HomeMy WebLinkAbout1075 CHINQUAPIN AVE; ; CB991283; Permit04/02/1999
City of Carlsbad
Plumbing Permit Permit No CB991283
Building Inspection Request Line (760) 438-3101
Job Address
Permit Type
Parcel No
Reference #
Project Title
1075 CHINQUAPIN AV CBAD
PLUM
2061200400 Lot# 0
Construction Type NEW
SEWER LINE AND CONNECTION FEE
Status ISSUED
Applied 04/02/1999
Entered By DT
Plan Approved 04/02/1999
Issued 04/02/1999
Inspect Area
Applicant
DIAMOND CONSTRUCTION
939 CORNISH DR
ENCINITAS CA 92024
6194369543
^Owner „„
WHELDON FAMILY BYPASS ^^"64/09/0,
C/tf'RICHARQWHELDON w«^w
'520 ROBERTS ST
DENTON TX 76201
0001 01 02
C-PRHT 1889 00
Total Fees $1 889 00 Total Payments To Date $0 00 Balance Due $1 889 00
v
Plumbing Issue Fee
Fixture or Trap i
Building Sewer »
Roof Dram
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
i
v
V" 6
\
\
0
1
0
0
0
0
0
$2000
$000
$1500
$000
$000
* $000
$000
$000
$000
$000
$1 854 00
TOTAL PERMIT FEES $1 889 00
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 tmely 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 capactiy
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 limitations has previously otherwise expired
CITY OF CARLSBAD
2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438 1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr Carlsbad CA 92009
(760)438 1161
1 PRQJECTJ
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck
Validated By
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor s Parcel #Existing Use Proposed Use
Description of Work
2 __^ONTACT PERSONJif different from applicant)
SQ FT #of Stories # of Bedrooms # of Bathrooms
Name \ /i Address City
3 APPLICANT US Contractor D Agent for Contractor Q Owner Q Agent for Owner
State/Zip Telephone i Fax #
Name
4 PROPERTY OWNER
Address City State/Zip Telephone #
Name Address City State/Zip Telephone #
6- 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
olation of Section 7031 5 by anyjpplicapt for a permit subjects the applicant to a civil penalty of not more than five hundred dollars!
-
Name
State License # O^S OO_)
Address
License Class A City State/Zip
City Business License
Telephone
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
l~l 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
l~l 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
dTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
M 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
^fo\ecome 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 dollarsJjLlQp OOOJrn addition to/the cost of compensation damages as provided for in Section 3706 of the Laborxode^interest and attorney s fees
SIGNATURE sQ^^e^/( £*~ff-& DATE /"V" /")
7 OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
l~) 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)
Q 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)
l~l 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 O YES FlNO
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 work (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? d 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' l~l YES l~l NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? d YES l~l 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 30970) 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 CitV 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
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 365yoays from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the<wo*k is commence^ for a period of 180 days (Section 106 4 4 Uniform Building Code) ,
APPLICANT S SIGNATURE ^r^l/^^l^j te~—•* DATE /
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Inspection Request
For 4/7/99
Permit# CB991283
Title SEWER LINE AND CONNECTION FEE
Description
Type PLUM Sub Type
Job Address 1075 CHINQUAPIN AV
Suite Lot 0
Location
APPLICANT DIAMOND CONSTRUCTION
Owner WHELDON FAMILY BYPASS TRUST
Remarks HSE TO SEWER LATERAL 436 9543
Inspector Assignment S »
Phone 6195802677
Inspector
Total Time
CD Description
22 Sewer/Water Service
Act Comments
Requested By SHAWN
Entered By CHRISTINE
Inspection History
Date Description Act Insp Comments