HomeMy WebLinkAbout2625 KREMEYER CIR; 20; CB030618; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB030618
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2625 KREMEYER CR CBAD
PLUM
1551700900 Lot#: 0
Construction Type: NEW
CBAD VILLA APTS-REPLACE GAS
LINE TO UNIT# 20
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/0 ESSEX PROPERTY TRUST
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:
0
0
0
0
0
1
0
925 E MEADOW DR
PALO AL TO CA 94303
Total Payments To Date: $0.00
FINAL APPROVAL
Date: f),3 ~Q~ O, 1
$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 N t 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
f xctions f hi hv rvi Tl E imilr hi r hihh in h I
PERMIT APPLICATION
FOR OFFICE USE ONLY
PLAN CHECK No.(} !lJD /J y
• CIT\1 OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ______ .....,. __
~:~=--a-te_d_B_y=======?:::z:c..;:.-1-,-,/-Jt<ll-i:::-=
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phese No. Total # of units
Assessor's Parcel #
IYl ,Vf'J kA S /2..chv 70
Existing Use
lh.l:T[
Proposed Use
Description of Work SO. FT. #of Stories I of Bedrooms I of Bathrooms
.,,
Name Address State/Zip Telephone# Fax#
a
Name
Name S.tate/Zip Telephone#
(Sec. 7031 .5 Businesa and Profesalons 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 fiie 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 the Business and Professions Code) or that he Is exempt therefrom, and the basis for the aiieged
exemption. Any viol ion 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).
C L N6 · 'J:"Ci.SX-If C A~ -.:> I
Name Address City . State/Zip Telephone #
State License , 7 slPI ~ t License Class C -3 (p City Business License , /J.,efr IS.>
Designer Neme
State License # f) t213~ 5 Address City State/Zip Telephone
I RK~COMJilNS.g'iON!.Mi;~lollMil~.....:....--..:1~...,.. ........ =n...-~..:;;.::·.:.c:.;:.......;..,;.a..,;..:....,;
Workers' Compensetlon Declaration: I hereby affirm under penalty of perjury one of the following declaration,:
0 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance
of the work for which this permit Is Issued.
0 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 carrier and policy number are:
Insurance Company brA: •E Fil ,vb> Polley No. ll¢f7P :,)-D l Expiration Date lo-0/-D '3
ITHiS SECTION NEED NOT BE COMPLETED if THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 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: FaiiUJe to aecure worbn' compenaatlon coverage la unlawful, and ahd subject an employer to criminal peneltlea and civil flnea up to one hundred
thouaand dollars ($100,000), In addl Ion toJ!'& coat of compenaatlon, damagea H provided for In Section 3706 of the Labor code, lntereat and attorney's feea.
SIGNATURE ~ DATE 'J -Y-G> 3,
0. I
I he;eby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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
(Sac, 7044, Business and Professions Coda: 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).
0 I, as owner of the property, am exclualvely contracting with licensed contractors to construct the project (Sac. 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'• License LawJ.
0 I am exempt under Section ______ Business and Professions Coda for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES O NO
2. I (have / have not) signed an app!icatlon 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 and 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):. ________________________________________________________ _
Is the applicant or future building occupent 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? 0 YES O NO
Is the applicant or future building occupant required to obtain. a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school elte? 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSJRU TIONLENDINO AG NC -~--
1 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(1) Civil Code).
'-· I certify that I have read the epplication and stete that the above Information Is correct and that the Information on the plans Is accurate. i agree to comply with all
City ordinances and Stete laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for Inspection p·urposes. .I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABll,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 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 s~ch permit or If the building or work authorized by such permit is suspended or abandoned
at any time ,, er the work Is commenced f period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT' SIGNATURE --=~~~;__ __ ~=-.::=-:....---------------DATE _s=--_r-_-_c:> _ _3c....._ ___ _
WHITE: FIia YELLOW: Applicant PINK: Finance
•
UNSCHEDULED BUILDING INSPECTION
DATE b.,) -/'2..-o"::J, INSPECTOR __ Vl_· _"I!-__ _
PERMIT# cso:3> o '-1 EJ . PLAN CHECK# -----
JOB ADDRESS __ <.~~-z.-~ __ 1<_,t,._e..-+-y_M_fiJ.....,;>'.}'-''C.--/2-----=~~rt.,___ ... --"-'-tl-'2=----
DESCRIPTION _.-.-::;~=-.=--;.5 ...... =A=-.::,__._j?-'~-,,.._ __ ,_/2__, _______ _
CODE DESCRIPTION
'23 Ci,-~c.lt'-~
ACT COMMENTS
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