HomeMy WebLinkAbout2520 MARRON RD; 102; CB063301; PermitCity of Carlsbad
,. ' 1635 Faraday Av Carlsbad, CA 92008
11-20-2006 Plumbing Permit Permit No: CB063301
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2520 MARRON RD CBAD St: 102
PLUM Status:
Parcel No: 1670307800 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title: SUMMIT APTS-BLD 13 PLUMBING &
DRYWALL REPAIR BATH/KITCHEN
Applicant:
PWCX GENERAL CONTRACTOR
STE 200
3993 HOWARD HUGHES PKWY 89109
702 734-4644
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
0
0
0
1
0
0
0
Plan Approved:
Issued:
Inspect Area:
Owner:
CARLSBAD APTS L P
3993 HOWARD HUGHES PKWY #200
LAS VEGAS NV 89109
ISSUED
11/17/2006
LSM
11/20/2006
11/20/2006
$20.00
$0,00
$0,00
$0,00
$7,00
$0,00
$0,00
$0.00
$33,00
$0,00
$0,00
$0,00
$60,00
Total Fees: $60,00 Total Payments To Date: $60.00 Balance Due:
Inspector:
FINAL
Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, de ications, 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
f f hi h h I n i n N Tl E imil r hi r whi h h f lim· I
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.PERMIJ" APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
ddro:,s \lnclude Bldljl/Sulte #J
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FOR OFFICE USE ONL V
PLAN CHECK NO.~ 00330 I
EST. VAL _________ _
Plan Ck. Deposit __ ....,.........,.--=---
Validated By ____ ~b'--"-'-:...;;::;. __ _
Date. ____ -'-/_1--+l-'-T5J4C--'---+~"-----
Phase No. Total# of units
' # of a~thrcoms
City State/Zip
S1ata License ,0, 9 ·1 ;Pl e
:f -t.HiWQBj(~ristJE.~MfEf~«iltb.N,!!m-ri:r~~~.) ;.!! ~ .. r{(--~:·:~zi.!·.-;~:;; -.!, n::~:; r:~r· (t ti~! t ! ~'.~.:,.?~' l••~".: .:~-;~ /' iir:::-=·,t~' .~.-.~~.-~~ ... } .~r~~ ! ·~·:.~,:. ·~:~[ ;:J::;·~.J ~\-:::•~:1:J.nrtt.:l ~~~1·. !:::·1 ~-~r~· ~!~
Workers· Ccmporuiatlon Deotaratlon: I hereby affirm under ponelty of perjury one af the lollowlne declarations:
0 I have and wlll maintain a certlfi01te ol conoont to self·ll'lo1.1ro for workore' 0ompenHtl1m u providttd by Section 3700 of thD Labor Code, tor the performonco
cf the work for which lhls permit le ln,ued •
. __.'---7 ,.J8i I have and will maintain workers' oompensetlon, as requlrod by Section 3700 of the L.abot Cod@, for the performance of the work for which this permit la
/ Issued. My worker's compensation Insurance carrier end poVcy number are: / /
Insurance Company \,,..,o v"i±t ~ -,c,u vlR.. :I1'JG. Polley No, i B? °t S 3 3 Expiration Oet& / 0 LO I {o 7
!THIS SECTION NEED NOT BE COMPLl!TED IF THE PERMIT IS FOR ONE HUNCREO DOLLARS l8100] OR LESSl
Y'\\ tl.,__ 0 CERTIFICATE OF l:XEMPTION: I oelllly that In the performance of the work for which this pormit le Issued, I shall not employ any person In any manner 110 so
1 •I to become subject to lhe Workers' Compenaotlon Laws of Celllorn!s. .
[\l
WARNINQ: Falluro 10 eoawo wo,kora' c:0mpam1atlon oovoruga la unlawful, 11nd 1hall subjoct en 11mployor to crlminal peneme■ and clvll flnos up to one hundred
thouaund dollars C~ 100,0001, In ucldldon 10 &ha ooH of compensation, dam19es ea provided for In Section 3708 of the labor oode, lntoreat and ot1om!'v'• foes.
SIGNATURE . DATe _________ _
1.:. I ""'1.:· -··-'ill!l'•' ':l,'1,1.f.lol-'~1•·•·,;;,,i:·1-..·'tl~"' • l !Ii"' I ("'""'S"' ''I"-•''?:, ,.,,,,, . "'"" , ...... 1 ·• .... "> i ., •••• ,.,. .. ' ·•,-·,·:·· ·:c•·(~-... , 'll•l' . ·'I"" ·,r,· -~,•T"l"I ' in••"' ·tt.·· '"'1',''f" .. ,,.~ ·,·■:· i!.:~Q,wJJ~ft·.~~J.U,i:IE;ru&.f~~~~':"'it:dM•l(l,t:n .i .. .:.,ii .. /1'1[ 1 ~!t: ~-!:r:· ,;,;:t ~-!::i~ l·li.:n~·~ ~:-~:! .. ; ~ .. E11:,:,L:::.:;· :: ... ~I ' ~hn:: .. -:·:,:::-·r·~:.,;_,: i:1111 1 ·:::-: ·!..td r--~-'!. f ~ii~! ',,rit : =~ ii~tr:-.:~:o;::1f ·1: -~-!·!1!';;: ~!~.~1~,'
hereby otrlrm that I am exempt from the Contractor's License Lew fer the followlng roHon:
O I, as 0wnor cf the property or mv omployaoa w11h wages uo tholr sole cr>mponsaticn, wlU do tha work and the, :suuctur9 is not Intended or offered for sslo,
(Sec. 7044, Buslneu1 ond Pr0fooolan1 Ccdo; Tho Ccnt,ul;tor'o Llcan•e Law does not apply to an owner of property who builds or lmprovea thllfeon, and who doss
such work hlmsall or through his own 1mp1oveea1 pro.,.fdod that euoh Improvement, nre not Intended or offered for sale, II, however, the building or improvement lo
5old within om, yeur al completion, the owner-builder will have 1he burden of proving that he did not build or Improve for the purpou> of salo).
0 I, as owner of the property, om axcluslvely con1r11ct1ng wJ1h llcen&11d oontractors to construct the project !Sec. 7044, Buslne&s and Professions Coda: The
Ccntraotcr's License Lew does not apply to an awnsr of property who build& or lmprcvoo thereon, and cont,octs for such projects with oantroctar(sl llcensad
pursuant to the C:ontroctor's Llcenae Lawl,
0 I am oxempt under Section ______ Business and Professlont Code for this reason:
1. I personally plan to provid_e the mojor labor end ma'terlale for ccnetructlon of the proposed property lmprovament. 0 \'ES ONO
2. I ChBvo / h11ve no1) algnod 11n appllc11tion fer a building permit rar the proposed work,
3, I have contractad ,with the following person lflrmJ to provide the proposed oonetructlan (lncludo nome / addross I phcn" number/ ccntrDotore license number):
4, I plan 10 provide ponlona 01 the work. but I heva hired the following person t o coordinate, 111.1pervlsa and provide the mi,Jor work (lncluds nomo / addrosi; / phono number/ controotora license number):, ____________________________________________ _
5. I will provide some of tho work, but I hova oontr.oQtod !hired) tha followlng pDrsona to provlde the work Indicated (inolud11 name / addross / phone numbor / type
of wcrkJ:
~ROPERTY,_O_W_N_E_R_S-IG_N_A_T_U_R_E----:~~,--.....<(_____--;-:,:.=~~------::;:J;?--:":;J::.====o=A::-T-E-f'.-:;,::.,-·:--,.-_-::H;-:__....-.;-:_:::L:::;?;-µ:::)::-.---------
C~ji;,f.r.~'f];},j~y~:sec;_,1'\i)&¥,QR110N£iJ1ffil,e}ift4ie~IU)~ li'i'r.;:,~.1·T·. ;~i1,n:1JJ1,. rt~.~i~i~1::1.i~Jun:rnM)it:ur:N!mit:r; .. :11~:1J. !~Mat;~;;1~~~:~1riH:·:.~~n1
Is the applicant er future building occupant required to submll e business plan, acutely hatardous materlala raglin:rntlon form or risk monogemcnt and provontfon r \l(,_ p1ogram under Sections 26605, 25633 or 26634 or the Preoloy-Tonner Hoz11rd0i.lJ Sub~lance Accoum: Act? 0 YES O NO
Is the applicant or fu1w11 bulldlng occupant required to obtain a permit !rem tho air pollution control dhmli:t or &Ir q1Jality man::gsment 111strlct1 0 YES O NO
!s tlia foclliW to be constructed within 1,000 fast of tho outor boundary of q school sltu7 0 YES O NO
IF ANY OF THE ANSWERS ARI! YES, A FINAL CERTIFICATE OF OCCUPANCY MA.Y NOT BE ISSUED UNLESS THE APPL.ICANT HAS MET OR IS Ml:l!TING THe
REQUIReMENTS OF THE OFFICE OF EMl!flGENCY SERVICES AND THEAJR POLLUTION CONTAOL DISTRI CT.
(iJ~!'-J 1stPf'Ji.!i'f!u(it1(>'n.1~~M1f>li1!~q1Nc:~HE tJ.i:I..:n.u:1::,~,;-iir;.r·::Li iiiEnt.t: ;;:; .. ,r:.:: :?: ;!iii I if.r. 11~1!1::;1 l·;J,t:':1w .i~\1'-:HiW t'it!'<~r.~t :Ji ·{t1:f.i1tJ:n~
I hereby affirm lhet lhore Is o oonstruollon I ending agencv ror the porlormence or 1he work 101 which this pe,mlt ls Issued ISea. 3087m Clvll Code).
ENDER'S NAME _______________ LENOER'S AODRE66,=-:-:--".:'"""--:-:-----:,-:-"'."."'.:---:--------------
Lijiflii1AJ:liM;&\111,i<:1lR7H'Jtt.6'i:f.ON!f.i: !~;;;;~.; i~t-il~11:'1ilt! . .'~~~;;i~i lJO'.; ~11;r.;t iti ; =.1:fi1il;; ~;/e-':i>'~tflli!~iil· iJi!!l!:i·i·~:~,£;~1~ i'.£ij~!. t-!~~ ·\':Jl~~:~1!g;;!!Jt([>fil'L•l~1)\Hl!l::ii
I certify that t have read the appllcntlon ond state that tho above information fa correct ond 1het th<1 Information on the plans la occ1.1rate, I agree to comply with all
CIIY 01dlnanoe~ and Stato laws: rolQting to bullcfJng conatructlon. I heroby 11uth11rlza represontativo9 of the Cit~ of Carlsbad to ontGr upon the above mentioned
propllrty for lnsipactfcn purposas. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit Is r11qulred for exoavatlans over s•o• deop ond demolition or c0nstruo1lon or structure& over 3 storlu In hoight .
EXPIRATION: Every permit Issued oy 1h& bul Ing OfflcJal under)h~vislons of this Coda shall explro by llml111tlon and become null end void It the bulldlno or work
authorized by such permi1 Is not commenced hin 1a d ys fr9m l!Jp-efa~ of such permit or tr the bullalng or work authorized by such pem,it Is suspended or abandoned
at any Ume eflar the work Is commer.ced f perlo I ,sod s'(Sec ' 106.4.4 Unl!orm Building Code), 7 · ~
-1\/4PPLICANT'S SIGNATURE ___ !!.J.'@.!;::Z~._~~LJ.~:::::==::~...._,______ DATE /Of_!t ~ .
WHITE: FIie YELLOW: Applicant PINK: Finance