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HomeMy WebLinkAbout2703 SOUTHAMPTON RD; ; CB991840; Permit05/13/1999 City of Carlsbad Patio/Deck Permit Permit No:CB991840 Building Inspection Request Line (760) 438-3101 Job Address: 2703 SOUTHAMPTON RD CBAD Permit Type: Parcel No: Valuation: Reference #: PATIO 2081541500 $1,392.00 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: ISSUED 05/13/1999 DT 05/13/1999 05/13/1999 Project Title: WILLOUGHBY RESIDENCE Inspect Area: 116SF ENCLOSED PATIO ICBO#5014P/1841 P Applicant: BOND-BIL T CONSTRUCTION 1106 SECOND ST ENCINITAS, CA 92024 619-944-8577 Total Fees: $53.92 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 TOTAL PERMIT FEES Inspector: Owner: 9671 05/13/99 0001 01 WILLOUGHBY FAMILY LIVING TRUST 1 2703 SOUTHAMPTON RD CARLSBAD CA 92008 Total Payments To Date: $0.00 FINAL APPROVAL Date: b-'2:.-99 Balance Due: Clearance: $32.07 $0.00 $20.85 $0.00 $1.00 $0.00 $0.00 $0.00 $53.92 C-PRMT $53.92 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 r~ht to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy 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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 53-92 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.(Eq1;a 10 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. /,,<-;, 9 2 Plan Ck. Deposit==------- Validated By 75 / f Date ,5'ji3,ffl 1. PROJECT INFORMATION ,;Z7o 3 -So~ TIIA m f'l?N Ro Ab Busin~ss Name (at this address) o?:J7 C'IJl!L. Q&At> :RTA!o ,;-1-1 '( Address (include Bldg/Suite #) legal Description 1 J ,,h~ -/57-/5 Lot No. Subdivision Name/Number SE,,q Unit No. Phase No. ,e £t! l<eAn • 111,1 L. Total # of units Assessor's Parcel # Existing Use ' Proposed Use Descrftion of Work -"") /.:.· 7 J '1 v / 4, c,-,Josol rew10 z. CONTACf PERSON (If different from applicant) SQ. FT. /!Ce /2 #of Stories # of Bedrooms # of Bathrooms I Name s/J m L Address City State/Zip Telephone# Fax# 3. APPLICANT O Contractor &'k(gent for Contractor O Owner O Agent for Owner ,Tu I) y Bmf]LUV '1</o{,, CJl1L$Tolll I:>RuJC S,A#Tc.f; CJl '1~0 7( ~,1 a/5'[(-J 97f Name Address City State/Zip Telephone# 1f,.3'-/--4/~d 4. PROPERTY OWNER r "J>odd// WJil<Ytt;i:/iJY ,,27o3 Sb,rnJAmrnd/1) fjJpL'SiJl/o CA '1.;/0C>8 -74,CJ Name Address City State/Zip Telephone # 6. CONTRACTOR • COMPANY NAME (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 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 1$5001). -/3 / 1 3 F 'l~ -'i?57 Name Address License Class --~/3=------- City State/Zip Telephone # State License # __ 3~~L~'-f,-2~</~3~--City Business License # / 4 0 7 :J. 7 8" Designer Name T(!L3a So I'-{ I' qires/ fy { I' City State/Zip Telephone State License # _________ _ 8. 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 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 issued. My worker's compensation insurance carrier ~e_qli_cy number are: Insurance Company-----==:=======--------Policy No._~~==::::=::::::==:::_ __ Expiration Date_L~------- ON NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) ERTIFICATE 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 t become subject to the Workers' Compensation Laws of California. o ecure workers· compen tion coverage is unlawful, and shall subject an employer to criminal penalties end civil fines up to one hundred thousand dollar ($10 ;o00), in addition to th ost of co n etion, damages as provided for in Section 3706 of the Labor r:pde, lnterest and attorney's fees. s1GNATURE_'--,,,,,1p~d1.!ed"4-c._-;.:;.'L.LJ~:..c:'u~~,,____________ DATE \.5/J a Irr • 7. OWNER-BU I hereby affirm that tam exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the str re 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 propert o builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offer~ 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~r improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to co uct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or imR es thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). □ 1. 2. 3. I am exempt under Section ______ Business and Professions e for this reason: I personally plan to provide the major labor and materials ~ion of the proposed property improvement. D YES ONO I (have/ have not) signed an application for a buildin rmit for the proposed work. to provide the proposed construction (include name/ address/ phone number/ contractors license number): 4. I plan to provide portions of the wor , ut I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license numbe:;ri,)·-::_ _______________________________________________ _ 5. I will provide some of the ork, 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 p!an, acutely hazardous . .matt!rials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Sub:nance Account Act? D YES D 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 D NO Is the facility to be constructed within 1,000 feet of the oute,--bbundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES. A FINAL g_RflFli::A;E OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EME.ElG-ffJcY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDl~CY I hereby affirm that tb,sre iS a construction lending agency for the performance of the work for which this permit is issued {Sec. 3097(i) Civil Code). LENDER"S NAM°f/ ND ,.; C-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 Citt 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 o ommenced within 365 day from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after t is commenced for a peri of 180 days (Section 106.4.4 Uniform Building Code). DATE __ _,,~f,._,/u/c...1;.L...J/'-qL-'.~'--- PINK: Finance City of Carlsbad Inspection Request For: 6/2/99 Permit# CB991840 Title: WILLOUGHBY RESIDENCE Description: 116SF ENCLOSED PATIO ICBO#5014P/1841P Type:PATIO Sub Type: Job Address: 2703 SOUTHAMPTON RD Suite: Lot 0 Location: APPLICANT BOND-BILT CONSTRUCTION Owner: WILLOUGHBY FAMILY LIVING TRUST 1 Remarks: Total Time: CD Description Act Comments 19 Final Structural Inspection History Date Description Act lnsp Comments Inspector Assignment: SP --- Phone: 7604369661 Inspector: ----- Requested By: MEL Entered By: CHRISTINE 5/28/99 14 Frame/Steel/Bolting/Welding 5/27 /99 15 Roof/Reroof CA SP DONE ON 05/27 AP SP ATTACHMENT TO HOUSE AND PATIO SLAB