HomeMy WebLinkAbout1930 PALOMAR POINT WAY; 106; CB061917; Permit07-06-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB061917
Building Inspection Request Line (760) 602-2725
Job Address;
Permit Type:
Parcel No:
Reference #:
Project Title:
1930 PALOMAR POINT WY CBAD St: 106
PLUM
2121205000 Lot#: 0
Construction Type: NEW
SPEC SUITE
UNDERGROUND PLUMBING ONLY, SEEPC06-0036
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Applicant:
LANIKAI PARTNERS II
P O BOX 445
SANTA YNEZCA 93460
Ovmen
LANIKAI PARTNERS II
P O BOX 445
SANTA YNEZCA 93460
PENDING
07/06/2006
MDP
Plumbing Issue Fee $20.00
Fixture 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 f 0 $0.00
Other Plumbing Fees $0.00
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:$35.00 Balance Due;$0.00
Inspector:
I^INAL 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 fie the protest and any other required Inform^ wtf the City Manager for
processing In accordance wlh Carlstrad Munidpai Code Section 3.32.030. FaDure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their Imposltioa
You are heretiy FURTHER NOTIFIED ttiat 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
f9w/exBCtlQf« Of Which VCHJ have previouiity been given a NOTICE sbniar to this, or as to which the statute of limitations has orevioustv otherwise exotred.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PRgjIECT INEOR^TION D
\ jf rjOA^/
FOR OFFICE USE OI^LY
PLAN CHECK NO. Qff {)
EST. VAL.
Plan Ck. Deposit
Validated By i
Date '"1 (b
W
Address ^clude Bldg/Suite^)
nptKn ) Lot No. Subdivision Name/Number
Businj it this address)
Legal Des Unit No.Phase No.Total # of units
Assessor^Parcel #r^Parcel #
P6r >ylAyA /-
Description of Work
2.,' CONTMT PER^N (if differefll fruiii Uf^lcant)
Exisur^ Use —
SQ #
Proposed Use
. FT.of Stories # of Bedrooms # of Bathrooms
Name j Address
3. APPLICANT Q Contractor Q Agent for Contractor
City
wner Q Agent for Owner
State/Zip Telephone #Fax #
Name Address City State/Zip • Telephone #
0 Address City State/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
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 l$5001).
Name
State License tt
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name Address City State/Zip Telephone
State License #
6. WORKEfllS-COMPENSATION
WorkersL-Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations;
ITiave 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 [$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' Compensa^on Laws of California.
WARNING; Failure to secure work
thousand dollars ($100,000)^
SIGNATURE
npensation coverage is unlawful, and shall subject an employer to criminal penaldes and^ivil fines up to one hundred■io the cost of compensation, damages as provided for in Section 3706 of tflB^bo^qcre, ip^r^t/dnd attorney's fees.
j2ILPEffoECLARiR^ONij»(Trom tf
^DATE
7. OWNERJIML,I herebiPffmrm that I am exem^^it^from the Contractor's License Law for the following reason:
L 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{^ec. 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 is
sold witj3|Ev-oi1^year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
13^^, 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 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. □ 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);
persons to provide the work indicated (include Idress / phone number / type
DATE
5. I will provide some of the work, but I hava^nj/^cted (hireiD'the tdilowinq
PROPERTY OWNER SIGNATURE yf / //. ^
complete THIS SECTtpN FOR;
Is the applicant or future building occupant required to 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? □ YES □ NOIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO
IF ANY DP THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET DR IS MEETING THEREQUIREMENTS DP THE OFFICE DP EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
APPLICANT CERTIFICATIONI certify that 1 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 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. 1 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 S'O" deep and demolition or construction of structures over 3 stories in height.EXPIRATION: Every permit issued by the buildiMXJtficial und^the provisions of this Code shall expire by limitation and becomeauthorized by such permit is not commencedyrimtrvlBO days ffCm the date of such permit or if the building or work authorizedat any time after the work is commenced fp<^..fjejit5d of Ijjydays (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE /■
WHITE; File YELLOW; Applicant PINK; Finance
if the building or work
uspejxfbd or abandoned
DATE
City of Carlsbad BIdg Inspection Request
For 07/07/2006
Permit# CB061917
Title: SPEC SUITE
Description: UNDERGROUND PLUMBING ONLY, SEEPC06-0036
Inspector Assignment:
1930 PALOMAR POINT WY
106 Lot 0
Type: PLUM Sub Type:
Job Address:
Suite:
/
Location:
OWNER LANIKAI PARTNERS II
Owner: LANIKAI PARTNERS II
Remarks: EARLY AM PLEASE
Phone: 8586883077
inspector:
Total Time:
CD Description
21 UndergroundAJnder Floor
^
Requested By: MARK
Entered By: CHRISTINE
Act Commit
Comments/Notices/Hoid
J
Associated PCRs/CVs Original PC#
Inspection History
Date . Description Act Insp Comments