HomeMy WebLinkAbout1110 DOWITCHER CT; ; CB051460; Permit04-2S-^Q0i
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 CB051460
Building Inspection Request Line (760) 602-2725
1110 DOWITCHER CT CBAD
RESDNTL Sub Type
2145800702 Lot#
$7,471 00 Construction Type
Reference #
0 Structure Type
0 " Bathrooms
PARKFORD RES-241 SF LOFT
RAD
0
VN
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Ong PC#
Plan Check#
ISSUED
04/25/2005
RMA
04/25/2005
04/25/2005
Applicant
WORTHING INC, B A
SUITE #201
690 CARLSBAD VILLAGE DR
CARLSBAD, CA 92008
619-729-3965
Owner
PARKFORD KENNETH&ANDREA
1110 DOWITCHER CT
CARLSBAD CA 92009
Building Permit $84 29 Meter Size
Add'l Building Permit Fee $0 00 Add'l Reel Water Con Fee $0 00
Plan Check $54 79 Meter Fee $0 00
Add'l Plan Check Fee $0 00 SDCWA Fee $0 00
Plan Check Discount $0 00 CFD Payoff Fee $0 00
Strong Motion Fee $1 00 PFF $0 00
Park in Lieu Fee $0 00 PFF (CFD Fund) $0 00
Park Fee $0 00 License Tax $0 00
LFM Fee $0 00 License Tax (CFD Fund) $0 00
Bridge Fee SO 00 Traffic Impact Fee $0 00
Other Bndge Fee $0 00 Traffic Impact (CFD Fund) $0 00
BTD #2 Fee $0 00 Sidewalk Fee $0 00
BTD #3 Fee $0 00 PLUMBING TOTAL $0 00
Renewal Fee $0 00 ELECTRICAL TOTAL $20 00
Add'l Renewal Fee $0 00 MECHANICAL TOTAL $24 00
Other Building Fee $0 00 Housing Impact Fee $0 00
Pot Water Con Fee $0 00 Housing InLieu Fee $0 00
Meter Size Housing Credit Fee $0 00
Add'l Pot Water Con Fee $0 00 Master Drainage Fee $0 00
Reel Water Con Fee $0 00 Sewer Fee $0 00
Additional Fees $0 00
TOTAL PERMIT FEES $184 08
Total Fees $184 08 Total Payments To Date $0 00 Balance Due* $184 08
6747 04/25/05 0002 Oi 02
CGF- 184.08
Inspector
FIN
Date Clearance
NOTICE Please take NOTICE ttiat approval of your project includes ttie "Imposition" of fees, dedications, reservalions, 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 m Government Code Section 66020{a}, and file the protest and any other required infonnation with ttie 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 nght to protest the specified fees/exaclions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees m connection with this project NOR DOES IT APPLY to any
fees/exaclions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
PROJECT INFjORMATfON„
FOR OFFICE USE O
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
'7m-
Address (include Bldg/Suite #J 1 t .\
IKO -poiulj^W^
Legal Description
Business Name (at this address)
Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel # Existing Use Proposed Use
Descnption of Work. . j SQ FT /
12 „C0NTACT PERSON (if different from apphcant)
ffof Stones # of Bedrooms # of Bathrooms
Name
|3 APPLICANT Contractor
Address City
D Agent foLConti:actor Q Owner D Agent for Owner
State/Zip Telephone ft
Name Address Citv State/Zip Telephone #
PROPERTY-OyVNERi
Address City 4l2.\p Telephone tt Name Address City ( Statrf/Zip
'^5T7r CONT^AWOR r COMPANY^h^^^^ 7^ ""ZZl TTJ ™7'1" "JwTZIZ^^^
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 Busmess and Profassions Code] or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more tbao-five hundred dollars |S500]t
Name _ /• Address ^ City State/Zip Telephone #
State License 1//CJ IW^ Ucense Class T) City Business License # 0\J^
" Address City State/Zip Telephone Designer Name
State License # Pi^^'^f^H^
16 ii;wpR¥ERS'j:oMpENSAtToN7~^ zzlyzzzzzzzy'zzzyzzzzzzzzz zz^zi z'^zyzzzzzz yz
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
[~| 1 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
1 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 iS^Ql^ "pyjl .kL^ Policy No ODD S Tl - QI^^S" Expiration Date \ ^ 0 ( " 0 ^
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$100] OR LESS)
• CERTIFICATE OF EXEMPTION I certify that in tha performance of the work for which this permit is issued, 1 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 ($1OOjDP0^n addition to the cost of compensation damages as provided for in Section 3706 of thel.abor code./nterest and attorney's fees
SIGNATURE ^;^^7\7^-f\ ^'^^^ \\^~^f^^^P
T^*^OWNE^ " - " I ;LARATIO1I
1 hereby affirm that 1 am exempt frojn ihe Contractor's License Law for the following reason
Q 1, as owner of the property ol mw 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 ProfessiOT4a«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)
[~| 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)
(~| I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement Q VES f~|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 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
iCpMPLETEJHIS SECJION.FOR/VOAf-^flfS/DEWTM^^^ , , ^ ^ _™ ^ „ ...l.,.,.,... X
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES • NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distnct' D YES CD NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • 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
L8 _CONSJRUCT10N LENDING AGENCY ^ ^„ ™„„„
1 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
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that tfie information on the plans is accurate 1 agree to comply with all
City ordinances and State laws relating to building construction 1 hereby authorize representatives of the CitV of Carlsbad to enter upon fhe 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 Ihis Code shall expire by limitation and become null and void if the building or work
authonzed by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by suclj permit is suspended or abandoned
at any time after the work is commenced for a pepfl^AiJ 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S StGNATURE DATE
)y such permit is susper
YELLOW Applicant PINK Finance
City of Carlsbad BIdg Inspection Request
For 07/11/2005
Inspector Assignment JM Permit# CB051460
Title PARKFORD RES-241 SF LOFT
Descnption
1110 DOWITCHER CT
Lot 0
Type RESDNTL Sub Type RAD
Job Ad(dress
Suite
Location
APPLICANT WORTHING INC, B A
Owner PARKFORD KENNETH&ANDREA
Remarks
Total Time
Phone 7607293965
Inspector
CD Descnption ~
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
omment
Requested By THERESA W -^^r^rP
Entered By JANEAN ^ '^jJ'^^V^
Associated PCRs/CVs
Inspection History
Date Description Act Insp
06/20/2005 18 Exterior Lath/Drywall AP BN
06/16/2005 17 Interior Lath/Drywall AP JM
06/09/2005 14 Frame/Steel/Bolting/Welding AP JM
06/09/2005 24 Rough/Topout WC JM
06/09/2005 34 Rough Electric AP JM
06/09/2005 44 Rough/Ducts/Dampers AP JM