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HomeMy WebLinkAbout1600 FARADAY AVE; MULTI-PERMIT FILE; CB062106; Permit'-' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-31-200€3 Mechanical Permit Permit No: CB062106 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1600 FARADAY AV CBAD MECH Status: Parcel No: 2121304200 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: INVITROGEN-INSTALL PORTABLE A/C Applicant: LARRY NICHOLSON 5781 VAN ALLEN WY CARLSBAD 92008 790 603 7279 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exbaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 1 0 0 1 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: C R C PROJECT ONE L P 1000 PIONEER WAY EL CAJON CA 92020 Total Fees: $88.50 Total Payments To Date: $88.50 Balance Due: ISSUED 07/25/2006 LSM 07/31/2006 07/31/2006 $15.00 $9.00 $0.00 $0.00 $4.50 $0.00 $0.00 $60.00 $0.00 $88.50 $0.00 EXPIRED PERMIT Inspector: PERMIT HAS E,'(P!RED IN ACGORDANCE Wlnl C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE :+\~o (a:, SIGNATURE al/4.r: 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 fees/exactions of which vou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK N0.~O6~/1:}f;;J CITY OF, CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ..+---,.<-;---+----- Validated By __ -.1,L_:;::!!:,!_:_ ____ _ Date·------1---1-==+=;;o=---- 1· •.. ,PROJECT INFORM~TION: . -. i -/ ,., Ibo()" :MAAOAY /MfE .. cAf?.Lg'PH) CA qzooto Address (include Bldg/Suite #) Business Name (at this address) ,..ur roa oe Cf\:15'.L.&f?Ab TRA'vr: ,Jo. g,~ -24 MAr 1-:2..gr;:- Legal Description Lot No. Subdivision Name/Number Unit No. '1:12 -l 20 -1-12-00 Phase No. Total # of units Assessor's Parcel # i h\4:t'A: iJ ... Existing Use POf?,iA13L:E; K, Proposed Use SQ. FT .. #of Stories # of Bedrooms # of Bathrooms CA C(iuofj ··1Gdl,D~pj2·71 State/Zip Telephone # Fax # State/Zip Telephone# / 4~.--PROPE~f.,·¥Y£/t:{ _ ~O ed.:. Name Address City S.tate/Zip Telephone# ; 5. -Q9N:'i'.RACTOR ~-COMPAN'{ \liA~j3 ' •• , v , ' ~ M ' (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 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 [$500]). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License# _________ _ ,f--·wJ>~l(E}\$i' ¢O.MPEN$-Ai'i6N .. ., _ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one 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 the work for which this permit is issued. D 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) 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal 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 fees. SIGNATURE _______________________________ DATE _________ _ --J-;7.. __ . :. Q,W~j;R~ij!Jj~i;>EjfpJ:QJ;AMTIPN· -• . . ' ' .. . ... -... • •. I he!;?v affirm that I am exempt from the Contractor's License Law for the following reason: !!a" 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 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). 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. 0 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 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):. _______ ---.'l""'""",.-:,;.-"'-':.:,.,C------,,,,c...++'-.l---=-=+----------------,----:;~---------- 7'pRoPERTY OWNER SIGNAT RE -::-:::~'-t-;!;L,~~!::,l:.;t;;{;~~'---:-::j~;'E-6"'-""""-.:;;;;!r::"""-----:- '.CQMP~~IlftHI$ $~ci1Qlil .Fll!-tl-Ntm Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. f~;....::...:M.N$T,R.VPTIOf\! l;_~_t;>lf\!!3. AGEfllC)' . . .. ' . -- 1 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 ________________________ _ :~A -. · '.A11.e~1gANI-.GPBT!fJGP-nQN: ... -~,.,_,_NY w,,,.,,_-,:,,,,n,_, "'"",""'", .:'"',,_ • ' ¼. ' 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 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 commence within 180 days 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 work is co fo a period of 180 day · 06.4.4 Uniform Building Code}. / /4 A APPLICANT'S SIGNATUREl-----,,4----~£.d~~-4-~:..;,.4~"'~-.!:"---------DATE 'Z/4 y'JJ G PINK: Finance ----------------------------------... -------------------------- June 11, 2007 INVITROGEN LARRY NICHOLSON 1600 FARADAY AV CARLSBAD CA 92008 Cit RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: MECH Permit Number: CB062106 Issue Date: 07/31/2006 ADDRESS: 1600FARADAY AV PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 07/11/2007. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 date of such permit (unless issued prior to 7 /1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 1-80 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the · permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below .indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-:2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wanschek Office Specialist 1635 Faraday Avenue • Carlsbad, CA 92008-731 4 <D (760) 602-2700 " FAX (760) 602-8560 @ City of Carlsbad 04105/2001 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB011305 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1600 FARADAY AV CBAD PLUM Status: ISSUED 04/05/2001 MDP 04/05/2001 04/05/2001 Parcel No: 2121304200 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: INVITROGEN Inspect Area: UNDERGROUND PLUMBING ONLY Applicant: GOOD & ROBERTS INC. 1090 JOSHUA WAY VISTA, CA 92083 619-598-7614 Total Fees: $35.00 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 Inspector: ~ Owner: C RC PROJECT ONE L P C/O HAMANN CONSTRUCTB9M 04/05/01 0002 01 02 475WBRADLEYAVE CGP 35n00 EL CAJON CA 92020 Total Payments To Date: 0 1 0 0 0 0 0 $0.00 Balance Due: $20.00 $0.00 $15.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $35.00 FINAL APPROVAL Date: "if'§,-/4; I I 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 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 Qiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # t)rJf>ef<_-foz ttJl> Pr Existing Use Od/./l¾r Description of Work ' SQ. FT. #of Stories ;g, ''¢i;>t.J''f~Q'.l')'Ell~ON ,lifo<ljff!1t~"i1t,,fj,om .llliPliC"aqt): : , : ·:· ,, : n .>-1,ro..---:,-,r J: .. PROPERTY OWNER Name Address City t~ ...... .J&ti!tllAQTQ'R, • CQ.Mf>..MfO'Jl,\l\(IE , .. • 1,, '', ! ,"3/"' • ,•, ;~: ''':~I FOR OFFICE USE ONLY PLAN CHECK No.O\-\~~ EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# • • < H • • ",Y, , " ''t,-,,_;, '" .., ,' ,' < < , (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 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 [$500]). k©D 1' fdlerrs I,tJc 2.32b a,-ore4:) er £h77-J ,,S'?'l'.-ULY Name Address /) City State/Zip Telephone # State License # /s,_97 ;a f3='/ License Class -~L)_~-------City Business License # _______ _ Designer Name Address City State License # _________ _ ~~:" 'WQf{kl:~$'¢t;lrv,P:e»sA:rJp'N""".''·,::,. :~---~-~--.: .. ~_;:-:,:-·----· ·::~,: :·:-:~-----,··--~_::,:. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone Y,'''"";~'""""" ~ --,h·~·~1;, , ,,;· ' '.,; 'V-'; ', ~ __ ,,, "' "' 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 the work for which this permit is issued. ~-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 • ~e .G.W't> Policy Ne)?),/) 3-~ Expiration Date /6-/-(J / (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE: __ _(_~~~~~:::::::::_______________ DATE r:--.£"-o/ "1:, : .PW.~.l;BfP.!JiLl;>J;R Pi;QJ.A.8. .191'! ... , ____ . .. : ... :·~---~~,:': < ".. . . ":. ~-___ , ... ~ .. .:..'.''._ __ ~ · /" ,.;' ~, .. ; .:·:. :" ;->:"': .' . · :· ... _. ' ..... : , , . ·~ ., 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). 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 / 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 -----------Q9M~l;!;'J:!;;,'l;!-II~ $~«;:TIQII!. FQ.B_;N.QIV.·/!E$IOENT//J,l;, !:!l!ltPIN.~,1P:~af),11r~ 9ijt.'(.: ,, .. _; .'.:: .. 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 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. :8,> .. ~o.~~'t.flU"Q,:1otr1;,~~DJN~ l:\.G~NqY: ' ·_. ,.-', :.. .'."~.:~"_-_;,_~~: ~ ·::'.~ ~ ".".~,-~_,·:_;:::'._'" 7 < -····:·: :~·-·· ""' ~ " ,, --, " -~"··: :, '' : ' 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 ,~;:· · Aj?P,1;.JQJ:\NT· CERTlFJQA;T!QN·.: -.. , . · .' . , . ·•. . · ... _: -~~-..:_: ... ::,:::,,_·-,,·: .. ;,:_::.:: . .:::.:;;;:;;::::::;::::::;::::::;:::::::::::;::::;::;::;;::::;:;:::::-:;::::::;:~:;:::::::;:::~';-;:7':::::--::;::::;:--:::::;:;:;:::::;:::::::;7~ 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 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 180 days 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 work is commenced for a perio of 18 days (Section 106.4.4 Uniform Building-Code). DATE __ 7'.__.__"'"',)'--"X::___,)+/ ___ _ t YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB011305 Title: INVITROGEN For: 08/14/2001 Description: UNDERGROUND PLUMBING ONLY Type:PLUM Sub Type: Job Address: Suite: Location: 1600 FARADAY AV Lot APPLICANT GOOD & ROBERTS INC. Owner: C RC PROJECT ONE L P Remarks: Total Time: CD Description 0 Act Comments Inspector Assignment: TP Phone: 7604970463 Inspector: .£Z__ Requested By: MIKE Entered By: CHRISTINE 29 Final Plumbing 4e ____________ _ Associated PCRs Inspection History Date Description 04/12/2001 21 Underground/Under Floor Act lnsp Comments AP TP 10/15/97 14:28 Page 1 of 1 B U I L D I N G Job Address: 1600 FARADAY AV Permit Type: PLUMBING Parcel No: 212-130-42-00 P E R M I T Suite: Lot#: Permit No: CB973056 Project No: A9703902 Development No: 0260 10/15/97 0001 01 C-PRMT 02 27-00 Valuation: O l Construction Type: NEW ISSUED 10/15/97 10/15/97 RMA Occupancy Group: Reference#: Status: Description: RUN GAS LINE FOR STOVE IN : EMPLOYEE LUNCH AREA Appl/Ownr : A & R SERVICE CO *** 1561 SO MISSION FALLBROOK CA 92028 Fees Required *** --~** 760 Applied: Apr/Issue: Entered By: 729-1178 FtiErs~follected & Credi ts *** 27.,, 60 ., • 00 : 027.00 -----/' -"· --------,,,, ~ -------------------------( ,' I , ' '-, ' f"' t / /" ' ""-, ~ ! ,, , .,.. J #'-' · · Total cred1 -t-s : . o o TotS:i P.~yrriehts": . O 0 ' >~ ' '' '\ Fees: Adjustments: Total Fees: ·· --.Ba1-ance. Due:\ 27. oo Fee description , A,' • ' \µdits,_' ")~e-e>1Un:it Ext fee Data --------------------' -· +---'~, __ ," ______ ---~~~ ' '. _____ ~-~ "::,L ___ ....:;,\ _________________ _ Enter "Y" for Pluml;:>ing Gas Piping System * PLUMBING TOTAL ,. , ; . \ :,. / \ '. ( C! \,' _,, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 20.00 Y 7.00 27.00 FOR OFFICE USE ONLY "PERMIT APPLICATION PLAN CHECK NO. 1+ 36 ~ b CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit __ .,.._ _____ _ Validated By Rk, Date /b ~ ( S__., )c;7 1. PRojECT INFORMATION . o FA-rl-->4-b 11-'-- Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 3-IJ:· I 2;0· 2:5:· oo Assessor's Parcel# Proposed Use G-4? w/A..f:: To ova,v· Description of Work sa. FT. #of Stories # of Bedrooms # of Bathrooms i2. Fax# ·11?3 '4. . PROPERfY:owNER -. . --. • . ,..,.~1" ~ _ . .:.:.\-(';: Name Address City State/Zip Telephone# :5. ·· .. CONTRACTOR. COMPANY NAMir ···-· ··. ,·, -': ·-: ......... :·····-:· -~: "'('."7:"'."':'::·~~?':'7::.~~:~-~:-::-:-:=~;7:?;'.';:I'.''7'.''.:::7:···-...---. . ' ' • (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 tor 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, end the· basis for the alleged exemption. Any violation of Sectjon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500(). ? · 1 tG "'-"' Z ~ Ir, Name Address City State/Zip Tele one State License#--"'---'-''--'--=-.;__--License Class C--5 b City Business License# /'t:C() Designer Name Address City State/Zip Telephone State License # ________ _ '6. WORKERS; COMPENSATION . . ........... ··---·-)~::-~_ ..... ., .. ··-:--::~:: ::~ .. ~-.. :: .. :~r .. ;_~::?'<· .. :~~~-.. :~:,/r;s:-·\;~~-·· :'I,,• ' 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 p~ovided by Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. My worker's compensation insurance carrier and policy number are: 7 Insurance Company fu t).PJ&T Or', lU Policy No. 0 "f)... (, I l[) 0 / Expiration Date [UOV '1 (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' Compe ation L ws of California. WARNING: Failure to secure wgik r1' ot!l~ffl11Pl!im-111J1e·l1 unlawful, and 1hall 1ubjact an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,00 nadd of compensation, damag111 Bl provided for In Section 3706 of the Labor code, interest and attorney's fees. -~'.GN~:::R-BU . . , ... '""··· "··."·.' .... ---~ ··:-~·.:,•:;_-"'.'~;~~~,:(0.:·,~?:::,:~~-7'4:t?.f:;:.-.~~z-:-c,.-?:·.;·~ ··' I hereby affirm t empt 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 aale. If, however, the building or improvement Is sold within one year of completion, the owner-build.er 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 contractorlsl 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 / 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 _________ _ rcoMPLET.E'THIS sEctioN FOR NON-RESIDEN11Ahu1LbiNO PERMitif.oNL f,;.'c~~:)~;:,,-~,r-~~~f:J·t;,:J:'r.'7!'icf.":ff-;.t~1:--..,,:i.'.'.":'='.i'~~\~f'.~:,~-'~~ .·· ~~ -·'"" ,-;. ' "r,::~:_, •. ,. ·-~ · :r··: 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 9r 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 distr~ct 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? 0 YES D 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, ta.-~ cor-istnucTioN LENDiNi:fAGENCY-··.:=·.:·0-·1.!7:;_··-:i-;·:-. ~:~·::·:"':~-;~"'i'f;:?l;'If~;:'.:"·~~,.!~":::•'"7·:···~-:~-· ·"':-::·r.;•--:·-..,,7 =··· -~-~ · ,, ... ,., .... ,,,~-·: · · ·: I hereby affirm that there is a construction lending agency tor the performance of the work tor which this permit Is issued (Sec. 30971il Civil Code). LENDER'S NAME ____________ _ LENDER'S ADDRESS ______________________ _ [![" . ---APPL1cAllit CERTIFICA tiorr: ~··' ~, ---.; .. ·,.,·•;•· :;m:::'!7 ·.,---,,,-":: ·.-:-.""'.--::7"'"'':-"'"''=":'.,,_c:c:,";'.· -=~0':.•:r.;:;;r;:·Tir:~><,''T.::~l~fl'-""'"::T-:·7-:"'TI':'f''""'i''f'"''"t. -;'r, "<· ,• · ""' :-·r· :·''. · ... ----·:: :"-' 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 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 Off · tfer the provisions of this Code shell expire by limitation end become null and void if the building or work authorized by such permit is not commenc · a m the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is r period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ----=~~-r----t'----------------DATE /CJ ·Is-· r 2 YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973056 FOR 10/20/97 DESCRIPTION: RUN GAS LINE FOR STOVE IN EMPLOYEE LUNCH AREA TYPE: PLUM JOB ADDRESS: 1600 FARADAY AV STE: INSPECTOR AREA PLANCK# CB973056 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: A & R SERVICE CO CONTRACTOR: OWNER: REMARKS: C/? SPECIAL INSTRUCT: PHONE: 760 72i29~-l PHONE: PHONE: INSPECTOR TOTAL TIME: --RELATED PERMITS--PERMIT# SE960085 FS960022 AS960069 FS970002 WM970001 C0970003 TYPE swow FIXSYS ASC FIXSYS WMETER COFO STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ----------- CD LVL DESCRIPTION ACT COMMENTS 23 PL Gas/Test/Repairs A ______ _ --------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS