HomeMy WebLinkAbout1000 LANDS END CT; ; CB023818; PermitCity of Carlsbad
> .. 1635 Faraday Av Carlsbad, CA 92008
12-19-2002 Plumbing Permit Permit No: CB023818
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1000 LANDS END CT CBAD
PLUM
2145311200 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
Project Tille:
Applicant:
WAGNER RES-ELECT TO PORT SPA &
GAS TO FIRE PIT
Owner:
Issued:
Inspect Area:
WAGNER FAMILY TRUST 11-09-01 WAGNER FAMILY TRUST 11-09-01
1000 LANDS END CT
CARLSBAD CA 92009
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
0
0
0
0
0
1
0
1000 LANDS END CT
CARLSBAD CA 92009
ISSUED
12/19/2002
RMA
12/19/2002
12/19/2002
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$20.00
$0.00
$0.00
$0.00
$47.00
Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due:
EXPIRED PERMIT
PERM! r HAS EXPIRED IN ACCORDANCE WITH U.B.C.
$47.00
SECTION 106.4.4 3863 12/19 /02
DATE_,,, ,.;l;:,1,,,1\""a_.:,,_ SIGNATURE-',.;.c_l'(µJ~--
0002 01
CGP
Inspector:
FINAL APPROVAL
Date: 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
I i n f whi h h v r vi n iven a NOTICE imil r hi r whi h th I tut f limi ions has r i I herwi
02
47-00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No{)Ja 2-JJ!f
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit g...,
Validated By , (li,1----
Date / 2 I 11 [o?-
-.,2,,,r;~,l~~~liM~~~
Addres~ (include Bldg/Suite #)
. cf.5,3•
Business Name (at this address)
Legal Descrjiµj,Jn ~ Lot No. Subdivision Name/Numbe·r Unit No. -Phase No. Total # of units
:i.. rr-":;, I-12--
Assessor's Parcel # ,/'J5'77rt--"---C.J'r'S .J--
Description of Work
"-7-
5;:;:=;,e....
Proposed Use
~ 5.
SQ. FT. #of Stories # of Bedrooms
_f!i;'!Jrt. · •' !l'Jii1J1~i!ili~~~iii!li~liffc'Cnil~i!&O:G~~r:;;~3i\,:;;~r;+7:~1J/1 ''ii ;•:;~r
Name Address City State/Zip Telephone#
,:l.;\lil~Dil!Jt'l:!ti,lEEJ;'<ioil'il~P't11r,'mi:GJM:goi\lW,,,~iJ!l!i!il~J1i1:M3s~~•lli11li}g•11l'llo,:!l;'!il,ir,·, ,4lJ:;•. · .. , . ., ·• · .,:, · ,·• '"' _.,_
Name Address City State/Zip Telephone#
Name Address City State/Zip Telephone#
//
(Sec. 7031.6 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
JI.I¼!lkk'W:QJD{ilUii(~ti'MPbJJi'tJPM#l~i:;:1/c;i;; /:-'.~FJ,i;:,; ;~~i,:°''f,ill\its l'.):i:i:ii.T±;itW!!i\;%'-s,;Iiill>,;~?: r; -ili1ffyp;:rJ\li)i::;40;;,;. Xi'.lliJt :
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.
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 ($1001 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: Fallure to 1ecure worker•• compensation coverage la unlawful, and ahall subject en emplover to crlmlnal penalties and civil fines up to one hundred
thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fe01.
SIGNATURE ______________________________ DATE'";;-x°F£~F£::;;~-:::-8)--:'.';':tt:•,iJ:c·· ,~~~e:Qill~f~itlQ~;Nlff1\:it;;;;~f¥1"iitJ!titt!~"ti~!F:fl:iii:~Z~1~::q;;:1.trlt1:;jrif ,:f.::J:1t1}:~: (l\f¼~ '.:·· ~·;:ir>: ·:·:.;0::i:::>-!~;:0\t· .:0{-;tSt
I hei'eby affirm that I am exempt from the Contractor's License Lew for the following reason:
~s 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 Lew 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).
~ 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{sl licensed
pursuant to the Contractor's License Law),
0 I am exempt under Section ______ Business and Professions Code for this reason:
1.
2.
I personall,Y~---..._provide the major labor and materials for construction of the proposed property improvement.~
I (have ave not) igned an application for a building permit for the proposed work.
ONO
3. I have contracted with the following person (firm) to provide the proposed construction (include name/ address/ phone number/ contractors license number):
4. t plan to provide portions of the work, but t have hired the following person to coordinate, supervise and provide the major work (include name I address / phone
number/ contractors license number): ________________________________________________ _
5. I will provide some of the wor , but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone number/ type
of work): ________ f--J;.,-------:::_,,--------------------;-:::--r-:---:;7'c--.--------~~=;~;:(::~~~~~~N: .. o~·· "'8~.:iij.· -~~~~@i~fi~~iimiii~~,It~,:s~.,,f: ,~:,~,,.,~:sii~:.~!,,/i,;D·;A:;r,!E,;--::~~~':-;;:~~::;:::;--;;
Is the applicant or future building occupa t required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 5534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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.
:s::,]i!i'l!llJli!r't!IOC>riol!,tEI\IQ!ti~~(!l!'lc~,1,.•::,1,1".(i,
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 __________________________ _
·11_.:,,;~cAfl!L~CAN'l11CEl%TlflCi!Ttl!tt'Pl!'i i' "1 .. :;: ;, :,
I certify that I have read the application and state that the aboi/e information is correct and that the information on the plans is accurate. I agree to comply with a11
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 EXPEN ES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is requir d for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit iss d by the building Official under the provisions of this Code shall expire by limitation and become null an void if the building or work
authorized by such permit is not o menced within 180 days from th · if the building or work authorized by such per t is s pended or abandoned
at any time after the work is co ed for a period of Section 106.4.4 Uniform Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 01/08/2003
Permit# CB023818
Title: WAGNER RES-ELECT TO PORT SPA &
Description: GAS TO FIRE PIT
Type: PLUM Sub Type:
Job Address: 1000 LANDS END CT
Suite: Lot 0
Location:
APPLICANT WAGNER FAMILY TRUST 11-09-01
Owner: WAGNER FAMILY TRUST 11-09-01
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment:
Phone: 7604381405
Inspector: :J 'V'-1'--
Requested By: LAURI
Entered By: CHRISTINE
21 Underground/U~er Floor 0 c.,, ----~~~---~<--~-'-----1-/'-----------
3': k:1 d;~,,1~~✓ ¾ ------""'~£"~8=E1,..+.~ .f_li..,a±CL!t'L-t)<...· _· ----~
Associa~PCRs/CVs
Inspection History
Date Description Act lnsp Comments