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Home My WebLink About1671 JAMES DR; ; CB973559; PermitB U I L D I N G P E R M I T Permit No: CB973559 Project No: A9704613 Development No: 12/02/97 16:26 Page 1 of 1 Job Address: 1671 JAMES DR Permit Type: RESIDENTAL ADD/ALT Parcel No: 156-211-23-00 Suite: Lot#: Valuation: 3,978 Occupancy Group: Reference#: Description: CONVERT 3RD CAR GARAGE TO : OFFICE 153 SF Construction Type: VN Status: ISSUED Applied: 11/20/97 Apr/Issue: 12/02/97 Appl/Ownr : WORTHING, BROOKS 690 CARLSBAD VILLAGE CARLSBAD, CA.92008 DRIVE 760 1932 .w®,e«,:;,edbo¥~l Ml3f 7 2 9 -3 9 6 5 C-PRMT 84. oo Fees Collected & Credits ** I( * * I( Fees Required *** ------------------------------------------------------------------------ Fees: AdJustments: Total Fees: ' Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL Enter "Y" for Plumbing Issue Enter "Y" for Electric Issue Enter "Y" for Remodel 11 ELECTRICAL TOTAL Enter 'Y' for Mecha ical Fee Fee .00 41.00 84.00 Ext fee 63.00 41.00 1. 00 105.00 10.00 10.00 20.00 PROVAL ~~ DAT~2-U:f2 CLEARANCE~---- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 Data N y y N FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 PLAN CHECK NO. j1 -~ S::>-q -. EST. VAL 7L 1J: Plan Ck. Deposit 1. PROjECT INFORMATION Validated By __ b.,.~--------- Date_--t-[-lp............,nl""""c..,.__::)+------ 1h11 ✓fiM£s DR Address (include Bldg/Suite #) Business Name (at this addres~656 Unit No. 41-00 Proposed Use I of Bedrooms I of Bathrooms r • 4. PROPERTY OWNER /tE,TH <:i C/4-1?,Ll=:t=d Name PRac:rvR L'2 ?I JflHEs pt?. Address C ft:~L5/3 ,9 LJ City cf} 9o1«1 ~ State/Zip flo 7roo 7Z~C:.5 Telephone I 6. CONTRACTOR -COMPANY NAME (Sec. 7031.5 Business and Professions Coda: 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 violation of Section 7031.5 by any applicant for a,e_eJmit subjects tt,e applicant to a ivil penalt of not more than five hundred dollars 1$6001). . :r n Ct • . · C ( o J." -'! b5 Address City State/Zip Telephone I 6. WORKERS' COMPENSAnoN 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. 0 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 co~ensation insurance carrier and policy number ara: . 0 5" 3 ') lnsuranceCompany 2>T[4T£: fU.AJD · PolicyNo.QCJ/7-.9''.J ~t111D00xpiration6ate 1// /1'?( (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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 la unlawful, and shall subject en employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the coat of compensation, damegea H provided for In Section 3706 of the Labor code, Interest end attomey·• fees. SIGNATURE:::;:::~::-:=::-:~==--::;:--:;;;:--:;:;---;:;-::;;;;;:;:::--::;:;;;;;:;;:;:;=:;:-:---;;::------:;;;::::;::--DA TE 7. OWNER-BUILDER DECLARATION ;;:--:;::;:=:;:;;;==::;:;:;;;::;:;:::::=:::......... I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 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 TI-11S SECTION FOR NON-RES/DEN17AL BUILDINO 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 26605, 25633 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 e construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME 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 6'0' 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 365 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB973559 DESCRIPTION: CONVERT OFFICE TYPE: RAD CITY OF CARLSBAD INSPECTION REQUEST FOR 12/26/97 3RD CAR GARAGE TO 153 SF JOB ADDRESS: 1671 JAMES DR APPLICANT: WORTHING, BROOKS CONTRACTOR: PHONE: PHONE: STE: INSPECTOR AREA PS PLANCK# CB973559 OCC GRP CONSTR. TYPE VN LOT: 760 729-3965 OWNER: PHONE: ( 2s::;? INSPECTOR _\------1-·7 __ "---..) _____ _ REMARKS: C/GAIL/729-3965 SPECIAL INSTRUCT: TOTAL TIME: CD 19 LVL DESCRIPTION ACT COMMENTS ST Final Structural /ff ____ _ ------------------------------------------------------ ***** INSPECTION HISTORY***** DATE 121697 121297 121197 120997 120997 120997 DESCRIPTION Interior Lath/Drywall Interior Lath/Drywall Insulation Frame/Steel/Bolting/Welding Rough Electric Rough/Ducts/Dampers ACT INSP AP PS NR PS AP PS AP PS AP PS NR PS COMMENTS WILL CHECK AT INSUL ~ ~ ~ ~ N ~ " " 1! 1! • • ~ ~ <.) <.) C C C K K K tfo □ ~□□ PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST '$5"i'1 Address -+-1:,~.l.--P.,....i....t........JL.i..:...=--- Phone (619) 438-1 1, extension I..( ).>g Type of Project and Use:_~..,_,_-=c:....,,.--,-,-Project Density: ________ _ Zoning: fl·< Facilities Management Zone: ___ \ __ _ CFD lin/@# Circl 0 __ ,Date of participation: ____ Remaining net dev acres: __ _ iFor non-residential development: Type of land used created by this permit: ____________________ ) Legend: ~ Item Complete Ci2:I Item Incomplete -Needs your action Environmental Review Required: YES NO TYPE ___ _ DATE OF COMPLETION: ______ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES NO TYPE ---- APPROVAL/RESO. NO. _____ DATE ___ _ PROJECT NO. _______ _ OTHER RELATED CASES: __________________ _ Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: _______________________ _ Coastal Zone Assessment/Compliance NOt- CA Coastal Commission Autho · ? YES NO Project site located in Coastal Zone? YES If California Coastal Commissio uthority: Contactthem at -3111 Camino Del Rio No"h, Suite 200, San Diego CA 92108-25; (619) 521-8036 Determine status ( stal Permit Required or Exempt): Coastal Permit termination Form already completed? YES NO If NO, complete oastal Permit Determination Form now. ,-- Coastal Pe it Determination Log #: Follo -Up Actions: 1) Stamp Building Plans as uExempt" or "Coastal Permit Required" (at minimum Floor Plans). Complete Coastal Permit Determination Log as needed. {p] □ □ lnclusionary Ho · g Fee required: YES __ NO (Effective date of uoionary Housing Ordinance• May 21, 1993,1 Data try Completed? YES NO (En CB #; UACT; NEXT! 2; Construct housing Y/N; Enter Fee Amount (See fee schedule tor amount); Return/ / Site Plan: ~ □ □ 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines. ~ D D 2. Provide legal description of property and assessor's parcel number. Zoning: ~□□ 1. Setbacks: Front: : . Required c_C) Shown / 'l-6 Interior Side: Required Shown Street Side: Required Shown Rear: Required 1Yr Shown qtc/' □□□ 2. Ac essory structure setbacks: Fr, nt: Required Shown ~ quired Shown Required Shown Rear: Required Shown Structure separation: Required Shown lf1 □ □ 3. Lot Coverage: Required f::_yd{o Shown t-<(t7 ~ 0:70 ( L50 1 DD 4. Height: Required Shown ~□□ 5. Parking: Spaces Required ?__ Shown G Guest Spaces Required ---Shown □□□ Additional Comments PLANNING/ENGJNEERING APPROVALS PERMIT NUMBER cfl 13 5 S c1 RESIDENTIAL R SlDENTIAL ADDITION MINOR (< $10,000.001 DA TE --1-,l-1--l-.1d:.,.;...._4,__-___.cf_7 __ _ , TENANT IMPROVEMENT PLAZA CAMINO REAL VILLAGE FAIRE COMPLETE OFFICE BUILDING THER __________________ .,...... _____ _ ~NNER _____________ DATE _______ _ 51\FILES.BLCG.FFIM Rev 11 /15/90