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Home My WebLink About2764 GATEWAY RD; ; CB061625; Permit06-06-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB061625 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2764 GATEWAY RD CBAD PLUM 2132630800 Lot# 0 Construction Type NEW LOT 40, BRESSI RANCH SEWER STUB OUT Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 06/06/2006 MDP 06/06/2006 06/06/2006 Applicant TSA CONTRACTING SUITE 301 4350 EXECUTIVE DR SAN DIEGO, CA 92121 858 784-3650 Owner BRESSI SPECTRUM LLC C/O KENNETH R SATTERLEE 4350 EXECUTIVE DR #301 SAN DIEGO CA 92121 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 0 0 0 0 0 0 0 $2000 $000 $000 $000 $000 $000 $000 $000 $4000 $000 $000 $000 TOTAL PERMIT FEES $6000 Total Fees $60 00 Total Payments To Date $60 00 Balance Due $000 Inspector FINAL APPROVAL Date 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF" CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1. > PROJECT INFORMATIONRMATION ferfrraMA-v (2.Q FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel 9 Existing Use Proposed Use Description of Work SQ FT #of Stones tt of Bedrooms # of Bathrooms Z,,: -CONTACT PERSON (if different from applicant) Name Address 3. APPLICANT Q Contractor Q Agent for Contractor Q Owner City O Agent for Owner State/Zip Telephone #Fax# Name 4 PROPERTY OWNER Address City State/Zip Telephone # Address City State/Zip Telephone #Name 6. CONTRACTOR - COMPANY NAME V . . '•• -h (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 [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basts 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 ($5001) U Name ' Address State License it &' "7 1 ^ 6 License Class & City State/Zip Telephone tt City Business License tt 1 *• " V *• 5 S Designer Name Address State License tt City State/Zip Telephone 6. WORKERS' COMPENSATION i , .." ;^ ...'.'„ Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 \3i 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 ^"VfTS: ?-UMO _ Policy NoJ 7 S 1 SBZ" ~Z~OG£> Expiration Date * * ' • ° *7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 Failure to secure workers' carhpansatiop-eoverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doHar&Ufl'lXI^Oq?), in apdrtionXcurffe cost^jV'compensation.jiamages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE //^^'ft^X^i ^^jitt^^-^ ~ _ DATE fe>»fe> '£>h _ 7.-::; OWNER7BUILDER DECLARAlXlN , ~~ " ~ ••',' .• , • . ~ •• , , :- - ,..'; "'" ; ;,„, ..; , ,: --, I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q 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 build or improve for the purpose of sale) D 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 contractorls) licensed pursuant to the Contractor s License Law) CH 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 Q YES QNO 2 I (have / 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 / 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) _____ __ _ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR/VOW-flfS/0£W7Mi BUILDING PERMITS ONLY . ^. V ?,. :C *:U, „ ~ 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 Act? £] YES £] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [3 YES C] 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 8. CONSTRUCTION LENDING 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(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS 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 CitV 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 permit issued by the building Official under the pensions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced wrthiryflO days fror/thexfete of satth permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is cqm<^jjpeyt$></&(>e/(# of 180 days (Section M&4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE 'HITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/07/2006 PermiW CB061625 Title LOT 40, BRESSI RANCH Description SEWER STUB OUT Inspector Assignment 2764 GATEWAY RD Lot Type PLUM Sub Type Job Address Suite Location APPLICANT TSA CONTRACTING Owner Remarks Phone 8584371180 Inspector Total Time CD Description 22 Sewer/Water Service Act Comment Requested By MIKE Entered By JANEAN Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments POLICYHOLDER COPY SI COMPENSATIONINSURANCE PO BOX 420807, SAN FRAIMCISCO,CA 94142-0807 (FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-O1-2OO6 GROUP POLICY NUMBER 1757583-2O08 CERTIFICATE ID 38 CERTIFICATE EXPIRES 01-01-20O7 01-01-2006/01-01-2007 PROOF OF INSURANCE 4350 EXECUTIVE DRIVE, SUITE 3O1 SAN DIEGO CA 92121 SD JOB EVIDENCE OF COVERAGE This is to certify that we -have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon ^Q days advance written notice to the employer We will also give you ^Q days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE EMPLOYER TSA CONTRACTING, INC 4350 EXECUTIVE DR STE 301 SAN DIEGO CA 92121 SD (REV 2-05)PRINTED 12-17-2005 M0410