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Home My WebLink About1166 LARKSPUR LN; ; CB990535; Permit04/08/1999 City of Carlsbad Residential Permit Permit No CB990535 Building Inspection Request Line (760) 438-3101 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title 1166 LARKSPUR LN CBAD RESDNTL 2054300600 $12,82600 0 0 Sub Type Lot# Construction Type Reference # Structure Type Bathrooms 107SF ADDITION 90SF REMODEL RAD 0 VN Applicant BA WORTHING PO BOX 1041 CARLSBAD CA 92018 760-729-3965 Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# Plan Check# Owner MAST DEAN 1166 LARKSPUR LN CARLSBAD CA ;92008 ISSUED 02/09/1999 DT 02/19/1999 04/08/1999 8376 04/08/99 0001 01 02 C-PRMT 202-11 Total Fees $293 00 Total Payments To Date $9089 Balance Due $202 11 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 $13983 $000 ' $9089 $000 $000 $1 28 $0 00 $000 $000 $000 $0 00 $6 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 -Reel' Water Con Fee Meter Size ; 'Add'l Reel Water Con -CFD Payoff Fee : ' Fee ;PFF (CFD Fund) License tax Uiqeiise Tax (CFD Fund) Traffic Impact .Fee.'' traffic lmpact:(CFD Fund) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing InLieu Fee Master Drainage Fee Sewer Fee TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $41 00 $2000 $000 $000 $000 $000 $000 $293 00 Inspect FINAL APPROVALgfamDateI Clearance NOTICE Please take NO"B1CE 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 capactiy 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr , Carlsbad CA 92009 (760)438-1161 1 'PROJECT INFORMATION .,.-., J'" FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date 6237 02/09/99 0001 01 02 Address (include Bldg/Suite #)\\CeC, 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 Description of Work "KrHrJ M&iJ Z*/d Q~(ftV&*>^6. FT A^<L ~^o UVfirtai (^°P?)^ 2 CONTACT PERSON (if different from applicant) r #of Storiest #OT Ol30 v \— c^/^J^.:^ # of Bedrooms # of Bathrooms State/Zip Telephone #Fax #Name *X*» * v*=--1 Address City "3 APPLICANTl5' S 'Contractor Q Agent forf Contractor D Owner lid Agent for Owner -J... !;•'•' :1 3.A. Worthing,Inc. P."o".Box~1 041 Clsbd, CA 92018 760-729-3965 "760-729-0734 Name 4 j PROPERTY OWNER Address City State/Zip Telephone i (& 1(sO Name Address /] City ' State/Zip Telephone # 5 CONTRACTOR - COMPANY NAME (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_by any appjicant for a^iermit subjects the_applicant to a civil penalty of not more than five hundred dollars [$5001)B.A. worthing, Inc. P.O. Box 1(J41 ClsbcT, CA 920"8 750-729-3965 Name State License Brool^s # 398 Wort 764 hincr Address License Class B— 1 P.O. Designer Name Box Address 1041 Clsbd. , City State/Zip Telephone # City Business License # VSS CA 9201 City R 760-729- State/Zip 3955 Telephone State License # B-1 392394 %' Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 f~\ 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 1 _ Q Q Insurance Company State Fund Policy No 2 2 9 - 9 Sun 11 5537 Expiration Date ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l 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*«lditioirto the cost of compensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE *<Q%Wll/Vu\ ^ DATE 1\ 7 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the C/6ntrac4or s License Law for the following reason l~l 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 Professions Code>_Ihe 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) n 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) l~l 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 O YES d|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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY VT::::::::::::::: : •••;• ;••:••- , - ••• 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' f~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' l~l YES O 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 8 j;;;iiCONSTRUCTi6N LENDING AGENCY •-•• '•... • '•'•• Ji;J3-'' " :hS:.:.': 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 CitV 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 365 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 ij^ommenfed for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE JTE File YELLOW Applicant PINK Finance City of Carlsbad Inspection Request For 5/26/99 Permit# CB990535 Title 107SF ADDITION 90SF REMODEL Description Type RESDNTL Job Address Suite Location APPLICANT B A WORTHING Owner MAST DEAN Remarks Total Time Sub Type RAD 1166 LARKSPUR LN Lot 0 Inspector Assignment PY Phone 7607293965 Inspector Requested By LINDA Entered By CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments Date 4/30/99 4/30/99 4/27/99 4/19/99 4/12/99 4/12/99 4/12/99 4/9/99 Inspection History Description 17 Interior Lath/Drywall 18 Exterior Lath/Drywall 84 Rough Combo 13 Shear Panels/HD's 14 Frame/Steel/Bolting/Weldmg 21 Underground/Under Floor 31 Underground/Conduit-Wiring 1 1 Ftg/Foundation/Piers Act AP AP AP AP AP we we AP Insp PY PY PY PY PY PY PY PY Comments OK TO INSULATE SUB FLOOR EsGil Corporation In fartners/lip with government for 'Buidfing Safety DATE 2/17/99 O^AEEUCANT JURISDICTION Carlsbad CTPtArTREVlEWER Q FILE PLAN CHECK NO 99-535 SET I PROJECT ADDRESS 1166 Larkspur Ln PROJECT NAME Mast Room Addition The plans transmitted herewith substantially comply with the jurisdiction's building codes ™ The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified in Remarks below are resolved and checked by building department staff I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to Esgil Corporation staff did not advise the applicant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Telephone # Date contacted (by ) Fax # Mail Telephone Fax In Person REMARKS: Please make notes as made in red on sheet 2 of the Owner Set I to the City Set I. By Mike Puckett Enclosures Esgil Corporation D GA D MB D EJ D PC 2/11/99 trnsmtldot 9320 Chesapeake Drive, Suite 208 *• San Diego, California 92123 * (619)560-1468 + Fax (619) 560-1576 Carlsbad 99-535 2/17/99 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO' 99-535 JURISDICTION Carlsbad PROJECT ADDRESS 1166 Larkspur Ln FLOOR AREA 107sfRmAdd 90sflnt Bath Add STORIES 2 HEIGHT REMARKS DATE PLANS RECEIVED BY JURISDICTION 2/9/99 DATE INITIAL PLAN REVIEW COMPLETED 2/17/99 DATE PLANS RECEIVED BY ESGIL CORPORATION 2/11/99 PLAN REVIEWER Mike Puckett FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled This plan review is based on regulations enforced by the Building Department You may have other corrections based on laws and ordinance by the Planning Department, Engineering Department, Fire Department or other departments Clearance from those departments may be required prior to the issuance of a building permit Present California law mandates that residential construction comply with Title 24 and the following model codes 1994 UBC (effective 12/28/95), 1994 UPC (effective 12/28/95), 1994 UMC (effective 2/23/96) and 1993 NEC (effective 12/28/95) The above regulations apply to residential construction, regardless of the code editions adopted by ordinance The following items listed need clarification, modification or change All items must be satisfied before the plans will be in conformance with the cited codes and regulations Per Sec 106 4 3, 1994 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law To speed up the recheck process, please note on this list (or a copy) where each conection item has been addressed, i.e.. plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. LIST NO 1, GENERAL SINGLE FAMILY DWELLINGS AND DUPLEXES WITHOUT SUPPLEMENTS (1994 UBC) rSforwdot Carlsbad 99-535 2/17/99 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PREPARED BY Mike Puckett BUILDING ADDRESS 1166 Larkspur Ln BUILDING OCCUPANCY R3 PLAN CHECK NO- 99-535 DATE 2/17/99 TYPE OF CONSTRUCTION VN BUILDING PORTION Rm Add/I nt Remodel Air Conditioning F:ire Sprinklers TOTAL VALUE BUILDING AREA (ft2) 107/90 VALUATION MULTIPLIER City Value VALUE ($) 12,82600 12,82600 D 1994 UBC Building Permit Fee • Bldg Permit Fee by ordinance $ 139 83 D 1994 UBC Plan Check Fee • Plan Check Fee by ordinance $ 90 89 Type of Review D Complete Review D Structural Only D Hourly G Repetitive Fee Applicable d Other Esgil Plan Review Fee $ 72 71 Comments Sheet 1 of 1 macvaluedoc5196 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS nu RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR « $10,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINE DATE Docs/Misforrr,s/Planning Engineering Approvals (J c_re 0. •So.c O c 0351 d PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Planner APN Address Phone (619) 438-1 161 , extension '6(° Type of Project & Use Zoning CFD tin/nut) Circle One Net Project Density Facilities Management Zone DU/AC General Plan .Date of participation (iLM Remaining net dev acres (For non-residential development Type of land used created by this permit' ) Legend:Item Complete Environmental Review Required: DATE OF COMPLETION YES Item Incomplete - Needs your action NO TYPE Compliance with conditions of approval7 If not, state conditions which require action Conditions of Approval Discretionary Action Required. APPROVAL/RESO NO PROJECT NO YES NO TYPE DATE OTHER RELATED CASES Compliance with conditions or approval? If not, state conditions which require action Conditions of Approval tonn Coastal Zone Assessment/Compliance Project site located in Coastal Zone? CA Coastal Commission Authority7 YES NO. NO If California Coastal Commission Authority Contact them at - 3111 Camino Del Rio North, Suite 200, San Diego CA 92108-1725, (619) 521-8036 Determine status (Coastal Permit Required or Exempt) Coastal Permit Determination Form already completed7 If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log # YES NO Follow-Up Actions- 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans) 2) Complete Coastal Permit Determination Log as needed [ I Inclusionary Housing Fee required YES NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993 Data Entry Completed? YES NO (Enter CB ff, UACT, NEXT12, Construct housing Y/N, Enter Fee Amount (See fee schedule for amount), Returnl Site Plan- 1 Provide a fully dimensional site plan drawn to scale Show North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines 2 Provide legal description of property and assessor's parcel number Zoning. 1 Setbacks Front Interior Side Street Side Rear Required Required Required Required -7 Shown 2V' Shown cf' Shown -~ Shown 2 Accessory structure setbacks Front ^______-—FteqTjifed Intenot-Side'Required Side Required Rear Required Structure separation Required 3 Lot Coverage Required L{0 '£ Shown Shown Shown Shown Shown Shown 4 Height Required ~, i -Shown [J 5 Parking Spaces Required / Guest Spaces Required [ I Additional Comments. Shown Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE - •• - --- ,._ ;--- -:'•• i/ •-• .,. r •*...-.; - : r y. --.-..- --r.- '•" "' ' ' ^ •••'•' "---'• ""' -•'"''•'-.• •:V^'r?C..^N^^,,,^??;';;'"'.;.-^ W\V- .-»' .-"•"•. ..A'.-- PO BOX 807, SAN FRANCISCO,CA 94101-0807 :-~,; . • •'. '..-'•. " ', '--*.: ~-v/ •••:..„.•-•-- ?- '- '- -'.-'-. >'..•,• . , •"••;. V'. ;..'. , ''V :- •- "^ ...".-' "'.--"^•v-;-:r"';..-Vl. -f-fr^, ;:'> •'"":'•'-".- '•'••' : \ ;' - " FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE - SD •COMPENSATIONINSURANCE ISSUE DATE 01-01-99 CITY OF CARLSBAD ATTN: BLDG DEPT 2075 LAS PALMAS OR CARLSBAD CA 92009 !, < /,, . ~-V•; ". POLICY NUMBER: 229-99 UNIT 0006537 ^'-'.CERTIFICATE EXPIRES: 01-O1-00 ,; v •'.> -(w > ""X- * ' *j . •-• ' • ^ j. ( x> ?>.. ' v , •- .. '• •' -• , , 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 30days' 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. f '*\ This ceriificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded :,;f'; by the policies 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 may pertain, the insurance afforded by the . - policies1 described herein is subject to all the terms, exclusions and conditions of such policies -_vi ' .r'r '."-, •';.;,' Xv! ~-'^"•:'~~'. ''X^V*v$vv '\k^'-^^----'^Esa^'-.^-^'' EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE JMSfrSj .."*$i ^600,000.00 FER OCCURRENCE. v Jra ENDORSEMENT #2O65 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE O1/O1/99 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ,".-,•••.- -:. '--,5^. ..C"^"-"""-!.," •'' '",•'.. '..'i~"'~'..:. -"• '-•"",-.-. -;--~ EMPLOYER LEGAL NAME B.A. WORTHING INC. PO BOX 1041 CARLSBAD CA 92018 B.A. WORTHING, INC PRINTED 12-18-98 PQ409