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HomeMy WebLinkAbout1930 PALOMAR POINT WAY; 104; CB061916; Permit07-06-2006 ' City of Carlsbad 1635 Faraday Av Carlsbad, OA 92008 Plumbing Permit Permit No: CB061916 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1930 PALOMAR POINT WYCBAD St: 104 PLUM 2121205000 Lot#: 0 Construction Type: NEW SPEC SUITES UNDERGROUND PLUMBING ONLY, SEE PC06-0036 Applicant: U\NIKAI PARTNERS Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: LANIKAI PARTNERS ISSUED 07/06/2006 MDP 07/06/2006 07/06/2006 P O BOX 445 SANTA YNEZ OA 93460 P O BOX 445 SANTA YNEZ OA 93460 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Fleeter and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees $20.00 $0.00 $15.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $35.00 Total Fees:$35.00 Total Payments To Date:$35.00 Balance Due:$0.00 Inspector. FINAL APPROVAL Date: ^ ^Clearance: NOTICE: Please take NOTICE that approval of your project Irwludes the 'Imposition' of fees, dedications, reservatkxis, or other exactions hereafter collectlvely 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 fie the protest arxl any other required Infomnation wtth the City Manager for processing In accordance with Caristwd Municipal Code Section 3.32.030. FallurB to timely follow that procedure will tw any sut)sequent legal action to attack, review, set aside, void, or ann J 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 orevlouslv been given a NOTICE simaar to this, or as to which the statute of limitations has orevloustv otherwise exdced. PERMIT APPLICATION CITY-OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION fNVj- (d /<g'T FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date TTTTT Address ^clude Bldg/Suite^) nptrCn ) Lot No. Subdivision Name/Number Busiiifiss-Waxnaiat this address) Legal Des Unit No.Phase No.Total # of units Assessor^Parcel ffr^^^Parcel ff P^>/Vvv^ Exis^ng Use »Proposed Use Description of Work 2. CONMT^T PER SQ. FT.#of Stories # of Bedrooms # of Bathrooms Name SON (if different (ryiu a^licant) r\ r, yrKa^c^ J<3AJf^^ roh^v<r<- j Address City State/Zip Telephone Fax UCity 3, APPLICANT Q Contractor Q Agent for Contractor wner Q Agent for Owner Name /C4voi/.^i E/k/vr?vj£/^ ,7Zr 0 Address City State/Zip Telephone Address City State/Zip Telephone Name # 5. CONTRACTOR n 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 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 State License if Address License Class City State/Zip City Business License # Telephone if TelephoneDesigner Name Address City State/Zip State License if 6. WORKpSW^b Worker^.--C6rnpensation Declaration: 1 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 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 Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 ition Laws of California.to become subject to the Workers' Compel pensation coverage is unlawful, and shall subject an employer to criminal penalties and^ivil fines up to one hundredcost of compensation, damages as provided for in Section 3706 of ttie^bor/t^e, infere^cind attorney's fees. DATE ^ WARNING: Failure to secure worithousand dollars ($100,000)^n ^^ditipiSIGNATURE /cZL-7. OWNEB^UlLDEffDECLAI^^NI herebiKtffIrm that I am exem^^iOrom the Contractor's License Law for the following reason: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 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 iscniH ,.„tr„„..,fle~year of completion, the owner-builder will have the burden of proving that he did not build 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 contractDr(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _ Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. [21 YES | |NO I (have / have not) signed an application for a building permit for the proposed work.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 ha^ of work): cted, (hire lowing persons to provide the work indicated (include ncon^e / address / phone number / type DATEPROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR /^-RESIDENTIAL BUILWNG'^ERMITS ONLYIs the applicant or future building occupant required Xo a business plan, acutely hazardous materials registration form or risk management and preventionprogram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q 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? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO 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. OR IS MEETING THE 8. CONSTRUCTION LENDING AGENCYI 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 9. APPLICANT CERTIFICATION ~ . - ='PP'i<=fi°n and state that the above information is correct and that the information on the plans is accurate. I agree to compiv with allc ry 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 ArAiwdT ai i i rnnii iTiccJUDGMENTS, 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: Eveiy permit issued by the buil^Official undi^the provisions of this Code shall expire by limitation and becomeauthorized by such permit is not commenced)(,iftitf^0 days torn the date ot such permit or it the building or work authorized b'at any time after the work is commenced fp<^4$^d ot tSjJ'yays (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE /'—L- zu date WHITE: File YELLOW: Applicant PINK: Finance it the building or work petxffed or abandoned City of Carlsbad BIdg Inspection Request For 07/07/2006 Inspector Assignment; \^Permit# CB061916 Title: SPEC SUITES Description: UNDERGROUND PLUMBING ONLY, SEE PC06-0036 1930 PALOMAR POINT WY 104 Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER LANIKAI PARTNERS II , Owner: LANIKAI PARTNERS II Remarks: Phone: 8586883077 Inspector: Total Time: CD Description 21 Underground/Under Floor ^^ Requested By: MARK Entered By: CHRISTINE ct^ Comment Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments