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HomeMy WebLinkAbout2399 JEFFERSON ST; 11; CB033366; Permitr::>.-2f City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12--04--2003 Miscellaneous Permit Permit No: CB033366 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: WESTOCK SAM J 2399 JEFFERSON ST CBAD St: 11 MISC Subtype: OTHER 15514030ill ll Lot#: 0 $0.00 GATES RES MODIFY INTERIOR WALL AND MOVE ELEC Owner: WESTOCK SAM J Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/04/2003 SB 12/04/2003 12/04/2003 2399 JEFFERSON ST #2 CARLSBAD CA 92008 2399 JEFFERSON ST #2 CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $80.00 PERMIT FEE Total Payments To Date: $0.00 Date: $80.00 $0.00 $0.00 $80.00 Balance Due: $80.00 0214 12/04/03 0002 01 02 CGP ao.oo Clearance: ------ that approval of your project includes the 'Imposition' of es, 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. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C{Tu > -~ 3 66 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL.~~~~~~~~~~ 1. PROJECT INFORMATION Business Name (at this addresst Legal Description Lot No. Phase No. Total II of units U S I I f' ~ I<. :t> cc.-, t.f: • 8 B ·:~ ~ O tu >J D i ,,!"T 1 >-J Assessor's Parcel # Existing Use 15,5"-il/0-3<0-I/ I .> Proposed Use Description of Work SO. FT. I/of Stories # of Bedrooms # of Bathrooms /)') v{/~ {y Iv ff_,t<r CA,IC/.../1 ¥' th~e cit?(!:-1.r!C:a. ( 2. CONTAC't PERSON (If different from applicentl Name 3. APPLICANT O Contractor J Q.. r::r-e > \- Name 4. PROPERTY OWNER Address 0 Agent for Contractor Gqtf:!S Address City tl( Owner O Agent for Owner ·z:. 3 tt 'L~ e £-Qecsco ::t:'ll City J 0,. c:oe S L Go te s 239tr Je~-fe.r.sO'\ s-t-_ -:tt=-1, Name Address City 5. CONTRACTOR· COMPANY NAME State/Zip Telephone II Fax II ~ CAaLsB AO !qwo8'. State/Zip telephone II 760 -790-97bf State/Zip Telephone II (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 Sect:on 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exe1n;>tion. 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 l$500U. Name Address City State/Zip Telephone II State License II----------License Class----------City Business License II -------- Designer Name Address City State/Zip Telephone State License II ---------- 6. WORKERS' COMPENSATION Workers' Compensation 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 the work for which this permit is issued. 0 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 Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLEH:v IF THE i'ER,vlri IS FvR ONC HIJIIC:-lC:D OOLLArlS [$1001 OR LESS) 0 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 worke11' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,0001. in addition to the coat of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE------------~~----~--~-~~~--~-- 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: V' 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 lor sale fsec. 7044, 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. II, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with lrcensed 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) lrcensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: 1. I personally plan ~o provide the major labor and materials for construction of the proposed property improvement.').( YES ONO 2. I e have not) signed 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 I address I phone number I 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 I address I phone number /contractors license numbe~:--------------------------------~--------------~ 5. I will provide some of the work, but I have contracted (hired) the following per of workl: ___________ -;,,r------;::-:;;;--;--r---;,---:,-~";:;----~'-:-:r:~::::======.--:-----------:=--------~ DATE/'7 N()~ 2,.003 PROPERTY OWNER SIGNATURE _..::::;;wra...!..l~=2......G::::.:....C:"La:,_,1'.'.£~-..J.~[U::..t:;;/_~.t!::Jft.o!~:-' COMPLETE THIS SECTION FOR NO 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 7 O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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---------------- 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO 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 limitalion and become null and void if the building or work authorized by such permit is not commenced within 180 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 work is commenc d r a period of 180 day (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE I 9 AJO r/ 1 zoo 3 I PINK : Finance City of Carlsbad Bldg Inspection Request For: 02/26/2004 Permit# CB033366 Title: GATES RES MODIFY INTERIOR WALL Description: AND MOVE ELEC Type: MISC Sub Type: OTHER Job Address: 2399 JEFFERSON ST Suite: 11 Lot 0 Location: APPLICANT WESTOCK SAM J Owner: Remarks: Total Time: CD Description 19 Final Structural '--Comment Associated PCRs/CVs lns12ection HistO!Y Date Description Act lnsp Comments 12/18/2003 11 Ftg/Foundation/Piers WC PS 12/18/2003 14 Frame/Steel/Bolting/Welding AP PS 12/18/2003 17 Interior Lath/Drywall AP PS 12/18/2003 34 Rough Electric AP PS Inspector Assignment: :¥ Phone: 7607309768 lnspecto~ Requested By: JIM Entered By: CHRISTINE GA TES RESIDENCE 2399 JEFFERSON CARLSBAD , CA 92008 PARCELL #155-140-30-11 FRAMING &. VENT BEFORE P1<. 10,e 2' BLACK ABS VENT PIPE TO ATMOSPHERE 'wAS T'wO 2 x 4---"\ 'wAS 4 x 6 \ ~ ENDING AS SHO'wN ~ _.---_.--- 16' DNi~~TER ~~ ~~II 7 (i---_J .o. ,i(J,.,. 7• O£co tj,i,, Of C.q st&{o,t\l: lit.~ GD~ z I 1 01= g 4 X 10 2 X 6 I I I I I I I I I .. - 11 11 t )\ " l~ Cl503 3?l£ .. _ GATES RESIDENCE 2399 JEFFERSON CARLSBAD, CA 92008 PARCELL #155-140-30-11 FRAMING &. VENT AFTER 2 ()I= .3 STEEL 4 x 8 JOIST CARRIER -----, gj~ x 4' LONG \./ODD LAG 2' BLACK ABS VENT PIPE TD ATMOSPHERE ND\./ 4 x 10 DVERLAPING EXISTING 4 x 6 \.I I 4 x 4 SPACER ND\./ 4 x 4 16' ON CENTER TYP 2 x 4 FRAMING, 10d BRIGHT FINISH NAILS, 2 @ EACH END, (1) 3' LONG #8 SCRE\./S BET\./EEN EACH STUD INTO SUBFLOOR, #8 x 3 ALSO USED TO ATTACH NE\./ FRAME STUDS INTO EXISTING STUDS. 51fv1PS01" ST.e.O~G. TI£ Ht.. 33 w 11H Bo'-rs UVVVVVVVVVVVVV1 I----- >'-~~~~~~~~~~~~~~--~~~~~~~+-~~~~~~~~~~~~~~~~~~~~~~~~~-,...-~ ~ ~ ~ ~ I" V V V )4' ", I I I - - - - - COVER 'vii ~ DRY'v/ALL 16' ON CENTER TYP 2 x 4 FRAMING, 10d BRIGHT FINISH NAILS, 2 @ EACH END. (1) 3' LONG #8 SCRE'v/S BET'v/EEN EACH STUD INTO BOTTOM PLATE. GA TES RESIDENCE 2399 JEFFERSON CARLSBAD, CA 92008 PARCEL #155-140-30-11 I END FRAMING AFTER I j OFB ~· BEt-O~E lA: 'wAS SDFFET-- 2A: 'vi AS ¢2 BLACK ABS VENT PIPE VENT TD OUTSIDE ATMOSPHERE 3A 'vi AS: DDDR\J A Y GATES RESIDENCE 2399 JEFFERSON CARLSBAD) CA 92008 PARCELL # 155-140-30-11 I I I I I I I '" I I I I I I I I .) I ,,.,, .) ,,.,, // ( // I I".,...... ._. ,4t=TE(?_ .. 1B NO\./: SHELF l 2B CHANGE ROUTE 3B NO\v': HALF \v' ALL- ----::::...-...... ...... ...... r' ............ ...... I I I I I I I I I I I I ....... ...... . l. l, ...... ..... ..... ...... ...... ...... ...... ...... ...... "'1 "I I I I I I GATES · RESIDENCE ~! 1 2399 JEFFERSON . CARLSBAD ) CA 92008 PAR CELL # 155-140-30-11 I I I I I I I I I I I I I I I I I I