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HomeMy WebLinkAbout2746 LOKER AVE W; ; CB032657; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 09-26-2003 Plumbing Permit Permit No: CB032657 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2746 LOKER AV WEST CBAD PLUM Lot#: 0 Construction Type: NEW Reference #: Project Title: Applicant: MO BIO LAB UNDERGROUND PLUMB PRIOR TO SLAB POUR ARNETT CONSTRUCTION SUITE# 108 4010 MORENA BLVD 92117 858-270-4792 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 0 0 Owner: Total Fees: $60.00 Total Payments To Date: $0.00 Inspector: ~ FINAL APPROVAL Date: tA,/ 'f' Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/26/2003 SB 09/26/2003 09/26/2003 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $40.00 $0.00 $0.00 $0.00 $60.00 Balance Due: $60.00 5()77 09/26/03 0002 01. 02 Clearance: NOTICE: Please take NOTICE that 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 fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. 60,00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C5fo '3 Z(::, 5? CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL. __________ _ $ PRO.JE!;T lffl:QRMATION Subdivision Name/Num Total # of units Assessor's Parcel # Existing Use -l._ ·Description of Work SO. FT. Bathrooms I' l,At,J~~"'N() ilWM~lt---\Y MVliTI"~ Name la. ONTAC.Tm§O~ llf different from applicant) City D Agent for Owner State/Zip Telephone# Fax# State/Zipz:::A Telephone # ~~\ ~ ~\I~ . • State/~ip~.%~ne# • (Sec. 7031.5 Business and Professions Code: Any City o County which requires a permit to construct, alter, improve, demo~or repair an\ 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 ~ (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 alleged ~emption. Any violation of Section 7031.5 by an applicant for a permit subjects the applicant to a civil pe lty of not more than fjve hundred dollars ($500)). w. q Designer Name ~f;.-~ State License # +---------- 8. WORKERS' COMPENSATION Workei's• Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 permit is issued. ~ 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 c~~surance carrier and policy number are: O \ A-a~ 1 ! ~ Insurance Company ~ ~ t:lp Policy No. 0 'l, D '"\ Expiration Date _ {) • l) { ' 0 ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O 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. ion coverage Is unlawful, and shall subject an employer to crlmlnal penalties and clvll fines up to one hundred of compensation, damages as provided for In Section 3706 of the Labor coda, Interest and attorney's fees. • ~~~ DATE _,(£"-:it•::=~~· 0'--'Q~:=--,...,.,..._- O 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 t,roving that he did not build or improve for the purpose of sale). 0 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 property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ------Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I 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 I address I phone number I contractors license numberl=----------------------------,---------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE------------------------ [CO_MPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY DAT& _________ _ Is the applicant or future building occupant 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 Act7 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 site? 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. rs. CONSTRUCTIQ_N !,.ENDING AGENCY I hereby 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-------------- 19., APPLICANT CERTIFICATION I certify that I have read the application 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 Cit\' 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 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 permi ed y the buil Official u er the provisions of this Code shall expire by limitation and become null and void ii the building or work authorized by such permit · e ced wi BO days o the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any tirr •'ter the wor d f 1 y (Se ion 106.4.4 Uniform Building Code). ""APPLICA " DATE 1.nspection Li Permit#: CB032657 Type: PLUM Date Inspection Item 10/01/2003 21 Underground/Under Floor 09/30/2003 21 Underground/Under Floor Tuesday, January 20, 2004 Inspector Act TP AP TP NR MO BIO LAB UNDERGROUND PLUMB PRIOR TO SLAB POUR Comments Page 1 of 1 City of Carlsbad Bldg Inspection Request For: 10/01/2003 Permit# CB032657 Title: MO BIO LAB UNDERGROUND Description: PLUMB PRIOR TO SLAB POUR Type: PLUM Sub Type: Job Address: 2746 LOKER AV WEST Suite: Lot 0 Location: APPLICANT ARNETT CONSTRUCTION Owner: Remarks: Total Time: CD Description Act Comment Inspector Assignment: TP Phone: 6198908463 Inspector: L Requested By: TOM Entered By: CHRISTINE 21 Underground/Under Floor /Jr~~~~~~~~~~- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments