HomeMy WebLinkAbout163 ACACIA AVE; ; CB091059; Permit06-25-2009
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB091059
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
163ACACIAAVCBAD
PLUM
2042310600 Lot#
Construction Type
ACACIA ESTATES-DUPLEX-REPLACE
0
NEW
GAS LINES FROM STREET TO METERS-FOR BOTH N163 &
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
06/25/2009
RMA
06/25/2009
06/25/2009
PC
Applicant
O'GARA CONSTRUCTION
PO BOX 1633
CARLSBAD CA 92018
434-7563
Owner
ACACIA ESTATES L L C
25261 PASEODE VALENCIA #3
LACUNA HILLS CA 92637
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
0
0
0
0
0
2
0
$2000
$000
$000
$000
$000
$000
$1400
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $3400
Total Fees $34 00 Total Payments To Date $0 00 Balance Due $34 00
Inspector
FINAL
DateM Clearance
NOTICE Please take NOTICE that approval of your project includes the Imposition" of fedfs 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 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
1635 Faraday Ave , Carlsbad, CA 92008
760-602-2747 / 2718 / 2719
Fax 760-602-8558
www carlsbadca gov
Building Permit Application
Plan Check No.
Est Value
Plan Ck Deposit
DESCRIPTION OF WORK Include Square Feet of Affected /treats)
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YES D #NO D
AIR CONDITIONING
YES D NO D
FIRE SPRINKLERS
YES D NO D
CONTACT NAME (If Different Font Applicant)
ADDRESS
APPLICANT NAME
ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE
EMAiT'
FAX PHONE FAX
EMAIL
CONTRACTOR BUS^IAME
VrT/G/Zs*
ADDRESS ADDRE
CITY
"PHGNT
STATE ZIP CITY STATE ZIP
FAX
EMAIL EMAIL
ARCH/DES'GNER NAME & ADDRESS 70
;ec 7031 S Eiiiiness 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 Hie a signed statement that he is
:ensed 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 exempt there from and the basis for the alleged exemption Any violation of
>ction 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
Workers' l ompensation Declaration / hereby affirm under penalty of perjury one of the following declarations
n I han; >nd 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
n /LJ I hav and will maintain workers' compeifeatipn^gs requirgdJjy-Section 3700xjf the Labor Code for the performance of the work lor which this permit is issued My workers' compensation insurance cap^jand policy
numc? are Insurance Co *?~)iJ(jLf£' j -^—//,^\^Jr Policy No Expiration Date ss ^rss£/^ —• •( 1^+' - X»- \ / r- fr-^ f,^ f
This sectur 'eed not be completed if the permit is for one hundred dollars ($100) or less /
LTJ Cer'ificate 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 compensatiotycoverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (4100,000), in
addition to (he cost of compensation, danjanesas provided fw<n SecUajwOB oMj?e Labprtpd^interest and attorney s fees
^CONTRACTOR SIGNATURE /fl^JZ^ts^/y/irSeZ^ ^ DATE
/ hereby aflum that I am exempt from Contractor s License Law tor the following reason
CJ 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)
G I as owner of the property am exclusively contracting with licensed contractors to construct the propel (Sec 7044 Business and Professions Code The Contractor s License Law does not applj to an owner ol
property wt-o builds or improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractor s License Law)
d I am exem'-t 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 D No
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 / 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 / contractors license numberi
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 / type of work)
.^PROPERTY OWNER SIGNATURE DATE
WSKP* ITi'-iiTf Pl'lE*lSww-«. «™?**I*SBS5?^'» ^ =-'-5* " ':i \--•;-• v.~:<;-':''" •,"•'-i i-ii ij^W^Jw"***--'*•»•••-•••-•"-•«*> •»» '•v** Jj-V.^i*{*^*s*^*assr^T™"^.iJ;*'SK • iji,.;!«1!^^
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 <'5534 of the
Presley Tanner Hazardous Substance Account Act' D Yes D No
Is the appli'.int 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' O Yes a No
IF ANY OF "HE ANSWERS ARE YES, /
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certify that' nave 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 ai/l'onze representative of the City 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 Al! LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An 03HA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones in height
EXPI RATIO' I 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 authonzed by such permit is not commencpd within
180 days fit • 'he date of such pemrayjr if the buildin^or work auJhCnzeo^such pe/hitjs syspSnded or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
DATE
CITY OF
CARLSBAD
Unscheduled
Building Inspection
Building Department
1635 Faraday Avenue
Carlsbad CA 92008
760-602-2700
DATE INSPECTOR
PERMIT #:CONTACT.
PHONE#
JOB ADDRESS-
DESCRIPTION
CODE DESCRIPTION
(.
ACT COMMENT
Bldr, Inspection Form Page 1 of 1 Rev 06/09