HomeMy WebLinkAbout1708 LOBELIA CT; ; CB063496; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-13-2007 Residential Permit Permit No: CB063496
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1708 LOBELIA CT CBAD
RESDNTL Sub Type:
Lot#: 2156312700
$59,780.00 Construction Type:
Reference #:
O Structure Type:
O Bathrooms:
WAGAMAN RES-ADD 490 SF BEDRM,
OFFICE & BATH-1ST FLOOR
RAD
0
VN
0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Orig PC#:
Plan Check#:
Applicant: Owner:
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
$392.56
$0.00
$255.16
$0.00
$0.00
$5.98
$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
WAGAMAN FAMILY TRUST 10-01-99
1708 LOBELIA 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 I mp act 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
EXPIRED
12/13/2006
RMA
01/16/2007
Total Fees: $752.20 Total Payments To Date: $255.16 Balance Due:
Inspector:
FINAL APPROVAL
Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$48.00
$20.00
$30.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$752.20
$497.04
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as '1ees/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
Al ···hi,..h ,,_,. 1,,_,._ 1,,_,..., ,.;,,,.., J:I r In thio::. nr J:lt In ,.,1,,:,.1,, th" ............ ,.f 1imi•"'•i--n1:. h ..... "rAVi'""'"I" ............ ,itA ,.u ... :,,.,1
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. CIJ o t,3 L[C( ~
EST. VAL. Sq7j"O
Plan Ck. Deposit ________ _
Validated By • ! ll;i;
Date /2-. / /J /tJ. l,1
Address (include BldlJSb) ( , Business Name (at this address) tzoe, e ,,a
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
#of Stories # of Bedrooms # of Bathrooms
J ' I
City Telephone# Fax#
6, WORKERS' _&OMP,ENSJ'TION
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
Jd.
he 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 .
issued. My worker's compensation insurance carrier and po icy number are: / _ :-7
Insurance Company · Policy Noet:lJ3975 --:2...CJOro Expiration Date/-(}/ CJ r._
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 a d o the t of comp nsation, damages as provided for in Section 3706 of the Labor code,~ and attorney's fees.
SIGNATURE .,. •• ..,.,,n. . DATE.;;;:\'::-2-:'-:tl!;!:::'?,~'!;.~:=:;!:=:=-.• _,,.,..... ___ _
....,._,.'""ffl:_BUIL~.J!ECLARATION
I hereby affirm that I am exempt from the Contractor's License L
0 I, as owner of the property or my employees with wages th · 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(sJ 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
[!:.QMPLET.l!.TH_!LSECT19NJ=OR N-:;O-l'{;:;:::BW,:;::==:'DEN.;::::;::l]A==:L::'.B:;::UJ:;::L:-DI-N-::9.!'E~R=M::-IT_S_O-:N=::;;;-;;;;;-------.
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 25606, 26633 or 25634 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8, CONSTRUCTION.Lf;ffllltNWN~C"-lY'--~-------___ _
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).
lL
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 ANO 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 da s 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 commence eriod of ys (Section 106.4.4 Uniform Building Code).
DATE _I ~~l"-':?_},_o_~,___ __ _
PINK: Finance
OCTOBER 2, 2007
BROOKS WORTHING
PO BOX 1041
CARLSBAD CA 92018
RE:
APPLICATION DA TE:
PLAN CHECK #:
ADDRESS:
EXPIRATION DA TE:
PERMIT TYPE:
DESCRIPTION:
City
12/13/2006
CB063496
1708 LOBELIA CT
12/13/2007
RESIDENTIAL
of Carlsbad
•~f'ttiiOO·M·li·Etiil:ii:11
ADD 490 SF OFFICE/GUESTROOM
You applied to have your plans checked on the date noted above. To date, the related building
permit has not been obtained. The original plan review application will expire as no building
permit has been issued.
Plans submitted and not retrieved from the building department prior to the plan check
expiration date noted above will be destroyed.
The provisions of sections 304 ( d) of the Uniform Building <;:ode state:
"Section 304 9d) Expiration of Plan Review
Applications for which no permit is issued within one year following the date of
application shall expire by limitation, and plans and other data submitted for review
may thereafter be returned to the applicant or destroyed by the Building Official.
In order to renew action on an application after expiration, the applicant shall resubmit
plans and pay a new plan review fee."
In order to provide better service, please indicate your handling choice for the plans originally
submitted and return this letter to the Building Department.
__ Project Abandoned-I will pick up the plans within 10 days
__ Project Abandoned -Plans may be destroyed
If you have any questions, please contact the Building Department at (760) 602-2719.
Building Department
1635 Faraday Avenue• Carlsbad, CA 92008 • (760) 602-4660 • FAX (760) 602-8561 *