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HomeMy WebLinkAbout1 LEGOLAND DR; ; CB004797; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12/19/2Gt00 Miscellaneous Permit Permit No:CB004 797 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 1 LEGOLAND DR CBAD MISC $0.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: LEGOLAND Inspect Area: SEWER & WATER LINES FOR EXPANSION AREA 3 Applicant: LEGOLAND ESTATES 1 LEGOLAND DR CARLSBAD CA 92008 760 918-5461 Owner: LEGOLAND ESTATES 1 LEGOLAND DR CARLSBAD CA 92008 760 918-5461 ISSUED 12/19/2000 MOP 12/19/2000 12/19/2000 Total Fees: $80.00 Total Payments To Date: $0.00 Balance Due: $80.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: PERMIT FINAL APPROVAL Date: ':'•bit..<>\ 'I,. * ..... ~-< -.,._ Clearance: $80.00 $0.00 $80.00 NOTICE: Please take NOTICE that approval of your project includes the "!~position" 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 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 you have previously been aiven a NOTICE similar to this, or as to which the statute of limitations has previous Iv otherwise exoired. FOR OFFICE USE ONLY PERMl:f APPLICATION PLAN CHECK NO.~· t-(1 q] CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL.~--~~-~~--- Plen Ck. Deposit--------- Validated By __________ _ Det•------------- 1. Total I of units >.s. ... or·• P••r.•l,I ~ • ::L-.'. E,ta. -~ng.t~ _ _,,,,;5'--u...:._.±,-U..11-1C-1C::.-.-~ ........ ie __ W=---a~ .......... ---..::L.... l...v/,SQ. FT. DHcription of Work , of 8attvoom1 ~-COHTACT,ERIONOf.,,....,ffolnepplaent)!,;: .. (','.:., ··.'.'h·~ · '•,... ••. •' :r:~ FeH-d I I ., ··.;·. Stmte/Zlp T~I Ful 3. Name Name 6. CONTRACTOR· COMPANY NAMI!;-'.·. '.:-·,;,"'.':~. ~ (Sac. 7031.5 8ualne11 and Profesalona Coda: Arly Chy or County which requirN • permit to construct, alter, improv9, demolish o, repair any structure, prior to Its issuance, also raqulrH th• applicant fo, sucfi permit to the • signed statement thllt he 18 lic-.d ~nt to the pn)Visions of the Contracto,'s Uc-. LAw !Chapter 9, commending with Section 7000 of Olvlalon 3 of the BuslnN• and Profeulonl Coda) o, thllt he Is eumpt therefrom, and the bul1 fo, the alleged uamption. Any violation of Section 7031.5 by any applicant fo, s permh subjects the applicant to a civil penalty of not more than five hundred dollst1 IUOOU. Name AddrNS City Stata/Zlp Telephone I State License I---------Ucenu et ... ________ _ Chy 8UliMu LicaNe I------- DHigner Name Addr... City Stata/Zlp Telephone Stat• Uc-. I --------- 1. WORltEJII' COMPENSATION ..,.:, __ ..:._ .,.'... .. . • . f • Workers' Com,,_atlon Dadaration: I hereby affirm under penalty of perjury one of the following daderatlona: 0 I heva and will maintain • cartlflc•t• of consent to self-Insure fo, wo,ltera' companaatlon •• ptovldad by Section 3700 of the Labor Coda, tor the parfo,manca of th• work tor which thit permit Is lAuad. 0 I hev• and wm maintlln workers' CC>fflC*WStlon, u required by Section 3700 of the Labor Coda, fo, tha performanc:a of the wo,k tor which thi, permit i1 issued. My worker', comp-.tion lnturanca carrier and policy number are: Insurance Company Polley No. Expiration Data ______ _ ITHIS SECTION NHD NOTH COMPUTED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work tor which thlt permit It i11ued, I aheN not employ any parton in eny manner ao H to become tubject to the Workers' CompanHtlon Law, of Califo,nia, WARNINO: F ... a to aacwa wcwti .. • -..,watlon co..,... la unlewful, end ahllll aubject en employer to atrNlll,t pallllldaa end d .. flnaa up to one hundred thouaend dolera 1• 100,0001. In edlldOfl to the coat of -..,watlon, demegea • provided for In Section 370. of the ubor cocla, ""-tend an-y·, f-. SIGNATURE DATE--------- 7. OWN!R.aUILDU1>EctAIIAT10N··1 ," ... · ·1 ..•• ' -··• I hereby affirm that I am exempt from the Contracto,'a UcenH Law tor tha following raHon: 0 I, as owner of the propany o, my amployH1 with w1gH H their sole companHtion, will do the work and tha ltructura I• not intended or offered tor Hie (Sac. 7044, 8uaine11 and Protaations Coda: The Contracto,'a License L•w doe1 not apply to an owner of propany who builds or lmprovN thereon, and who do11 1uch work himself or through.his own amployaaa, provided that auch Improvements are not Intended o, ottered fo, aala. It, however, the building or improvement i• i wlthln one yHr of completion, the owner-builder win have the burden of proving thet ha did not build o, Improve to, the purpoaa of Hie). I, H owner of the ptoparty, am axc:lullvely contracting whh licensed c:ontTacto,a to construct the project (Sec. 7044, lluafnNa and Profauions Code: The tractor'• Ucann Law doll not apply to en o-of ptoperty who build• o, lmptov .. thereon, and contract, for auch Pfolect• with contracto,111 lie-ad pu11uant to the Contractor', Ucenaa Law). 0 I am a11ampt under Section ------8ullnNa and ProfaHlont Code fo, this rauon: 1. I parsonany plan to ptovida the major labor end materiel• fo, construction of tha propoHd property lmptovamant. 0 YES ONO 2. I (have I have not) tlgnad en application fo, a building permit fo, the Pfoposad wo,k. 3. I have contracted with the following parson lfirml to provide tha ptoposad construction (Include name I addrns I phone numbat I contractor, license number): 4. I plan to provide portions of the work, but I hava hired the following paraon to coordinate, 1upe,viH and ptovida tha major work lincluda name I addrets I phone number I contractort licanH numberl:. _______ ....,_,,_~'---------------------------------- 5. I will provide soma of the work, but I hava contract following parsons to provide the wo,k indicated (include name I addrau I phone number I type ofworkl:: _______ __,,-,~---,.....,_.¢!...;,_.'-::-=:1-====~"r-----------------J.--./C---------- PROPERTY OWNER SIGNATURE A----...::;.+-+---1'----.,L---------- COMPLETE THIS SECTION fO,,,J.,dN'-Ms;GSVl,i,i IIUJIIMll'N .. ERIIID't> •· I Is tha applicant or future building oc r · ad to submit a butinaH plan, ,cutely hazerdoua matarlala reglatratlon '!"" _,.gr ritk management and prevention program under Sections 25505, 25533 or 2 34 of the PrHlay-Tamer Hazardoua Substance Account Act7 0 YES lli:r"NO Is the applicant or future building occupant , rad to obttin a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 fHt of the outer boundary of • school tita7 0 YES ~ DYES~ IF ANY OF THE ANSWERS ARE YES, A FINAL CEIITIFICATE OF OCCUPANCY MAY NOTH ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AJR POLLUTION CONTROL DISTRICT. 8. .CONSTRUCTION LENDINGlAGENCY,1}'.J;~,;~,::; !'~: ·, ·~•.• .. : . ., . · .. , . , . I hereby affirm that there is a conatructlon lending agency for tha parformanca of the wo,k for which this permit it issued ISac. 3097(1) Civil Codel. LENDER'S NAME ______________ _ LENDER'S ADDRESS -----~-------~-------------t , Al'l'UOANT CIRTIPICATION·t• I,• '.,' ·.t. ,,,, 1 •,.,,, • •, • I certify that I have rHd the application and state that tha above Information 11 correct and thet the Information on the plane la accurate. 1 agrH to comply with ,11 City ordinances and State lawa relating to building conatructlon. I hereby authorize rtP'Nent81ivN of the Cltt of Clltabad to enter upon the above mentioned property for Inspection purpoHa. I AlSO AGIIEE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AOAINST ALL UAalLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCIIUI AGAINIT IAID CITY IN CONIIQUINCI o, THI OIIANTINO o, THll l'IIIMIT. OIHAt Afl OIHA permit 11 required for a,ccavationa ova, 11'0" deep and demolition or construction of ltructures ovar 3 1toriea In height. EXPIRATION: Every pt!mlt laau,d by 1ht lullcllng Offloltl under the PfOVltlont of 1h11 Codt ahtll txplte by Nmltttlon and become null and void if the building o, WOik 1uthorl11d by 1uch permit la not commanc wl n days from tha data of such permit o, If the building or work authorized by such permit i, 1uapended • wo,k la co od of 180 daya !Section 108.4.4 Uniform Building Coda). / / APPLICANT'S SIGNATURE DATE /;l..//y /0(:) L