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HomeMy WebLinkAbout2797 CREST DR; ; CB042284; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB042284 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2797 CREST DR CBAD MISC 1561524500 $0.00 Subtype: OTHER Lot #: 0 ROWE RES BUILD SHOP, STOREGE ROOM & BATHROOM Status: ISSUED Applied: 06/08/2004 Entered By: FM Plan Approved: 06/08/2004 Issued: 06/08/2004 Inspect Area: Applicant: ROWE ROBERT D&JOHNSON KAREN L 2797 CREST DR CARLSBAD CA 92008 760.720.0400 Owner: ROWE ROBERT D&JOHNSON KAREN L 2797 CREST DR CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PLUMING & ELEC PERMIT FEE $68.00 $60.00 $0.00 TOTAL PERMIT FEES $128.00 Total Fees:$128.00 Total Payments To Date:$0.00 Balance Due:$128.00 3949 06/08/04 0002 01 CGF" 02 "128.00 Inspector: FINAL APPROVAi Date: '^ *>Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Tfrff £*-e^ £t^ FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date &-$ S..A- Address (include Bldg/Suite tt) Legal Description Assessor's Parcel tt \~\Description of WorJs) ' ' Business Lot No. Subdivision Name/Number Existing Use -V SO.. FT. W/i^ewi 4 ttof Stories Name (at this address) Unit No. Phase No. Proposedy.se ff # of Bedrooms Total # of units 2 tt of Bathrooms m applicant) f'- , Name Address City rEXAaentrfQr'Cpnt'r(aotor -Q Owner D Agent for-Owner State/Zip Telephone tt Fax* Name iP Robe^-f p. Address City State/Zip Telephone tt Name Address City State/Zip Telephone # (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 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 Address State License tt License Class City State/Zip Telephone tt City Business License tt Designer Name Address State License tt City State/Zip Telephone 5; COMPENSAT40N •.,.,-, ,, . , , ... Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: f~l | 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. f~l | 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 [$100] OR LESS) [~l 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 attorney's fees. SIGNATURE ___ ; _ DATE _ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 sqld 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). "!Ei_Ji/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). Q 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. l~l YES l~lNO 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 ,of work): •actejUbjred) the following persons to provide the work indicated (include name / address / phone number /type OPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR DATE JILDIfiq PERMITS ONLY , .t v ,,v v , , t , , ,,, ..^i mt required to submit a business plan, acutely hazardous materials registration form or risk management and preventionIs the applicant or future building occ program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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? D YES Q NO Is the facility to be*c^nstructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. to./i CONSTRUCTION LENDING AGENiCY •'. ;-„'„'. , 1 " ' Y ' „ , . , , , . 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 19,^.APPLICANTCERTIFICATION,, . , T , , , , •-,,,,}•« 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 City 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 corrpsQced within 18p-davs from the date of such permit or if the building or work authorized by such permit is suspended or abandoned f at any time after the work is comm^peed^waierio^erf-jejJ days (Section 106.4.4 Uniform Building Code). / r*PPLICANT'S SIGNATURE f ]Vf^ I JL&UJtf DATE (£-^ ~&7 .WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/06/2005 Permit* CB042284 Title: ROWE RES BUILD SHOP, STOREGE Description: ROOM & BATHROOM Inspector Assignment: PS Sub Type: OTHER 2797 CREST DR Lot Type: MISC Job Address: Suite: Location: APPLICANT ROWE ROBERT D&JOHNSON KAREN L Owner: ROWE ROBERT D&JOHNSON KAREN L Remarksfj-call Bob Rowe when you aregoJngTtoloB> Phone: 7608029105 Inspector: Total Time:Requested By: BOB ROWE Entered By: CHRISTINE CD Description 19 Final Structural Act Comment frf L Associated PCRs/CVs Inspection History Date 01/05/2005 12/30/2004 11/09/2004 07/01/2004 07/01/2004 07/01/2004 06/23/2004 06/23/2004 06/22/2004 06/22/2004 06/22/2004" 06/1 1/2004 Description 89 19 19 14 17 24 21 22 21 23 34 14 Final Combo Final Structural Final Structural Frame/Steel/Bolting/Welding Interior Lath/Drywall Rough/Topout Underground/Under Floor Sewer/Water Service Underground/Under Floor Gas/Test/Repairs Rough Electric Frame/Steel/Bolting/Welding Act NR CA CO AP AP AP AP AP CO we PA CO Insp BN PS PS PS PS PS PS PS PS PS PS PS Comments NO ACCESS - NO ONE HOME BY BOB NOTED ON BACK OF CARD CONSULTATION W/OWNER —ii— ii— n— ii— ii— u— Ti-»>s-I-L •4- 2 TT~rl poor' -> clo uO k- v. 7c» "f—\- 157' \ \WALL WALL •*v •14- •-> -Ifc"- 1 |0«xV ; .„ iff, ^f^cn M*'H WALL *] Door \l -It -iJ'H I £ r YyJaM -£ ^ ro.CBC C/'C Plumb i >4 z-$°I t u\ ii"?i French UJ _D tn K J P E (760) C EC