HomeMy WebLinkAbout1043 SEAHORSE CT; ; CB060909; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-03-2006 Residential Permit Permit No: CB060909
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1043 SEAHORSE CT CBAD
RESDNTL Sub Type: Status:
Lot#: Applied:
Valuation:
2145305000
$17,000.00 Construction Type:
RAD
0
NEW Entered By:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
0
0
KHANNA RESIDENCE
Reference #: Plan Approved:
Structure Type: Issued:
Bathrooms: 0 Inspect Area:
Orig PC#:
218 SF 2ND STORY BEDROOM INFILL Plan Check#:
Applicant:
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
BTD #2 Fee
BTD #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
$153.59
$0.00
$99.83
$0.00
$0.00
$1.70
$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
Owner:
KHANNA ANIL, AMY
1043 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
04/03/2006
MOP
04/03/2006
04/03/2006
Total Fees: $299.12 Total Payments To Date: $299.12 Balance Due:
Inspector: Date: 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
$299.12
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Im sition" o fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pemiit 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 service fees in connection with this project. NOR DOES IT APPLY to any
FOR OFFICE USE ONLY
PERMIT APPLICATION . .
CITY OF CARLSBAD BUILDING DEPARTMENT
PLAN CHECK NO. o<o-:io'i
EST. VAL. /7,, aJOO
Plan Ck. Deposit' ________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Validated By __________ _
Date. ______________ _
1 . PROJECT INFORMATION
Business Name (at this address)
Legal Description Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
DescriptionofWo".2.\B ~t\--rN FtflFT~ #of Stories
2. ~T PERSON (lf~nt from ap,t) ~ # of Bedrooms # of Bathrooms
~
Name City State/Zip Telephone# Fax#
0 Owner O Agent for Owner
--,----.!'.'.:2Il'.X~___!__..J.~[Z.ll.!...!C4-;~.L.12~~L.J.!.QD:4J..xl......~~-U''°°~_L7~:....21~~Lli:.~~~
3. 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 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 violatio~ of Sec~on 7031.5 by any applicant for a permit subjects the pplica t to a civil penalty of not more than five hundred dollars ($500)).
, . IY\C, P.O. 29-3'1
Telephone#
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
of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labo! Code, for the performance of the work for which this permit is
~ued. My worker's compensation insurance ca rier and policy number are:
Insurance Company _.£..JII.A..U.---'-..1.AwL.Jll<:.JL._________ Policy No.CCQ'877S-200(p Expiration Date , _ 0 J -o 1
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] 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 worker ' compensation coverage is unlawful, and shaN subject an employer to criminal penalties end civil fines up to one hundred
thousand dollars ($100,000), I o he cost of compensation, damages as provided for in Section 3706 of?:L,bor c~de, interest and attorney's fees.
SIGNATURE. ____ ----'W"------'\-7""-"----------------:,---,---DATE -c.q:-t-t2_.L.f!,"-CJG.,._.,.o..c.....---::::=~---~---7. ,,
tr tor's License Law for the following reason:
0 I, as owner of the property or my e ploye s 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 Co : The ontractor'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 empl ee , 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 w ill 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-RESIDENT/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 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. Ae,>LICANT 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 if 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 byzch permit is suspended or abandoned
at any time after the work is commenced for · d of 1 ays (Section 106.4.4 Uniform Building Code). 4 /
APPLICANT'S SIGNATURE ----~~"'1,&,...,,_V-L-'"---',._.-,,::::.~----------DATE _ _.__~__,_/_10__..V, ______ _
PINK: Finance
b'5
City of Carlsbad Bldg Inspection Request
For: 04/28/2006
Permit# CB060909
Title: KHANNA RESIDENCE
Description: 218 SF 2ND STORY BEDROOM INFILL
Type: RESDNTL Sub Type: RAD
Job Address:
Suite:
1043 SEAHORSE CT
Lot 0
Inspector Assignment: JM ---
Phone: 7607293965
Location: Inspector: -----
OWNER KHANNA ANIL, AMY
Owner: KHANNA ANIL&PIKE AMY C
Remarks:
Total Time:
CD Description Act Comment
19 Final Structural /2Jl
29 Final Plumbing I
39 Final Electrical j
I
49 Final Mechanical
------
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
lnsgection Histo!Y
Date Description Act lnsp Comments
04/20/2006 17 Interior Lath/Drywall AP JM
04/20/2006 18 Exterior Lath/Drywall AP JM
04/18/2006 14 Frame/Steel/Bolting/Welding AP JM
04/18/2006 24 RoughfT op out WC JM
04/18/2006 34 Rough Electric AP JM
04/18/2006 44 Rough/Ducts/Dampers AP JM
Requested By: B. A. WORTHING, SHELLEY
Entered By: CHRISTINE