The URL can be used to link to this page

Home My WebLink About2100 COSTA DEL MAR RD; ; CB044319; Permit12-02-200? City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB044319 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2100 COSTA DEL MAR RD CBAD MISC 0000000000 $000 LA COSTA RESORT SOLIDS INTERCEPTOR i Applicant PASCHALL MEGHANICVAL 616 W 3RD ESCONDIDO 92025 Subtype OTHER Lot# 0 GOLF CART WASH W/ELEC Owner Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 12/02/2004 MDP 12/02/2004 12/02/2004 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT ELEC $6000 $2000 $000 $8000 Total Fees $80 00 Total Payments To Date $0 00 Balance Due $8000 6624 12/02/04 0002 OJ 02 80 » 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 qiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION i * CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 / J ft FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work 12 CONTACT PERSON (if different from applicant) FT #of Stories # of Bedrooms «X*A. tt of Bathrooms Address City [ Contractor. : d Agent for Contractor \j] Owner DiAgent for Owner State/Zip Telephone #Fax # City State/Zip Telephone # City Slate/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 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 b«.any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) ' ' v/J" ~' Name State License it f) "i^> 5> i ot Address License Class **-> 3\Q v-'fjl City State/Zip Q City Business License # 1 3 __Telephone # ' Designer Name State License # Address City State/Zip Telephone ^JWORKERS' I Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 W?Ba 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 insura/ice carrier and policy number are /• Insurance Company *^> \G^T^- N^KN yfl Policy No CD \ ^ I oH "0 J* Expiration Date \& ~ ~t '~ O S (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) I n 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_ia_secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollarSjs^O^^K^nTraatJjpMothe cost of comgwaation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees IGNATURE Vx*?^ DATE I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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) n I, as owner of the property am exclusively contracting with licensed contractors to construct (he 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) f~1 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 f~l YES I~|NO 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 / type of work) DATEPROPERTY OWNER SIGNATURE ___^^_ LCOMPLEtE THIS SECTION F^NW;RESiDENfU$j$<^^ -;„*;,-.,,•; " '' " ':'"" " jg''" ";=;;•'• . fn.r1"-" ' " • 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? fj YES (B NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES fJT NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES Si 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 a CONSTRUCTION LENDING*AGENCY . .'• ;"::;Pr .'..... j|) :'^h." ' . " ' «[" f • m--•--••• j I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER S ADDRESS 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 City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLE-SS 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 building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced withinlSQ days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned I at any time after the work is rapwnSfTpSESar a perioc^fs]80 daysXgeejJSfi 106 4 4 Uniform Building Code) /VAPPLICANT S SIGNATUFj DATE - 0s/ WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/27/2004 Permits CB044319 Inspector Assignment PD Title LA COSTA RESORT Description SOLIDS INTERCEPTOR @ GOLF CART WASH W/ELEC Type MISC Sub Type OTHER Phone 7605359504 Job Address 2100 COSTA DEL MAR RD Suite Lot 0 Location Inspecfdr APPLICANT PASCHALL MECHANICVAL Owner Remarks FINAL GRASS INTERCEPTOR @ GOLF CARTS Total Time Requested By RANDELL Entered By BINSPECT CD Description Ac,t Comment 29 Final Plumbing 1±L M Associated PCRs/CVs Inspection History Date Description Act Insp Comments 12/16/2004 21 Underground/Under Floor AP PD 12/16/2004 24 Rough/Topout AP PD 12/16/2004 34 Rough Electric AP PD POLICYHOLDER COPY P O BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 10-05-2004 CMP INC 901 LAMBERTON PI NE ALBUQUERQUE NM 87107 RECESVED OCT0720M Paschall Corporation GROUP 000046 POLICY NUMBER 12184-2004 CERTIFICATE ID 123 CERTIFICATE EXPIRES 10-01-2005 10-01-2004/10-01-2005 JOB ALL CALIFORNIA OPERATIONS This is to certify that we have issued a valid Worker's Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy C AUTHORIZED REPRESENTATIVE EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE ENDORSEMENT #1600 - SAM PASCHALL, PRESIDENT - EXCLUDED ENDORSEMENT #1600 - BRENDA PASCHALL, SEC,TRES - E3CCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-2003 IS ATTACHED TO AND FORMS A PART OF THIS POLICY PASCHALL MECHANICAL INC 616 W 3RD AVE ESCONDIDO CA 92025 SCIF 10262E Accept this certificate only if you see a faint watermark that reads OFFICIAL STATE FUND DOCUMENT [BSDIPRINTED 10 05 2004 PAGE 1 OF 1