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HomeMy WebLinkAbout1044 BEACON BAY DR; ; CB040945; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 03-22-2OQ4 Residential Permit Permit No: CB040945 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1044 BEACON BAY DR CBAD RESDNTL SubType: RAD 21 45301 300 Lot#: 0 $6,900.00 Construction Type: NEW Reference #: 0 Structure Type: 0 Bathrooms: 0 BREKKE RESIDENCE 230 SF LOFT Status: ISSUED Applied: 03/22/2004 Plan Approved: 03/22/2004 Issued: 03/22/2004 Entered By: MDP Inspect Area: Plan Check#: orig Pa: Applicant: Owner: WORTHING INC, B. A. SUITE #201 690 CARLSBAD VILLAGE DR 1044 BEAGUN DR CARLSBAD, CA 92008 BREKKE JEFFREY A&CATHERINE V CARLS0AD CA 920043 61 9-729-3965 Building Permit Add'l Building Permit Fee Plan Check Add'l 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'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Recl. Water Con. Fee $76.59 $0.00 $49.78 $0.00 $0.00 $1 .oo $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 Water Con. F $0.00 $0.00 SDCWA Fee $0.00 CfD Payoff Fee $0.00 WF $0.00 PFF (CFD Fund) $0.00 License Tax $0.00 License Tax (CFD Fund) $0.00 Traffic tmpact Fee $0.00 Traffic impact (CFD Fund) $0.00 Sidewalk Fee $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $20.00 MECHANICAL TOTAL $24.00 Housing Impact Fee $0.00 Housing InLiiEiu Fee $0.00 Housing Credit Fee $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMiT FEES $1 71.37 Total Fees: $1 71.37 Total Payments To Date: $0.00 Bahnce Due: $1 71.37 9072 03/22/04 OOO2 OX 02 CGF 171.37 FINAL APPROVAL PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. OL!-%q< EST. VAL. Plan Ck. Deposit Validated By Date Business Name (at this address) Legal Descri&ioh Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Name / Address City Statezip Telephone # (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 Codel or that he is exempt therefrom, and the basis for the alleged 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 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 work for which this permit is issued. and policy number are: Insurance Company Policy NO. OOO e 77 5-2- Expiration Date I - @ 0.5 - (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 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 secum)rorkers'Epmpansatlon coveraga h unlawful. and shall subjact an employer to crlmlnd penalties and dvA fines up to one hundred thousand dollars 16 ensation, damages as provided for in Section 3706 o I hereby affirm that I am exempt from the C ntr tor's License Law for the following reason: 0 I, as owner of the property or my em sR3" ees with wages as their sola 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 for the purpose of safe). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project 1Sec. 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 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 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 I address / phone number / contractors license number): Business and Professions Code for this reason: 4. number / contractors license number): 5. of work): 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 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number / type PROPERTY OWNER SIGNATURE DATE 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? 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 RNAL 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. 0 YES NO 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 LENDERS ADDRESS 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 Cerlsbad 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 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 commen Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 05/2 1 /2004 Permit# CB040945 Title: BREKKE RESIDENCE Description: 230 SF LOFT Type: RESDNTL SubType: RAD Job Address: Location: 1044 BEACON BAY DR Suite: Lot 0 APPLICANT WORTHING INC, B. A. Owner: BREKKE JEFFREY A&CATHERINE V Remarks: Inspector Assignment: JM Phone: 7607293965 9 Inspector: Total Time: Requested By: TERESA CD Description Act Comment Entered By: ROBIN 19 Final Structural 29 Final Plumbing 39 Final Electrical c 49 Final Mechanical Associated PCRsKVS Inspection History Date Description Act lnsp Comments 04/27/2004 17 Interior LatNOrywall AP JM 04/27/2004 18 Exterior LaWDrywall AP JM 04/26/2004 14 Frarne/Steel/Boltin~elding AP JM OK TO DRYWALL 04/26/2004 24 Roughfropout WC JM 04/26/2004 34 Rough Electric AP JM 04/26/2004 44 RougNDuctsIDarnpers AP JM