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HomeMy WebLinkAbout2704 GATEWAY RD; ; CB110429; Permit (2)02-28-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB110429 Building Inspection Request Line (760) 602-2725 Job Address: 2704 GATEWAY RD CBAD Permit Type: PLUM Status: ISSUED Parcel No: 2132630900 Lot#: 0 Applied: 02/28/2011 Construction Type: 5A Entered By: MDP Reference*: Plan Approved: 02/28/2011 PC#: Issued: 02/28/2011 Project Title: CB AQUATIC VENTURES Inspect Area: UNDERGROUND PLUMBING ONLY WITH SLAB FOR FUTURE Tl Applicant: RCH CONSTRUCTION, INC. 26170 ENTERPRISE WAY STE.100 LAKE FOREST 92630 949-916-7663 Owner: LJRLLC P O BOX 743 RANCHO SANTA FE CA 92067 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 1 $15.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 0 $0.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE tha! approval of your project includes the "Imposition" of fees, dedications, resen/ations, 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 follovi/ 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 sewlce fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been Given a NOTICE similar to this, or as to which the statute of limitations has previously othenvlse expired. <im> ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. \ ^ -"^T-^^ Est. Value Plan Ck. Deposit Date^/^g^/t, SWPP JOB ADDRESS - . 1 ./<>. ' i .. SUITE#/SPACE#/UNIT# APN - CT/PR0JECT# LOT# ' PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP 3 DESCRIPTION OF WORK: /nc/ude Square Feet of Affected/Irears; isoo 5.r EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES • # NO • YES • NO • YES • NO • CONTACT NAME (tfDWerentFoinAppHcant) . APPLICANT NAME . ADDRESS ADDRESS J7^\irT\t^ L_4y>^^Cv«-A^ CITY ' STATE ' ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL PROPERTY OWNER NAME/'—t—V .J- , CONTRAWORBUS. NAME ^ .i^ 1 . ADDRESS ^ • "f ^ / ADDRESS ' 1 1 CITY ^^rW^*^ 'VC?ST?FE ^ zip PHON^ FAX ' PHONE FAX EMAIL ARTTH/DESIGNER NAME & ADDRESS ' ' STATE Lie. # ' ' STATE UC.# CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions 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 signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cfiapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or triat 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 ($500)). Workers' Compensation Declaration: / hereby affimi under penalty of perjury one of the following declarations: n 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 perni it is issued. T3f I have and will maintain workers' compensation, as required by Sgption 3700 of the Labor Cod^ for Ihe performance of the work for which this pemiit is issued. My workers' compensation ir^urarue canier and policy ' number are: Insurance Co.^\JC/Z^ fOoM liat\-'^f^O rx,\ m Ctn Policy No. 1 ^ 00O£>3'^^'^ IO\ Expiration Date fi / 1 f t\ 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 perfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Ihe 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, damMes as provided for in Se^tiM 3716 of theXabor codejoterest and attorney's fees. vCf CONTRACTOR SIGNATURE hCj^Jyt^J tlC>-lix/^ HAGENT DATE OWNER-BUILDER O E C tift 8 A T I O J / hereby affirm (ha( / am exempt from Contractor's License Law for the following reason: • 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 (Sec. 7044, Business 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 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 buiki or improve for the purpose of sale). • I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide ttie major labor and materials for construction of the proposed property improvement • Yes • No 2.1 (have / have not) signed an application for a building permit for the proposed wodi. 3.1 have contracted with Ihe following person (limi) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the foltowing person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone / type of work): ygfRROPERTY OWNER SIGNATURE ^^^^^^^^^^^^^^ •AGENT DATE COM Ptef* THIS SlICTIpRI POM M lO N - R JE S I D £ N T IA1. B U I L O <3 PERWfTS ONty Is Ihe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O Yes • No Is'the applicant or future building occupant required to obtain a pemiit from the air pollution control disthct or air quality management district? • Yes • No Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site? • Yes • 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. CONSTRUCTION 4 f N O rK G A GM I hereby affirm that there is a construction lending agency for the performance of the work this pemlt Is Issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address A P CANT CERTI f'. I C A T 1 O',0i I certify that I have read the application and state that the above Intbrniation is conect and that the infbnnatkin on the plans is accurate. I agree to comply with all ordinances and State laws relating to building construcdon. I hereby auttiotize representatwe of the City of Carisbad to enter upon the above menSoned pniperty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE C!TY 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 demoliBon or constnjction of stmctures over 3 stories in height. EXPIRATION: Every permit Issued by the Building Oflicial under the provisions of this Code shall expire by llmitatnn and become null and void if the bulling or woik authorized by such permit is not commenced within 180 days from Ihe date of such permit or if the buiWIng or work authorized bysuch oemnit Is suspended or abandoned at any time after Ihe work is commenced for a oerxxi of 180 days (Section 106.4.4 UnKbnn BuiWing Code). vgrAPPLICANT'S SIGNATURE ^Jt^^f^^j(y^_,^ DATE Inspection List Permit#: CB110429 Type: PLUM Date Inspection Item 05/18/2011 29 Final Plumbing 05/04/2011 152 Final BIdg Inspection - Fire 03/01/2011 21 Underground/Under Floor Inspector Act TP Fl GR AP TP PA CB AQUATIC VENTURES UNDERGROUND PLUMBING ONLY WITH Comments WATER TEST U/G WASTE, MATERIAL CHANGE TO ABS REQ. Thursday, IVlay 19, 2011 Page 1 of 1 Check a License - Contractors State License Board Page 1 of 1 Department of Consumer Affairs Contractors State Ll Contractor's License Detail - License # 832361 oard DISCLAIMER: A license status check provides Information taken from the CSLB license database. Before relying on this Information, you should be aware of the following limitations. » CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for connplaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. •» Per B&P 7071.17 , only constmction related civil judgments reported to the CSLB are disclosed. • Artjitrations are not listed unless the contractor fails to comply with the terms of the arbitration. » Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. Ucense Number Business Information Entity: Issue Date Expire Date License Status Additional Status: Classifications: 832361 Extract Date: 2/28/2011 Bonding: RCH CONSTRUCTION INC 26170 ENTERPRISE WAY STE 100 LAKE FOREST, CA 92630 Business Phone Number.(949) 916-7663 ^ Cotporatton^ _ 02/18/2004SIl.Z. ""..Z^ -..11^,. ZI [ '[o^Mi^^^IZIZZZZZlIZl L This license is current and active. All Information below should be reviewed. CLASS DESCRIPTION B QENERf^JBiJamm CONTRACTOR'S BOND This license filed Contractor's Bond number 203967 In the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2007 Contractor's Bondlnp History BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing OfHcer (RMO) SCHREIBER MICHAEL JOHN certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 02/18/2004 &Qirs_BondlnQ History This license has workers compensation insurance with the EVEREST NATIONAL INSURANCE COMPANY Policy Number:7600003157101 Effective Data: 08/01/2010 Expire Date: 08/01/2011 Workers' Compensation History __„_____._ Personnel listed on this license (current or disassociated) are listed on other licenses. Workers' Compensation: Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNimi=8... 02/28/2011