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Home My WebLink About2270 AVENIDA MAGNIFICA; A; CB050880; PermitW' 03-1 7-2005 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Miscellaneous Permit Permit No: CB050880 2270 AVENIDA MAGNlFlCA CBAD St: A MlSC Subtype: REPAIR Status: ISSUED 1672503800 Lot #: 0 Applied: 0311 712005 $0.00 Entered By: MDP Plan Approved: 0311 712005 Issued: 0311 712005 BUILDING 25 Inspect Area: VERIFY SLURRY 63 OLD DRAIN UNDER UNIT A Owner: UNIVERSE INSTITUTIONAL VENTURES I L L C UNIVERSE INSTITUTIONAL VENTURES I L L c 9478 W OLYMPIC BLVD #300 BEVERLY HILLS CA 90212 9478 W OLYMPIC BLVD #300 BEVERLY HILLS CA 90212 Miscelaneous Fee #1 PERMIT Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $30.00 $0.00 $0.00 $30.00 ~~ ~ ~~ ~~ ~ ~ ~ Total Fees: $30.00 Total Payments To Date: $0.00 Balance Due: $30.00 FINAL APPROVAL -P- J Date: zgd4 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/exactionsP You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 Carisbad 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. 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 I 1. PROJECT INFORMATION Address (include BldglSufie #I 0 Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use I city Statelzip Telephone # Fax # Name Address 3. APPLICANT 0 Contractor c] Agent for Contractor 0 Owner 0 Agent for Owner ONTRACTOR - 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 Codel 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 Address City Statelzip Telephone # State License # License Class City Business License # Telephone Designer Name Address city Statelzip State License # RKERS COMPENSATION Cornpensation 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 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 I$1001 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 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 addition to the cost of compensation, damages as provided for in Section 3706 of t interest d attorney's fees. DATE "f""i""p-Op" he Contractor's License Law for the following reason: 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 contractor(s1 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 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: ON0 ~ ~~~ ~~ ~ 4. number I contractors license number): 5. 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): PROPERTY OWNER SIGNATURE //e - DATE ' COMPLETE THIS SECTION FOR NON-RE Is the applicant or future building oc program under Sections 25505, 33 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO ENTML BUILDING PERMITS ONLY pant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention Is the applicant or future building PlBC occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. 0 YES CTION 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 ADDRESS PLICANT CERTIFICATION 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 Citt 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION Every permit I authorized by such permit is n at any time after the work is c the provisions of this Code shall expire by limitation and become null and void if the building or work the date of such permit or if the building or work authorized by such permit is suspended or abandoned (Section 106 4 4 Uniform Building Code) PPLICANT'S SIGNATU DATE Permit# CB050880 of Carlsbad Bldg Inspection Request For: 03/28/2005 Inspector Assignment: PS Title: BUILDING 25 Description: VERIFY SLURRY @ OLD DRAIN UNDER UNIT A Type: MISC Sub Type: REPAIR Phone: 6619492855 Job Address: 2270 AVENIDA MAGNIFICA 1 @b 6 Suite: A Lot 0 Inspector: Bu Location: OWNER UNIVERSE INSTITUTIONAL VENTURES I L L C Owner: Remarks: PLEASE INSPECT AT NOON Total Time: Requested By: TONETTE CD Description Act Comment Entered By: CHRISTINE I I FtglFoundationlPiers & Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 03/23/2005 11 FtglFoundationlPiers AP PS OK TO SLURRY UP TO BOTTOM OF SLAB