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Home My WebLink About1991 LANCEWOOD LN; ; CB063095; Permit10-26-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB063095 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1991 LANCEWOOD LN CBAD MISC 2550122000 $000 Subtype OTHER Lot# 0 LA COSTA GLEN TEMP OFF @ CENTRAL PLANT.BATHROOMS Applicant CONTINUING LIFE COMMUNITIES LLC 1940LEVANTEST CARLSBAD CA 92009 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/26/2006 MDP 10/26/2006 10/26/2006 Owner CONTINUING LIFE COMMUNITIES LLC 1940LEVANTEST CARLSBAD CA 92009 Miscelaneous Fee#1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT PLUM, ELEC.MECH $16000 $8000 $000 $240 00 Total Fees $240 00 Total Payments To Date $240 00 Balance Due $000 Inspector FINAL APPROVAL Date *Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. Validated By Date La Costa Glen CB- 04- 4304 PO$-105 Address (include Bldg/Suito #) 1991 Lancewood Central Plant Business Name (at this address) Legal Description Lots 8 & 9 Lot No Subdivision Name/Number Tract No 92-08 Green Valley Unit No Phase No Total # of units Assessor's Parcel #255-012-17-00 Existing Use Proposed Use Description of Work SQ FT #of Stories # of Bedrooms # of Bathrooms Gary"E Kutz 1940 Levant e Street Carlsbad CA 92009 .„„, .... - , • v-v •' (760) 704-6252 Name ame Address City 0;^ State/Zip "(760 ) -: Telephone #Fax # Name Address City State/Zip Telephone # Continuing Life' tioranunities LLC " 1940 Levante Street Carlsbad CA' 92009 (760)704-6300" Name Address City State/Zip Telephone # (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 hfi 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 # Address License Class City State/Zip City Business License # Telephone # Designer Name State License # Address City State/Zip Telephone i67T: w!bftpRSibaiir1PENSA?p£'";, '?|||isiii Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 tha work for which this permit is issued n 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) 0 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 Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE DATE . .. I hereby affirm lhat I am exempt from the Contractor s License Law for the following reason 0 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) Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) n 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 O YES [UNO 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 t/ie 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) B 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 / type of work) PROPERTY OWNER SIGNATURE DATE :".^"_'' Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form o' risk management a~d pro\ option program under Sections 25505, 25533 or 25B34 of the Presley-Tanner Hazardous Substance Account Act? D Y£S fj NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~1 YES l~l NO Is Ihu facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES Q 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 THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I 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 I certify t/iat I (rave 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 CitV 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 EXPIRATION Every permit issued by the building ( authorized by such permit is not commonced within j at any time after the work is cominonced J APPLICANT'S SIGNATURE deep and demolition or construction of structures over 3 stories in height inclor the pmyfSions of this Code shall expire by limitation and become null and void if the building or work iSys from/Wl&jelate of such permit or if the building or work authorized by such permit is suspended or abandoned 180 da^s>8ection 106 4 4 Uniform Building Code) WHITE File YELLOW Applicant PINK Finance DATE Inspection List Permit* CB063095 Type MISC OTHER LA COSTA GLEN TEMP OFF @ CENTRAL PLANT,BATHRO Date Inspection Item Inspector Act Comments 02/08/2007 89 Final Combo RB Fl final Friday February 09 2007 Page 1 of 1 UNSCHEDULED BUILDING INSPECTION DATE ^ * "^7 INSPECTOR DESCRIPTION ^ PERMIT # _^^£j£?^ PLAN CHECK,# CODE DESCRIPTION ACT COMMENTS