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2401 COPPER WAY; ; CB101259; Permit
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#: Construction Type: ANAYA RES-GAS TO FIRE PIT & ELECT TO FOUNTAIN-< 6 FT HIGH 0 NEW 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 A Date: " VAL 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 SUITE#/SPACE#/UNIT# CT/PROJECT #PHASE # '* OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) *<* T . 6*0 EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESD #NOD AIR CONDITIONING YES D NO O FIRE SPRINKLERS YES D NO D CONTACT NAME (If Different Font Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONJRACTQR BUS.kADDRESS U, ADDRESS / STATE ZIP C1TY STATEA_ZIP PHONE FAX EMAIL **-!. ARCH/DESIGNER NAME « ADDRESS STATE LIC. #CITY BUS. LIC.# (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: D 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. {S I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of thework (or which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. \JTifjL (la**\f . ^KJHi^t 1g^ Aun>1 Policy No. ^TT / •— O *O / O^tf ^J Expiration Date Yf ^ /-2-0 II* " /This section need not be completed if the permit is for one hundred dollars ($100) or less. n Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as uovided for in Section 3706 of the Labor code, interest and attorney's fees. / / >€$" CONTRACTOR SIGNATURE >^— HAGENT DATE /l^f.2^/^ :;*> w *i 6 R -«ii 11. a E :*r' / hereby affirm that / am exempt from Contractor's License Law for the following reason: D 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 properly 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). a 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). d 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. CJ Yes a No 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 DAGENT DATE COM Pi ETC THIS SECTION f O R NON-RESIDENTIAL BUILDING PERMITS ONLY 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 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? 3 Yes GNo IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. <C-P N.S-T R U C T I OJNb..jL;SJJ,IM N *G AGE IN C V 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 f^WP.-t, I C AN T C eft'tll'MI C:ATT6 N I certify that I have read the application and state that the above information is correct and that the infonrattonOT me plans is accurate. I agree to comply with all Crtyortirwm^ I hereby authorize representative of Ihe City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AC3REE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD OSHA: An OS HA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 180 toys from the date of such pemtf or if the building tf^ ^APPLICANT'S SIGNATURE V DATE 1 <> f 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 Type: PLUM Sub Type: Job Address: 2401 COPPER WY Suite. Lot: 0 Location: APPLICANT COTHRAN CONSTRUCTION Owner: Remarks: Inspector Assignment: Phone: 7609089540 Inspector: Total Time: CD Description 23 Gas/Test/Repairs 34 Rough Electric Act Comments Requested By: MATT Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Check a License - Contractors State License Board Page 1 of 1 Department of Consumer Affairs *"* Contractors State License Board Contractor's License Detail - License # 861805 ala 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&PJ124J5) 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_IO.Z1:JZ , 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 Business Information Entity: Issue Date Expire Date License Status Additional Status: Classifications: Bonding: Workers' Compensation: 861805 Extract Date: 7/8/2010 MATTHEW DAVID COTHRAN CONSTRUCTION 351 EUCALYPTUS AVE VISTA, CA 92084 Business Phone Number:(760) 908-9540 Sole Ownership 07/23/2005 07/31/2011 This license is current and active. All information below should be reviewed. CLASS DESCRIPTION B GENERAL ByiLDINGCQNIEACIQR CONTRACTOR'S BOND This license filed Contractor's Bond number SC1040244 in the amount of $12,500 with the bonding company A_MERICANCONIRMIQRSJND£MNJTY.CQMPANY. Effective Date: 03/02/2009 ContractQf'.s_Bonding_Hi.stpry This license has workers compensation insurance with the STATE .G.QMPENS.ATI.QN.lNSU.RANCEF.y.ND Policy Number:497-0001494 Effective Date: 04/15/2010 Expire Date: 04/01/2011 Workers'_CptT!pensation .History Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=:8... 07/08/2010