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HomeMy WebLinkAbout2371 CARINGA WAY; G; CB011021; Permit03/15/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB011021 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2371 CARINGA WY CBAD St: G PLUM 2152404200 Lot#: 0 Construction Type: NEW SEA CREST LLC/ REPAIR GAS LINE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/15/2001 CB 03/15/2001 03/15/2001 Applicant: GRJ ENTERPRISES SUITE A 4599 MISSION GORGE RD SD CA92120 619-287-9806 Owner: SEACRKSTLLC C/QTHEORACdLE , 336SWETHEm.YDR BEVERLY HILLS CA 90211 4032 03/15/01 0002 01 02CGP 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 0 0 0 0 0 1 0 $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 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(3), 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 nave previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PiRMJT- APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 i. PROJECT TION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By. Date - Address (include Bldg/SuiteV)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total » of units Assessor's Parcel f Existing Use Proposed Use Description of Work 2. CONTACT PERSON W different from appfcant) #of Stories * of Bedrooms t of Bathrooms Name ^^ Address City 3, APPLICANT CTtontraotor Q Agent for Contractor Q Owner Q Agent for Owner State/Zip Telephone #Fax IT State/Zip Telephone * State/Zip Name Address City 4. PROPERTY* Name Address City 5. 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 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 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hund/9d dollars ($. LHSl-^^*1"" gpT ^ Nam?— " ^ State License * '-!&>(> City State/Zip City Business License * *» / /»-i / Designer Name Address City State/Zip Telephone State License * a, WORKERS'COMPENSATION .-'..' " ' ".;.•." .........'.:... '•'•'.-'\ •':':^:"'~"^- Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ^Wxl 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 carrje^and po(jcy number are: ,_ -Q*-, fis\ Insurance Company _J \ ^^ fiC». "'t'X^^t.3 Policy No. / ^ ^ ^2 O s3 c*~' W Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Q 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 es to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage la unlawful, and anal subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7, OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I. « 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 Lew 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). Q 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 contractorls) licensed pursuant to the Contractor's License Lew), n 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. O 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 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 neme / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTTON TOR WO«^«W£(V7X«BUILDINQ PERMITS ONLY ';'; ::..;. ;1\, "•'"''...; •':•>'.'•..>':.'' :.. ''' 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? O 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES D 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 OFRCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0. 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. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9, APPLICANT CERTIFICATION :,V- :: : •. ' :•-• :' ' -'. ,. -, • .," .''•;:,:/::' ^ff- • 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 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 S'O* deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the prav<Sions^oTklhjs Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced urfRto 1 SO days from the dare of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a p&if»J uf tOT^dayyfSSbfpn 106.4.4 Uniforr\ Building Code). APPLICANT'S SIGNATURE City of Carlsbad Bldg Inspection Request For: 03/16/2001 Permit* CB011021 Title: SEA CREST LLC/ REPAIR GAS LINE Description: Inspector Assignment: 2371 CARINGAWY G Lot Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT GRJ ENTERPRISES Owner: TURF CLUB VIEW LTD Remarks: Phone: 6192879806 Inspector:Al. Total Time: CD Description 21 Underground/Under Floor TA Act Comments Requested By: NA Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments fcafcaO. CERTIFICATE OF LIABILITY INSORM^E 8/28*2000 PRODUCER CB Ganaral Inauranoa Brokaraga 3115 JootbilJL Blvd. 1216 Glandlla, CA 91214 (818) 241-2970 INSURED ORJ cntaxpriaaa 4599 A. Mlaaion Qoxga Plaoa San Diago, , CA 92120 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER* CLARENDON AMERICA INSURANCE COMPANY INSURERS: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Tff A TYPE OP INSURANCE GENERAL LIAWUTY /S COMMERCIAL GENERAL LIABILITY I CLAIMS MADE IXI OCCUR QEML AGGREGATE LOUT APPLIES PER33poucvr~i5g& flu* AUTOaOal.iLIAM.ITY ANY AUTO MLOWNEDAUT08 SCHEDULEO AUTOS HIRED AUTOS NON4M/NED AUTOS OAKAHLUWLin ANY AUTO 1 OCCUR [DEDUCTIBLE 1 RETENTION CUUMBMADE *WORKIRS COMPENSATION ANDurtovmruAWUTY OTHER pouevNuwn OCLT 200 0677 ^asffy 7/20/2000 r8^.KES^N 7/20/2001 i ••' • UHTl EACH OCCURRENCE FIRE DAMAGE (Aiwom drat MED EXP (Aw enmtnart PERSONALAAOV INJURY GENERAL AGGREGATE PRODUCTS - COMnOP AGO COMBINED SINGLE LIMIT (EaiceMMO BODILY INJURY (Pwpmoit BODILY INJURY(PtriOCkM) PROPERTY DAMAGE(PvaockM) AUTO ONLY - EA ACCIDENT OTHER THAN ^A^PAUTO ONLY: tao EACH OCCURRENCE AGGREGATE l^?^l 1^ E.L EACH ACCIDENT EL DISEASE - EA EMPLOYEE E.L DISEASE- POLICY LNHT ,1,000,000 ,50,000 ,5,000 ,1,000,000 ,2,000,000 ,1,000,000 * 1 » t $ t » f $ t $ t s i s \y DESCRIPTION OP OPIRATWHS)LOCATIOHS/VEHICLEa/EXCLUE»N8 AOOH) tV ENDORSEMENT/SPECIAL PROVISIONS » CERTIFICATE HOLDER ADOmONAL MSURift ilSUMR LITTER:.CANCELLATION VERIFICATION PURPOSES ONLY***************** ******************************************* ******************************************* ******************************************* 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BI CANCELLED BEFORE THE EXPIRATION DAT! THEREOF. THE KSUWO INSURER WEJ. ENDEAVOR TO MAE. *" DAYS WRITTEN NOTICE TO THE CERTVICATC HOLDER NAMED TO THE LIFT BUT FAILURE TO DO SO SHALL aVOSI NO OBUOATION OR LIAWUTY OF ANY KMD UPON TNI INSURER, ITS AGENTS OR RBPRESENTATWES. // - /->. AUTHORIZED REPRESENTATIVE /CA^-, / / \ _, . ._ STEPHEN DDWB ^ft^it^i/ fty®*^ ' ACORD 25-3(7/97)©ACORD CORPORATION 1988