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HomeMy WebLinkAbout2411 COUGAR DR; ; CB990651; Permit02/17/1999 City of Carlsbad Plumbing Permit Permit No CB990651 Building Inspection Request Line (760) 438-3101 Job Address Permit Type Parcel No Reference # Project Title 2411 COUGAR DR CBAD PLUM Lot# 0 Construction Type VN SEWER LATERAL FOR VACANT PARCE 6534 02/17/99 0001 01 02 Status ISSUED c~ Applied 02/17/1999 Entered By MDP Plan Approved 02/17/1999 Issued 02/17/1999 Inspect Area 35-00 Applicant LISTER CONSTRUCTION CO 3365 LAKE VIEW TERR ESCONDIDO, CA 92029 619741-9800 .Owner.... f>* ^-•' r' \ Total Fees $35 00 .•'/ ! 1\ Plumbing Issue Fee j Fixture or Trap \ Building Sewer \ Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee s\ — " ,/<•-•-.•• .<~~-^. ^T'v ; \ .-. \/ _y\ / *">?., r>5' \ V"<X..-A \ j i ^" Total payments fo'Date^" $0 00\ \ i " Balance Due $35 00 ,~T "" ""^ / ' ^\">--^.. *<^"i>" T/'T:."" 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' „.,,.--" $000 TOTAL PERMIT FEES $3500 Inspecto 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(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 capactiy 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 2075 Las PalmasDr, Carlsbad, CA 92009 (760)438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161z^(( _ Jita^w^^^ZSZZSg.1. FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date ^~zr=yg 4- Address (include Bldg/Suite *l Business Name (et this address) Legal Description % Lot No Subdivision Name/Number Assessor's Parcel ff C ^2.0?— eye ~ J& l_^- Existing Use t 6 0 Unit No Phase No Proposed Use Total # of units Description of Work £Y 6 3£. TMNTACH' PERiSON (rttBtte SO FT * of Stones IT of Bedrooms.of Bathrooms Name or.^^" Telaphone^7W- ". Name phOPEHtY OWNER v Address ' City State/Zip Telephone # Name ;6r=-rCONTRA'CTOB i Address^, j* j_ (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 Lew IChapter 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 hundred dollars ($5001) Name State License t 2 l> 2-b f~2> Address License Class City State/Zip City Business License * Telephone * State/Zip TelephoneDesigner Name Address City State License # _ '6. -WORKERS' COMPENSATION;:TC~~~^^^^^ Workers Compensation Declaration I hereby affirm under 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 %2f 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 earner and policy number are Insurance Company ^T'T^TK ^t*~-& _ Policy No ~7j> J-"7 $V— ^<# _ Expiration Date <£— i- *7 9 (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 provided for hi Section 3706 of the Labor code. Interest and attorney's fees SIGNATURE _ g^7- ^ *~Z*<~ _ DATE *2-S 7- I hereby affirm that I am exempt from the Contractor's License Law for the following reason l~) |, 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 ssle (Sec 7044 Business end 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 ssle) n I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec 7044, Business end 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 Lew) [3 I am exempt under Section _ Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals 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 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 SECTION fOKimi(H(e^BniM3ui^i^reaNiifsa)n^SSC Is the applicant or future building occupant required to submit a business plan, acutely hazardous matanals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?- Q- -¥€6—Q- NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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 OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT a^eowniucTioNiniDm-j^^ -^ - - : j;r,. 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 e>* uS+t&st. . LENDER'S ADDRESS s4-£*<S-€- '^-JVIWMSnXm&mVM '-_-•- ~ _ ~..:;rr, „ 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 5'0* deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null end void if the building or work authorized by such permit is not commenced within 365 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 a commenced for a penod of 180 days (Section 106 4 4 Uniform Building Coda) APPLICANT S SIGNATURE DATE -/ 7~ 7? WHITE File YELLOW Applicant PINK Finance City of Carlsbad Inspection Request For 4/15/99 Permit# CB990651 Title SEWER LATERAL FOR VACANT PARCE Description Inspector Assignment Type PLUM Sub Type Job Address 2411 COUGAR DR Suite Lot 0 Location APPLICANT LISTER CONSTRUCTION CO Owner Remarks Phone 7607419800 Inspectq Total Time CD Description 22 Sewer/Water Service Act Comments Requested By RON Entered By ROBIN Inspection History Date Description Act Insp Comments REQUEST FOR APPROVAL TO ACCEPT EASEMENTS OR COVENANTS FOR EASEMENT 1. Project Name IMPUSIPJAL, 2 Project ID No.: 3. Map/Drawing No.:_APN.- 040-3? 4 Type of Easement or Covenant- 5 Reason for Easement or Covenant 6. Required by: CMC Section: No. Planning Commission Resolution No City Council Resolution No._ Condition of Approval No City Engineer Determination:. 7 Title Policy Information: (a) Preliminary Title Report by_ (b) Subdivision Guarantee by_ (c) Policy of Title Insurance by. Dated. Dated. Dated 8 Subordination Required ( ) YES £3NO WHY 9 Comments- Prepared Bv Date Project Engmeer/Planchecker. Principal Civil Engineer Approval: Date. Date Assistant City Engineer/ Traffic Engineer Approval:.Date. City Engineer Approval:. City Attorney Approval _ Date Date City Manager Approval: ///O Date P:\DOCS\HISFQRHS\FRM0005 REV 13/22/93