HomeMy WebLinkAbout1007 Goldeneye Vw; ; CBR2017-0954; PermitResidential Permit
Print Date: 06/15/2018
Job Address: 1007 Goldeneye Vw
Permit Type: BLDG-Residential Work Class: P/M/E
Parcel No: 2110900700 Lot#:
Valuation: $ 0.00 Reference#:
Occupancy Group: Construction Type
# Dwelling Units: Bathrooms:
Bedrooms: Orig. Plan Check#:
Plan Check#:
ProjectTitle:
Description: HOTIO: INSTALL WATER SOFTENER
FEE
Owner:
TRUST HOTIO LIVING SURVIVORS TRUST
04-14-09
1007 Goldeneye View
CARLSBAD,CA 92011
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $ 166.00 Total Payments To Date : $ 166.00
(City of
Carlsbad
Permit No: CBR2017-0954
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
Closed -Expired
05/05/2017
05/05/2017
ECOWATER SYSTEMS OF SAN DIEGO
1351 Distribution Way, Ste 9
Vista, CA 92081-8832
760-754-1960
Balance Due:
AMOUNT
$166.00
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
,
Building Division
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
T,~:' FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING OFIRE
(city of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
JOBADDRESS lOOl V,e.w
CT/PRO.JECT# LOT# HASE# # OF UNITS # BEDROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE GARAGE (SF)
APPLICANT NAME
a. D,·
TATE C.:11<
FAX
DESIGN PROFESSIONA
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC. #
Date
SUITE#/SPACEfi/UNIT#
# BATHROOMS TENANT BUSINESS NAME
PATIOS (SF) DECKS (SF)
PROPERTY OWNER
ADDRESS
EMAIL
CONTRACTOR BUS. NAME r
t:.,.CO
ADDRESS\ 35l
CITYV1~
p"0~1oo -7S -c1Hoo
EMAIL
STATE uc•iq '2-') 03~
FAX
SW PPP
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING
YES0No0
FIRE SPRINKLERS
YESONoO
ZIP q 2,0l J
CITY BUS. LJS-f /" .,., ...u,t,l I fl
(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 require 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 of the Business and Professions Code} or that he is exemP.t 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)).
WORHERS' COMPENSATION
Workers' mpensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
ve 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.
I have and will maintain work~~ ,o pensaJion, as reQuired by Section 3700 of the Labor Code, for the performance of the wor)>tor ~iqh ~ permit is issued. My workers' compensatio insuranc carrier and policy
number are: Insurance Co. ,, 1 L~kl" -C . Policy No. A aqt,cCzS"lj l 0 'J Expiration Date _"2-=,-~~_,_,_,._ __ _
This section need not be completed if the permit is for one hundred ars ($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: Fallure to secure workers' comp satio erage rs unlawful, and shall subject an employer to crlmlnal p lties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damag ectio the labor code, interest and attorney's fees.
,fl:! CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason.
D
D
D
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).
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 contraclor(s) licensed pursuant to the Contractor's License Law).
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. Oves 0No
2. ! (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone I contractors' license number):
4. \ plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, bu! I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work)·
Rf PROPERTY OWNER SIGNATURE 0AGENT DATE
't'OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business p\an, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acfl D Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollu~on control district or air quality management district? D Yes D 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 JS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above lnfonnatlon Is correct and that the Information on the plans is accurate. I agree to comply with all Cify ordinances and State laws relating to building construction.
I hereby aulhO!ize represenlative of the City of CaJfsbad to enler upon the above mentiooed property for inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARlll!.ESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 1M11CH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for exc:avations <JoJef 5'0' deep and demo!' · struction of structures over 3 stones in height
EXPIRATION: Evef)' permit issued by lhe Building Official under th p · · of Code shall expire by Mmitatioo and become null and void if the building or work authorized by such permit is not commenced wilhin
180 days from the date of such permit or if e bu' · g or pennit is susp:'1}~ or abandoned at any time afterthewak is commenced for ape · of 180 days (Section 106.4.4 Unifonn Building Code).
AS APPLICANT'S SIGNATURE
-LWJ
DATE \i
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form lo City of Cansbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
D PICK UP: o CONTACT (Listed above) o OCCUPANT (listed above)
o CONTRACTOR (On Pg. 1)
D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
Cl MAIL/ FAX TO OTHER: ________________ _
..f! APPLICANT'S SIGNATURE
o ASSOCIATED CB#·------------
o NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE I NO CONSTRUCTION
DATE
ZIP