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Home My WebLink About2772 GATEWAY RD; ; CB061627; Permit06-0^-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB061627 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2772 GATEWAY RD CBAD PLUM 2132630800 Lot# Construction Type LOT 40 BRESSI RANCH SEWER STUB OUT 0 NEW 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 Dram 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 vou 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 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit. Validated By Date Address (include Bldg/Suite #)Business Name 1st this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel *Existing Use Proposed Use Description of Work SQ FT #of Stones # of Bedrooms # of Bathrooms -•• .^ssMlVMf.-.fr js. " ^i-.ttu -. If ••', * a*j,,' •• Name Address City •• State/Zip Telephone *Fax* Name Address City State/Zip Telephone * Name Address City State/Zip Telephone* ;:t*S-3.2V.j- Vvw---.. -„', XA-J' (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 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 then five hundred dollars 1*5001) "T^A^foff^A^ri |J>J ZErXt Name State License* Address License Class City State/Zip City Business License * Telephone * Designer Name State License * Address City State/Zip Telephone 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 earner and policy number are Insurance Company Policy NoJ 1 S H 583-Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] 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 parson in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure worker* compantatiop'tovarage la unlawful and that subject an employer to criminal penalties and dvH fines up to one hundred thousand doflapUMlMLOQlA In a0UKioaXuna <x>*J?Wcompensation_j|«mage* as provided for in Section 3706 of the Labor code, interest and attorney's fees ijsiliMiiii^^ -A • ~ * , f- • -. 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason 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 (See 7044 Business end 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) O 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 Lew 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) 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 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 Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or nsk management and prevention program under Sections 25506 25533 or 25534 of the Presley Tenner Hazardous Substance Account Act? Q YES Q 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? Q YES Q 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 OFRCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT . , 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 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 City 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 stones in height EXPIRATION Every permit issued by the building Official underthe pjpVisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit Is not commenced wrthiryrtO days fror/theAte erfsrth permit or if the building or work authorized by such permit Is suspended or abandoned at any time after the work is (wmnje^e^^e/bjfof 180^fsjS*ction/>^4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/07/2006 PermiW CB061627 Title LOT 40, BRESSI RANCH Description SEWER STUB OUT Inspector Assignment p I ^^^^ Type PLUM Sub Type Job Address 2772 GATEWAY RD Suite Lot 0 Location APPLICANT TSA CONTRACTING Owner Remarks Phone 8584371180 Inspector Total Time CD Description 22 Sewer/Water Service Act Comment I I Requested By MIKE Entered By JANE AN Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments POLZCYHOLOER COPY SI PO BOX 420807, SAN FRANCISCO,CA 94142-0807 INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-01-2006 GROUP POLICY NUMBER 1757583-2008 CERTIFICATE ID- 38 CERTIFICATE EXPIRES 01-01-2007 01-01-2008/01-01-2007 PROOF OF INSURANCE 4350 EXECUTIVE DRIVE, SUITE 301 SAN DIEQO CA 92121 SD JOB EVIDENCE OF COVERAGE This is to certify that we -have issued • 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 JQ days advance written notice to the employer We will also give you JQ 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,OOO,OOO PER OCCURRENCE EMPLOYER TSA CONTRACTING, INC 4350 EXECUTIVE OR STE 3O1 SAN DIEGO CA 92121 SD (REV 2-05)PRINTED 12-17-2OO5 M0410