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Home My WebLink About1902 WRIGHT PL; 120; CB053515; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-20-2005 Miscellaneous Permit Permit No: CB053515 Building Inspection Request Line (760) 602-2725 Job Address: 1902 WRIGHT PL CBAD St: 120 Permit Type: MISC Subtype: OTHER Status: Parcel No: 2120912600 Lot #: 0 Applied: Valuation: $0.00 Reference #: Project Title: JDS SOLUTIONS-ADD PARTITION WALLS TO EXISTING OFFICE SPACE Applicant: JACOB CONSTRUCTION T I INC STE 103 27430 BOSTIK CT 92590 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOT AL PERMIT FEES PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: REALTY ASSOCIATES FUND V L P 600 W BROADWAY #3150 SAN DIEGO CA 92101 ISSUED 10/07/2005 LSM 10/20/2005 10/20/2005 $180.00 $0.00 $0.00 $180.00 Total Fees: $180.00 Total Payments To Date: $180.00 Balance Due: Inspector: ,/2~ FINAL APPROVAL Date: II i? /4 -r ; 9 Clearance: $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. 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 • • h • • Tl i ii • f Ii i • n FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. (!,Jo OS-~ 6-~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit-~-----+----- Validated By __ _._~..._ _______ _ Date __ '---1 -0=-+-/---'1-+/ ...... V_,_£.a.<,... ___ _ 1 . PROJECT INFORMA TIO~ + /9 0 2-(L)/2..t1lt /20 :J05 Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use Description of Work # of Bedrooms 2. CfeiACT PER;:; (if p},.ffer7t from applicant) ,(/c. 1 • G uG e!Fit? ,:27t/50 ,;.-r, er Name Address City State/Zip Telephone# Fax# 3. Owner O Agent for Ow er / otf,k e , • bJ 6Mr;eu11,,, Name Address City State/Zip Telephone# 4. PROPERTY OWNER '='ell'/ Name Address State/Zip Telephone# 5. 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 Code( or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of S".Eion 70~y any applicant for a permit sub·ects tt>,e apprcant to a civil penalty of rot mo'l \~an five hundred dollars ($5001). J ;O.C"lo c..o ~ut!.Tli, ·,:.1.--.1~ ~t/31) H ~t. OJ 11-\e~Ul""r C-11-\-. n r cto '117-?l·ultJ3 Name Address City State/Zip Telephone# State License # _'r,~,_>_~_~_/,_2.. __ _ License Class ___ /.J _______ _ City Business License # _______ _ 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 of the work for which this permit is issued. 0 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 policy number are: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) gJ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure t • ge Is unlawful, and shall subject an employer to criminal pena ties nd civil fines up to one hundred thousand dollars ($ pensation, damages as provided for in Section 3706 of the ,,wo co ;, l~est and attorney's fees. SIGNATURE: __ l!!!!'CZ..~'.f::::'.~::......;r.:....f'.~~&:::::...._______________ DATE _.,__U-f-..L...JC.....::v...::.Jc._ __ _ 7. 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 O NO 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 w ork (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 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. YELLOW: Applicant PINK: Finance £ii :;'~.■;~;ldla1 ••••~on Dept: ii"J1ding Engineering Planning CMWD St Lite Plan Check J\. . l ;. . JL .. -. __ () -~I "\("-{«' Fire Y-·~ '~ "I'\ Date: 11/02/2005 ~~ Permit#: CB053515 Project Name: Address: Contact Person: Sewer Dist: JDS SOLUTIONS-ADD PARTITION WALLS TO EXISTING OFFICE SPACE 1902 WRIGHT PL #120 Phone: CA Water Dist: CA Permit Type: MISC Sub Type: OTHER Lot: 0 , ........................................................................................................................................................ . Inspected Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ ................................................................................ , ......................................................................... , Comments: _______________________________ _ ~ ~ City of Carlsbad Bldg Inspection Request For: 11/01 /2005 Permit# CB053515 Title: JDS SOLUTIONS-ADD PARTITION Description: WALLS TO EXISTING OFFICE SPACE Type: MISC Sub Type: OTHER Job Address: 1902 WRIGHT PL Suite: 120 Lot 0 Location: APPLICANT JACOB CONSTRUCTION T I INC Owner: REAL TY ASSOCIATES FUND V L P Remarks: Total Time: CD Description Act Comment Inspector Assignment: TP --- Phone: 9517049330 Inspector: __/!._ Requested By: NA Entered By: CHRISTINE 19 Final Structural AL /NrL>ry nu ~!M'-/Jel'MJ/!~ Associated PCRs/CVs lns12ection Histo[Y Date Description Act lnsp Comments 10/21/2005 14 Frame/Steel/Bolting/Welding AP TP 10/21/2005 17 Interior Lath/Drywall AP TP 10/21/2005 24 Rough/Topout WC TP 10/21/2005 34 Rough Electric AP TP 10/21/2005 44 Rough/Ducts/Dampers WC TP Entries for ltem:3 -Fire-OK to Issue 08:45 10/12/2005 -Action Comments By Date AP This project has been reviewed and pp 10/12/2005 approved for the purposes of issuance of building permit. This approval is subject to field inspection and required test(s), notations hereon, conditions in correspondence and conformance with all applicable regulations. This approval shall not be held to permit or approve the violation of anv law. Total Rows: 1 Page 1