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Home My WebLink About1023 BEACON BAY DR; ; CB054275; Permit1-2-20-2005 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CB054275 Building Inspection Request Line (760) 602-2725 1023 BEACON BAY DR CBAD RESDNTL Sub Type: 2145303100 Lot#: $8,925.00 Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: RUBIN RES- ADD 255 SF LOFT RAD 0 V Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check*: ISSUED 12/19/2005 LSM 12/20/2005 12/20/2005 Applicant: WORTHING INC, B. A. SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 Owner: RUBIN SCOTT A&VALERIE P 1023 BEACON BAY RD CARLSBAD CA 92011 Building Permit Add'l Building Permit Fee Plan Check Add'l 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'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee $91.99 Meter Size $0.00 Add'l Reel. Water Con. Fee $59.79 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $1.00 PFF (3105540) $0.00 PFF (4305540) $0.00 License Tax (3104193) $0.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) $0.00 Traffic Impact Fee (4305541) $0.00 Sidewalk Fee $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 Housing Impact Fee $0.00 Housing InLieu Fee Housing Credit Fee $0.00 Master Drainage Fee $0.00 Sewer Fee Additional Fees TOTAL PERMIT FEES $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 $24.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $196.78 Total Fees: $196.78 Total Payments To Date:$196.78 Balance Due:$0.00 BUILDING PLANS IN STORAGE ATTACHED Inspector FINAL APPROVAL Date: /~7^<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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired, PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 0535301-3 0005 12/19/2005 001 15PLAN CHECK NO.EST, VAL.Plan Ck. Deposit _Validated ByDate /•=Address (include Bldg/Suite #)AI Business Name {at this address)Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of unitsAssessor's Parcel #Existing Use Proposed UseDescription of Work #of Stories of Bedrooms # of Bathrooms Name Fax* 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 IChapter 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 exemtion. Any violation of Section 703>,5 by any applicant for a permit subjects theiapplicant to a civil penalty of not more than five hundred dollars [$500]). Name State License # 3 < in c.~Address License Class .& Jf~) City State/Zip Telephone # City Business License # 5*4^ Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. Of 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 and policy number are: Insurance Company flAAJj ?TLt-fi ai , Policy No.C/QQjjryQ—zQC& Expiration Date /~£/~-{ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Q 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 secura.jmrkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {$100,QD0l7jflbaddition to the cost of compensation, damages as provided for in Section 3706 of the^bpr code, interest and attorney's fees. SIGNATURE <\rl/^S\ ^--~~~ DATE 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt frorrytne 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 Professiorta^fldfl: 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). l~l 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(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, n YES C]NO 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. 1 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): PROPERTY OWNER SIGNATURE DATE IMiiiifHiisi^^ 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? Q 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES C] 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 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 commencedwithin 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 cornmencgcLAij^ period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/06/2006 PermiW CB054275 Title: RUBIN RES- ADD 255 SF LOFT Description: Inspector Assignment: JM 1023 BEACON BAY DR Lot 0 Type:RESDNTL Sub Type: RAD Job Address: Suite: Location: APPLICANT WORTHING INC, B. A. Owner: RUBIN SCOTT A&VALERIE P Remarks: Phone: 7608154267 Inspect Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: MARA Entered By: JAN BAN Act Comment Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 03/03/2006 89 Final Combo 02/21/2006 17 Interior Lath/Drywall 02/21/2006 18 Exterior Lath/Drywall 02/15/2006 16 Insulation 02/13/2006 14 Frame/Steel/Bolting/Welding 02/13/2006 24 Rough/Topout 02/13/2006 34 Rough Electric 02/13/2006 44 Rough/Ducts/Dampers AP JM CO JM NO ONE HOME AP JM AP JM AP JM AP JM LIST OK TO INSULATE WC JM AP JM PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS DATE \3 -30-osr RESIDENTIAL ADDITION MINOR (< $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER f y' DATE ENGINEER DATE