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
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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
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