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HomeMy WebLinkAbout1 LEGOLAND DR; ; CB012339; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07/19/2001 Miscellaneous Permit Permit No:CB012339 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: MARINA LUZ 2675 IRVINE AV COSTA MESA CA 949 854-0449 1 LEGOLAND DR CBAD MISC $0.00 LEGO LAND Subtype: OTHER Lot#: 0 STAGE, LIGHT BAR & RAMP FOR SPECIAL EVENT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/10/2001 MDP 07/18/2001 07/19/2001 5091 07/19/01 0002 01 02 CGP 120«00 Total Fees: $120.00 Total Payments To Date: $0.00 Balance Due: $120.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES ,,/7~/ J / / .·' Inspect~_'. -1-,1'~--- PERMIT FINAL APPROVAL '] ·~11 0/ Date:··-)_-, $120.00 $0.00 $0.00 $120.00 Clearance: ------ 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 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 previously otherwise exoired. ( PERMIT APPLICATION CITY G'f! CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ..... ..1Description of Work • SQ. FT. 5'TA-6-'i:.. ;}-Alo LI 6-tf TS 1"1.. u c,ua..~ 2. CONTACT PERSON (If different from applicant) #of Stories FOR OFFICE USE ONLY PLAN CHECK NO. 0} ,e,5'3 ~ EST.VAL. ~ Plan Ck. Deposit----------'- Validated By ____ +------.,------- Date ____ -,.i-+-, 4'("""-0+[ _,..0'1--f-- Total # of units # of Bedrooms # of Bathrooms Lv2... M11tt2..1iva-deG75 Jn.v;Nti Name Address dll ~ c· Ca.Stt! /vf j;y}-C It: q4c, .155 <...J -0449 3. APPLICANT O Contractor O Agent for Contractor O Owner City 0 Agent for Owner State/Zip Telephone # Fax # ::::12.. Cf '-1'1 ·7~5 -046'7 Name Address City State/Zip Telephone# 4. PROPER-rr RWN~ :0, W~ANl) ~/f{)~_A Name 0A cr2tX8 71rJ)-W-5/h/ 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 [$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 [$1001 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 secure workers' compensation coverage Is unlawful, and shall subject 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 provided for in Section 3706 of the Labor code, interest end 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 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). ~ 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 I 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 I address I phone number I 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 I address / phone number I contractors license number):·-------,,--~'----,,C.------------------------------------ 5. I will provide some of the work, but I have con the following persons to provide the work indicated (include name I address I phone number I type ofwork): ____________ ~::::::~--7'-~-,"'-;;;::::-------------------,r-:;f--~=-~.---------- PROPERTY OWNER SIGNATURE -c...--.L-~---+--------------- COMPLETE THIS SECTION FOR ONLY Is the applicant or future building occ ant required to su business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 2553 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 7 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(il 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. APPLICANT'S SIGNA TU!lE DATE YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB012339 Title: LEGOLAND For: 07/27/2001 Inspector Assignment: Description: STAGE, LIGHT BAR & RAMP FOR SPECIAL EVENT Type:MISC Sub Type: OTHER Job Address: 1 LEGOLAND DR Suite: Lot 0 Location: APPLICANT MARINA LUZ Phone: 7143495664 lnspector-6L Owner: LEGOLAND CALIFORNIA INC <LF> LEGOLAND ESTATES AG Remarks: READY@ 1 :00 PM Total Time: CD Description Act Comments Requested By: CARL Entered By: ROBIN 14 Frame/Steel/Bolting/Welding 11-1} ____________________ _ r1--+---'Er~111~1+:'L-~· ·---~ ___________ _ Associated PCRs Inspection History Date Description Act lnsp Comments