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Home My WebLink About1369 CASSINS ST; ; CB062762; Permit10-11-2006 Job Address Permit Type Parcel No Valuation Occupancy Group # Dwelling Units Bedrooms Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No CB062762 Building Inspection Request Line (760) 602-2725 1369CASSINSSTCBAD RESDNTL Sub Type 2156914300 Lot # $28,060 00 Construction Type Reference # 0 Structure Type 0 Bathrooms LORENTZEN RES- CONVERT 3RD CAR GARAGE TO HABITABLE 230 SF RAD 0 VN Status Applied Entered By Plan Approved Issued Inspect Area Ong PC# Plan Check# ISSUED 09/28/2006 LSM 10/11/2006 10/11/2006 Applicant LORENTZEN SHAWN P&LAURA R 1369CASSINSST CARLSBAD CA 92011 Owner LORENTZEN SHAWN P&LAURA R 1369CASSINSST CARLSBAD CA 92011 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 HMP Fee Pot Water Con Fee > Meter Size Add'l Pot Water Con Fee Reel Water Con Fee $237 43 Meter Size $000 Add'l Reel Water Con Fee $15433 Meter Fee $0 00 SDCWA Fee $000 CFD Payoff Fee $281 PFF (3105540) $0 00 PFF (4305540) $0 00 License Tax (3104193) $0 00 License Tax (4304193) $0 00 Traffic Impact Fee (3105541) $0 00 Traffic Impact Fee (4305541) $0 00 Sidewalk Fee - - • $000 PLUMBING TOTAL ' $0 00 ELECTRICAL TOTAL $0 00 MECHANICAL TOTAL $0 00 ' Housing Impact Fee $0 00 Housing InLieu Fee $0 00 Housing Credit Fee Master Drainage Fee $0 00 Sewer Fee $0 00 Additional Fees TOTAL PERMIT FEES SO 00 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $2000 $2400 $000 $000 $000 $000 SO 00 $000 $438 57 Total Fees $438 57 Total Payments To Date $438 57 Balance Due $000 BUJLDING PLANS ~V— IN STORAGE ATTACHED Inspector FINAL APPROyAL Date ,fJP/3r a 7 Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition11 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 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 Jegs/exactions of which ygu have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 G627iCC~t 0001 Q3/23/2CQ6 PLAN CHECK NO EST VAL Plan Ck Deposit Validated By__ Date ^&f Address (include Bldq/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor s Parcel #Existing Use Proposed Use Description of Work &^**^ 6)»^V^-2 ,, ,« , CONTACT PERSOT '[rf |dif f erenf f roWappticant) , SO FT #of Stories # of Bedrooms # of Bathrooms Name Address State/Zip Telephone tt Fax tt Address City State/Zip Telephone # Address City State/Zip Telephone # 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 violation of Section 7031 5 by any applicant for a permit subjects the applicant lo a civil penalty of not more than five hundred dollars Of t^Jame State License # *• 5 "» r3 Address llr t I1' License Class ' p. "• City State/Zip Tj City Business License ft Telephone # Designer Name State License tt Address City State/Zip Telephone 6^;iWORKERS; COMPENSATION!M !>/,&« 7.L;iJd^SMJu '• TS-, ;<^,;1I?( i-"> !" • i8!s!_» \!.'$•$!. 1ii?iririi^,• iV! .'. 11!i|rfi:'*f{J>V fyi'.'S51V^ Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 \afig] 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 insii»nce carrier and policy number are . . Insurance Company ^^ " frTbl F "^^.L^ Policy No t/ \^\ •" OPoL I ^- i Q_.__... Expiration Date c (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 (%LQQ 000)* in addn>m\to the cost of compensation, damages as provided for m Section 3703 of the Labor code interest and attorney's fees DATE *-TlSIGNATURE 7'8;!^OWNER-BUILDERECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason CD I. as owner of the property or my employees 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 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 sale) "B-^l, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The tontractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor s License Law) C] 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 Q 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) 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 25J>34_of the Presley-Tanne^ Hazardous Jiubstance^Accqunt Act ?_.D_.YES_,D.^NO.». ,..„•., .,• -•.,».*«& n. « ........ n Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' Q YES Q NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES n 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S 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 CitV 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 by such permit is suspended or abandoned at any time after the work is comm£nkM for a period of 180 days (Sectionl0&4 4 Uniform Building Code) i APPLICANT'S SIGNATURE DATE TE File YELLOW Applicant PINK Finance City of Carlsbad 'Bldg Inspection Request For 05/07/2007 Permit# CB062762 Title LORENTZEN RES- CONVERT 3RD Description CAR GARAGE TO HABITABLE 230 SF Inspector Assignment PY Sub Type RADType RESDNTL Job Address 1369 CASSINS ST Suite Lot 0 Location APPLICANT LORENTZEN SHAWN P&LAURA R Owner LORENTZEN SHAWN P&LAURA R Remarks SAYS FINAL HAS ALREADY BEEN DONE? Phone 7604311498 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By HOMEOWNER Entered By CHRISTINE Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 11/13/2006 16 Insulation CO PC NO AHS? @ DOOR 11/13/2006 17 Interior Lath/Drywall CO PC DRYWALLED NO INSP 11/03/2006 34 Rough Electric AP PY NEED INSULATION INSPECTION PLANNING/ENGINEERING APPROVALS PERMIT NUMBER £JL DAT! 84- MINOR « $10,000.00) TB4ANT IMPROVEMENT PLAZA CAMNO REAL CARLSBAD COMPANY STORM VHLACI FAIR! coMPura OPHCI BUILDING OTHER PLANNER 0 DAT! gNGINEER DAT!