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Home My WebLink About1196 LARKSPUR LN; ; CB993817; PermitCity of Carlsbad \ ,\ \\ . 0 ~~\'} 10/18/1999 Plumbing Permit Permit No:CB993817 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 1196 LARKSPUR LN CBAD PLUM Parcel No: 2054300900 Lot #: 0 Construction Type: NEW Reference #: Project Title: INSTALL GAS/ELECTRICAL Applicant: WORTHING INC, B. A. 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 Total Fees: $47.00 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 TOTAL PERMIT FEES Inspector: 1 ,· ,'"' '\ • t . "· X ¾ ., \I, ;,.. C ~'fa ... •~ ... . "' ... "' :· "'\,.-' ~"'½it*' • .,., ; :: : ~-=··.:, t .• ' ... FINAL APPROVAL I -()--ot:; Date: Status: Applied: Entered By: Plan Approved: Issued: lnspect~9 Clearance: ISSUED 10/18/1999 GMF 10/18/1999 l0~9iJJij9~c,1 Ol $0.00 $0.00 $47.00 C-·PRMT $47.00 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. lf 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 Ca~sbad 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 capactiy 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 nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 PERMIT APPqCATION FOR OFFICE USE ONLY 3~ 1-y PLAN CHECK NO. ~'l'! CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By~-<A....:...,_.,;_ ______ _ Date \0 It 'l" ( 'I. 'I. ,. Business Name (at this address) Legal Description Lot No. Subdivision Name/Number . Unit No. Phase No. Total II of units Assessor's Parcel # Existing Use Proposed Use Descript~ ~ ~de ( # of Bedrooms # of Bathrooms 2. CONTACT PERSON !ff dff-, tn,m oppliaantl Name 3. Name City (D'rl State/Zip Telephone II Fax# Telephone# 4. PROPERTY OWNER 1190 -r~ c'.kvl?ldcl 6..-Cit, 7-z...q'::fl&-6? Name State/Zip Telephone# 5. CONTRACTOR, COMPANY NAME (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 exempti . _t,ny violatio.£.lf Section 7031 .5 by an ppli nt for a permit subjects e pplic nt to civil penalty of not more tha fiv hundred dollars 1$5001) . • ~. Wofql'\'1 Toe ,4 -20/6 UJ '2 4>'7 Name License Class 'S--l -~-~------City Business License "Ji~"'"-''------ Designer Name Address City State/Zip Telephone State License II _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of per1urv one of the following declarations: 0 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 compensation insurance carrier and pohcy number are: . _l._ /L ...!.. } _ Cl) Insurance Company----------------------Pohcy No. z,-z.q,qe ~ IQ~ r:.r/"31 Expiration Oate. __ l _____ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l,$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 person in any manner so as to become subject to the Workers' Compens'ation Laws of California. WARNING: Failure to H en' compenaetlon cove,age is unlawful, end shall subject an employer to criminal penalties and civil fines up to one hundred ition to the cost of compensation, damages aa provided for in SecttOh 3706 of the La']_r cope. tnterest and attorney's fees. DATE I" _le/ fl1 Contractor's License Law for the following reason: 0 !, as owner ct the property m 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 Profess1 Code: The Contractor's License Law does not apply to an owner of propeny 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 complet1on, the owner-builder will have the burden of proving 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(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code tor 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 / 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 hcense 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 I contractors hcense number): ________________________________________________ _ 5. I will provide some of the work, but I have contracted lhired) the following persons to provide the work indicated (include name / address / phone number / type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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'? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D NO ' IF ANY OF THE ANSWERS ARE YES, A ANAL 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. 30970) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 9. 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 Citt 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 Ll~BILITIES, JUDGMENTS, COSTS ANO 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 s•o• 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 authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time a her the k is menced fo .a period of 1 80 days (Section 106.4.4 Uniform Building Code). DATE \0/11:;/qq City of Carlsbad Inspection Request For: 1/4/2000 Permit# CB993817 Title: INSTALL GAS/ELECTRICAL Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1196 LARKSPUR LN Lot APPLICANT WORTHING INC, B. A. Owner: COATS DONALD G Remarks: Total Time: 0 Inspector Assignment: RB --- Phone: 7607293965 Inspector: f--{3 ----- Requested By: TERESA Entered By: CHRISTINE CD 29 Description Act Comments Final Plumbing & ____________________ _ x Associated PCRs +----------------------- lnsgection Histoi:y Date Description Act lnsp Comments 12/29/1999 19 Final Structural co RB 12/29/1999 29 Final Plumbing co RB SEE BACK OF PERMIT 12/29/1999 39 Final Electrical co RB 10/26/1999 17 Interior Lath/Drywall AP RB 10/26/1999 23 Gas/T esVRepairs AP RB 10/26/1999 34 Rough Electric AP RB CHECK MAIN PANEL @ FINAL 10/22/1999 14 Frame/Steel/Bolting/Welding AP RB NEW 4 X 10 HEADER -PER PLAN 10/22/1999 21 Underground/Under Floor AP RB GAS LINE RELOCATE 10/22/1999 34 Rough Electric PA RB SEE JOB PERMIT 10/21/1999 14 Frame/Steel/Bolting/Welding co RB HAVE PLNS APPRVD FOR ALTERATIONS 10/21/1999 34 Rough Electric co RB > > ' I B. A. WORTIIlNG, INC. P.O. Box 1041 CARLSBAD, CA 92018 • Lie. #B-1-398764 (619) 729-3965 ... 1 .... -.·. ---. \2\''-...:-·· --~ ··~ 0 Please Reply O No Reply Necessary IIJl~IIA;i-1 -··---··---==== ===:. : --------==================LETTER DATE ... f()/~L/jti ··································································· ft············· .. ···~1 tk}~~(f~