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Home My WebLink About2245 NOB HILL DR; ; CB971589; PermitPrmit N: (71Y Projct N: A97fl2t'2.4 Dv1onient No: BU LD NC .0 E R T T )/Z/97 uf 1 Job Addre: 2245 CB :"ILL DR 1urntit Type: ESIDENTAL ADD/ALT Pc:1 u: :67-12-:7--co \/diuIt1un: Occupancy Group: ieferenc#: cription: RAD 100 SF, ENCLOSE COVERED PORCH App./Cwar -: BA WORTHING P0 BOX IOU CARL53AD, CA 020u Requircd A ------------------------ - -- -.. Sui t ca : £92 YL'02.'9? 0'0i 01 02 Cc.z;trtctir'r Tye: - ' 'r Ap ieil: 06/12/07 fl7/02 '97 Entered By: TM. 760 720-965 --Zees Collected & Crrit Fues: 14 . Adjustments: oti Fes: 2/ . Fee decripti:r / . -------------------- 3U4-2 ling Prrnit I?lan Chd Strong Xotion Fe 'iILDING T0'AL Ext-,..r "Y" fc. EItc Ztit.i "Y' for Remo ELECTRICAL TOTAL. If NCOR'0RATE0 J .1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 • F\')/:L : -if I 00 76.00 I B. 00 Ext fee Data ----------------- 117.00 76.00 1,00 194.00 1(1.00 Y 10.00 Y 20.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 (1 TCPROIECT INFORMATION______________________________________________ FOR OFFICE USE ONLY PLAN CHECK NO.___________ EST. VAL. _______________ Plan Ck. Deposit' 7.00 Validated ft Date_92/97 Address (include Bldg/Suite #) Business Name (at this address) 224 Nab(c11IJ Pr. Lot No. - Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # - Existing Use - Proposed Use Description of Work SQ. FT. o,e CLJ8VS(4Y #of Stories # of Bedrooms - # of Bathrooms -• - 12. _CONTACT PERSON,(ifd,ff ntfromapplicant)____________________ WORTHING, R..A.. INC.. P..O.RX 1041 CARLSBAD, CA 92018 (619) 729-3965 729-0784 Name Address -City State/Zip Telephone # Fax # Oner_O Agentfor Owner _ WORTHING, B.A. INC. P.O.BOX 1041 CARLSBAD, CA 92018 (619)729_964 Name Address City State/Zip Telephone # Name - - - Address City I State/Zip Telephone # t5JCONTRA'CTORCOMPANY 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50011. WORTT-TTNC-, B..A..TNC.. P.('LROY 1041 CAPT,SRAD, CA 92019 (19)729_.394c Name Address . City State/Zip Telephone # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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: - , j, Insurance Company STATE FUND Policy No.229-6537 Expiration Date l I i'iS (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION: l 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 addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7. OWNERBUILDERDECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 forthe tifpos&of sale)?' " —PMT - CO 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). I am exempt under Section _______________ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO - I (have / 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 / address / phone number / contractors license number): 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): 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 lOAi TRÉS/DENT/AL 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 0 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 0 NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? 0 YES 0 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. re:ccNsRUCTIoNLLENpING 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_______________________________________________________ 1APPLTCANTCEATIACATION - - - - - -- - - - - - - 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 City 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'O" 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 wor i omme d for a period of 180 days (Section 106.4.4 Uniform Building Code). - APPLICANT'S SIGNATURE 2o'U' DATE WHEJiIe YELLOW: Applicant' PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB971589 FOR 08/29/97 DESCRIPTION: RAD 100 SF, ENCLOSE COVERED PORCH TYPE: RAD JOB ADDRESS: 2245 NOB HILL DR APPLICANT: BA WORTHING PHONE: CONTRACTOR: PHONE: OWNER: PHONE: INSPECTOR AREA PD PLANCK# CB97 1589 0CC GRP CONSTR. TYPE NEW STE: LOT: 760 729-3965 REMARKS: CeTERESA/7293965 INSPECTOR SPECIAL INSTRUCT: RESCHEDULED FROM 8/28 TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ***** INSPECTION ***** DATE DESCRIPTION 082897 Final Combo 082697 Final Combo 072997 Exterior Lath/Drywall 072997 Interior Lath/Drywall 072497 Rough Combo 071897 Shear Panels/HD's 070997 Ftg/Foundation/Piers COMMENTS RESET FOR 8-29-97 NO ANSWER 9:30 OK TO WRAP PLANNING/ENGINEERING APPROVALS DATE 7-q7 PERMIT NUMBER ADDRESS RESIDENTIAL RESIDENTIAL ADDITION MINOR (<$101000.00) I TENANT IMPROVEMENT PLAZA CAMINO REAL VILLAGE FAIRE COMPLETE OFFICE BUILDING OTJIER PLANNER DATE ENGINEE2 i77&a13 DATE ol CWP5 I WILESIBLOG.FRM Rev 11/15/90 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB Address Planner Greg Fisher Phone (619) 438-1161, extension 4328 APN: Type of Project and Use: ,4J2Z 7 .9hi Zone: Facilities Management Zone: CFD (int D Circl (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department.) 1 Legend Item Complete (jP Item Incomplete - Needs your action E E Environmental Review Required: YES NO TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. to Conditions of Approval Discretionary Action Required: YES NO(k" TYPE APPROVAL/RESO. NO. DATE PROJECT NO. OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval E Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES NO____ CA Coastal Commission Authority? YES 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 completed? YES NO____ If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-Up Actions: Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). Complete Coastal Permit Determination Log as needed. [J Inclusionary Housing Fee required: YES NOL (Effective date of Inclusionary Housing Ordinance - May 21( 993.) Date Entry Completed? YES NO Site Plan: 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. Provide legal description of property and assessor's parcel number. Zoning: E1 0 1. Setbacks: / Front: Required Shown 770 Int. Side: Required a 9W Shown Street Side: Required Shown - Rear: Required /7 Shown I1 2. Accessory Structure Setbacks: Shown Int. Side:— Required Shown SLeetSrde: Reuired Shown ear: Required Shown 0 0 3. Lot Coverage: Required ___ Shown IL. Cf'd%" O 0 4. Height: Required Shown O 0 5. Parking: Spaces Required Shown 2. Guest Spaces Required ______________ Shown 00 OAddition&Comments OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER/1' ñ DATE