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Home My WebLink About1 LEGOLAND DR; ; CB050293; Permit'<!~/ t '-·"" Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: \\).J ~\\' City of Carlsbad ,,,/ \ / ( 16l5 Faraday Av Carlsbad, CA 92008 · .... ,, Plumbing Permit Permit No: CB050293 Building Inspection Request Line (760) 602-2725 1 LEGOLAND DR CBAD PLUM 2111000900 Lot#: O Construction Type: NEW LEGOLAND INSTALL SEISMIC SHUT OFF VALVES 23 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/31/2005 SB 01/31/2005 01/31/2005 SOUTH COAST PLUMBING LEGOLAND CALIFORNIA INC <LF> LEGOLAND ESTATES AG SUITE# 258 5850 WEST 3RD STREET 90036 310428-7076 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 Additional Fees TOTAL PERMIT FEES Total Fees: lnspecto~ $87.00 1 0 0 0 0 0 0 1 LEGOLAND DR CARLSBAD CA 92008 $20.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $60.00 $0.00 $0.00 $0.00 $87.00 Total Payments To Date: $0.00 Balance Due: $87.00 FINAL APPROVAL Date: .:Z ..-tf' --t; J 0728 01/31/05 0002 01 CGP Clearance: ------ 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 fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. O·") ,,_ 87,00 FOR OFFICE USE ONLY PERMIT ·APPtlCATION PLAN CHECK NO . O:;> 0 2 7 3 CIT-Y OF'CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units }Assess.or's Parcel # pDescription of Work # of Bathrooms 2. CONTACT PERSON (if different from applicant) .Name 3. APPLICANT ~ontractor Address 0 Agent for Contractor ame -1:'l:i<>PERTY 5. CONTRACTOR· COMPANY NAME 0 Owner City 0 Agent for Owner City State/Zip Telephone # Fax# State/Zip Telephone# Telephone # I Name City State/Zip (Sec. 7031.5 Busin?ss and Professions Code: Any ~ity or.County which requires a permit.to construct, alter, improve, demo_lish or repair any struc~ure •. prior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the prov1s1ons 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]) . .....J..ll~VIl.L~.'41L..i~l\Wll.Ucl--__.i.L.\l..Ml~~w~.~'-q~_J_~~~~~s.lJ_.,2!,,~'~A~~-:-1-.L.!--,~~_..u~-~2=.w._-.......... '-1.~ Name City State/~p _ _ Tel~one # ( State License # Z l./ 0 7 3 {o License Class City Business License # J:::s±r> I\P£:} ~ ·ell c:f, ', lhM+ saso w . :rc:i LA . C..A . j003' 3 IO ~ 1:f? .. fI -Jc{?~ Designer Name Address City State/Zip Telephone 6. WORl<ERS' COMPENSATION ) State License # ~ 4 Q 13 b 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 NEEO NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) ~ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doUars ($fJ,0,00.9!:..i~n to:'.19 cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. VI SIGNATURE -~ DATE---------/0 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 I 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 I address I phone number I 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 I 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 I address I phone number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY DATE _________ ~ 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? 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 .• 6. 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--------------- ~. Al'PLICANT CERTIFICATION LENDER'S ADDRESS, ________________________ _ 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 ANO 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 lhe provisions of this Code shall expire by limilation and become null and void if the building or work Jthorized by such permit is not commenced within 180 days from lhe date of such permil or if the building or work authorized by such permit is suspended or abandoned any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). PPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/07/2005 Permit# CB050293 Title: LEGOLAND INSTALL SEISMIC Description: SHUT OFF VALVES 23 Type: PLUM Sub Type: Job Address: 1 LEGOLAND DR Suite: Lot 0 Inspector Assignment: OWNER LEGOLAND CALIFORNIA INC <LF> LEGOLAND ESTATES AG Owner: LEGOLAND CALIFORNIA INC <LF> LEGOLAND ESTATES AG Remarks: SEISMIC GAS SHUTOFF VALVES Total Time: CD _D_e_s_c-rip-t-io_n _______ ~ Comment 29 Final Plumbing .I Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Requested By: CURT HUNT Entered By: KAREN