The URL can be used to link to this page

Home My WebLink About1004 LANDS END CT; ; CB041124; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-05-2004 Residential Permit Permit No: CB041124 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1004 LANDS END CT CBAD RESDNTL Sub Type: 2145311300 $7,650.00 Lot#: Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: BLOUGH RES-255 SF BEDROOM/LOFT & REPAIR SHOWER PAN-MASTER BATH RAD 0 VN 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: Applicant: Owner: 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 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 $84.29 $0.00 $54.79 $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 BLOUGH ROBERT&KATHLEEN 1004 LANDS END CT CARLSBAD CA 92009 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFD Payoff Fee 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 Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES ISSUED 04/02/2004 RMA 04/05/2004 04/05/2004 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $20.00 $24.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $211.08 Total Fees: $211.08 Total Payments To Date: $54.79 Balance Due: $156,29 FINAL APPROVAL DATE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Business Name (at this address) Subdivision Name/Number Unit No. Assessor's Parcel # ,.,;:Ji'Wlll!llliM!imlMmitmtli!ij,j,c' . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Phase No. Total # of units 54, ?9 D 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. ~ 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 ::1~:::'.~urance carrier and policy number are: _ lnsu,anceCompany ~::O:. Fi).._hr:l PollcyNo.OOQf:,71'5 ~xpl,atlonDate j -l -DS (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D CERTIFICATE OF EXEMPTION: t certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so es to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure naatlon covaraga i• unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand dollars ($100,0 ompensation, damages as provided for In Section 3706 of the b cod , Interest and attorney's fees. SIGNATUREmil1!11~ii~~~~~~~iillE~illSiiill8'.ill~ii~illii:::::::::::::::;; DATE :7,;fP;;i!Wl',IEli!liQifi;OO!ii:il!cmliAfl®' • ,, ni I hereby affirm that I am exempt from th 0 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). D 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(sl 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):. ___________________________________________________________ _ 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 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 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. 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 1,,,,,illlll'illCAJ,1:ii clili~ill®N'"'" 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 not commenced within 180 da s 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 commence eriod of da s (Section 106.4.4 Uniform Building Code). DATE LLfZ-c_!llLt APPLICANT'S SIGNATURE -~::::S~'.d:~~::JZ},".I~~,""::::====----------_:_u~,_ __ _,_,li~4~-1-------- ile YELLOW: Applicant PINK: Finance m City of Carlsbad Bldg Inspection Request . For: 07/07/2004 . Permit# CB041124 Title: BLOUGH RES-255 SF BEDROOM/LOFT Description: & REPAIR SHOWER PAN-MASTER BATH Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 1004 LANDS END CT Lot APPLICANT WORTHING INC, B. A. 0 Owner: BLOUGH ROBERT&KATHLEEN Remarks: Total Time: CD Description h Ftg/b~~ers Associated PCRs/C CV030268 CLOSED H-EXPIRED BLDG PERMIT; CB022728 lns12ection Histo~ Date Description Act lnsp Comments 05/27/2004 17 Interior Lath/Drywall AP PD 05/25/2004 16 Insulation AP PD Inspector Assignment: PD --- Phone:d-3965 Inspect~ Requested By: TERESA Entered By: CHRISTINE 05/12/2004 84 Rough Combo AP PD MINOR PICK UP