HomeMy WebLinkAbout1365 BASSWOOD AVE; ; CB041141; PermitJob Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group: # Dwelling Units:
Bedrooms:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Residential Permit Permit No: CB041141
1365 BASSWOOD AV CBAD
RESDNTL SubType: RAD
2051200700 Lot#: 0
$6,000.00 Construction Type: NEW
Reference #:
0 Structure Type:
0 Bathrooms: 0
BARTER RES ADD BATHROOM
IN EXISTING BEDROOM
Status: ISSUED
Applied: 04/05/2004
Plan Approved: 04/05/2004
Issued: 04/05/2004
Entered By: SB
Inspect Area:
Orig PC#:
Plan Check#:
Applicant:
WORTHING INC, B. A.
SUITE #201
690 CARLSBAD VILLAGE DR
CARLSBAD, CA 92008
61 9-729-3965
Owner:
BARTER BERYL FAMILY TRUST 04-19-89
1365 BASSWOOD AVE
CARLSBAD CA 92008
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
Recl. Water Con. Fee
$68.89
$0.00
$44.78
$0.00
$0.00
$1 .oo
$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
Meter Size
Add'l Red. Water Con. Fee
Meter Fee
SDCWA Fee
CFD Payoff Fee
PFF
PFF (CFD Fund)
License Tax
License Tax (CFD Fund)
Traffic Impact Fee
Traffic Impact (CFD Fund)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing InLieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
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
$48.00
$20.00
$30.50
$0.00 $0.00
$0.00
$0.00
$0.00 $0.00
$213.17
Total Fees: $21 3.1 7 Total Payments To Date: $0.00 Balance Due: $21 3.1 7
6 d3F3'
FINAL APPRO ALj
If Clearance: inspector: Date: 4yby c,
NOTICE: Please take NOTICE thalapproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feeslexactions." 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 feeslexactions 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
feeslexactions of which YOU have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has oreviouslv otherwise exDired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE 0 Y
PLAN CHECK NO.ck .(if/ 41
R EST. VAL. 6 00-
Plan Ck. Deposit 27
I
Address (include BldgISuite I) Business Name (at this address)
Legal Description Lot No. Subdivision NameINumber Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
SQ. FT. #of Stories # of Bedrooms # of Bathrooms
(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
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
of the work for which this permit is issued. $r I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
carrier and policy number are:
Insurance Compan Policy No. me 77% wf Expiration Date 1 -I --ofi
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 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 llars ($100.000) sation, damages as provided for in Section 3706 o attorney's fees.
0 I, as owner of the property or my employees ages as their sole compensation, will do the work and the structure is not intended or offered for sale
such work himself or through his own employees, p 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).
0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who bullds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES
I (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
UNO
4.
number I contractors license number):
5. of work):
PROPERTY OWNER SIGNATURE DATE
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
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
g 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? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
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
0 YES 0 NO
YES 0 NO
LENDER'S NAME LENDER'S ADDRESS
I certify that I have read the application and state that the above informatton 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 perm 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 wor days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATU DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/18/2004
Permit# CB041141
Title: BARTER RES ADD BATHROOM
Description: IN EXISTING BEDROOM
Type: RESDNTL SubType: RAD
Job Address: 1365 BASSWOOD AV
Suite: Lot 0
Location:
OWNER BARTER BERYL FAMILY TRUST 04-19-89
Owner: BARTER BERYL FAMILY TRUST 04-19-89
Remarks:
Inspector Assignment: PY
Phone: 7607293965
Inspector:
Total Time: Requested By: TERESA
CD Description Act Comment
Entered By: CHRISTINE
19 Final Structural
29 Final Plumbing + 39 Final Electrical
49 Final Mechanical t
Associated PCRs/CVs
Date
0811 712004
OW1 312004
OW1 012004
06/08/2004
06lO712004
0511 112004
0511 112004
Inspection History
Description
89 Final Combo
89 Final Combo
17 Interior Lath/Dtywall
16 Insulation
84 Rough Combo
21 UndergroundNnder Floor
24 RougtdTopout
Act lnsp Comments
CA PY
CO PY NEED SMOKE ALARMS
AP PY
CA PY
AP PY
AP PY
AP PY
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