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HomeMy WebLinkAbout1920 PALOMAR POINT WAY; ; CB051683; Permit05-12-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB051683 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1920 PALOMAR POirMT WY CBAD PLUM 212120S300 Lot#: 44 Construction Type: TOTAL TRAINING © PALOMAR PT UNDERGROUND PLUMBING ONLY 0 NEW Status: Applied: Entered By; Plan Approved: Issued: Inspect Area: ISSUED 05/12/2005 MDP 05/12/2005 05/12/2005 Applicant: LANIKAI PARTNERS Owner LANIKAI PARTNERS II PO BOX 445 SANTA YNEZ 93460 P O BOX 445 SANTA YNEZ CA 93460 Plumbing Issue Fee $20.00 Fbdure or Trap 0 $0.00 Building Sewer 1 $15.00 Roof Drain 0 $0.00 Install/Repair Water Line .0 $0.00 Water Heater and/or Vent 0 $0.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 . $0.00 Other Plumbing Fees $o;oo Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $35.00 Total Fees: $35.00 Total Payments To Date:$0.00 Balance Due:$35.00 8180 05/12/05 0002 01 02 inspector: FINAL AP Date:Clearance; CGP NOTICE Please take NOTICE that approval of your project IndiHles the 1mpo8ltlon° of fees, de(ficallon8,rBS8)vation8, Of ottwr exactions hereafter coBecBvely retefTBd to as Teea/exacthm' You hm 90 days from the date this permit was Issued to protest Imposition of these fees/exactions. If you protest them, you must foltow the protest procedures set forth In Goveniment Coda Section 66020(a), and fie the protest arxJ any other tequfred Information wttti the City Manager for proceesing In accordance with Cailstrad Municipal Code Section a3Z030. Failure to timely folow thai procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their Impositioa You are hereby FURTHER NOTIRED that your tight to protest the specified fees/exactions DOES NOT AFW.Y to water and sewer connection fees and capacity changes, nor planning, zoning, gradtog or other dmiar application processing or service fees In connection with this prefect NOR DOES IT APPLY to any fees/exactions of which vou have orevtouslv been otven a NOTICE similar to this, or as to which the statute of imitations has orevtotBtv otherwise expired. 35-00 PERMIT.APPLICATION CiVv OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 il^ PROJECT INFORMATI /9.ZOAddress (include BIdg/Sulte #) FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit. Validated By_^ Date ^^/uaAjI J^f^/ CuA-^/ _ / Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total tf of units Assessor's Parcel # Existing Use ^ LJz^£^'rrf^ ^7-ru)cjy\J\ pLu/vv-\ (\[ajO^ Description of Work SQ. FT. #of Stories Proposed Use U of Bedrooms it of Bathrooms 2. CONTACT PERSON (If different from appllcont) Name Address 3 APPLICANT □ Contractor Q Agent for Contractor City wner. , Q Agenf'for;0wner': State/Zip Telephone #Fax # Name 4.. PROPEBTYipVVNl >1 /<A ' Address State/Zip (O trorgO 5r, ( '^Aa>7:w- Telephone U Name 6. CONTRACTOR - COMPANY NAME Address City State/Zip Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, aiter, 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 Codel or that he is exempt therefrom, and the basis for the aileged exernptlon. Any violation of ^octloaJOBI .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (45001). ' Pit,, ' Qta.a/7In T«Ia,.Ka..» M v ?C . - , .Name Address City ' State/Zip Telephone # State License #License Class City Business License # Designer Name Address City State/Zip Telephone State License # jte. WORKERS COMPENSATIONWorkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ I have ana win maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of tli^pSiork for which this permit Is Issued. \3i I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which tfiis permit isIssued. My worker's compensatiofi Insurance carrier aqd policy number are:/p /O V f fInsurance Company /\T (Lp^AJ (£>0* ^ ollcy No. ^ '^piration Date / / j j(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (4100) OR LESS) ^ ' □ CERTIFICATE OF, EXEMPTION: I certify that In the performance of the work for which this permit is issued, I shall not amploy any person In any manner so as to become subject to the Wwkers' Compensation Laws of California.WARNING: Failure.to aa^r© wmrkars' comp^aatlon coverage Is unlawful, and ahall subject an employer to criminal penalties and civil fines up to one hundredthousand dollars (41(10^^0), mad6\^on to^a cost of compensation, damages as provided for In Section 3706 of the Labor codfe Interest and attorney's fees.S'G^'ATURE ^ DATE_^ ij. i'HdwI hereby affirm that I am exempt fronoha Contractor's License Law for the following reason: or myO I, as owner of the property of 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 doessuch work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement issold within one year of completion, the owner-builder will have the burden of proving that he did not buiid 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: TheContractor'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). □ I am iaxempt 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. Q YES | |NQ 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 / tvoe of work): .-re 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? O YES Q NOIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ 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 THEREQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ;8. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a con<,tiuCtlon lending agenoy for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9 APPLICAMOERTIFICATION ^ ^ .. ... . .I co.tif, that I have read the application and state that the above information is oorrect and that the information on the plans is accurate. I agree to comply with allCity ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentionedproperty for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIESJUDGMENTS, 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 heightEXPIRATION: 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 workauthorized by such permit Is not commenced wlthln/i80 d^s from^^ date of such permit or If the building or work authorized by such permit is suspended or abandonedat any time after the work is commenced for a pjfiod ;^1^^|jXday^Section 106.4.4 Uniform Building Code). 1 / APPLICANT'S SIGNATURE -IITE: Flla YELLOW: Applicant PINK: Finance DATE :y/jiz/^cr City of Carlsbad BIdg Inspection Request Fon 05/19/2005 Permit# CB051683 Title: TOTAL TRAINING @ PALOMAR PT Description: UNDERGROUND PLUMBING ONLY Inspector Assignment: 1920 PALOMAR POINT WY Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT LANIKAI PARTNERS II Owner: Remarks: Phone: 7604972834 Inspector: Total Time:Requested By: PAT Entered By: JANEAN CD Description Act Comment 21 Underground/Under Floor M j£. Associated PCRs/CVs Date inspection History Doscriptlor Act Insp Comments