HomeMy WebLinkAbout2035 PLAYA RD; ; CB022149; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No: CB022149
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Applicant:
BRETT BURRUSS
Building Inspection Request Line (760) 602-2725
2035 PLAYA RD CBAD
RESDNTL
2151302400
Sub Type: RAD
Lot#: 0
$5,000.00 Construction Type: NEW
Reference #:
O Structure Type:
o Bathrooms: 0
BURRUSS RES/CONVERT HOBBY RM
-BEDROOM, REPLACE 6 SLIDERS DR W/NEW DOORS
Owner:
LIONEL TRUST
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check#:
\"7 •"i ~ b..1..
2738 MACKINNON RANCH RD
CARDIFF,CA
1700 VALLEY BANK PLAZA
300 S4TH ST
92007 LAS VEGAS NV 89101
942-3685
PENDING
07/22/2002
CB
Total Fees: $121.96 Total Payments To Date: $0.00 Balance Due: $121.96
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
$61.19
$0.00
$39.77
$0.00
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFD Payoff Fe<,
PFF
PFF (CFD Fund)
License Tax
License Tax (CFD Fund)
Traffic Impact Fee
Traffic Impact (CFD Fund)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnlieu Fee
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
FINAL4PPROVAL
Date: · ·--S --0 -z._. • Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$121.96
NOTICE: Please take NOTICE that appf()val 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 AP_PLY to any
FOR OFFICE USE ONLY
,PERMJT APPLICATION PLAN CHECK NO.C~02Z I 4C/
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. 2~, /
Plan Ck. Deposit ________ _
Validated By_----"C,Jb-===--------
Date 7--27..-02=:
1. PROJECT INFORMATION
2o2s: Po3Yd: f@:fr:O
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
tA()Vts~r~~'\rJtttl ~/.£c ~-~T.
#of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON Ii different from applicant) ~
Name
3.
Name
Address
'Ci( Contractor O Agent for Contractor
ivut-"h~
Address
4. g~RTY OWNER
I l\t> b\7'f
City
City
Name +S/14114-Address City
5. CONTRACTOR • COMPANY NAME
State/Zip Telephone# Fax#
State/Zip Telephone#
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 applican for a perro.it su;yects t~e ap Ii ant to a civil penalty of not more than five hundred dollars [$5001). ~ 'h. 1'-1 ~. 'l,c,, 1-1...-3~S'
Name Address City State/Zip Telephone#
State License # 4:> ;~&,] License Class ----'-~~_._ __ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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.
-d 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
~ed. My worker's compensation insurance carrier and policy number are:
Insurance Company 5'12Pff:.. ,Fv...,r,. Policy No. 3 (O'S O'f{. Expiration Date ______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 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.
mpensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
o the cost of compensation, damages as provided for In Section 3706 of the L e, interest and attorney's fees.
DATE O'"L---
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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).
'F;i( I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
~tractor'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 I 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 -.!r.L..~~4---J,C:.A.-~-----""""-------
COMPLETE THIS SECTION FOR NO
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 to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\t 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 permil is not commenced wilhin 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 comm ed for a period of 1 days (Section 106.4.4 Uniform Building Code). I ~ J
APPLICANT'S SIGNATURE _£2JU.'Ji..1--~/.£.~~~========-------DATE I ~~ OZ.---
YELLOW: Applicant PINK: Finance
rr'®iim
City of Carlsbad Bldg Inspection Request
For: 08/30/2002
Permit# CB022149 Inspector Assignment: SR ---
Title: BURRUSS RES/CONVERT HOBBY RM
Description: -BEDROOM, REPLACE 6 SLIDERS DR W/NEW DOORS
Type: RESDNTL Sub Type: RAD
Job Address:
Suite:
Location:
2035 PLAYA RD
Lot
APPLICANT BRETT BURRUSS
Owner: LIONEL TRU~T
Remarks:
Total Time:
0
Phone: 7609423685
Inspector~
Requested By: BRETT
Entered By: CHRISTINE
CD Description Jeromments
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs/ Vs
PCR02208 PENDING
lns(leCtion HislO[ll
Date Description
08/29/2002 19 Final Structural
08/29/2002 29 Final Plumbing
08/29/2002 39 Final Electrical
08/29/2002 49 Final Mechanical
08/20/2002 18 Exterior Lath/Drywall
07/31/2002 17 Interior Lath/Drywall
07/30/2002 14 Frame/Steel/Bolting/Welding
07/30/2002 34 Rough Electric
Act lnsp
AP SR
AP SR
co SR
AP SR
Comments
NEEDS GFI PROTECTION THROUGHOUT THE KITCHEN/ NOT ALL
CIRCUITS ARE ENERGIZED/ BATHRM OK
AP SR OK TO SEAL AROUND NEW WINDOWS AND DOORS
AP SR FIRE WALL IN GARAGE/INTERIOR OK
AP SR
AP SR
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APPROVED
BY ~ B~TT A-MD S"£,1LJ\. ~moU:d~?~S -=--
2. 035 PlAYA RO~DJUL 2 2 200l
LA GOCIA CA. Cl20o9
CiW, of CARLSBAD
AP N 2.\5 -l 3 6 -i½BlLDING DEPT. .
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