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HomeMy WebLinkAbout1049 SEAHORSE CT; ; CB061720; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 -06-27,-200§ Residential Permit Permit No: CB061720 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1049 SEAHORSE CT CBAD RESDNTL Sub Type: Lot#: 2145304900 $28,060.00 Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: ALLEN RES-230 SF 2ND STORY BEDROOM ADDITION 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 STD #2 Fee STD #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 $237.43 $0.00 $154.33 $0.00 $0.00 $2.81 $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 ALLEN FAMILY TRUST 04-29-04 1049 SEAHORSE 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 Impact 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 ISSUED 06/14/2006 RMA 06/27/2006 06/27/2006 Total Fees: $438.57 Total Payments To Date: $438.57 Balance Due: Inspector: FINAL APPR~VAL Date: /.,,. I ✓ t17 Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $24.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $438.57 $0.00 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. PERMIT APPLICATION FOR OFFICE USE O~ PLAN CHE=. '-,,dj(}(e EST. VAL. ~(,t) 17;21> CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit --------r-- c; //L/U: 1. PROJECT INFORMATION Address (include Bldg/Suit,_#)_ IP4Cf ~ne>~ c.J-- Legal Description Lot No. Validated By Date Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Assessor's Parcel # Existing Use Proposed Use D~ofnro~ 2. CONTAC~ PERSON (If different from applicant) a_me #of Stories # of Bedrooms r I f...l,b Total # of units # of Bathrooms Name Address City ~ Contractor O Agent for Contractor O Owner , [J Agent for Owner State/Zip Telephone# Fax# 3. APPLICANT ]3rCDk,s Name "'-lC>t"ful(XJ BO J3o,< 1041 0,l6wt CA. 920IB Address City 4. Name 5. CONTRACTOR • COMPANY NAME State License # -=--.._'---=--.._......_ __ 6. WORKERS' COMPENSATION 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 !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 ued. My worker's compensation insurance carrier an<!Jolicy number are: 5 /-/-,-;__ Insurance Company s+a,,,-f:::e. FlL()u Policy No.D'.?08775'-2.00 Expiration Date O C)lf (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 to the cost of compensation, damages as provided for in Section 3706 of the L bor co e, Interest and attorney's fees. SIGNATURE. ______ ~...-=-......._+---::;,,"--==--------------DATE 0~ 7. OWNER-BUILDER 0ECLARA TION I hereby affirm that I am exempt from the C 0 I, as owner of the property or my em 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 ntractor'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 employ rovided 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). O 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 THIS SECTION FOR NON-RESIDENnAL BUILDING 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 26505, 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 7 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 a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il 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 Cit\' 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 ii 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 comme a period 180 days (Section 106.4.4 Uniform Building Code). DATE I,. ,, ,,,,._ /or-. APPLICANT'S SIGNATURE ~/I 1 _ 'P YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/18/2006 Permit# CB061720 Title: ALLEN RES-230 SF 2ND STORY Description: BEDROOM ADDITION Type: RESDNTL Sub Type: RAD Job Address: 1049 SEAHORSE CT Suite: Lot 0 Location: APPLICANT WORTHING INC, B. A. Owner: ALLEN FAMILY TRUST 04-29-04 Remarks: Total Time: CD Description 19 Final Structural lft._omment I 29 Final Plumbing 39 Final Electrical 49 Final Mechanical \., Comments/Notices/Hold Associated PCRs/CVs Original PC# lns12ection Histo!Y Date Description Act lnsp Comments 08/07/2006 17 Interior Lath/Drywall AP PY 08/04/2006 17 Interior Lath/Drywall co JM NO ACCESS 08/01/2006 14 Frame/Steel/Bolting/Welding AP PY 08/01/2006 24 Rough/Topout WC PY 08/01/2006 34 Rough Electric AP PY 08/01/2006 44 Rough/Ducts/Dampers AP PY Inspector Assignment: PY --- Phone: 7607293965 Inspector: ___ _._µ_ Requested By: SHELLEY Entered By: KAREN I -z. ~ i:..:::(..t~---( ':"'"'i \ \. t.-L., Ll ..-,S ... :,l ct:.. t .. \--""" G;;.. lt~rr L, ~ , l l l \ • ~ ,_.c·-, '-" ' . Ar'r.,.'-lf.-"' ~-t:::-~-r .q. 4 \-"(:)~~ --r1 tA, /2~ ~l1.,2..-S I h ""7 l-? "2, ')t ll 'E> '("J-~ \.~/\.Vl.. I \ .... t..-\;.ti/~ '3.,;. L.,v,{.(! 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