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HomeMy WebLinkAbout2622 AGUILA ST; ; CB981113; PermitB L) T L D 1 N 07/30/98 14!0!> P a IT e lof 1 Job Hddre?.-,! 2622 flGU.ILfi ST Permit 'iufies RESIDE NTflL PlDD/fii.. T . P'lrcel Ho.' 21 g-'r;62-31?-00 Uci 1 iiat i on 2 21^726 0 ccu p a ncy G r o u p s Dei.r-riptioi.! 20/BF ROOM nnD.rn.()N ' TRFLLIS -ONF S'l GRY f 1 ):i p I / 0 w 11 r f E R h J T Sij i te s L () t H " Pc-rniit Nos Project H o = D e ue? 1 o p rne n I M n " CBS'8'1 1.5 3 fi?e014/7 Re |-erence# = s 170 sr UN Constr IJ c t i o n T y p F? I Status I flpplieds 04/20/90 9572 (ffi(53O/9fr.^e0M=OlO5/O2'5/9R Lntc-roilCBWriDI- 246-00 760 942-1021 EBR I RHT, EOyplRD 1991 UILLflGL PnRK yOY , .. F.NClNITftS, cn. 92074 Fee?s Required /'Sl;/.rV:ft^'^^^^^^ & Credit?. Fee-5' fid i ustriientf. s Total Fee'-, s F ee desc r i p t i on hu i Id'! mj Permit Plan Check H t r o n q Motion F ee « BU if DING TOTflL Lnter "Y" II Y II n Y II / Y /§W,f>.;^, l-r, r>*r-^*'rVfo ta-lr'!C-r>tf!'rj\: . Lnter i- n ter L" ri t e r for P1uriifc^|l^je^Fee}n> I ^ for Elect«f||^§,l|<€fe^^^^^^ for Temp o i'^^f-rf^:; For f1echari«-:*|J5^^^ T^jBe ^1 list? % fr f'.f 4'i.s . iNCOHHCriATeO 1952 11 . 0 0 157.0 0 24 6.0 0 Ext fee Data 219.00 142.00 2 , 00 363.00 N 10.00 Y 10,00 Y N FINAL/APPROVAL CrTY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 P, ll I L D [ N C P E R ri T T 08/28/98 15^17 I-' a n te lof 1 Job Address! 2622 RGUILfl ST Suites Pprinit Type". PinN CHECK REUISION Parcel No-' 21 f/~lv6 2--3r/~00 Lotil." UoIuat i on s 0 Occupancy Grou[i! Referencett = Description! REU 1 S [ ON-S rRUCURfil. HDD COLUHNS Oppi/Ownr ! Konenns riflRTY 325 CftHLSBfiD UILLftGE DRIUL CnRI.SBHD Cfl 92009 » K Ot f s R e 1:1 u i r e? d « * « PCR No 5 PCR9B1/1? Project No 5 fl9801477 DtJue 1 npmen t Nos Construction Typc^s ON Status: ISSUED Applied: 08/07/90 flpr/Issue: 08/28/90 fiitercM-i Bys Jil 760 y^^-''^^^^^,^,^^oi01 02 C-PRHT 55.00 * Fees'"'&-oJ lected S Credits F ees" nd i u'".triierits • 1 n ta 1 F(?es ' y . 0 0.^ f'' ' /S /'X ""'^•v Ft^e i!e^.cr i p tion Total P'a y m e n'E^., s 55/. 00 AA_;V Plan Check Reuision F/ee.*-A-^.C^ / -^.^^ > ^3 b_..Q-9 V S y ' \ , 00 , 00 ! , 0 0 I Ext fee D,it<\ . 00 •dSNI VIVNU CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. ^(9 ^ / t(j> EST. VAL. Plan Ck. Deposit Valld^^ mmMkf^fpjr- 4X1 VJ. 00 Addrp^Si(include ^dg/Suite ff) Business Nanne (at this address) Legal Description Lot No Subdivision Nanne/Nunnber Unit No Phase No. Total # of units Existing Use ^ J-Proposed Use Description of Work SQ. FT #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # S. , .C,ONTRACTORlCOrMPANY NAME:',, „«A -im'. - "3 '^j.' ' ' ,"",T^Pf*" T, s7E--:" (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 Lawr [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or lhat he is exempt therefrom, and the basis for the alleged exemption 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 [$500)). Nam State License # Address License Class City State/Zip Telephone # City Business Ucense ff ^ (p^^ Designer Name Address City State/Zip Telephone State License ff 6. '.HWdlfKlRS'COBfllENSATipN'W.., • ...... ••»..„. "'"^iis.A., ' W. "'' ' A-LrS: i.. A"~"~ ' .i.,.. Workers' Compensation Declaration' I hereby affirm under penalty of perjury one of the following declarations: dl 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 Q-—1 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 COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$100l OR LESS) • 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.' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollai>-t$1]Q0^00), in adduon tb/the cost/of cimutensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ///i^^^ /\ y(/AC^'^^-.-^ DATE "7 ^3 O-y ^ •7..- .OWNER^WDERIDECmRATIOff^fe ,"..,,„, ^ ' ~'^^t^, '^^U^ .'jF^^m:.,:'"' ' * J' 'lfc,: I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason' n 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 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) r~l 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) r~l I am exempt under Section Business and Professions Code for this reason: 1 1 personally plan to provide the major labor and matenals for construction of the proposed property improvement. • 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 / phone number / 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 / phone number / type of work). PROPERTY OWNER SIGNATURE DATE COMaEJETHISjSECtibA?FOR,./VS0iV-fl^^ .i, , ,,Ujami muii,- Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES • NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distnct? C] YES C] NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' • YES CD NO 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 AND THE AIR POLLUTION CONTROL DISTRICT. 1 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 LENDER'S ADDRESS I certify that 1 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 1 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 5'0" deep and demolition or construction of structures over 3 stones in height EXPIRATION: Every permit issued by tj/Ce Building Offraal 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 (Jommenifed witn(n\369 days from the date of such permit or if the building or work auth^ized by such permit is suspended or abandoned at any time after thj/^gfI5 i^corjmepe^for a/pefiod of 180 days (Section 106.4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE HITE: File YELLOW. Applicant PINK' Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 . -1. PROJECTIINFORMATION . Address (include Bldg/Suite ff\ FOR OFFICE USE ONLY PLAN CHECK NO EST. VAL. Pian Ck. Deposit Validated By Date M / / Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total ff of units Assessor's Parcel # bxisting use ^ t-roposea use Jk Description of Work SQ. FT #of Stories # of Bedrooms „. , ... . .., „ ™ <^,,.^,,.-.2,. ,ykp7^^'7^n -r-z^-y^/z^ J 2.-:-- CONTACTPERSON^(ifdlffarairtfrom.appncant).:. 'tsfr,1-i--".^?*T:^/Kifc-?<*^= v". , ; .---•>-l-r-'• •-- _ Proposed Use ff of Bathrooms ry . . Name / Address City i3. , APPLICANT.,.£0'^Contrartprflt^ O OwneTf'.DlAgertt fof.OvynerJ / v_ , State/Zip Telephone ff Name :4;; >'-PRbPERTY{dWNER Address City State/Zip Telephone ff Address City State/Zip Telephone ff Name 5.11 'CONTRACTOR -iCOMPANY'NAIWE' (Sec 7031.5 Business and Professions Code' Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 IChapter 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 exemption 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 |$5001) Name State License ff Address License Class City State/Zip City Business License ff Telephone ff Designer Name Address City State/Zip Telephone State License # 16;^-wdmcERS'XOMPENiSATibN:'-'.' ^:j'^2:-,.>..rX .-*'\-.l./-:.:'"'..X:'"'" ,f 6 ^ : ' .ri.''\:. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: n 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. • 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 earner and policy number are. Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) • 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' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. SIGNATURE DATE 7.5-Y!o)wNER-BUiLDERbECtAMTiON'f£''"' f'l::f'i'""' '-".'''"^.''\ r- \''i'!'"":;,!-'^r? -.t"*"^- I hereby affirm that I am exempt from the Contractor's License Law for the following reason. • 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 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). 0 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 contractorls) licensed pursuant to the Contractor's License Law). • I am exempt under Section Business and Professions Code for this reason. 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement • YES ONO 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 / phone number / contractors license number) 5. I will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE ;coiyiRLCTE?rHissECTibN.Forwbw-flfs/DCT ';!r'' 'r:4\••*•;, • Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES • NO Is the applicant or future building occupant required to obtain a permit from tne air pollution control distnct or air quality management district? • YES • NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES • 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 'C".''LCbNSTRUCTION;LENDJNlGAGEN^^^ ^'/:{';J|,,L>F^%^^;;^^^^^^^ :/ ''•"'ll", \ . .' C *. 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 LENDER'S ADDRESS 3. V iT^APRtlCANTrCERTIHCATlONSf,,'.;#4., ^ -.r,"T'J;, ; 1 certify that 1 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 UABILITIES, 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 witjun 3&87days frofrt the^ate of such permit or if the building or work authorized by such permit is suspended - " " " ' "—°^ ^ " ./i^'^ (Section 106.4.4 Uniform Building Code) DATE fi- "7'^ S YELLOW. Applicant PINK' Finance or abandoned at any time a; APPUCANT'S SIGNATURE CITY OF CARLSBAD INSPECTION REQUEST PERMIT! CB981113 FOR 10/21/98 DESCRIPTION: 207SF ROOM ADDITION & 120 SF TRELLIS-ONE STORY TYPE: RAD JOB ADDRESS: 2622 EL AGUILA ST APPLICANT: EBRIGHT, EDWARD CONTRACTOR: OWNER: INSPECTOR AREA PY PLANCK# CB981113 OCC GRP CONSTR. TYPE VN STE: LOT: PHONE: 760 942-1021 PHONE: PHONE: REMARKS: C/MARTY/729-7911 SPECIAL INSTRUCT: INSPECTOR _/ f TOTAL TIME: —RELATED PERMITS— PERMIT# TYPE CB891930 RAD STATUS EXPIRED CD 19 29 39 49 LVL DESCRIPTION ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 092598 Exterior Lath/Drywall 092598 Interior Lath/Drywall 092198 Rough Combo 091598 Shear Panels/HD's 091198 Roof Sheathing/Ext Shear 083198 Ftg/Foundation/Piers ACT INSP AP PY COMMENTS AP AP AP AP AP PY PY PY PY PY