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HomeMy WebLinkAbout2604 OBELISCO PL; ; CB053100; Permit10-11-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No:CB053100 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2604 OBELISCO PL CBAD PATIO 2154602900 Lot#: 0 $3,016.00 Construction Type: NEW OBENBERGER RES ADD 377 SF COVER TO DECK Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 08/29/2005 KG 10/11/2005 10/11/2005 Applicant: WORTHING INC, B. A. SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 Owner: OBENBERGER FAMILY TRUST 07-23-04 P O BOX 130756 CARLSBAD CA 92013 Building Petmit $53.49 Add'! Building Permit Fee $0.00 Plan Check $34.77 Add'l Plan Check Fee $0.00 Strong Motion Fee $1.00 Renewal Fee $0.00 Add'l Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $89.26 Total Fees:$89.26 Total Payments To Date:$89.26 Balance Due:$0.00 Inspector: FINAL AP^OVAL Date: ,y ^ ^ ^Clearance; NOTICE: Please take NOTlC^that awrovai of your project includes the "Impd^ition" o/fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions." You have 90 days from fte 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 Munidpal 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 spedfied fees/exactions DOES NOT APPLY to water and sewer connection fees and capadty changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previousiv otherwise expired, PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST. VAL. .. . Plan Ck. Deposit -7' I f Valida. Date -oa.^02 Jl r;gf-- ~!7TAddress (include Bldg/Suite ff) i 2^o04- Business Name (at this address) itSLegal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of uni Assessor's Parcel # _ 215 Existing Use Proposed Use Description of VJork • . n 2. CONTACT PERSON (If differerrt from applicant) SQ. FT. 31^ - #of Stories # of Bedrooms # of Bathrooms Fax #Name 3, APPLICANT B Contractor Q Agent for' Contractor D Owner Q Agent for Owner . .po.Boic lom, ra 'R2X)/!^hioOnifl-Sgt^sCfiv-r2a-6lR-4 Name 0 Address * City state/Zip Address City ^Contractor □ Agent for Contractor Q Owner Q Agent for Owner State/Zip Telephone # AWTI ^20\6T . Address tj City / State/Zip Telephone # ROPERTY OWNER '4- Name 6. CONTRACTOR • COMPANY NAME (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 Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the allegediption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty/)f not more than five hundred dollars |$S00|).pnyjcv mm . rn(\^\n^ OPT qioiy hij.oTTiR-gQtgSexemption. Anv vie N Addame ate License # ress ' ' City State/^ Tele^ ( D License Class City Business License H ^.00^ [0Hl,arl^b^dyr/V ^Zo\K' Address ' ' City State/Zip Telephone City " State/Zip City Business License # < Telephone # iiiKiiai aiiu \ f the Labor code, Inter Designer Name State License # 6. WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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. pn 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. 0 ^ Expiration Date D/''05' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$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 workers' rampensatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to onejiundred thousand dollars ($100,000), ip-«0itlon to the cost of compensation, damages as provided for In Section 3706 of the ^abor co^e, interest and attomey's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATlOf1 hereby affirm that I am exempt fronVthe extractor's License Law for the following reason: [~| I, as owner of the property or rW employees with wages as tneir sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions o<^e:Jhe 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. If, 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). □ I, as owner of the property, am exclusively contracting 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 builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). (~1 I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES Qno 2. I (have / 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 / address / phone number / 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 / address / phonenumber / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number / typeof work): DATEPROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR/V0/V-R£3/Df/V7ML BUILDING PERMITS ONLY 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES G NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? G YES G 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 NAIVIE LENDER'S ADDRESS 9. APPUCANT CER'nnCA'nON 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 CitV of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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 S'O" 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 limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date ot such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE uAA ^ DATE YELLOW: Applicant PINK: Finance City of Carlsbad BIdg Inspection Request For: 04/06/2006 Inspector Assignment: PYPermit# CB053100 Title: OBENBERGER RES ADD 377 SF Description: COVER TO DECK 2604 OBELISCO PL Lot Type: PATIO Sub Type: Job Address: Suite: Location: APPLICANT WORTHING INC, B. A. Owner: OBENBERGER FAMILY TRUST 07-23-04 Remarks: Phone: 7604736067 Inspector: Total Time: CD Description 19 Final Structural Requested By: DAVE Entered By: CHRISTINE Act Comment Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp 12/28/2005 18 Exterior Lath/Drywaii AP PS 12/02/2005 14 Frame/Steel/Boiting/Welding AP PY 12/02/2005 24 Rough/Topout WC PY 12/02/2005 34 Rougli Electric AP PY 12/02/2005 44 Rough/Ducts/Dampers WC PY 11/16/2005 15 Roof/Reroof AP PY 10/24/2005 11 Ftg/Foundation/Piers AP PY EsGil Corporation In (partnership-with government for <SuiC<£ing Safety DATE: September 8, 2005 aAPPU^NT rOTJORisL^ JURISDICTION: Carlsbad □ PLAN REVIEWER □ FILE PLAN CHECK NO.: CB053100 SET: I PROJECT ADDRESS: 2604 Oblisco PL PROJECT NAME: Roof Addition for the Obenberger Residence ^ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. I I The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. I I The plans transmitted herewith have significant deficiencies Identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. I I The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. I I The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. n Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: j Date contacted: (by: ) Fax #: Mali Telephone Fax In Person □ REMARKS; By: Steve Sanders Enclosures: Esgil Corporation □ GA □ MB □ EJ □ PC 9/1/05 tmsmtl.dot 9320 Chesapeake Drive, Suite 208 ♦ SanDiego, California 92123 ♦ (858)560-1468 ♦ Fax (858) 560-1576 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CH O I CTTi DATE ADDRESS Ob-e.flS>CjP P\ llESIDENTiAL RESIDENTIAL ADDITION MINOR (<$10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VIILACE FAIRE COMPLETE OFFICE BUILDING OTHER "TULoJ O PLANNER DATE /4. ENGINEER DATE Docs/Murormi/Ptanning Englnecriftg AOprovaB