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HomeMy WebLinkAbout1214 WIND STAR WAY; ; CB022475; Permitc•ity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-05-2002 Pool Permit Permit No: CB022475 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1214 WIND STAR WY CBAD POOL Status: Parcel No: 2122120600 $13,591.00 Lot #: 0 Applied: ISSUED 08/26/2002 SB 09/05/2002 09/05/2002 Valuation: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: YANDA RES 415 SF POOL W /ELEC NO GAS MISSION POOLS OF ESCONDIDO INC 755 W GRAND AVENUE ESCONDIDO, CA 92025 619-7 43-2605 Plan Approved: Issued: Inspect Area: Owner: YANDA GLEN J&MICHELLE E 5'589 09/05/02 0002 01 CGP 1214 WIND STAR WAY CARLSBAD CA 92009 Total Fees: $283.67 Total Payments To Date: $84.82 Balance Due: $198.85 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES C learance: $130.49 $0.00 $84.82 $0.00 $20.00 $27.00 $1.36 $0.00 $0.00 $20.00 $0.00 $283.67 NOTICE: Please t ap val of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fe e 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 s 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 f . . h • I hi • h • I • 02 198 -85 \~~ AP.PLICATION FOR OFFICE USE ONLY CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. C.~:Z., Z..L-115 EST. VAL. I 3 0-q \ Plan Ck. Deposit 8 'I . 6 2 Validated By % Date <E>-"2., G:. --o L Business Name (at this address) bdivision Name/Number Unit No. Phase No. Total # of units , ,<'18 )8 ? • I\"' .,..,.., Proposed Use 0 Agent for Owner Name City State/Zip Telephone# 6. CONTRACTOR • COMPANY NAME (Sec. 7031. 5 Business and Professions Code: 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 !'I,.. 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 Name City State/Zip State License # /3,S {il~ City Business License # •~"'-'""'-I--#---"""'-__. Designer Name Address City State/Zip Telephone 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 ~ f the 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 co,:npensation insu!.!!l'ce carrier a policy number are:,/_/ Insurance Compan._.£t:...s..a..d..,c.>..--<--'""'---"''-L_._"'-=--------Policy No.tf}~ 1/!Q(:5 Expiration Date q/Q/ 0 Q (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 0 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 doll on, damages as provided for in Section 3706 of the t r'½'ttorney's fees. SIGNATURE:.£,,a:'.J.'J~~U.Z,,(~~""-.LL....U~~~...l.....::::..___________ DATE ----"...,_,.....,~=:...L..=..-"~::.. 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 THIS SECTION FOR NON-RESIDENT/AL 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 25505, 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(i) 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 if the building or work authorized by such permit is not commenced within 180 days fr m 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 1s co enced f a period of 180 ys (Secti~ 1 6 .4 Uniform Building Code). . / ~ _ J APPLICANT'S SIGNATURE -~a.t.~..::&.a."1..<3<:.i..,,X.~-LL..L.4,.&<,::_~.L..---------DATE 6/ C?y;}y (fd).__ WHITE: File YELLOW: Applicant PINK: Finance /I ;2 7-ALf City of Carlsbad Bldg Inspection Request For: 01/07/2003 Permit# CB022475 Title: YANDA RES 415 SF POOL W/ELEC Description: NO GAS Type: POOL Sub Type: Job Address: Suite: Location: 1214 WIND STAR WY Lot 0 APPLICANT MISSION POOLS OF ESCONDIDO INC Owner: YANDA GLEN J&MICHELLE E Remarks: Total Time: CD Description 59 Final Pool Associated PCRs/CVs lns12ection Histo!}'. Date Description Act lnsp Comments 10/31/2002 55 Fence/Pre-Plaster AP PD ALARMS OK Inspector Assignment: PD --- Inspector: ,,___...'---- Requested By: MICHELLE Entered By: ROBIN 10/25/2002 69 Final Masonry WC WRONG PERMIT # ENTERED 09/27/2002 52 Underground Plumbing WC PY 09/27/2002 53 Electric/Conduit/Wiring PA PY CONDUIT ONLY 09/23/2002 51 Excav/Steel/Bonding/Fence AP PD 09/19/2002 51 Excav/Steel/Bonding/Fence co PD ON CARD