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HomeMy WebLinkAbout2325 VIA SANTOS; L; CB994591; PermitCity of Carlsbad 12/-13/1999 Plumbing Permit Permit No:CB994591 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2325 VIA SANTOS CBAD PLUM Status: ISSUED 12/13/1999 MSP 12/13/1999 12/13/1999 OM Parcel No: Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: OCEAN CREST APTS. UNIT L Inspect Area: ADD WASHER & DRYER HOOK UP Applicant: R & R ELECTRICAL AND GENERAL 559 W GRANADA CT ONTARIO CA 91762 909 983-7173 Total Fees: $54.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES Inspector: Owner: SECURITY CAPITAL PACIFIC TRUST C/O MARVIN F POER & COMPANY 18818 TELLER AVE #277 IRVINE CA 92612 Total Payments To Date: $0.00 Balance Due: $20.00 $7.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $20.00 $0.00 $0.00 _ .. ., , , F'' $5~00 kll>-,th " ' j., t ... . ' ,1 J -~MIT HAS EXPiRE&J .. ,CCOR~'\NCF ~i,;m~ U.B.C. "~CTION 106.4.4 "~rf.1N1zAt'rf9VjiGNATURE ... ~------- Date: / Cle~rance: $54.00 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. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONL V PERMJT APPLICATION PLAN CHECK NO. ____ _ ., CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ Plan Ck. Deposit _________ _ (760) 438-1161 Validated By __________ _ Date, _____________ _ AddJeU (include Bldg/ uit• fl B--Name llt this 1ddrus) '• w-,+'> 4(. J. ~ A.. Lat No. Subdivision Nsme/Number Unit No. Phase No. Total • of units Proposed UH SQ. FT. lof Stories I of Bedrooms I of Bathrooms Name City St1t1/Zip Telephone I Fax • ;1?:MIJCANI'i -. . . . cl£ -,z:.,c... uvf <,Ji. c Nsme . s-.~Afflem~~;x;:;;m,4;:Ji::,u,a:·1r::a1::t-~;;.:-..... =maE,.11..i.:r·.'i. l ,.,. .;;~;, -~~~:-.:;;.:.-.:...-. :. :·:: . (Sec. 7031.5 Business snd Profusiona Code: Any City or County which reQUirw • permtno _c:anatNct, lllter, Improve, dl~oUsh or repsir 1ny stN~ure •. pnor to Its issuance also requires the applicant for such permit to file • signed st1t1ment thlt he ia kcenMd purau■nt to the prov,11ons of the Contractor s License Law IChaptar' 9, commending with Section 7000 of Division 3 of the lluslMSS and Prof-Ions Code) or ~ he Is exempt therefro~, and the basis for the alleged exemption. Any violation of Section 7031.5 by ■ny applicant for • permit eubjec:U the applicant to • CMI penalty of not more then five hundred dollars IS 5001) • Name City State/Zip Telephone I State License I -=5";....;.l..;::3:;..y'..._-"3_c.(-+-- Addrua ,d License Cius _\3...__~----C.. ____ -_t __ O __ _ City Bu■ineu uc-• I _______ _ Designer Name City State/Zip Telephone State License I _________ _ ,..,::..woRKEJm~ iCOMPENtl.'1Ul~-as;;,Ji!iH:£~r.-"Y.E:.~..:;.S:.!,=i.;:;.:tl~.!.w~~~.?.:"~=:.t~:·~:~~ ..-:.; ; • : ::'!Jrkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dect■retlons: -,sJ... I have and will maintain • certificate of consent to ■111-insure for workers' compeneation ■s provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Ji! 1 have end will maintain workers' compensation, ■s required by Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. My worker'• compensat~n insurance carrier ■nd policy number 1r1: . / ? _ lnsuranceCompany V Sr PolicyNo. s110101;>.1 Expir■tionDate;;, /;)...-aRJ !THIS SECTION NEED NOT IE COMPLETED IF THE PERMIT 19 FOR.· ONE HUNDRED DOLLARS lt100) OR LESS) 0 CERTIRCATE OF EXEMPTION: I certify that in the performance of the work for which thia permit la iuued, I ah■II not employ any person in any manner ao H to become subject to the Workers' Compana■tion Laws of Callfomia. WARNING: Failure to Hture wllftr-■' compenutlon -rage I■ unlawful, end ehel ■ullject en employer to c:rimlnel peneltiN end clvll ftn1s up to -hundred thousand doU■ra 1$100,0001, In eddltion to the cost of compenuticin, demegu u provided to, In Section 3708 of the Labo, code, Int-st and ettomey'a f-. ~~~-~:~~-;;:a::u::i;:::to£Jt'o:.=:=.E::c:!D;,.;;:;11;;:::rf0f4,:;;::. ;;~::::. :::;=_:_ ::::::;;;_ ;::;:•;;'-";:;,_,..::;;;. :;,,;:~:,;:_-':.-.=:.=.:·r~;:,;::;_:::~;;_;_;;._:;;~:;;_,,;:;;r;:;, "l'l'.; __ ;;(F;;;,,:;;f';;:::·~~_::-::_:1;;::::;:~;:.,.,::;_ :, .. ~~ .... -;~..:;f:s,_~'.f.:'':-:-:::;:::::-:-·•• ·-· .•. ·•·· • I hereby affirm that I em exempt from the Contractor· 1 License Law for the following re■aon: 0 I, es owner of the property or my employNs with w■gu H their aole compenution, wlll do the work ■nd the stNctur■ Is not intended or offllf■d for Hie (Sac. 7044, Business and Prof ... 1on■ Code: The Contractor'■ License Law dou not apply to en owner of propa,ty who build• or improvH theraon. and who does such work himself or through his own emploven, provided thst such improvements ■re not intended or offered for Hie. If, however, the building or Improvement Is sold within one year of completion, the owner-bulkier will hive the burden of proving that he did not build or Improve for the purpo■e of Hl■l. 0 I. as owner of the property, em exclLiaiv■ly contrecting with licensed contractors to construct th■ project ISac. 7044, IILiaineu end Prof11■1ona Code: The Contractor's License Law does not apply to en owner of property who builds or improves thereon, end contr■cta for ■uch pro,.cts with contr■ctor(s) licanHd pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Bu■inns end Profe111ons Codi for this r1■1on: 1 • I parsonelly plan to provide the major labor end materials tor construc:tion of the propo■1d property improvement. 0 YES ONO 2. I (have / have not) 11gn1d en application for• building permit for the propos■d work. 3. I have contracted with the following parson lfirmt to provide the propoHd construction linclud■ n■me / address / phone number / contractors hcanse numbarl: 4 I plan to provide portions of the work, but I have hired the following person to co0rd1n■te, supervise end provide the m■1or work (Include name / addre■s / phone number / contractors license numberl: _______________________________________________ _ 5. I will provide some of the work, but I have contracted (hiredl the following pereona to provide th■ work Indicated (include name / address / phone number / type of workl: ___________________________ ...,.. _____________________________ _ PROPERTY OWNER SIGNATURE DATE ---------------------------COM Pt.ETE THIS.'SECTl0,.~'N~ffl~~1mf,~-;.¾.£:!it,L$.;;.ii..:,F .!:°'~~_:-:·::•·;·;:•' ,· ""'._-,~,-~--·• :-: Is the applicant or future building occupant required to ■ubmit • buaiMSS plan, ■cutely huardous mst■riais registr■tion form or risk management end prevention program under Sections 25505, 25533 or 26534 of the Preeley-Tenner Hu■Nloua Subst1nc1 Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain• permit from the ■ir pollution control district or ■ir quality m■nagemem district? O YES O NO Is the facility to be constructed within 1,000 fNt of the outer boundary of • ■chool ■It■? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 11·s·.-:-.:·~oNSTRUCTION'iENDJNG·~~:l-:.,: .. .,;~~..t:;;;,,,,.i;;'z.,~'!;~:.;-=-~~;;;;.:;;:;:.~,.;~;f...;;,~,:;~--'~--.:. • I hereby affirm that there is • constNction lending agency for the performance of th■ work for which this permit is issued !Sec. 30971il Civil Code). LENDER'S NAME---:--:-:-:-:-"':".'.:::-~=--:::=::-:= LENDER'S ADDRESS ________________________ _ :9,_;,;.AtiPUC~-CERnRCATio~P.:r~~..:p:~,~"""0;"~~~~.§r,~~:,,,,~;;,·•·::,_:·: •. I certify that I have read the application ■nd lt■te that th■ above Information is correct ■nd that the Information on the plans is accurate. 1 agree to comply with all Crty ordinances and State laws relating to building constNction. I hereby 1uthoriz■ representatives of the Citt of C■rtsbad to enter upon the above mentioned property for inspection purpoaes. 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 excav■tiona over 5'0" dNp end demolition or construction of ltructuru over 3 stories 1n height. EXPIRATION: Every permit issued by the Building Official under the provi■iona of this Codi ■hall expire by limitation and become null and void it the building o• work authorized by such permit 1s not comm■ncad within 365 d■ys from the dste of auch permit or If the building or work authorized by such permit 1s suspended or abandoned at any time after th work is commenced for • 11erio of 18 di (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE _-'-/..,._;;2_..-"-/ _J_-c;_.;_~__,_ __ PINK: Finance