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Home My WebLink About1034 SEAHORSE CT; ; CB042147; PermitC \ G 1:r, cc.l-s City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-03-~j)04 • Residential Permit Permit No: CB042147 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1034 SEAHORSE CT CBAD RESDNTL Sub Type: Lot#: 2145303400 $5,910.00 Construction Type: Reference #: 0 0 Structure Type: Bathrooms: GIROD RES-197 SF LOFT RAD 0 NEW 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: Plan Check#: GIROD FAMILY TRUST 02-27-03 ISSUED 06/03/2004 KMT 06/03/2004 06/03/2004 WORTHING INC, B. A. SUITE #201 3535 06/03/04 0002 01 690 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: $141.67 Inspector: $68.89 $27.00 $44.78 $0.00 $0.00 $1.00 $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 1034 SEAHORSE CT CARLSBAD CA 92009 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) 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 Total Payments To Date: $0.00 Balance Due: Date: Clearance: CGp $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $141.67 $141.67 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 lo 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 service fees in connection with this project. NOR DOES IT APPLY to any fesx tinsfwhichouhv revi lbenivn NTI imilartohi ra hichhe u fl"i inh hiwi 02 141-67 FOR OFFICE USE Ol)ll Y PLAN CHE? NO. (!,/JQ4 iQ./lf7 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. 5} 9 /0 Pl•~ Ck. Deposit f Vahdatedra ~ Date Co {04 1. PROJECT INFORMATION Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Descrifj~okfr #of Stories , I # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) 5. CONTRACTOR • COMPANY 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 tile 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 e mption. Anj'.. violation of Section 7031 .5 by any applicant for a permit subjects the appli nt to a civil penalty of not more than five hundred dollars I$ 5001) (· ' · . 'I... JI& 0 0 1 Designer Name State License # 0 9 Q ~9':\ 6. WORKERS' COMPENSATION City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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: Insurance Company S:tc,qe fund Policy No. C()0f YJ1 5 -J-oo 4expiration Date , -I -0 S (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 sec ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,0 to the cost of compensation, damages as provided for in Section 3706 of the Lab r ode, ntere t and attorney's fees. SIGNATURE------~~~~-.;,<~-------------------DATE _(b=--1-~..c_J...:;:::_....J-__ 7. e Co tractor's License Law for the following reason: O I, as owner of the property or m empl yees 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 de: he 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 em es, 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). 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-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 ANO 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 commen within 180 days from the date of such permit or if the building or work authorized by such per it is suspended or abandoned at any time after the work is comme a iod of 0 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/14/2004 Permit# CB042147 Title: GIROD RES-197 SF LOFT Description: Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 1034 SEAHORSE CT Lot APPLICANT WORTHING INC, B. A. 0 Owner: GIROD FAMIL V TRUST 02-27-03 Remarks: Total Time: CD Description Act Comment 19 Final Structural a. 29 Final Plumbing l 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs lnsl)ection Histort Date Description Act lnsp Comments 07/26/2004 17 Interior Lath/Drywall AP PD 07/19/2004 14 Frame/Steel/Bolting/Welding AP JM 07/19/2004 24 Rough/T opout WC JM 07/19/2004 34 Rough Electric AP JM 07/19/2004 44 Rough/Ducts/Dampers AP JM Inspector Assignment: JM ..::,_ __ Phone: 7607293965 Inspector: Requested By: TERESA Entered By: ROBIN