HomeMy WebLinkAbout2773 GLASGOW DR; ; CB043309; Permit~~~ ""~!~.i~ ~~~!~~~~""
08-23-2004 U
I
Patio/Deck Permit Permit No: CB043309
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2773 GLASGOW DR CBAD
PATIO Status:
Lot#: 0 Applied:
Valuation:
2081022800
$2,229.00 Construction Type: NEW Entered By:
ISSUED
08/23/2004
MOP
08/23/2004
08/23/2004 Reference #:
Project Title: FOULK RESIDENCE
133 SF DECK W/ STAIRS
Applicant:
WORTHING INC, B. A.
SUITE #201
690 CARLSBAD VILLAGE DR
CARLSBAD, CA 92008
619-729-3965
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Owner:
FOULK JOHN&BARBARA FAMILY TRUST 03-22-04
2773 GLASGOW DR
CARLSBAD CA 92008
$45.79
$0.00
$29.76
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$76.55
Total Fees: $76.55 Total Payments To Date: $0.00 Balance Due: $76.55
9493 08/23/04 0002 01 02
CGP 76-55
L
Inspector: Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "lmposition" 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.
PERMIT APPLICATION
.,
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO. M-f, °360j'
EST. VAL. 2 1 t ?_'
Plan Ck. Deposit ________ _
Validated By __________ _
Date. _______________ _
Business Name (at this address)
Name
3.
Subdivision Name/Number
Existing Use
City
0 Owner O A~ent for Owner
CCtY\.51C>o0 CA. 9
Unit No. Phase No. Total # of units
Proposed Use
# of Bathrooms
State/Zip
City State/Zip Telephone#
City State/Zip Telephone #
5. CONTRACTOR • COMPANY N.AME
(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 Godel 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).
BAWOY--±kiV:t%,lnL· PO.J3ov (04/ Q,Q,Y/sbaci_., CA q~,o "1(aD-,.;i.~-39C.05
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 ttrork for which this permit is issued.
!SY" 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 c5t:z:t±c F ~ Policy No. DOO 8 7 I ~ -.J.~xpiration Date / -/ -0 S
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
O 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' mpensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100, addif e cost of compensation, damages as provided for in Section 3706 of the Lab r code, in erest and attorney's fees.
SIGNATURE. __ ~---:l~ a!ll!~-¥---=--4~----------------DATE __::e=..1--:.2=,,,e:__--L-'"""'---1--
7. OWNER-BUILDER
ontr ctor's License Law for the following reason:
0 I, as owner of the property or my emplo es 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 ode: T 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 e ploye s, 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 o -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 contractor(s) licensed
pursuant to the Contractor's License Law).
0 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. 0 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 I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. ________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? 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? 0 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 ______________ _ LENDER'S ADDRESS ________________________ _
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 t o comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\r 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 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 limitation 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 commenced f period days (Section 106.4.4 Uniform Building Code). e ! ""7-::Z.... !-A
APPLICANT'S SIGNATURE ___ ___llC---J.il!Mwi..~.I.L.~....-o!~---------------DATE ---1-1--~--'•7=---,_~ _ _. _____ _
YELLOW: Applicant PINK: Finance
"~.·; ·;,···.•:·?··.·.· ... ··.';•.·.
City of Carlsbad Bldg Inspection Request
. . .
Permit# CB043309
Title: FOULK RESIDENCE
Description: 133 SF DECK W/ STAIRS
For: 07/14/2005
Inspector Assignment: JM ---
Type: PATIO Sub Type:
Job Address:
Suite:
Location:
2773 GLASGOW DR
Lot
APPLICANT WORTHING INC, B. A.
Phone: 7607293965
0
Inspector: -----
Owner: FOULK JOHN&BARBARA FAMILY TRUST 03-22-04
Remarks:
Total Time:
Act Comment
Requested By: TERESA
Entered By: CHRISTINE
CD Description
19 Final Structural ~------
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs/CVs
lnsi2ection Histo!Y
Date Description Act lnsp Comments
05/03/2005 23 Gas/TesVRepairs AP JM BBQ/FIREPIT
05/03/2005 31 Underground/Conduit•Wiring PA JM CONDUIT ONLY
04/08/2005 18 Exterior Lath/Drywall AP JM
03/31/2005 34 Rough Electric AP PC
01/24/2005 14 Frame/Steel/Bolting/Vl/elding PA JM FLOOR NAILING ONLY
01/21/2005 11 Ftg/Foundation/Piers AP JM OKTO POUR
01/20/2005 11 Ftg/Foundation/Plers co JM STEEL REQUIRED IN FOOTING