HomeMy WebLinkAbout1036 LIGHTHOUSE RD; ; CB050923; Permit('() City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
~05 . ' Residential Permit Permit No: CB050923
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling UnJ.ts:
Bedrooms: ·
Project Title:
Applicant: .
Building Inspection Request Line (760) 602-2725
1036 LIGHTHOUSE RD CBAD
RESDNTL Sub Type:
2145314200 Lot#:
$7,130.00 Construction Type:
Reference #:
0 Structure Type:
0 Bathrooms:
STEELE RES 230 SF LOFT AND
BEDROOM ADDITION
RAD
0
NEW
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check#:
ISSUED
03/21/2005
SB
03/21/2005
03/21/2005
WORTHING INC, B)A.
SUITE #201
STEELE LIVING FAMILY TRUST 12-07-00
i 690 CARLSBAD VILLAGE DR
\. CAR~~~~. CA 92008
GW-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
1036 LIGHTHOUSE RD
CARLSBAD CA 92009
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFO Payoff Fee
PFF
PFF (CFO Fund)
License Tax
License Tax (CFO Fund)
Traffic Impact Fee
Traffic Impact (CFO 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
Total Fees: $184.08 Total Payments To Date: $0.00 Balance Due:
$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
$184.08
$184.08
4214 03/21/05 0002 Ol
Inspector: Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as ''fees/exactions.~ You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f i n fwhi h v r vi n iv n N i ii whi h f i · · r vi rwi ·
)2
.1flli "08
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. ----'--fL-=--,,.--,rr-=
~--"-"----'--"-' 9 -
1. :IiAWEC.T ll'IFORMATION
Address (include u's~:. hou~ (< d Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
DesKct£1 } ~ #of Stories # of Bedrooms # of Bathrooms
~:,: tdlitACt PEilSdN·11fa:lllf..,..~lrom•i,pp11cantJ
Name City
t:/4 1~012-tt:t"1,7
Name
:s,: '•:edNtllMTOA /COMPAN'('NAl'llifr
Designer Name
State License # '31.)fj Cf 4
:$;,.•::::lfi'diiicERS,:COMPa.r!!AtlliN''
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Telephone#
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
~f yie work for which this permit is issued.
~ 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 compensatiFn_ insurance carrier and policy number are:
lnsu,ance Company 5:fu1(, fi.,u,,Jd Polley No. CJDO 811 S' -;). <Jtl S Expl,atlon Date f -Q f -() $
(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.
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 additi e cost of compensation, damages as provided for in Section 3706 of thejJI~, cod8, Interest and attorney's fees.
SIGNATURE;;:;;;;;.,~;,;;;:,;;:;.:;;~~fl-.6,~:r('~=---:---:---:---:---:----:-----:--DATE ~~, /05
7,: ,:::j)\Nr,jl!J!~BUl~DE!!'DECi:AflATION . · · · · · · · J ... <,
D I, as owner of the property or my empl yees wit 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: T Con ctor'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(s) licensed
pursuant to the Contractor's License Law).
D 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. D 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 I phone number / type
of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _
,(lQJnl!l:ete':Tl:tlS·sECTIONFOll'NOIV.f!roOB{rfAi:.BUllDINGPliRMITS·oNlY: :.
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? 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? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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.
:S;t t;oiisTll\itTidr.ilENOINGl~GE!'ICV, '
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 ________________________ _
a:::: : APl'tliCAlit tERJ'll'l<!'ATI<>ri::
I certify that 1 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 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 commenced for a iod of 180 days (Section 106.4.4 Uniform Building Code). DATE ~ J 4 ( !os
APPLICANT'S SIGNATURE _µ.,_~ _ __,./J~-/---'-------
YELLOW: Applicant PINK: Finance
. m City of Carlsbad Bldg Inspection Request
. . For: 06/02/2005
Permit# CB050923
Title: STEELE RES 230 SF LOFT AND
Description: BEDROOM ADDITION
Type: RESDNTL Sub Type: RAD
Job Address:
Suite:
Location:
1036 LIGHTHOUSE RD
Lot
APPLICANT WORTHING INC, B. A.
0
Owner: STEELE LIVING FAMILY TRUST 12-07-00
Remarks:
Total Time:
CD Description Act Comment
19 Final Structural ~
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs/CVs
lns1;1ection Histo[Y
Date Description Act lnsp Comments
05/16/2005 18 Exterior Lath/Drywall AP JM
04/25/2005 17 Interior Lath/Drywall AP JM
04/15/2005 84 Rough Combo AP JM ON 4-14-05
04/14/2005 84 Rough Combo AP JM ok to insulate
Inspector Assignment: JM ---
Phone: 7607293965
Inspector: ----
Requested By: TERESA
Entered By: CHRISTINE