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HomeMy WebLinkAbout2401 COPPER WAY; ; CB101259; Permit (2), f 07-08-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB101259 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2401 COPPER WY CBAD PLUM 2133100100 Lot#: 0 Construction Type: NEW ANAYA RES-GAS TO FIRE PIT & ELECT TO FOUNTAIN-< 6 FT HIGH Applicant: COTHRAN CONSTRUCTION 351 EUCALYPTUS AVS VISTA CA 92084 Status: ISSUED Applied: 07/08/2010 Entered By: RMA Plan Approved: 07/08/2010 Issued: 07/08/2010 Inspect Area: Owner: LCGREENS1.3LLC C/O DANNY GABRIEL 4747 MORENA BLVD #100 SAN DIEGO CA 92117 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 0 0 0 0 0 1 0 $20.00 $0,00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $47.00 Total Fees:$47.00 Total Payments To Date:$47.00 Balance Due:$0.00 Inspector: FINAL ARPRQVAL 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(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 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 have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ( \ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov JOB ADDRESS 4# SUITE#/SPACE#/UNIT# CT/PROJECT #PHASE # # OF UNITS I # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESD #NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Fom Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAMEER NAME / /* IAM* Cistele- ADDRESS u«ADDRESS / STATE ZIP CITY ATE ZIP PHONE FAX EMAIL y ARCH/DESIGNER NAME & ADDRESS STA CLASS 1 CITY BUS. UIC.# (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: O 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. {3 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance ofthe work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. \Tt.TjL Ct»«J> . ^**3n*»l 1A, [i.** Policy No. IWl" O^O ttl'Qty Expiration Date 4^7 / A^<9 I) This section need not be completed if the permit is for one hundred dollars ($100) or less. O 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 thousand dollars (4100,000), in addition to the cost of compensation, damages as pjovided for in Section 3706 Of the Labor code, interest and attorney's fees. / , /x^^y^V— ^\j^v / *~y j* jf JK CONTRACTOR SIGNATURE >^^T7Kr~~ OAGENT DATE /Ir&f •*-& f O (nereby affirm (fiat / am exempt from Contractor's License Law for the following reason: O 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). G 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 contractors) licensed pursuant to the Contractor's License Law). C3 I am exempt under Section ^Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes ONo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): pROPERTY OWNER SIGNATURE OAGENT DATE 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? a Yes d No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes ONo IF ANY OF THE ANSWERS ARE YES, t EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIDCITY 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 vvrjrjudthQiEed by such permit is suspended or abandoned at any time after the work is commenced for a^eriod of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE Sj^^&T^'^' DATE City of Carlsbad Bldg Inspection Request For: 07/14/2010 Permit* CB101259 Title: ANAYA RES-GAS TO FIRE PIT & Description: ELECT TO FOUNTAIN-< 6 FT HIGH 2401 COPPER WY Lot: Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT COTHRAN CONSTRUCTION Owner: Remarks: Inspector Assignment: Phone: 7609089540 Inspector: Total Time: CD Description 23 Gas/Test/Repairs 34 Rough Electric 31 Act Comments Requested By: MATT Entered By: CHRISTINE Comments/Notio Ids Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Check a License - Contractors State License Board Page 1 of 1 of Consumer Affairs «"*» • Contractors License card Contractor's License Detail - License # 861805 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. •» CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. -» Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. •* Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. * Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number 861805 Extract Date: 7/8/2010 MATfHEwTAvTrJcofHRAl^a5NSfRU 351 EUCALYPTUS AVE Business Information VISTA, CA 92084 _^usines^,PjicjieJNkiniber: 26j?)j90J(:954JL Entity.: So[e Ownership Jssue_Date License status This license is current and active. All information below should be reviewed. CLASS DESCRIPTION Classifications: JB SiN|EAL..BU|LD|NG,.CQNIRACIQR CONTRACTOR'S BOND This license filed Contractor's Bond number SC1040244 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 03/02/2009 This license has workers compensation insurance with the STArE..CQMPENMTJO^JMSU.BANCE£UND Policy Number:497-0001494 Workers'Compensation: __ _ ,_ ........Effective Date: 04/15/2010 Expire Date: 04/01/2011 Workers' Compensation History I Lol..U.s,e. | Pnyacy..P.Qlic.y Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=8... 07/08/2010