The URL can be used to link to this page

Home My WebLink About140 TAMARACK AVE; ; CB004648; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12/08/2000 Plumbing Permit Permit No:CB004648 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 140 TAMARACK AV CBAD PLUM 2042530800 Lot #: 0 Construction Type: NEW TAMARACK APARTMENTS-REPAIR GAS LEAKS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: SAKAMOTO BONNIE K SAKAMOTO BONNIE K ISSUED 12/08/2000 RMA 12/08/2000 12/08/2000 11101 SUNSET BLVD LOS ANGELES CA 90049 11101 SUNSET BLVD LOS ANGELES CA 90049 6222 1.2/0f:./OO ()002 :J1. Total Fees: $27.00 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: Total Payments To Date: 0 0 0 0 0 1 0 $0.00 FINAL APPROVAL Date: /;l..."'/3 'C-0 Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 C~C~F" $27.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition• of fees, dedications, reservations, or other exactions hereafter col\ectively 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 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 oreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otherwise exnired. \' ·. ._,.,_ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use Description of Work SQ. FT. #of Stories Name Address .3;---:'APPLICAJPI O Contractor -:>·e.J±,. '::Jl,1-, co i/\ 0 Agent for·Contrector ¢'tn,,(; q9 0 Owner qf.,A,-L Name Address City 4. 6. CONTRACTOR • COMPANY NAME FOR OFFICE USE ~ y f I I PLAN CHECK NO(J)O() ~ o/f EST. VAL. _________ _ Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# Telephone# (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 ($5001). Name Address City State/Zip Telephone# State License # __________ _ License Class _________ _ City Business License # _______ _ 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: 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 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) 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 aecure workers' compenaetion coverage la unlawful, and ahall subject an employer to criminal penaltiea and civil finea up to ona hundred thouaend dollars ($100,000). in addition to the cost of companaetlon, damages aa provided for In Section 3706 of tha Labor code, intereat and attorney's feea. SIGNATURE _____________________________ _ DATE _________ _ 7. OWNER-BUILDER DE_Cl:ARATION 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 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 ~in 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). [iJ/'° 1, 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 1. 2. 3. I am exempt under Section ______ Business and Professions Code for this reason: ~lly plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 1~ve not) signed an application for a building permit for the proposed work. I hav ontract with following pe (firm) to provide the proposed co str ction include name / address / phone number / contractors license number): •~ I t, ~ "CJ 4. I plan to provide portions of the work, but I have hi e 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 hav c ted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. _____________ 7 ..._+--,.C..,;L-l-7#,..._ ___ -::,<:....,,,,_ __ --:-________ --,.,... ___________________ _ PROPERTY OWNER SIGNATURE -::;;:,.L.....!:.=-=:__:::..!:::l..L~-_:_::::::......JL:..._.::::....!::....::__..L.Ji!::.l.i=~....::=-..:.. COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINO PERMITS ONtY.,,__ 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? 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? 0 YES O NO Is the facility to be constructed 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 ANO 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 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 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 s•o• deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the buil~~ic!al under the provisions of this Code shall expire by lim1tat1on and become null and void if the building or work authorized by such permit 1s not commenced ~'.~-~ 11~ays from the date of such permit or if the building or work authorized by such permit 1s suspended or abandoned at any time after the work is commenced f peri of 1 O Section .4 Uniform Building Code). r"} cg-_ c,'C) APPLICANT'S SIGNATURE _._.:::....=.-=:...-_....,_.,._:..._ ~..::.-,::::.i...:::.... __ __;_>.<.....-.::::......=>=:::::....._______ DATE _ _.tl-,~"""'------------- PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE /~ '/-<-~ ~ INSPECTOR fZ ./S. PERMIT# ~ ~l(t-r · PLAN cHEcK # ---- JOB ADDRESS )t.ftJ -r; l'fo.cr;c, I(:: DESCRIPTION _________________ _ CODE DESCRIPTION ACT COMMENTS r fr/7 &HI U,,,'{f s f y: ' '~·-----·---