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HomeMy WebLinkAbout1650 SANDALWOOD LN; MULTI-PERMIT FILE; CB101415; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-29-2010 Plumbing Permit Permit No: CB101415 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1650 SANDALWOOD LN CBAD PLUM Status: Parcel No: 2051305800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: LAINE RES-REPLACE WTR HTR Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 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 TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: LAINE ELLIOTT R TRUST 05-24-07 1650 SANDALWOOD LN CARLSBAD CA 92008 ISSUED 07/29/2010 LSM 07/29/2010 07/29/2010 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: lnspec FINAL APPR_9y-L/(' Date: /() -v Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of tees, 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 I xa in f i h uhave revious n iv n N Tl Esimilarto his or hi h h t t oflimitat( nsh h I x ir /4'~'.,_ ~ Plan Check No. de / D I U I ~ Building Permit Application ~-~' ,/ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~--CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date 1/~ I ,o t.1? ) / • JOB ADDRESS ~c-nJ<t-\ w uoJ SUITE#/SPACE#/UN!T # rPN /~50 L. tJ . --- CT/PROJECT# rOT # I PHASE# I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Anta(s) O.oO\-,." 5D ac-\ \o-a11S 1 ,lo.. t, r I I ' -I - .J v '-c..rnt. loc.o..+i OI'\ = C:tc>r,:;,;, IL <J EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS <;; fR.-1) }°'-IL YES □#_ NOD YES □ NO □ YES □ NOD CONTACT NAME (H Different Fom Appllcant} APPLICANT NAME el. St.ot t L-i t-+ I e.fTe. I ADDRESS ADDRESS S.e..••··' CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE FAX EMAIL EMAIL P~rMi-tS @AwMAP, Cblr\ PROPERlY OWNER NAME (&-.,__J...i LP-, .,_IL CONTl:acTORBOS,NAM~I• l~_.J..A la~.f-, •~ b •· r H e.r ADDRESS ~"'"""- , ADDRESS '" • R Ro..i I roe,..4k lllve. CITY STATE ZIP CITY /TATE ZIP tJt.w h .... 11 '· qpt~ I PHONE I'"' PHONE FAX '7 loo ·1 ;).."\-\Q5~"1 lot..\· ,15q • 113 l ",. \ -J.5'1• "'S'S-t, EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS l STATE UC.# STATE UC.# CLASS lci'ii"~':l,, (j,~"1:a.r..• es<- {Sec. 7031.5 Busmess and Professions Code: Arry City or County which requires a permit to construct, alter, improve, demohsh or repalf anr structure, pnor 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 ucense Law (Chapter 9. commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pemit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). WORKERS' COMPENSATION Workers' Compensation Declaration:/ hereby affirm under penalty dpe,jury one d the following declaraioos: 0 I have and wiH maintain a certificate of COftS8ffl to selUnsure for workers' compensation as provided by Section 3700 ollhe Labor Code, for the perfoonance of the WOO< for whidltis permit is issued. ~ have and wil maintain workers' compeo_.icvl, as required by Sectioo 3700 of the Labor Code, for Ile performance of tie Nir.»"hil;ll lhis permit is issued. My workers" c.ompmsati_oo insurance carrier and policy """'"" .,., '""'"""' Co. "tt.~ Poq No. 'tOl,1¥"'\Y' 7 0 &p;-D•• f -f -I \ This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the perfonnance of the wcrt for which this permit is issued, I shall not employ any person in any manner so as b become sut:i;ect to the Walers' Compensation Laws of California. WARNING: Failure to secure workers' compensation-coverage Is unlawful, and shall sub;ect an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as pro ed for T Section 3706 of the Labor code, interest and attorney's fees. A'5' CONTRACTOR SIGNATURE (!,(}Jf! . MAGENT I het&by affirm that I am exempt from Conllactor's l..icense Law fat the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the worll and the structure is not intended or offered for sale (Sec. 7044, Business and Prolessions Code: The Contractor's License Law does not apply to an owner of property 'M\O builds or imJroWS thereon, and who does such work himself or through his own employees, prowled that such improveme,jS are not intended or offered for sale. If, however, the building or improvemenl is sold within one year of mmplelion, the owner-builder will have lhe burden ct proving that he did not build or improve for the purpose ct sale). D I, as owner of the property, am exclusively oontracting with licensed contractors to c.onslruct the project (Sec. 7044, Business .nl Professions Code: The Contractor's License Law does not apply to an owner of property who buijds or Improves thereon, and contracts for such ~jects with contraclor(s) licensed pursuant to the ConlraclDr's License Law). D I am exempt under Section ----~,usiness and Professions Code b this reason: 1. I personally plan lo provide the major labor and materials lor construction of the proposed property improvement. D Yes D No 2. l (have I have not) signed an application for a OOilding pemil for the proposed work. 3.1 have contracted Mlh the following person (firm) to provide the proposed construction (include name address I phone/ c.ontractors' license number): 4. I plan lo provide portions of the WOik, but I have hired the l:Jllowing person to coordinate, supervise and provide the major WOO: (include name I address J phone I contractors' license number): 5. I wiU provide some of the WOOi, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of WOik)· ,85 PROPERTY OWNER SIGNATURE lifAGENT DATE ! , Is lhe applicant or Mure buildiog occupant required lo 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 AdJ □ Yes □ No Is the applicant or future building occupant required lo obtain a permit from the air poUutioo control dislrid.or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No F 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 certify that I have mad the application and statethal:the above infonnation is conectand that the normation on the plans Is accurate. I agree to comply Mb al Ci1J oldinances and Statl! taws relating to building construclion. I hereby authorize represenlative of tie City of Carlsbad D enter upon h3 above menoooed propeny br ilSpeCOOl1 ~rposes. I Al.SO AGREE TO SAVE., INDEMNIFY PHO KEEP HARMLESS THE CITY OF CARLSBAD AGI\INST All LIABllrTIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN Nt/ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of lHE GRANTU',/G Of lHIS PERMIT. OSHA: AA OSHA pennit is required br excavations(1"8{5'0' deep and demolitionorconstrudiJn ofsln.dlresover 3 sbies i'1 heighl EXPIRA TKJN: Ewfy pemil -by Ile Buildr,g Offm under Ile provw1S al~-Code ""' e,pie by lirilaoon aed becon>l nuH aed """ • Ile buidilg O'Y,00(-by sud, pemil • not """"""'8d _, 180 days from Ile dale ofsudl pemil., ,.,. or-aulhorized by sudl pemil;; suspeooed orabandooed at any line al1er'1e-• """"""'8dklr apeood ol 180 days (Secoon 106.4.4 l.lfum Bui:fr,g Code). ~ APPL.CANT'S SIGNATURE PJ)lf{. DATE DATE: { !J ---It(-I 6 PERMIT#: ~(5 /DI L/I~ UNSCHEDULED BUILDING INSPECTION 8-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 INSPECTOR: tf L CONTACT: ______ _ PHONE#: ______ _ JOB ADDRESS: / b 5-0 5 fr,J D fr'--i.,Uoo 1-::> DESCRIPTION: ___________________ _ CODE ~s Bldg Inspection Form Page 1 of 1 COMMENTS Rev. 06/09 City of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 07-02-2007 Plumbing Permit Permit No: CB071783 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1650 SANDALWOOD LN CBAD PLUM Status: Parcel No: 2051305800 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: LAINE RES REPLACE WTR HTR Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 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 TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: LAINE ELLIOTT R TRUST 11-28-97 PO BOX 4272 CARLSBAD CA 92018 ISSUED 07/02/2007 KG 07/02/2007 07/02/2007 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: Clearance: $0.00 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 fife 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 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 f s/ x \ n I hi h h v r via I Tl E imil r h. hi h h r vi I h i ·r PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 t"UK Ut+U;t: U~t: UNL Y PLAN CHECK NcDl;a7/7K 3 EST. VAL. __________ _ Plan Ck. Depos· Validated By-1-~'ll---+------ Date ____ -"£:.._~__:q;~~---- l(p00 5t{0a'al W8vd ·. LaAL · Business Name (at this address) Address (include Bldg/Suite #) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units # of Bathrooms 1 (Sec. 7031.6 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 n. A y iolati n f Secti n 7 31. b an appl' nt for rmit sub' cts the applicant to a civil nalty of rigUDore than five hun red do I 600]). , . , [ V\. 0 .rveuJhcU State/Zip Telephone II CJ't-~ l '3 z_ / State License II --"'--'--.._=-_,.,.._ ..... ~ License Class ---"-""-'""""--"'""'---City Business License II j Z,,/ ] '2-J \ Designer Name Address City State/Zip Telephone State License II _________ _ fQ; i'-"~j;.fl:til:.(;..td£~k.~:s/6:1~:r.:'.J.r;;~ :,.;:c,.~· r~:;_~) .• }~:,i.l;,;'~/i ... :.b, ::~ .. ~ i:1' rH.L·~,:.;:~.;:,J~J.~L~t...;f.i. r1c: ,;;,,J! ··"" ":: Ji;;J~ t1,1:,t~~t,;,::1· ~ru:.~Jit~t:r~J} Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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. '0° 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 ~ed. My worker's compe sation i ranee car er and policy number are: 7 /r\/,. 7 a q (/10 I . 1-1 --0 (} Insurance Company __ -L...l.~~"--l...!1::.,:ll.l~~L~~-------Policy No .. _~.....,C>o<'-""''--"'-_n-'-'-__ __. _ _Q.,,,__---'--='-4--Exporat,on Date_-'-------'!) (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) O 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 • c kera' compenaatlon coverage la unlawful, end ahell subject en employer to criminal penaltlH end clvll finea up to one hundred thouaand dollar• 1•100, n to the c:oat of c:ompenaatlon, deme11•• H provided for In Section 3706 of th• bo • I ter• and ettorney'a fHa. SIGNATURE. ____ 4--==g'-4--f+-=------------------------DATE _ ___;.,;...,1--"""-~..i.-<c...:..,'---iz'aO:Wrtffii.llYJ~l8.C. . r.cr . "'· ... -. 1~ ·. · .. ~~~~).J.~!iiit.Ji:.:w.;.r(~'hKi:~~!tiit'.~~~f~ti~ii~~t1'~2:'::1l:'i;~~~, I hereby affirm that I am ex 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 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). 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(s) 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. 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 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):. _________________________________________________ _ 6. 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 --,--------- [dOl'flP,l:ETJ;i.iTHISi SECTi0N·F0~ NOt-ME~tD~NTIAI.' BUll,DIN.Q fERMiTS'0~t;Y tri,,iC~r •t',., ),;/ '.,t1,;,;a\'~."~i.;.'.!.~]rlljN.1~~l'thli;:ii:11?1~t>~ -:wlJlt'iil.ll'i~(~'i;;;J,cl 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 25605, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to bedllnstructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. r11.·;.~c.°Q.R~tB:Y1,.1191fii;i;:tipftii1t~t~N.clL~.'.1.:\!IgJh~:c.i:.:,:~':;J.''.:1nt1tt:r<trn"~t::J,;t I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). ' .• ·? , h.i. "~-:L:- 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 Cit\' of Carlsbad to enter upon the above mentioned property for inspect ion 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 comma ced 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 alIer the work Is c enc f period of 180 days (Section 106.4.4 Uniform Building Code). DATE 1:Jnoi / lrl APPLICANT S SIGNATURE -f='I----H-+----------------------l£.l-f=J 'd...j_ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/13/2007 Permit# CB071783 Title: LAINE RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 1650 SANDALWOOD LN Suite: Lot 0 Location: OWNER LAINE ELLIOTT R TRUST 11-28-97 Owner: LAINE ELLIOTT R TRUST 05-24-07 Remarks: Total Time: CD Description kComment 25 Water HeaterNents 29 Final Plumbing ~ Inspector Assignment: Phone: 7607296569 Inspector: e= / c.,C,;~'v ~-( 0\ Requested By: RANDY Entered By: JANEAN ----------------------·-· ···-------------------------------~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments