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HomeMy WebLinkAbout1377 CASSINS ST; ; CB071988; Permit08-07-2007 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 CB071988 Building Inspection Request Line (760) 602-2725 1377CASSINSSTCBAD RESDNTL Sub Type 2156914500 Lot# $3 850 00 Construction Type Reference # 0 Structure Type 0 Bathrooms BELT RES ADD NEW BATHRM IN RAD 0 VN Status Applied Entered By Plan Approved Issued Inspect Area Orig PC# ISSUED 07/27/2007 RMA 08/07/2007 08/07/2007 GAR CONVERSION BEDRM REMODEL 2 OTHER BATHS 1 SHOWER 1 Plan Check* Applicant WORTHING INC B A SUITE #201 690 CARLSBAD VILLAGE DR CARLSBAD CA 92008 6197293965 Owner ALBERT JANUARY 9 2004 FAMILY TRUST 01-09 04 1377CASSINSST CARLSBAD CA 92011 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 v 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 $53 49 Meter Size $0 00 Add I Reel Water Con Fee $34 77 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $100 PFF (3105540) 00 PFF (4305540) $000 License Tax (3104193) $0 00 License Tax (4304193) $0 00 Traffic Impact Fee (3105541) $000 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 InLieu Fee $0 00 Housing Credit Fee Master Drainage Fee $0 00 Sewer Fee $0 00 Additional Fees TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $48 00 $20 00 $21 50 $000 $000 $000 $000 $000 $000 $17876 Total Fees $17876 Total Payments To Date $17876 Balance Due $000 Inspector J(r~FINAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition offees 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 mu >t 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 which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated Bv^_ Date /~ \ Address (include Bldg/Suite Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Name Address City State/Zip Telephone # Fax # Name City State/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 by any applicant for a permit subjects the applicant to a civil penalty of not mora-than five hundred dollars ($5001) A v^Dr-WA\rA \nc. JPo"gcx loH) Ol&va CA ^2£1% nteo) 72.<3~ g Name State License # Address License Class City State/Zip City Business Li Telephone # Designer Name — , ^J Address City State/Zip Telephone^? sy—-)G fji i iState License # ZD'~1 ^-@ V ^ J6 , WORKER^ COMEENSATtON '^^T^M^HX" ,>2iS -wfFPi'-i ' - ^ ^r <- Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 £1 have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for whu h this permit is led My worker s compensation .insurance carrier and policy number are _ , Insurance Company /yi~LsUj~^. r—I^Lf~)&l Policy No^^VOflT / 'fD "«^^CJ(g? Expiration I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) [~| 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 ftfXrf^n additiop-)o the cost of compensation damages as provided for in Section 3706 of the Ljbor code interest and attorney s fees SIGNATURE "^^^xt&flr'V^-AKKJS^''" DATE , I hereby affirm that I am exempt from the Contractor s Lcense Law for the following reason n I as owner of the property or my employeesvmt/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 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 oi 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 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) n 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 (~| 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) DATEPROPERTY OWNER SIGNATURE iiwpjlTijJisisl^ , ,»Jiii31Z_ "J.' ..tl-l„. ^"-^ 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? f~l YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? [H 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 Ml ETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT .AiH, 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 ibove 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 thp building or work authorized by such permit is not commenced within 180 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 is commenced for aj>enod of 180 days (Section 106 4 4 Uniform Building Code) i * 7/27 /en __APPLICANT S SIGNATURE DATE WhflTE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 10/19/2007 Permit* CB071988 Title BELT RES-ADD NEW BATHRM IN Inspector Assignment MC Description GAR CONVERSION BEDRM.REMODEL 2 OTHER BATHS, 1 SHOWER.1 TUB & MISC ELECTRIC Type RESDNTL Job Address Suite Location APPLICANT WORTHING INC, B A Sub Type RAD 1377 CASSINS ST Lot Phone 7607293965 Inspector Owner BELT KLEMETT L&GWEN M SURVIVORS REVOCABLE TRUST Remarks Total Time CD 19 29 39 49 Description Final Structural Final Plumbing Final Electrical Final Mechanical Requested By SHELLY Entered By CHRISTINE Act Comments Comments/Notices/Holds Date 09/04/2007 09/04/2007 08/31/2007 08/24/2007 08/13/2007 Associated PCRs/CVs Original PC# Inspection History Description Act Insp Comments 17 Interior Lath/Drywall 18 Exterior Lath/Drywall 17 Interior Lath/Drywall 84 Rough Combo 21 Underground/Under Floor AP MC SHOWER DRYWALL WC MC AP MC DRYWALL ONLY NEED SHOWER LATH AP PY OK TO DRYWALL AP MC WASTE ONLY SHOWER LAV & WC License Detail Page 1 of2 California Home License Detail Contractor License # 398764 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the Im button to obtain complaint and/or legal action information • Per B&P 7071 17. only construction related civil judgments reported to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 07/27/2007 Business Information * * * B A WORTHING INC PO BOX 1041 CARLSBAD, CA 92018 Business Phone Number (760) 729-3965 Entity Corporation Issue Date 01/01/1981 Expire Date 01/31/2009 * * *License Status * * * This license is current and active All information below should be reviewed * * *Classifications fclass P~~ IB [GENERAL BUILDING CONTRACTOR i Description * * *Bonding Information * * * CONTRACTOR'S BOND This license filed Contractor's Bond number 903174 in the arm $12,500 with the bonding company http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 07/27/2007 License Detail Page 2 of2 SURETY COMPANY OF THE PACIFIC Effective Date 01/01/2007 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I) The Responsible Managing Officer (RMO) BR ALAN WORTHING certified that he/she owns 10 percent or more of the voting stock/equit corporation A bond of qualifying individual is not required Effective Date 11/15/1994 BQI's.Bpjidmg History Workers Compensation Information* * ** * * > This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 046-0008775 Effective Date 01/01/2001 Expire Date 01/01/2008 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on otheir licei Personnel List Other Licenses ILicense Number Request Contractor Name Request Personnel Name Request •Salesperson Request I Salesperson Name Requesti mi ~ © 2006 State of California Conditions of Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 07/27/2007