HomeMy WebLinkAbout1031 PALM AVE; ; CB020932; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-28-2002 Miscellaneous Permit Permit No: CB020932
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1031 PALM AV CBAD
MISC
2051910100
$2,500.00
CINNAMON APTS
Subtype: REPAIR
Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/28/2002
MOP
03/28/2002
03/28/2002
ELEC,PLUM & FRAMING REPAIR,WATER HEATER
Applicant:
PIPES PLUMBING
1145 LAW ST
SAN MARCOS CA 92069
760 434-3067
Total Fees: $114.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector:
g~~;:MON APARTMENT PAR°ffi~sHri:;'8/G2
C/O JAMES F WEBER
580 BEECH AVE #A
CARLSBAD CA 92008
Total Payments To Date: $0.00
PLUM, ELEC
FRAMING
Balance Due:
$54.00
$60.00
$0.00
$114.00
FINAL APPR.5lbAL
Date: f"' 'b2 Clearance:
$114.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 seivice fees in connection with this project. NOR DOES IT APPLY to any
f f h" h v Tl hi r h i
-------·--··-·----------------
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. ◊L,.-Cf.:sz_.
CIT.Y OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By. __________ _
Date, _____________ _
1. PROJECT INFORMATION
N)~/ ,,,,H(H-r ,ldv,s-
Business Name (at this address)
Lot No. Unit No . ..,........__ Phase No. Total # of units
Assessor's Parcel #
#of Stories # of Bathrooms
.·cONTACT0PERSdN:Ot11fferent troin:appllcand. ~,-_ . y .,.e-.,e,vcr & ewv re e"?" p0,1. :: :114 .5,ll,s"
Name Address
3. :A~LICANT ~r8ctor · □-AQent·tOfCOl'ltnictor 0:0Wn,r
"lr'S
Name
4. . d111DPERTY OWI\IE~. . ,
CH~;::¢ Uw-..v
Name Address
6. . . CONTRACTOR ' COMPANY,Ni\14E
City
0 Ag9nt for Owner
SHP ._,,,tetJ<;,,
City
City
State/Zip Telephone# Fax#
State/Zip Telephone II
(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
exam ion. 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 ($5001).
-'<---"S ~ µ,-,4,.-,,,,,,:. 1/f/f t.-,,4...,J '6r. .: ,dnv t!,14 1 V.?tJ(;
Name Address
License Class JC~•~$~'1~f~~# __ _
City State/Zip TelephOne #
City Business License# 1/'fB 1/5"'3
Designer Name Address City State/Zip Telephone
State License # _________ _
e. 'WO~KE;RS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury ona of the following declarations:
D 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 t~rk for which this permit is issued.
ta""" 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 ~l'{arrr-14 vr 1A<?tttNP'i Policy No. Ct4"' (9', '13 3
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
Expiration Date Ju,/, lo z.. r·
D 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 worken' compensation coverage la unlawful, and ahaH subject an employar to criminal penalties and civil flnea up to one hundred
thousand dollara ($10 ,0001, In addit to the on, demagea •• provided for ln Section 3708 of the Labor cod., ~tereat and attorney's feea.
SIGNATURE _ ~ DATE '$D' ~il "'2,,
7. OWNER-BUILDE~ OECLAAA . ~ . . '
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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).
D l, 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).
D 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. D 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 numberl:
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 f contractors license number): ________________________________________________ _
5. r wilt 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 SECTIOl\l'.FOR NON41ESJl)liliTW. 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 26605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO
IF ANV 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 AG ENC~
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 MAV IN ANY WAY ACCRUE AGAINST SAID CITV 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 the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the d of such pennlt or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced r a period of 18 ays ( n 4.4 Uniform Building Code). ~ J.. _ /
APPLICANT"S SIGNATURE -~e;~:::l!!~~~G~~:::f~-----------OATE 3L~ L!_'Z 7 7
YELLOW: Applicant PINK: Finance
m m City of Carlsbad Bldg Inspection Request
For: 05/16/2002
Permit# CB020932 Inspector Assignment: RB
Title: CINNAMON APTS
Description: ELEC,PLUM & FRAMING REPAIR,WATER HEATER
Type:MISC Sub Type: REPAIR
Job Address: 1031 PALM AV
Suite: Lot 0
Location:
APPLICANT PIPES PLUMBING
Owner: CINNAMON APARTMENT PARTNERSHIP
Remarks:
---
Phone:
Inspector: -----
Total Time: Requested By: MIKE
Entered By: CHRISTINE
CD Description Act Comment
29 Final Plumbing .i_f___ ____________________ _
~l~· -~------1---------
-----·-----------------------------------
Associated PCRs
lns!;!ection Histo[Y
Date Description Act lnsp Comments
04/1912002 17 Interior Lath/Drywall AP RB
04/1612002 17 Interior Lath/Drywall NR RB
04116/2002 34 Rough Electric AP RB
04115/2002 17 Interior Lath/Drywall CA RB
04/15/2002 34 Rough Electric CA RB
0411112002 16 Insulation AP RB SEE NOTES ON JOB CARD
04/09/2002 14 Frame/Steel/Bolting/Welding AP RB
0410912002 24 Rough/Topout AP RB
04/09/2002 25 Water HeaterNents AP RB
04/09/2002 34 Rough Electric PA RB SEE NOTICE ATTACHED
04/08/2002 84 Rough Combo co RB NO PLANS, PERMIT
04/03/2002 84 Rough Combo co RB SEE NOTICE ATTACHED