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Home My WebLink About1857 PENTAS CT; ; CB023558; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-23-2002 Residential Permit Permit No: CB023558 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Building Inspection Request Line (760) 602-2725 1857 PENT AS CT CBAD RESDNTL Sub Type: RAD 2155210500 Lot#: 0 $15,000.00 Construction Type: NEW Reference #: o Structure Type: O Bathrooms: 0 STEVENS RES-ADD 2 DORMERS, 2 WINDOWS & REMOD KITCH-PLUMB & ELECT ONLY Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: ISSUED 11/25/2002 AMA 12/23/2002 12/23/2002 Applicant: WORTHING INC, B. A. Owner: STEVENS SPENCE L&SUE J 4075 :12/23/02 0002 01 CGP 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 Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Total Fees: $312.01 Inspector: $138.19 $0.00 $89.82 $0.00 $0.00 $1.50 $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 1857 PENT AS CT CARLSBAD CA 92009 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee 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 lnlieu Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Payments To Date: $0.00 Balance Due: Date: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.00 $20.00 $28.50 $0.00 $0.00 $0.00 $0.00 $0.00 $312.01 $312.01 approval of your project includes the "Im sition~ o fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." ou 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 seivice fees in connection with this project. NOR DOES IT APPLY to any ~ . 02 312-01 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel # Existing Use Proposed Use D~fdo/W'0/'7 ~ ~) ~~rw,~t,:)tf s ~de-1 2. CONTACT PERSON (if dlfferJnt from applicant) Total # of units 4. 49'6 7~ ?f/6 / Na 5. Designer Name State License # ----'"'-......_--=.....,.__._-+-- 6 . WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: hone# 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. ~ 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: I/ / Insurance Company S::lz\ttC:::-nA vx,:,I Policy No.()Lj lo -b I lA"1'>1]S" Expiration Date I_ 0 :Z (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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' thousand dollars ($100,000), in SIGNATURE ________ ,u-"-",::u,i<::.._._.....:..._~-,::_ ____________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contra or's Lice e Law for the following reason: 0 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: 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). 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). 0 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. 0 YES ONO 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 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? 0 YES O NO Is the applicant or future building occupant 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 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. CONSTRUCTION LENDING AGENCY 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 ----------------------------------------------- 9. APPLICANT CERTIFICATION 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 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 permit is not commence thin 180 ays 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 commenc 8 days (Sect' 106.4.4 Uniform Building Code). I t,fi C. !A~ APPLICANT'S SIGNATURE -..P.=--.!!~~~~--''7,-1"'----------------DATE /~--~_L /..!? £-- YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/20/2004 Permit# CB023558 Inspector Assignment: PY --- Title: STEVENS RES-ADD 2 DORMERS, 2 Description: WINDOWS & REM OD KITCH-PLUMB & ELECT ONLY Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 1857 PENT AS CT Lot APPLICANT WORTHING INC, B. A. 0 Owner: STEVENS SPENCE L&SUE J Phone: Inspector: ----- Remarks: CAN YOU FINAL? OR REFER TO CODE ENF? Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs lns(lection Histo[Y Date Description Act 05/21/2003 89 Final Combo co 04/14/2003 '92 Compliance Investigation PA 03/25/2003 17 Interior Lath/Drywall AP 03/21/2003 16 Insulation AP 03/19/2003 84 Rough Combo AP 03/17/2003 21 Underground/Under Floor WC 03/17/2003 23 Gas.IT est/Repairs PA 03/11/2003 13 Shear Panels/HD's AP 02/06/2003 15 Roof/Reroof AP Requested By: CHRISTINE Entered By: CHRISTINE Comment lnsp Comments PY NEED GUARD RAIL PY PY PY PY REMOVE GAS LINE AT ATTIC ACCESS PY PY UNDERSLAB ISLAND GAS LINE. NEED PRESSURE TEST OK TO COVER PY PY STRAP RAFTERS @ RIDGE