HomeMy WebLinkAbout1049 SEAHORSE CT; ; CB061720; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 -06-27,-200§ Residential Permit Permit No: CB061720
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1049 SEAHORSE CT CBAD
RESDNTL Sub Type:
Lot#: 2145304900
$28,060.00 Construction Type:
Reference #:
0 Structure Type:
0 Bathrooms:
ALLEN RES-230 SF 2ND STORY
BEDROOM ADDITION
RAD
0
VN
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check#:
Applicant: Owner:
WORTHING INC, B. A.
SUITE #201
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
STD #2 Fee
STD #3 Fee
Renewal Fee
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
$237.43
$0.00
$154.33
$0.00
$0.00
$2.81
$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
$0.00
ALLEN FAMILY TRUST 04-29-04
1049 SEAHORSE CT
CARLSBAD CA 92011
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFO Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnlieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
ISSUED
06/14/2006
RMA
06/27/2006
06/27/2006
Total Fees: $438.57 Total Payments To Date: $438.57 Balance Due:
Inspector:
FINAL APPR~VAL
Date: /.,,. I ✓ t17 Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
$24.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$438.57
$0.00
NOTICE: Please take NOTICE 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.
PERMIT APPLICATION
FOR OFFICE USE O~
PLAN CHE=. '-,,dj(}(e
EST. VAL. ~(,t)
17;21>
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit --------r--
c; //L/U:
1. PROJECT INFORMATION
Address (include Bldg/Suit,_#)_
IP4Cf ~ne>~ c.J--
Legal Description Lot No.
Validated By
Date
Business Name (at this address)
Subdivision Name/Number Unit No. Phase No.
Assessor's Parcel # Existing Use Proposed Use
D~ofnro~
2. CONTAC~ PERSON (If different from applicant) a_me
#of Stories # of Bedrooms
r I f...l,b
Total # of units
# of Bathrooms
Name Address City ~ Contractor O Agent for Contractor O Owner , [J Agent for Owner
State/Zip Telephone# Fax#
3. APPLICANT
]3rCDk,s
Name
"'-lC>t"ful(XJ BO J3o,< 1041 0,l6wt CA. 920IB
Address City
4.
Name
5. CONTRACTOR • COMPANY NAME
State License # -=--.._'---=--.._......_ __
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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
!he 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
ued. My worker's compensation insurance carrier an<!Jolicy number are: 5 /-/-,-;__
Insurance Company s+a,,,-f:::e. FlL()u Policy No.D'.?08775'-2.00 Expiration Date O C)lf
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
O 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 a to the cost of compensation, damages as provided for in Section 3706 of the L bor co e, Interest and attorney's fees.
SIGNATURE. ______ ~...-=-......._+---::;,,"--==--------------DATE 0~
7. OWNER-BUILDER 0ECLARA TION
I hereby affirm that I am exempt from the C
0 I, as owner of the property or my em 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 ntractor'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 employ rovided 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).
O 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-RESIDENnAL 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 26505, 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 7 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(il 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 Cit\' 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 ii the 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 comme a period 180 days (Section 106.4.4 Uniform Building Code). DATE I,. ,, ,,,,._ /or-.
APPLICANT'S SIGNATURE ~/I 1 _ 'P
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/18/2006
Permit# CB061720
Title: ALLEN RES-230 SF 2ND STORY
Description: BEDROOM ADDITION
Type: RESDNTL Sub Type: RAD
Job Address: 1049 SEAHORSE CT
Suite: Lot 0
Location:
APPLICANT WORTHING INC, B. A.
Owner: ALLEN FAMILY TRUST 04-29-04
Remarks:
Total Time:
CD Description
19 Final Structural
lft._omment
I
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
\.,
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
lns12ection Histo!Y
Date Description Act lnsp Comments
08/07/2006 17 Interior Lath/Drywall AP PY
08/04/2006 17 Interior Lath/Drywall co JM NO ACCESS
08/01/2006 14 Frame/Steel/Bolting/Welding AP PY
08/01/2006 24 Rough/Topout WC PY
08/01/2006 34 Rough Electric AP PY
08/01/2006 44 Rough/Ducts/Dampers AP PY
Inspector Assignment: PY ---
Phone: 7607293965
Inspector: ___ _._µ_
Requested By: SHELLEY
Entered By: KAREN
I
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