HomeMy WebLinkAbout2625 KREMEYER CIR; 9; CB030617; PermitC (C City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-04-2003 Plumbing Permit Permit No: CB030617
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2625 KREMEYER CR CBAD
PLUM
1551700900 Lot#: O
Construction Type: NEW
CBAD VILLA APTS-REPLACE GAS
LINE TO UNIT# 9
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/04/2003
RMA
03/04/2003
03/04/2003
COASTAL PLUMBING ESSEX CARLSBAD APARTMENTS LP C
C/O ESSEX PROPERTY TRUST
925 E MEADOW DR r;c ·, ::. ., ' ·
4882 HILLSIDE DR 92008
760 720-2991
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
Total Fees: $27.00
Inspector:
PALO AL TO CA 94303
0
0
0
0
0
1
0
Total Payments To Date: $0.00
FINAL APPROVAL
Datp· ,05 ·0(? -03,
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Balance Due:
Clearance:
$27.00
NOTICE: Please take al of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/ex · ns." You h 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 X i n f h' h V r . I . Tl . n h I
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008 . '
Legal Deacrlptlon Lot No. Subdivision Name/Number
ASlesaor's Parcel II
lnA,:if'/ t-As. Av.IV' Exlsting Use
70 v/14'r
Description of Worlt SQ. FT. I/of Stories
t-UK OFFICE USE ONL V
PLAN CHECK NOC/512JQt07
EST. VAL. -------------PI an Ck. Deposit
Validated ByA --~-=--4=:.-.,.-----
Date 5/C/~
Unit No. Phase No. Total II of units
Proposed Use
II of Bedrooms II of Bathrooms
ISec. 7031.6 Buslne11 ind Profe11lon1 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 ■ignad ■tatement that he Is llcensad pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of tha Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged
exemption. Any vlol Ion of Section 7031.6 by any applicant for a permit subjects th applicant to a civil penalty of not more than five hundred dollars ($5001}.
C '-w6-'.FCf...SZ. ~ C A~ -.:> I
City . State/Zip Telephone #
State License 11 7slPI , f Llcen■e Class c-3 & City Business License , /.,}.(:>9ISS-
Designer Name
State Licensa # /) @$"!? Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perfury one of the following declarations:
0 I h1v1 ind wlll maintain a certificate of consent to self-insure for worlters' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which thla permit la iaauad.
0 I have ■nd wlll m1lnt1ln workers' compensation, H required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is
iaaued. My worker'a compenHtlon insurance curler and policy number ■re:
Insurance Company !:>td: i£ f,I ,vp. Policy No. //a,]p 3)-t:> )_ Expiration Date /D-O/-D 3'
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESSI
0 CERTIFICATE OF EXEMPTION: I certify that In the parform■nca of the work for which this permit Is luued, I shall not employ any person In any manner so as
to become subfect to the Workers' Comp1n11tion Laws of California.
WARNING: Failure to ncure worbra' compena■tlon coverage la unlawful, and shall aub}lc:t an employer to crtmlnal panalti-■ end civil flnea up to one hundred
thousand dollars 1'100,0001, In ltlon to th1 coat of compenaatlon, d1m1g11 •• provided for In Section 3708 of th1 Labor code, intereat and attorney'• f eea.
SIGNATURE ~ DATE >-1/-~;t
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, 11 owner of th1 property or my employees with wages II their sole compensation, wlll do the work and the structure is not Intended or offered for sale
(Sec, 7044, Busineea 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 hi• own amployeea, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement Is
sold within ona year of completion, the owner-builder wlll have tha burden of proving that ha did not build or improve for the purpose of s■lel .
0 I, H owner of the property, am 1xclualvely contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Code: The
Contractor's License Law doaa not apply to an owner of property who builds or Improves thereon, and contracts for such profects with contractorlsl llcensed
purau■nt to the Contractor's Ucanse Lawl.
0 I am exempt under Section ______ Business and Profa11ions Coda for this reason:
1. I personally plan to provide the major labor end m1tert1ls for conatructlon of the proposed property Improvement. 0 YES ONO
2. I (have / have not) signed an application for e building permit for the proposed work.
3. I have contracted with tha following parson (flrml to provide the proposed construction (include name / address / phone number / contractors license number):
4. I plan to provide portion• of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractor~ license numberl: ______________________________________________ _
6. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work Indicated (Include name / address / phone number / type of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE
~-' , ,
Is the applicant or futura bulldlng occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25605, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain. a permit from the ■Ir pollution control district or air quallty management district? 0 YES O NO
la th• facility to be constructed within 1,000 feet· of the outer boundary of a school site 7 0 YES O 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 . .. ,
I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097111 Civil Code).
LENDER'S NAME
I certify that I have read the application and state that the above Information la correct and that tha 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 Cit\' of Carlsbad to enter upon the above mentioned
property for in1paction purpo111. .I ALS.0 AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABl~ITIES,
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 ia required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height .
EXPIRATION: Every permit Issued by the bulldlng Official under Iha provisions of this Code shall expire by limitation and become null and·vold if the building or work
authorized by such permit Is not commenced within 180 days from the date of •~ch permit or If the building or work authorized by such permit is suspended or abandoned
at any time ,, •er the work Is commence a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT' SIGNATURE -.C:.~JC:__~~-------------------DATE ___..$""---_f,...._-eJ......:...),. ___ _
WHITE: FIie YELLOW: Applicant PINK: Finance
UNSCHEDULED BUILDING INSPECTION
DATE Q,3~o'f,,,o];
PERMIT# ce O 3 0 '717
INSPECTOR _ ....... ,~,__f __ _
PLAN CHECK# ____ _
JOB ADDRESS _ _;?.~k=.&=Lc....-_..c/lJ'-'-1/-<=/J.-..:.,f~fl,fCLJL-=}Y/.-""q..=£_=--~~.!.;1,t._~ll:...:::£.-.=----
DESCRIPTION _~ft_m_bl.l,,_E-_~~ . ..,,.f/--¼-A5--_-~fHi_t:_/t._';t!-_#_...__f __ _
CODE DESCRIPTION
--z._ 3 (,, lb \?, 1f-. I' A-\. P-':>
ACT COMMENTS
· FiVLeJ