct, alter, improve, demolish 0t repair any atrucn.n, prior to ft.a
Issuance, 1110 require, the eppticant for such permit to file I signed statement thlt he is licensed pursuant to the provision, of the Contr1ctor'1 License Law
(Chaptef 9, commending with Section 7000 of Division 3 of the Businesa and Profession, Code) or that hi it exempt thetetrom, and the basis tor the all4tg1d
xemptJon. Any vlol1tlon f SectJon 7031 .5 by any appllcant fOf a permit subject• the applicant to I cl ·1 penalty t not motet n five hundred dollara lt600J>.
~-.. 0.. 0/\... ( • • -z.<
State UcenH • :SS'f J.-01.f
De.signer Name
State UcenH I
I ~c;QMnfLIATION
License Class --~---------
Address City
Workers' Compensation 01cl1r1tlon: I hereby affirm under penalty of perjury one of the fotlowing declarations:
St1t1/Zlp
0 I have and will maintain • certificate of consent to self.Insure for workers' compensation II provided by Section 3700 of the Labor Code. for the performance
of th~ortc for which this pe,mrt la Issued.
CY"" I hive and will maint1ln workers' compensation, 11 required by Section 3700 of the Labor Code, for the performance of the work for which thlt permit ls
issued. My worker's compen11tlon in1ur1nce carrier and policy number are: [
lnsuroneo Compony ~ :f"~ Policy No. l'-l'? I 1$''8'~ -2.<:IO(p Expiration Doto <a{ I ~O (
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS (♦1001 DR US&I
0 CERTtFICATE OF EXEMPTION: I cenify that In the performance of the work for which this permit la l11ued, I shell not employ any person In any manner 10 11
to become subject to the WOfkers' Compensation L1w1 of California.
WAANtNO: F..._ to ~ won:.,.• compensation coverage la unlawful, and ahal aubfect an employ• to cfflTW'MII peneklN and cfvl flnN up to one hundred
thouaand dol 100, 0), addition to the 011t of compenHtk>n, damagee .. PfOYicMd fo, tn Sactlon 3701 of the Labor code, tnterNt and ettorney'a f ....
SIGNATURE DATE 4 t 15('.lo:::i
~-OWNlll,l!!lllDl!R
I hereby affirm that I am exempt from tht Contractor's llcen11 Lew for the following reason:
0 I, H owner of the prOS)erty or my 1mployH1 with wagu II th4"r sole compensation. will do the work and tht atructurt 11 not Intended or offered for 1111
(Sec. 7044, Busin111 and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or lmprovH thereon, end who doH
such wo,k himself or through N1 own employees, prov;ded that such Improvements are not Intended or offered for sale. If, however, the building or Improvement 11
sold within one yea, of completion, the owner-builder will heve the burden of proving that he did not build or improve for the purpo11 of Hie).
0 I, II owner of the property, am exclusively contracting with licensed contractor• to construct the project ISec. 7044, Bu1lne11 end Profesalona Code: The
Contract0t1S License Lew does not apply to an owner of property who builds or improves thereon, and contrecta for such projects with contractor(al licensed
purauent to the Contractor's License Law).
0 I am exempt under Section _____ Businus and Professions Code for this re11on:
1. I personally plan to provide the ma}o, labor and materials for construction of th• proposed property Improvement. 0 YES ONO
2. I (have/ have not) signed en 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 I phone number/ contractors licenH number):
4. I plan to provide portions of the work, but I have hired the following person to coo,dinate, supervise end prov;de the major work !include name / 1ddr111 I phone number I contractors license numberl: ________________________________________ _
5. I will provide som• of the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name / addreu / phone number / type of work I: __________________________________________________ _
PROPERTY OWNER S;;IG:;.N:;.A;_:T;U;,R;:E~;:;,;~;;;:::;:;;;;:;::::;;;;;;:;;:;:::;;:;;=:::;;;:::f",i"p,,-;i.:.-.-_-_-_;._;;._;;._;;._;;._;;._;;;_-_-_-;_;;.~-• _o_A_T~E::_:.:.:.:_:_:.:.:.-:.-:.-:.-.-.-:.:.--·--• COMPUT! TIIII ACTION FOIi ~ JIIIIU)ll'fli_lllll!JD_
Is the applicant or future building occupent required to submrt I business plan, acutely haurdous m1terial1 registration ~m _> risk management and prevention
progrem under Sections 25505, 26533 or 26534 of the Presley-Tanner Huerdoua Substance Account Actl O YES ~O
Is the 1pptlc1nt or future building occupant required to obtain I permit from the air pollution control district or air quality management district? 0 YES ~O
11 tht facility to be constructed within 1,000 feet of th• outer boundary of e school slte7 0 YES ~
IF ANY OF THE ANSWERS ARE YES. A ANAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNUSS THE APPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OF ACE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
I DING OINCY
I he,eby affirm that thefl it a construction lending agency tor the performance of the work f0t which this permit Is issued (Sac. 30970) Civil Codel.
LENDER'S NAME~~~~~:;:;;;;;;;--;;::;--===-;:;-
9, Affl!CMf~TION
I certify that I have read the application and state that the above Information 11 cooect and that the Information on the plane i1 accurate. I agree to comply with 111
City ordinances and State law, relating to building construction. I hereby authori11 reprn1nt1tivu of the Cltt of Car11b1d to inter upon th1 above mention9d
property fo, Inspection purposea. I ALSO AGREE TO SAVE. INDEMNIFY ANO 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 ot structur11 over 3 stories In height.
EXPIRATION: Every permit issued by 1he building Ofllcial under lhe provisions ol lhis Code shall expire by llmilation and become null and void H 1he building or work
authorized by such permit Is not commenced within 180 days lrom lhe date ol such permit o, tt 1he building or work authorized by such permit Is suspended or abandoned
at any time after the work is commenc for a period f 180 days ,tS,:t~ 106.4.4 Uniform Building Code). l \
APPLICANT'S SIGNATURE --~,.;.2:~~~~=~~~t'-"'~----------DATE '1. tX1 b. 7
WHITE: File YELLOW: Appticent PINK: Finance
'City of Carlsbad Bldg Inspection Request
For: 08/09/2007
Permit# CB071055
Title: VILLAS OF CALAVERA HILLS 2ND
Description: FLR ENTRY DECK REPAIR-2820&2822
Type: MISC Sub Type: REPAIR
Job Address:
Suite:
Location:
2820 WINTHROP AV
Lot: 0
APPLICANT DEGROODT CONSTRUCTION CO.
Owner: STOCKWELL MARCIA J
Remarks:
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