HomeMy WebLinkAbout2195 AVENIDA TORONJA; ; CB991694; PermitCity of Carlsbad
05/03/1999 Plumbing Permit Permit No:CB991694
Building Inspection Request Line (760) 438-31 01
Job Address:
Permit Type: PLUM Status: ISSUED
Parcel No: 255261 5800 Lot #: 0 Applied: 05/03/1999
Reference #: Plan Approved: 05/03/1999
Issued: 05/03/1999
Project Title: ACACIA RESIDENCE Inspect Area:
2195 AVENIDA TORONJA CBAD
Construction Type: VN Entered By: MDP
GAS AND ELECTRIC LINES 9254 05/03/99 0M)I 01 02
c-pR)(T 47.00
TOTAL PERMIT
I I Inspector: 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 "feedexactins." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 Cmely 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 ight to protest the specified feedexactins DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1 161
FOR OFFICE USE ONLY
PLAN CHECK NO. I EST. VAL.
Plan Ck. Deposit
Validated By
Date
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Proposed Use
ah\< \Jt TblG . #of stories # of Bedrooms # of Bathrooms
2 CONTACT PERSON M wtmt tron
Name Address City State/& . Telephone #
4. PROPERNOWNER
6. 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 parmit 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 applpnt to a civil penalty of not more than five hundred dollars l$5001).
State License x lo\\\ b (, License Class C-- 27 City Business License # \2O]q'l c?
Designer Name Address City StatelZip Telephone
State License X
6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued.
0 issued. My worker's corn surance carrier and policy number are:
Insurance Company Expiration Date
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
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
RED DOLLARS I$1001 OR LESS)
rk for which this permit is issued, I shall not employ any person in any manner so as
orkm' compenu*on coveraga is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred
n to the cost of compensation. damages as providad for in Seetiin 3706 of the Labor code, interest and attorney'a fws.
to become su
WARNING: Fai
thousand dollar
DATE
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 1, 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).
0 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 contractorb) licensed
pursuant to the Contractor's License Law).
0
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO
I (have I 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 I address I phone number I contractors license number):
Business and Professions Code for this reason:
4.
number I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDOYIUL BUUMNQ PERMITS ONLY
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 Resley-Tanner Hazardous Substance Account Act? a YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualiy management district7 0 YES 0 NO
Is the facility to be constructed within 1.000 feet of the outer boundary of a school site?
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
8. CONSTRUCTlON LENDING
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(i) Civil Code).
I plan to provide portions of the work, but I have hired the following person to coordinate. supervise and provide the ma;or work (include name I address I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indmted (include name I address I phone number I type
0 YES 0 NO
LENDER'S NAME LENDER'S ADDRESS
9. APPLICANT CERTIFICATION
1 certify that I have read the
City ordinances and State la
at the above information is correct and that the information on the plans is accurate. 1 agree to comply with all
uilding construction. I hereby authorize representatives of the Ci of Carlsbad to enter upon the above mentioned AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, CH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pe
EXPIRATION: Every
work authorized by s or abandoned at any
over 5'0' dwp and demoliion or construction of structures over 3 stories in height.
Official under the provisions of this Code shall expire by limitation and become null and void if the building or
within 365 days from the date of such parmit or if the building or work authorized by such permit is suspended ced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATUR DATE 1-
WHITE: File YELLOW: Applicant PINK Finance
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City of Carlsbad Inspection Request
For: 5/4/99
Permit# CB991694
Title: ACACIA RESIDENCE
Description: GAS AND ELECTRIC LINES
Type: PLUM Sub Type:
Job Address: 2195 AVENIDA TORONJA
Suite: Lot 0
Location:
4PPLICANT : MEANS RANDY
Owner: ACACIA CREDIT FUND 5-A L L C
Remarks: G&E
Total Time:
Inspector Assignment: PD
Phone:
Inspector. &
Requested By: NIA
Entered By: ROBIN
CD Description
21 UndergroundlUnder Floor
31 UndergroundlConduit-Wiring
Inspection History
Date Description Act lnsp Comments