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Home My WebLink About1062 BEACON BAY DR; ; CB060917; Permit04-03-2006 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: CB060917 Building Inspection Request Line (760) 602-2725 1062 BEACON BAY DR CBAD RESDNTL Sub Type: 2145301600 Lot#: $18,400.00 Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: FISHER RESIDENCE 230 SF REC ROOM INFILL RAD 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check*: ISSUED 04/03/2006 MDP 04/03/2006 04/03/2006 Applicant: WORTHING INC, B. A. SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 Owner: FISHER DAVID G&VALERIE 1062 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 HMP Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee $168.99 Meter Size $0.00 Add't Red. Water Con. Fee $109.84 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $1.84 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 In Lieu Fee $0.00 Housing Credit Fee Master Drainage Fee $0.00 Sewer Fee $0.00 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 $324.67 Total Fees:$324.67 Total Payments To Date:$324.67 Balance Due:$0.00 Inspector: FINAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" oWees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 6S020(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 creviouslv otherwise exoired. PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLYPLAN CHECK NO.Q2>' U 7/ n ,EST. VAL.Plan Ck. DepositValidated ByDateAddress (includeigldg/Sujte ft)\O(0L Business Name (at this address)Legal DescriptionAssessor's Parcel #Description of Work j *Lot Nol Subdivision Name/NumberExisting Use^JHf £ SQ.FT. #of Stories f Unit No. Phase No.Proposed Use^ /# of Bedrooms Total ft of units# of BathroomsION (If dlffarent froVi applicant) Name Address W^XMiSttiS ^|S$0>ttrae*or: -S wot^hir* State/Zip Telephone #Fax 10M1 Name ^t^Jfl^ETOOWNER.i^ll Address City State/Zip Telephone # Name Address City Stale/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 bvany applicant for a permit subjects the applicant to a civil penalty of not/nore than five hundred dollars [$500]),>.A. yjortHna Inc. 7Q- Box IOHI State License * Address License Class _ V-^ ?-Q. Box: \cm fttetad, QA Address City City State/Zip City Business License # Telephone # Designer Name State License # State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. H 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: . — . QQCtSTl E> " 2- QQ(p Expiration Pate I ~Q » ~ Q IInsurance Company Policy No (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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^ompensaClpn coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in laddltjpn to the wg/0* compensation, damages as provided for in Section 3706 of the Labor codje. Interest and attorney's fees. SIGNATURE _ ^^WJr*f/\A/\ __ - -- DATE ^ifei^ERVBUlt^ I hereby affirm that I am exempt from the Contra ctor'sXjceflse Law for the following reason: Q I, as owner of the property or my employees with wanes 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 Coitractorls 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 wiat 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 win-Have the burden of proving that he did not build or improve for the purpose of sale). 0 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 contractorls) 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. Q YES QNO 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): __ ..,.. _ PROPERTY OWNER SIGNATURE DATE lw&to 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 Q 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 commenced within leeways from toe date of such permit or tt the building or work authorized by suclj permit is suspended or abandoned at any time after the work is commenced for a peijatfplClSO days/Sectiwi 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File : Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/11/2006 Permit* CB060917 Title: FISHER RESIDENCE Description: 230 SF REC ROOM INFILL Inspector Assignment: JM Sub Type: RAD 1062 BEACON BAY DR Lot 0 Type: RESDNTL Job Address: Suite: Location: APPLICANT WORTHING INC, B. A. Owner: FISHER DAVID G&VALERIE Remarks: Total Time: Phone: 7607293965 Inspector: Requested By: NA Entered By: CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comment Comments/Notices/Hold Associated PCRs/CVs Original PC# Date 05/04/2006 05/03/2006 05/03/2006 04/28/2006 04/24/2006 04/19/2006 04/19/2006 04/19/2006 04/19/2006 Inspection History Description 17 Interior Lath/Drywall 14 Frame/Steel/Bolting/Welding 18 Exterior Lath/Drywall 14 Frame/Steel/Bolting/Welding 17 Interior Lath/Drywall 14 Frame/Steel/Bolting/Welding 24 Rough/Topout 34 Rough Electric 44 Rough/Ducts/Dampers Act AP AP AP AP AP AP we AP AP Insp JM JM JM JM JM JM JM JM JM Comments (3) windows 4 WINDOWS POLICYHOLDER SD COM P EN S ATI O N I N SDRANCB P.O. BOX 420807, SAN FRANCISCO.CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-01-2006 GROUP: 000046 POLICY NUMBER: 0008775-2OO6 CERTIFICATE ID: 2 CERTIFICATE EXPIRES: 01-O1-2OO7 O1-01-20O6/01-01-2007 CITY OF ENCINITAS ATTN: BUILDING DEPARTMENT 505 SOUTH VULCAN AVE ENCINITAS, CA 92024 SD JOB:ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 33 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to Its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, ofsuch policy. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,OOO PER OCCURRENCE. ENDORSEMENT #1600 - BROOKS A. WORTHING, PRESIDENT - EXCLUDED. ENDORSEMENT #1600 - PAMELA WORTHING, VP, SEC, TRES - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2OOO IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER B.A. WORTHING, INC. PO BOX 1041 CARLSBAD CA 92018 SD M0409 (REV.2-05)PRINTED 12-17-2005