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Home My WebLink About2625 KREMEYER CIR; 8; CB042151; PermitJ 0,C\.0 ):-\ ""~!.~.~! ~!~!!~~'!,,. 06-0 -". V'\ ~-. Plumbing Permit Permit No: CB042151 ~ ~\j\Y\){1"ilding Inspection Request Line (760) 602-2725 Job Address: 2625 KREMEYER CR CBAD PLUM ~$ Permit Type: Status: Parcel No: 1551700900 Lot#: 0 Applied: Construction Type: NEW Entered By: ISSUED 06103/2004 KMT 06/03/2004 06/03/2004 Reference #: Project Title: Applicant: VILLAS OF CARLSBAD-UNIT #8 - REPAIR GAS LINE COASTAL PLUMBING 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 0 0 0 0 0 1 0 Plan Approved: Issued: Inspect Area: Owner: ESSEX CARLSBAD APARTMENTS LP C C/O ESSEX PROPERTY TRUST 925 E MEADOW DR PALO AL TO CA 94303 $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 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 3549 06/03/04 0002 01 CGP 02 FINAL APPROVAL DATt(-s(tJ-1 CLEARANCE __ _ :TVV\ SIGNATURE. _______ _ 27-00 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. (}/j 04c2f5/ CITY OF CARLSBAD BUILDING DEPARTMENT 1635' Fara~ay Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ----,,...,..--,,...---=--- Validated -{3v~tttst:: Date tQ\3 \()C{= \, \ Legel Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use I of Bathrooms DHcriptl'G;!,sWork R.f!, /' v-so. FT. #of Stories , of Bedrooms ~01tmPJBi81~~~Mimtifcil!cftn.ti.~~l.ii::.,.1t;1n~tJ~fWj;{:•.::i:.t'.~~:.;~ •• '. ' ; ;;;c I J: -~ti'!l,,~i<,,; r,. :: .-J{;~;1'..J.,,,'-,~ • 1,·,, r:,t.b,.~ ;.;i ·.: ,:,i,'.1_!~ tlf:.' ...... Name Addre11 City S.tate/Zip Telephone I ~c.o'Ntriiatoimt®MRMYlfNAMi.!!:7.-~1..~1¥Sk~••·~ji?i:~11:f:· •:r ·:, Name b State License I 7 I,(" /,Q City State/Zip Telephone I City Business License I / 2-() '.2 3 ,> S- Designer Name Address City State/Zip Telephone State License I _________ _ ~li'lmtnfi'it~¢,QM_~N.sAifQW-Jil\.~~1~zJtj . ..;~_:~~-:~L,._·tJ;,,b,:JJ.L~~~:~,~ '!,,. _, ...,~_.,:.,.~ • .:<; i ' ~~-~-1.Jtf, .. i,~jJW:-:tJ.::I:'\t. ·,~:r ".: I i .... !i<• .... / .. ~t· -~".;J!·i·:~\;'.-j,l•:1 _;::~~'1f;; .. f;:tft/!t.,.:r:~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain • certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance ~~work for which this permit is issued. · . ~ I have and will maintain worker,11' 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 compe ation insurance carrier nd policy number ere: / / _ 2--('.J '"> /. ! Insurance Company _..2.'=t.:ft']:..;!:::..._t=hckl..fZ.L________ Policy No. _ t> 0 7 0 J ~ Expiration Date / (J 0/ LCJ t./ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI .-1 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 ao as to become subject to the Workers' Compensation Laws of California. WARNINO: Fallwa to MCWa work .. ' companntlon coverage la unlawful, and shall subject an employer to criminal penalties and civil finaa up to one hundred thouaand dollara ($100,0 ), In to coat of compenaatlon, damages u provldad for In Section 3708 of the L , lntaraat and attorney's faaa. SIGNATURE DATE ~ --=,,-....., ...... ..__-+---- . . --~~~1.~£P~mi:~l~P~~~:iti.l~~~~J~~i,~A~~~lr~1'i~:~~~-~l"iim§ I hereby affirm that I am exempt from the Contractor's Ucense Law for the following reason: 0 I, as owner of the property or my employees with wages H their sole compensation, will do the work and the structure Is not intended or offered for Hie (Sec. 7044, Bualneaa and Profaaslona Code: The Contractor's Ucense 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 Hie. If, however, the building or Improvement la sold within one yeer of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of Hie). 0 I, u owner of the property, am excluaivety contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfeHions Code: The Contractor's Ucansa Law does not epply to an owner of property who builds or improves thereon, and contracts for such projects with contrector(al licensed pursuant to the Contractor'• Ucensa Law). 0 I am exempt under Section ______ Bualnaaa and Profeniona Code for this reason: 1. I peraonally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have notl signed an application for • building permit for the proposed work. 3. I have contracted .with the following person (firml 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):·------------------------~---------------------- 6. I will provide some of the work, but I have contracted (hired) the following parsons to provide the w~rk Indicated (Include name / address / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE _________ _ t'.QM'ei.:ir..e..._itfimla~Clll.iiitli,f-Offi'il.rJ.iiidg,pm,itiu:_1MJ~IN<liP~M,!T~,Qtji;y,:0.:.,ruir:'!S",~r::.~•ili:ltS,•1~1'f~.Z•t~,.:.fi:!!ii~;;:;ii1L;!l,J,~·C1ll'.:i:!k\~£'~'.t.fu,!;:LJ,il~~~i,i1&1i Is the applicant or future building occupant required to submit • business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25605, 25633 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 district7 O YES O NO Is the facility to becllmstructed within 1,000 feet of the outer boundary of a school site? O YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ftml~IJ.Rii~~HJ~filifii}A9l[ij~'r~~i1~~~~!:J~~~tI}~!~?!t~:8Q1~~;{;f:~i~:~;·~~:.,·1~:I;1:rJ:J:~:;~J{~~l(~t.:,~.\:.~;.,:~IL.f~:: '.'lt~•::23±~~;~1].;~ _.:f}··~.:::;:A:~'.-: i::.:~t(~.t~~:~t I herabv 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 ______________ _ LENDER'S ADDRESS __________________________ _ lj; ~iiilCINtfcielifJQ~~jfbl~~~;mtt~~~~~~:~i !\~~~/ .. ; :~t1i~!~t~-~;;;i::i~i'!b~~~~~-~ ,:~::::;:~.-~;J;~;~& .. ~\~P~t~~~-::'tJ.~\1:~--:)_!i;\f'••1f•J(-:;, ~ :,1ie-YJ"~i;i.~~~fl~~tftJ~ .. './l~r.:iialt~{ I certify that I have read the applicatlon 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 Citt 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 ORANTING OF THIS PERMIT.· OSHA: An OSHA permit la required for excavations over 6'0" 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 such permit or if the building or work authorized by such rmit s suspended or abandoned at any time after the work Is commenced for period of 80 days ( on 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _ _:_£.--i'""7'f9--~"d~~~~::::...,~----------- PINK: Finance 1/ -.... _. _____ ----------------~ --~----- UNSCHEDULED BUILDING INSPECTION DATE _____ _ INSPECTOR _J\_\N\ ...... · _· __ _ PLAN CHECK,# ____ _ DESCRIPTION __________________ _ CODE DESCRIPTION ACT COMMENTS ~~