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HomeMy WebLinkAbout122 WINDVANE LN; ; CB040931; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-31-2004 Pool Permit Permit No: CB040931 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 122 WINDVANE LN CBAD POOL Status: Lot#: 0 Applied: Valuation: 2145901310 $1,441 .00 Construction Type: NEW Entered By: Reference #: Project Title: Applicant: LALOR RES-NEW GUNITE SPA 44 SQ. FT. AKS LANDSCAPE & DESIGN STE 102-401 825 COLLEGE BL VD OCEANSIDE CA 92057 760-433-3252 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 Plan Approved: Issued: Inspect Area: Owner: LALOR FAMILY TRUST 04-02-02 122 WINDVANE LN CARLSBAD CA 92009 ISSUED 03/22/2004 KMT 03/31/2004 03/31/2004 $29.73 $0.00 $19.32 $0.00 $20.00 $27.00 $1.00 $0.00 $0.00 $0.00 $0.00 $97.05 Total Fees: $97.05 Total Payments To Date: $19.32 Balance Due: $77.73 8807 03/31/04 0002 01 CGP Inspector: FIN AL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'lmposit1 n· of fees, de ications, reservations, or other exactions hereafter collectively referred to as ·tees/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 f i n f h Tl i ii r hi r whi h h f • h I 02 77. 73 FOR OFFICE USE ONLY PERMIT .APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHE<;,K NO. {!.,!Jo'{O '13 / EST. VAL. fJ I tit./!. Db II I 3~ 1. PROJECT INFORMATION 1 ;;l?, Wiod voN Address (include Bldg/Suite #) '5~ Business Name (at this address) Legal Description ~14-59a-\ C>I C Lot No. Subdivision Name/Number Assessor's Parcel # -s Existing Use '-I Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (if different from applicant) O::eo v,S Id~ $:\n c J e Ta.., re:\::\: ::toloS oe ml'.\<;., d R €>\ vd Name Address City State/Zip Telephone # ~x # 7 o-'631-~~ Name 4. PROPERTY OWNER M,\4? ~ C hi:,S:bru Lo..lor Name Co,,dsmd City CA/q~01:,9 State/Zip 7<..o -(d)3-q<{]8 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 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). A"--S Qto\<:> L/ OloS CX Eh.O~tde f,1\)d CX'ruvt::-1d .Q (Affil>lo ]fco~ 9</( -S/o qg Name Address City State/Zil Telephone # State License# ~i.:,s=,s9 License Class (-~1. C-i, (.-53 City Business License# 1..b7 c;7 ( 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: O 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. Ba 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 ~sbed. My worker's compensation insurance carrier and policy number are: Insurance Company S½ k (crq)f n'xn:i 1)0~5\Nll nee :futd Policy No. ) / S: 'op-;;2oo Y Expiration Date 7::J \ i 05 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$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 is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in additifn .to ~st of compensation, damages as provided for in Section 3706 of the abor code, interest and attorney's fees. SIGNATURE~ t,&p ~ DATE _,'3~..1£.s;z:.L..J.,L_l __ _ 7. OWNER-BUILDER DECLARATION I hereby affirm t hat I am exempt from the Contractor's License Law for the following reason: O 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). 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-RESIDENTIAL 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 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Otticial under the provisions ol this Code shall expire by limitation and become null and void if the building or worlc authorized by such permit is not commenced within 180 days from the date of such permit or if the building or worlc authorized by such permit is suspended or abandoned at any time after the work is commenced lor a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~.c::1o. 1 brrtt DATE _3c,./-=~:....cc)..C-L../Q=~-+------ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/21 /2004 Permit# CB040931 Title: LALOR RES-NEW GUNITE SPA Description: 44 SQ. FT. Type: POOL Sub Type: Job Address: Suite: Location: 122 WINDVANE LN Lot 0 APPLICANT AKS LANDSCAPE & DESIGN Owner: LALOR FAMILY TRUST 04-02-02 Remarks: Total Time: Inspector Assignment: JM --- Phone: 7609415648 Inspector: ----- Requested By: STACY Entered By: CHRISTINE CD Description Act Comment 59 Final Pool ~------- Associated PCRs/CVs lns12ection Histor:y Date Description Act lnsp Comments 07/20/2004 59 Final Pool co JM FIX LEAK @ EQUIPMENT DOOR ALARMS OK 07/13/2004 55 Fence/Pre-Plaster AP JM OK TO PLASTER -ALARMS @ FINAL 06/24/2004 55 Fence/Pre-Plaster NR PS NO EQUIP, NO ELEC 05/03/2004 21 Underground/Under Floor WC JM 05/03/2004 23 Gas/TesVRepairs AP JM EQUIPTP BBQ 04/26/2004 23 Gas/TesVRepairs AP JM EQUIP ONLY 04/23/2004 51 Excav/Steel/Bonding/Fence AP JM OK TO GUNITE (1) LIGHT/EQUIP