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Home My WebLink About1073 SEAHORSE CT; ; CB042263; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06~oa-2bo4 Miscellaneous Permit Permit No: CB042263 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1073 SEAHORSE CT CBAD MISC 2145304500 $3,000.00 MASON RESIDENCE Subtype: OTHER Lot#: 0 CREATE 4TH BEDROOM@ VAULTED AREA Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/08/2004 MOP 06108/2004 06/08/2004 Applicant: WORTHING INC, B. A. SUITE #201 MASON JONATHAN R&DIANE B 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $164.00 Inspector: ~~- MECH. ELEC PERMIT 1073 SEAHORSE CT 38?9 06/08/04 0002 01 CARLSBAD CA 92009 CGP $44.00 $120.00 $0.00 $164.00 Total Payments To Date: $0.00 Balance Due: $164.00 FINAL Date: Clearance: 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 You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to w::iter 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 f es/exaction of whi h ou have reviousl b en iven a NOTI E 1milar to this r s to which he statute of limitations ha reviousl h rwise ex ire . 02 164-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ct-{ ... ~3 . . ' CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. _________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ________ _ Validated By __________ _ Date. ______________ _ 1. PROjECT INFORMATION Address (include B~uite #} \Cl 3 ?00 no..r~-e Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Existing Use Proposed Use De~ofW-} 2. CONTACT PERSON (if different from applicant) Name 3. Name 4. Name 5. CONTRACTOR • COMPANY NAME Address SO. FT . #of Stories "220 State/Zip Total # of units 4-0 (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 viol tion o C\(_on 7031.5 by any applic t for a permits bj cts the appli an to civil penalty of ot more than five hundred dollars 1$5001). c_ . l Designer Name State License # Zf{ 'l f:& t 6. WORKERS' COMPENSATION 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 e 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 ed. My worker's co?~nsurance ca}er and policy number are: &;l.7 _,,_~ I/ /~ Insurance Company ~ bJN Cb Policy No. !;d_ 17 -~ Expiration Date-''---=-(-+, -'::::...L..~~-- ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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 addition to the cost of compensation, damages as provided for in Section 3706 of the ~bor,ode, interest and attorney's fees. SIGNATURE, ____ ___:¥~~=~9t"=...:....______________ DATE ---"(e,,_{-... J.'-/;,~0'-:;4:f=;;;;;;:;;==-~---- 7. OWNER-BUILDER DECLARATION ~;/.. I hereby affirm that I am exempt from the C ntract r's License Law for the following reason: 0 I, as owner of the property or my em oyee 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: e 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). O 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 e 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, C NSTRUCTION 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 limitalion and become null and void if lhe 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 aulhorized by such permit is suspended or abandoned at any time after the work is commen for period f 80 ~days (Section 106.4.4 Uniform Building Code). 0 !J, J~ APPLICANT'S SIGNATURE --....::jl~'-\-l::.J..~~~µ..!I..L..~1--------------DATE _f..e__-+-/----11-. -1~1-'-.c....+------ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/29/2004 Permit# CB042263 Title: MASON RESIDENCE Description: CREATE 4TH BEDROOM @ VAULTED AREA Type: MISC Sub Type: OTHER Job Address: Suite: Location: 1073 SEAHORSE CT Lot APPLICANT WORTHING INC, B. A. 0 Owner: MASON JONATHAN R&DIANE B Remarks: Total Time: CD Description Act Comment 19 Final Structural ~ 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs lns!lection Histoty Date Description Act lnsp Comments 09/30/2004 17 Interior Lath/Drywall AP JM Inspector Assignment: JM --- Phone: 7607293965 Inspector: J ~ Requested By: THERESA Entered By: JH 09/29/2004 17 Interior Lath/Drywall co JM NOONE HOME 09/21/2004 14 Frame/Steel/Bolting/Welding AP JM OK TO DRYWALL 09/21/2004 24 Rough/Topout WC JM 09/21/2004 34 Rough Electric AP JM 09/21/2004 44 Rough/Ducts/Dampers AP JM