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HomeMy WebLinkAbout1541 REGATTA RD; ; CB003852; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12/08/2000 Plumbing Permit Permit No:CB003852 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1541 REGATTA RD CBAD PLUM 2150715300 Lot#: 0 Construction Type: NEW EASTER RESIDENCE GAS& ELEC LINE TO FUTURE POOL EQUIP Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/18/2000 JM 10/18/2000 10/18/2000 SR Applicant: Owner: 625,'¾ 12/0B .. ·Jo EASTER MICHAEL&MELODY JG02 '.)~_ ·C,.t.:~1-> EASTER MICHAEL&MELODY 1541 REGATTA RD CARLSBAD CA 92009 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: 1541 REGATTA RD CARLSBAD CA 92009 Total Payments To Date: 0 0 0 0 0 1 0 $27.00 FINAL APPROVAL Date: b I \ I a l Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $47.00 $20.00 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. 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 ~mely 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 niven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. ··,.-- _ _...,,;. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.CB '385 V CITY-OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit . .,:=:,.------,---- Validated By_....._q,l'l<..lo.-,r',~,-,,'-,1"'"- Date, _______ ...J,;.'::/,.,f-lJc/,l..L"--- 1. PROJECT INFORMATION \S '-"' ~ <z.."-::fXTI!', :sz-'S? Address (include Bldg/Suite #) Business Name tat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use 'i':C(2L.-. S; C?>2....Z- Proposed Use Oescription of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (H different from applicant} Name Address City State/Zip Telephone# Fax# 3. APPLICANT O Contractor D Agent for Contractor ".§lowner O Agent for Owner Mv;;,~c,...~ 5:: AsE::s:zg 'Er':\\ ~:Zc:::Pn::s:A "Z.c c.A.~W---.t> c.A ~ (:z~) ....... ,o.-,qc:5,. Name Address City state1zip Telephone # 4. PROPERTY OWNER ~-A> Pw::s:._,~ Name Address City 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 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 ($500]). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License II _______ _ Designer Name Address City State/Zip Telephone State license # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D 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______________________ Policy No._____________ Expiration Date _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D 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 11 unlawful, and shall subject an employer to criminal penalties and civil fine, up to one hundred thousand dollars 1$100,000), In addition to the cost of compenHtion, damages a1 provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE________________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intepded 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). ~ 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). D tam 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 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 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 I 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): __________ -;;c:;;"';::;?"<':--:;r-:;r;7-~:===?'~=---------------,,---;,------------ PROPERTY owNER s1GNATURE ,,..y<:·· DATE ¥2/V?<loo COMPLETE THIS SECTION FO;;.~~,l~'D~EN~77A:L~BU~l~LD~l;NioO~PliE~RM:i;ITS~O;N~LY~==------1 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 di5trict or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. 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(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIF1CA TION t 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 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 authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comm~ .-,peri f 1 0 d ·(Sectio 106.4.4 Uniform Building Code). 'fwAPPLICANT'S SIGNATUR~ / DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/23/2001 Permit# CB003852 Inspector Assignment: SR --- Title: EASTER RESIDENCE Description: GAS& ELEC LINE TO FUTURE POOL EQUIP Type:PLUM Sub Type: Joo Address: Suite: Location: 1541 REGATTA RD Lot 0 APPLICANT EASTER MICHAEL&MELODY Owner: EASTER MICHAEL&MELODY Remarks: Total Time: Phone: 8584906800 EX 265 Inspector: RR, • Requested By: MIKE Entered By: CHRISTINE CD 31 Description Underground/Conduit-Wiring ~Co;t~~~ Associated PCRs lnsgection HistoQL Date Description Act lnsp Comments 01/19/2001 31 Underground/Conduit-Wiring co SR NOT DEEP ENOUGH/SEE NOTICE ATTACHED 12/08/2000 21 Underground/Under Floor WC SR 12/08/2000 23 Gas/Test/Repairs AP SR FOR FUTURE POOL EQUIP