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Home My WebLink About1930 PALOMAR POINT WAY; 101; CB060991; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-08-2006 Plumbing Permit Permit No: CB060991 Buildin£1 Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: 1930 PALOMAR POINT WY CBAD St: 101 PLUM 2121205000 L~#: 0 Construction Type: NEW ARBOR SCIENTIA-UNDERGROUND PLUMBING ONLY-NO FURTHER CONSTRUCTION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: RANDY JONES LANIKAI PARTNERS II 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 0 1 0 0 0 0 0 PO BOX445 SANTA YNEZ CA 93460 ISSUED 04/11/2006 RMA 04/11/2006 04/11/2006 TP $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 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: Inspector: FINA~~L Date: Clearance: $0.00 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 pennit 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 oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. PERMIT APPLICATION CITY CA= CAF1LSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. Assessor's Parcel# _ 2.(2., J?r2-.:2D-c90 Existing Use Description of Work SQ. FT. 2. #of Stories FOR OFFICE USE 0~1, Oc:l PLAN CHECK NO. G(fdt) ( !/ EST.VAL.~~~~~~~~~~ Plan Ck. Deposit---------- Validated By t f (lJ; Date Lf _ L L [ DJ.J Proposed Use # of Bedrooms # of Bathrooms State/Zip Agent for Owner ...::J:. '(; j City State/Zip Telephone # 3. Nam 4. PRO~RTY OW~ER (') .--- L AN I IL,t I <t:AJL. '71,v~ :a--,. q(po &w t.ts--S-~7Y\-Y /1,.)i;S c: CA 15 WS:~<E, ~1"'( Name Address City S.tate/Zip Telephone # 5. 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 Any\oiolation of Secti 7031.5 by an applicant for a ermit subjects the appl' t to~ civi).penalty of not mor than five d,ep do rs [$}ie9!I. c.. l-J'::. (,., 7rL V: • l I , L f '2,/ ( Nam / City State/Zip Telephone ~S~ ..D°2.-~ State License # §DZ~ License Class City Business License # -------- Designer Name Address State License # LJ ( "7-r2 ( City State/Zip Telephone 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ 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 (ofthe work for which this permit is issued. FJ::::. 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 per it is j1ssued. My worker's compensation insurance ca'{jer and policy number are: Insurance Company ~/c ~ ,,DJk;~ Policy No. J C..WS]? { l.f CJ 5c:9 (Expiration Date__,_·..:-'./...L.__/.._.!.~~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) ~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: FaUure to s thousand dollars ( $100 ork s' co ensatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred the cost of compensation, damages es provided for In Section 3706 of the L code, lnte st and attorney's fees. SIGNATURE. _ _,.~"°"'"'...q.,,....a~-=::..-,1,~-=.--~~__,-------------- 7, OWNER- DATE_-""'ii~~~,.,.,_-{,,;Af't::3- m 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 intende9v6ffered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or impro es-tl<ereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, ho , 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 improv e purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct t Ject (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of on, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). D 1. ONO 2. 3. irm) to provide the proposed construction (include name I address I phone number / contractors license number): 4. I plan to provide portion e work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone e number): ________________________________________________ _ 5. some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type p ERTY 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 registratio~ or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES ~NO Is the applicant or future building occupant required to obtain a permit from the air pollution control dis · · quality management district7 0 YES% NO Is the facility to be constructed within 1,000 feet of the outer boundary of I e7 0 YES ~O IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFIC CCUPANCY MAY NOT BE ISSUED ~S THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERG RVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,B, CONSTRUCTION LENDIN CV ' I /L'.L. I hereby affirm tha ,s· a construction lend~8/cy ~erf~rmance of the work for which this permit is issued isec. 3097(i) Civil Code). LEND ' AME 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 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 b cling Official under th provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenc within ~da from e date of such permit or if the building or work authorized by such P. rmit is su pended or abandoned at any time after the work is comma I O d (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DA TE ....!=f.~c.-L-6,.~:..__'-"~~'---- YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/12/2006 Permit# CB060991 Inspector Assignment: Title: ARBOR SCIENTIA-UNDERGROUND Description: PLUMBING ONLY-NO FURTHER CONSTRUCTION Type: PLUM Sub Type: Job Address: 1930 PALOMAR POINT WY Suite: 101 Lot 0 Location: OWNER LANIKAI PARTNERS II Owner: Remarks: Total Time: CD Description Act Comment Phone: 8589670880 Inspector: ---- Requested By: DAVID ERB Entered By: CHRISTINE 21 Underground/Under Floor IS{!_ ______ _ 31 Underground/Conduit-Wiring -lff2------- w~~~~~~ ~ i-<> 1¥ Aft= Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection HistQ.ry Date Description Act lnsp Comments