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2888 LOKER AV EAST; ; CB070043; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB070043 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2888 LOKER AV EAST CBAD PLUM 2090832200 Lot #: 0 Construction Type: NEW MAMMOTH BLDG -COURTYARD-ELECT PLUMB & WASTE LINES TO 4 FOUNTAINS Status: ISSUED Applied: 01/05/2007 RMA 01/05/2007 01/05/2007 Entered By: Plan Approved: Issued: Inspect Area: Applicant: MAMMOTH EQUITIES CONSTRUCTION 20532 EL TORO RD MISSION VIEGO, CA 92692 949-503-7158 Owner: MAMMOTH CARLSBAD I LLC 29222 RANCHO VIEJO RD #203 SAN JUAN CAPO CA 92675 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 1 0 1 0 0 0 $20.00 $0.00 $15.00 $0.00 $7.00 $0.00 $0.00 $0.00 $20.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $62.00 Total Fees:$62.00 Total Payments To Date:$62.00 Balance Due:$0.00 BUILDING PLANS IN STORAGE ATTACHED Inspector: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 fc* < * FOR OFFICE USE OWJ.Y PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated Date Address (include Bldg/Suite *)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Total # of units Assessor's Parcel #Existing Proposed Use Description of Work #of Stories >M fMf^ ? ^ T ""; # of Bedrooms # of Bathrooms Name State/Zip Telephone* 'Fax* (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 than five hu/idred dollars [$500]). Name State License # Address License Class City State/Zip City Business License # Telephone * Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby effirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. (Sf I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: _ , JL i . _ Insurance Company C$/\J*L0lJKKl& M^AP^Nr^A^n^/i Policy No. J^ & <• **\ OP **&•••Bl^OExpiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [*100] OR LESS) <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 so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shaft* subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (fe*j)0,00(Ur, bnMdrtion to the rortofdbmpensation, damages as provided for in Section 3706 of the Ubo/code/intwest and attorney's fees. SIGNATURE /5&L/ {*2>^*^&*?^*e!£/7~-~-~ DATE //S'/Of 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 (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). 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 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), fj] 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. D 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 hazerdous materials registration form or risk management and prevention progrem under Sections 25505, 25533 or 25534 of the Presley-Tanner Hezardous Substance Account Act? Q YES Q NO Is the epplicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES D 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. I hereby effirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) 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 informetion 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 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 at any time after the work is APPLICANT'S SIGNATURE .106.4.4 Uniform Building Code). DATE //*/• WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/26/2007 Permit* CB070043 Title: MAMMOTH BLDG -COURTYARD-ELECT Description: PLUMB & WASTE LINES TO 4 FOUNTAINS Inspector Assignment: PC 2888 LOKER AV EAST Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER MAMMOTH CARLSBAD I LLC Owner: MAMMOTH CARLSBAD I LLC Remarks: Phone: Inspector: Total Time: CD Description 29 Final Plumbing Act Comments Requested By: NA Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 03/26/2007 21 Underground/Under Floor AP PC 03/26/2007 31 Underground/Conduit-Wiring AP PC License DetailMS( California Home Page 1 of 2 Wednesday. License Detail Contractor License # 809676 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by law (B&P7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&P7071.17. only construction related civil judgments reported to the CSLB are disclosed. • Arbitrations 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 ont Board's license data base. * * * Extract Date: 07/12/2006 Business Information * MAMMOTH EQUITIES CONSTRUCTION GROUP INC 20532 EL TORO ROAD SUITE 302 MISSION VIEJO, CA 92692 Business Phone Number: (949) 583-7158 Entity: Corporation Issue Date: 06/20/2002 Expire Date: 06/30/2008 * * *License Status * * * This license is current and active. All information below should be reviewed. * * *Classifications * Class B Description GENERAL BUILDING CONTRACTOR * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number CD7536 in the am $10,000 with the bonding company http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 07/12/2006 License Detail Page 2 of 2 CONTRACTORS BONDING AND INSURANCE COMPANY. Effective Date: 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) KEF ROGER OFTEDAL certified that he/she owns 10 percent or more of the voting stock/equit corporation. A bond of qualifying individual is not required. Effective Date: 06/20/2002 * * *Workers Compensation Information * * * This license has workers compensation insurance with the EMPLOYERS COMPENSATION INSURANCE COMPANY 4748-0 Policy Number: SD81010631623 Effective Date: 01/07/2006 Expire Date: 01/07/200 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licei Personnel List ,' Other Licenses I [License Number Request [contractor Name Request [Personnel Name Request [salesperson Request [[Salesperson Name Request © 2006 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 07/12/2006