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Home My WebLink About2270 CAMINO VIDA ROBLE; I; CB994639; Permit12/16/1999 Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad Plumbing Permit Permit No:CB994639 Building Inspection Request Line (760) 438-3101 X.2270 CAMINO VIDA ROBLE CBAD, PLUM 2130504700 Lot#: 0 Construction Type: NEW INSPECT GAS LINE/PRESSURE TEST Status: ISSUED Applied: 12/16/1999 Entered By: GMF Plan Approved: 12/16/1999 Issued: 12/16/1999 Inspect Area: Applicant: AIR PERFECT SYSTEMS 1930 HAMILTON LN ESCONDIDO, CA 92029 760-735-8523 Owner; 7230 12/16/99 0001 01 CAR£88AplNQUSTR!AL ASSOCIATES C/Q JOHN W RUSSELL 116 MAIN ST#A TIBURONCA 94920 02 27-00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Inspector: FINAL APPROVAL Date-Clearance: NOTICE: Please take NOTICE thai 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 capactjy 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, o_r 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)438-1161 ^ FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By ^ Date ig-lte/QQ Address (include Bldg/Suite *) Legal Description Lot No.Subdivision Name/Number Unit No. Phase Assessor's Parcel *Existing Ua*Proposed Use -*„,„„,«*»...-_... ,,™—~-™™—— . jaaj»Bfew^.sma»«iBMgpiiM.'ggy (Sec"703*i.5 Business and Profasaions CodeTAnToty or County which requires a permit to construct, after, improve, demolish or repair any structure, prior to it* is*u.nce. elso requires the applicant for such permit to file a eigned statement that he is licanaad 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 a legad exemption. Anvyiolaiion of Section 7031.5 by any epplicant for a permit .subjects the applicant to a civil penalty of not morethan ^ve hundred dollars I $500». Name State License * V,3>M ofo*^» Designer Name State License * A:; ".WORKERS' CdMPENSJOIOft Address License Class Address C- r %sitfg£&&K&tfdx^^ City State/Zip P- *•— > Ctty Business License * City te^Bftee^*.?^^6*^ State/Zip ™pV3SC5E?":?-i*''!V •• *- Telephone # Telephone Workers' Compensation Declaration: I hereby affirm tinder 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 the work for which this permit is issued. Q 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 19 FOR ONE HUNDRED DOLLARS 1*100] OR LESS) Q. CERTIFICATE OF EXEMPTION: I certify that in the performence of the work for which this permit is issued, I shall not employ any person in any manner ao as tobecome subject to the Workers' Compensation Laws of California. WARNING: FaHym to secure worker*' compensation coverage la unlawful, and shad subject an employer to criminal penalties and chril fines up to one hundred thousand doUer/mlQO.OOO], In •ddttidn to 4w cost of compensation, damagu aa provided tor In Section 3706 of the Labor coda. Interest.and attorney's faaa. SIGNATURE (/TV^ DATE / 1 gi'y. ,t&x!}fc'!?&^.X*»*;~--?*fz., ~.t"<f I hereby affirm that I am exempt froh^jfrw Contractor's License Law for the following reason: Q I. as owner of the property or my employees with wages as their sola compensation, will do the work and the structure is not intended or offered for aale (Sec. 7044, Business end Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end who does such work himsetf 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 (Sac. 7044, Business and Professions Code: The Contractor's License Law does not epply to en owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). C] 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. Q YES QNO 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 parson to coordinate, supervise end 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): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTlONTORAraJvVRfiSto^ 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 2SS34 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES D NO Is the facility to be constructed within 1,000 feat of the outer boundary of a school site? Q 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. 1 hereby affirm that there is a construction lending agency for the performance of the work for which thia permit is issued (Sec. 3097{il Civil Code). LENDER'S NAME LENDER'S ADDRESS 9, ^APPLICANT CEHTTFICATlOr '-"."' . ' - 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. 1 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 5'0' deep and demolition or conatruction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Cods shall expire by limitation and become null and void if the building or work authorized by such permit is nptcommenced within 365 days from the date of such permit or W the building or work authorized by such permit is suspended or abandoned at any time after the-'wqhc is commenced for a ^eriodof ISgdevs {Section 106.4.4 Uniform Building Code),. APPLICANT'S SIGNATURE FE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 12/21/1999 Permit# CB994639 Title: INSPECT GAS LINE/PRESSURE TEST Description: Inspector Assignment: TP 2270 CAMINO VIDA ROBLE I Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT AIR PERFECT SYSTEMS Owner: CARLSBAD INDUSTRIAL ASSOCIATES LTD Remarks: GAS LINE PRESSURE TEST Phone: Inspector: Total Time: CD Description 23 Gas/Test/Repairs Act Comments Requested By: DON, AIR PERFECT Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments City of Carlsbad Inspection Request For: 12/20/1999 Permit# CB994639 Title: INSPECT GAS LINE/PRESSURE TEST Description: Inspector Assignment: 2270 CAMINO VIDA ROBLE Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT AIR PERFECT SYSTEMS Owner. CARLSBAD INDUSTRIAL ASSOCIATES LTD Remarks: SUITE I, DID NOT SAY WHAT TYPE OF INSPEC Phone: Inspector: Total Time:Requested By: DON Entered By: CHRISTINE CD Description 24 Rough/Topout Act Comments Associated PCRs Inspection History Date Description Act Insp Comments