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HomeMy WebLinkAbout2320 HOSP WAY; ; CB030878; Permit\J,\27(.p City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-26-2003 Plumbing Permit Permit No: CB030878 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2320 HOSP WY CBAD PLUM Parcel No: Lot#: 0 Construction Type: NEW Reference #: Project Title: THE GROVES REPLACE EXISTING GAS AND ELEC LINES FOR POOUSPA Applicant: MISSION POOLS OF ESCONDIDO INC 755 W GRAND AVENUE ESCONDIDO, CA 92025 619-743-2605 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 Additional Fees TOTAL PERMIT FEES Total Fees: $47.00 0 0 0 0 0 1 0 Owner: Total Payments To Date: $0.00 Inspector: FINAL APPROVAL Date: lP .. 5'r IH-"O 3 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/26/2003 SB 03/26/2003 03/26/2003 1212 03/26/03 0002 01 CGP $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0,00 $20.00 $0.00 $0,00 $0,00 $47,00 Balance Due: Clearance: $47.00 hat appr of your project includes the ~1mpositionw of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactio s You hav ays from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedur set forth in ernment 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 leas 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 hih ii "nNTIEiil ih I lhrwi 02 47-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.CP:oJ a (!3713 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit=---=,-------- Validated By~5_ ... D~------ Date 3 --Z f;-03 1. PROJECT INFORMATION Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms 2. t/.::Y~~ Name Address City State/Zip Telephone# Fax# 0 Owner O Agent for Owner Name 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 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 vlolation of Sec ·on 7031.; ~any applicant for a permits jects the appli ant a civil penalty of not more t n five hundred dollars [$5001). 0 C)O l.0 . .r-T,,,,,_ C _,,...,,..,. 7 Name State License ,t ?,:;;xu,7(.eO Address Y, City S te/Zip Telephone License Class~ .:'./4.:? City Business License # ~ 7 700 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 Ke work for which this permit is issued. 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 s d. My worker's compe sation ·nsurance__sairrier and po ·cy number are:~/ J Insurance Company Jo.£.JLJC.a......,ll..,.~--..L.L..1.=-li,;:------Policy No. (2L./W/(Q,3a'. Expiration Date ~I0/().:3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$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. SIGNATURE.~~<LL;~~U~!ioC~£,...L...L..t.'...£1.:d..4.,..-,,l.c....t.-~---------=:=:::- 7. OWNER-BUILDER DECLARATION I hereby affirm that 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). 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(s) licensed pursuant to the Contractor's License Law). 0 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. 0 YES ONO 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):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit e 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 8. CONSTRUCTION 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(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT 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 Cit\' 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 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 within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co need fo period of 180 (Section 106 4.4 niform Building Code). /43 /, APPLICANT'S SIGNATURE • DATE Q ~ 6 0-..:5 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/16/2003 Permit# CB030878 Title: THE GROVES REPLACE EXISTING Description: GAS AND ELEC LINES FOR POOUSPA Type: PLUM Sub Type: Job Address: 2320 HOSPWY Suite: Lot 0 Location: APPLICANT MISSION POOLS OF ESCONDIDO INC Owner: Remarks: GATE CODE *1973 Total Time: CD Description Act Comment 59 Final Pool Associated PCRs/CVs lns11ection Histoty Date Description Act lnsp Comments 04/16/2003 51 Excav/Steel/Bonding/Fence AP JE 04/16/2003 52 Underground Plumbing AP JE 04/16/2003 53 Electric/Conduit/Wiring AP JE Inspector Assignment: JE --- Phone: 7607432605 EX 215 Inspector: JV Requested By: MICHELE Entered By: CHRISTINE 04/16/2003 55 Fence/Pre-Plaster NA JE NEED HEALTH DEPT 04/14/2003 23 Gas/TesVRepairs 04/14/2003 53 Electric/Conduit/Wiring 04/14/2003 55 Fence/Pre-Plaster NA co co JE JE JE PROVIDE ACCESS TO ALL NEW ELECTRICAL AND EQUIPMENT PROVIDE TEMP GATES