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Home My WebLink About1158 OAK AVE; ; CB060517; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-30-2006 Residential Permit Permit No: CB060517 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 1158 OAK AV CBAD RESDNTL 1561804300 $875.00 Sub Type: Lot#: Construction Type: Reference #: RAD 0 NEW Status: Applied: Entered By: Plan Approved: Occupancy Group: # Dwelling Units: 0 Structure Type: Issued: Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: LYONS RES-CONVERT CLOSET TO BATHROOM Applicant: 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 HMP Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $19.65 $0.00 $12.77 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 $0.00 $0.00 $0.00 $0.00 Orig PC#: Plan Check#: Owner: LYONS HARVEY&ANNIE 3252 HOLIDAY CT #223 LA JOLLA CA 92037 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) 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 02/27/2006 LSM 02/27/2006 02/27/2006 PC Total Fees: $127.42 Total Payments To Date: $127.42 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $41.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $127.42 $0.00 Inspector: FINALt"Af~_.,... 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 fees/exactions of w ich ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. 4:£> ()'=?OSI 1 EST. VAL.---------- Plan Ck. Deposit ?4 Validated By __ ~""'-......:::::;.,..------ ~ate __ ,.a=¢:~/ a:"--7'-,I-/ 0=..,...,h--.. __ _ (1, Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Ammn Parenl I! Proposed Use # of Bedrooms # of Bathrooms City State/Zip Fax# 0-0wner m11em for 'Owner c.., s bd CJ.I., c, i.o IS ( ,r,o , ~q.., 'F,~ City State/Zip Telephone# State/Zip Telephone # ··- (Sec. 7031 .5 Business and Professions Code: Any City or CJ)unty which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the 11pplic11nt for such permit to file II 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 exampt~n. Any violation of S'1j2_n 7031.6 by any applicant for a pMmit subjects the applicant to II civil penalty of not more than five hundred dollars 1$500)). B,. f"", v)or+h,,"1 • :P,o too)( \O~l C.\5bd. ,CA:, <J.WIB ( 7'701 -, ~et-3ctl>S- Designer Name l.M Address City State/Zip Telephono St1t1 L.lc1nH # :a-::1.w 9 q ft, WbRH~Fell~N-· WorkBfs' Compensation D,ecleration: I hereby affirm under penalty of perjury one of the following decl11r11tions: 0 I have end will maintain a certificate of consent to sell-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. ~ 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 end policy number are: ~ ""l?C _ d _ ~ Insurance Company sren: t f:u..n '\) Policy No. CCQCJ r iJ 2.[JD::, Expiration Date /-0 / ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLI.ARS ($100) OR LESS) 0 CERTIACATE 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: Fallure to secure worlun· compensation coYllfege is unlawful. end shall subject an employer to criminal penalties and civil fines up to one hundred thoueand doftal'8 ($100,000). In to the f compensation, damages ea provided for in Section 3708 of the bor c e, interest and attorney's fees. SIGNATURE DATE ,. --"-.Li"""--'----~ 7. OWN Ult: 0 I, as owner of the property or my employees ages as their sole compensation, will do the work and the struct ure is not intended or offered for sale (Sec. 7044, Busineaa and Professions Code: The Contractor's L.icense 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. II, however. the building or improvement is sold within one yeer of completion, the owner-builder will 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 end Professions Code: Tha 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 materlels for construction of the proposed property improvement. CJ YES QNO 2. I (have I have not) signad an appllcation for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I 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 I address I phone number I 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 I address / phone number I type of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE COM DATE __________ _ Is the applicant or future building occupant required to submit a business plan, acutely huardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of tha Presley-Tannet Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupsnt 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 ANAL CERTIFICATE OF OCCUPANCY MAY NOT at ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. is. N i\lJtffli~_.:Blfjll.1Bi!Dl!ffi]!~ I hereby affirm that there ls a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME 9~ . I certify that I have read the applicetion 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 end State laws relating to building construction. I hereby authorize representatives of the Cit\' 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 ot structures over 3 stones 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 ls not commenced within 1 BO days from the date of such permit or II the building or work authorized by such permit Is suspended or abandoned at any time after the work is commenced for a od of 160 (Section 106.4.4 Uniform Building Code). Z.../-t...?/Oft:;, APPLICANT'S SiCNATURE DATE ------------- YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/30/2006 Permit# CB060517 Title: L VONS RES-CONVERT CLOSET TO Description: BATHROOM Type: RESDNTL Sub Type: RAD Job Address: 1158 OAKAV Suite: Lot 0 Location: OWNER L VONS HARVEV&ANNIE Owner: L VONS HARVEV&ANNIE Remarks: WANTS TO SEE WHAT INSPECTOR WANTS Total Time: Act Comment Inspector Assignment: Phone: 7608154267 Inspector: Requested By: MARA Entered By: CHRISTINE CD Description 92 Compliance Investigation t:1l_ _____ _ Associated PCRs/CVs Original PC# CV060081 CLOSED H-BATHROOM CONST W/0 PERMIT; Inspection History Date Description Act lnsp Comments