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
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Re |-erence# =
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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
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/ Y
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1952
11
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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<\
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•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