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HomeMy WebLinkAbout1000 CHINQUAPIN AVE; ; CB050679; Permit03^04-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB050679 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1000 CHINQUAPIN AV CBAD PLUM 2060502300 Lot # 0 Construction Type NEW GITTINS RES REPLACE MAIN UNDERGROUND GAS-LINE Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/04/2005 KG 03/04/2005 03/04/2005 Applicant NORTH COUNTY PLUMBING PO BOX 1758 VISTA CA 92085 760 735-4900 Owner WOODRIDGE VILLAGE APARTMENTS LLC C/O RADELOW/GITTINS 1775 HANCOCK ST #160 SAN DIEGO CA 92110 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 0 0 0 0 01 0 ' I f •> $2000 $000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $0 00 Balance Due-$27.00 3098 03/04/05 0002 01 02 CGR 27-00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition" of tees, dedications, reservations, or other exactions hereafter collectively referred to as 'lees/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 6602Q(a), and file the protest and any olher required information with (he 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 nght 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 fees/exactions of which you have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations_has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 Address (include Blag/Suite ft) FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date 3 ~ M - \A\\OABusiness Name {at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel 9 . , , . , i ,-, i - .xiUrve In^TailCrhCnExisting Use Description of Work SQ FT of Stones (J tt of Bedrooms It o( Bathrooms &f1dlffBrent,from, Name S*-} APPLICANT'Contractor ^ i A Address City 'for^Coritractor Q Owner' QEAgent<for;Owner' State/Zip Telephone ff Fax ff Name Address City State/Zip Telephone # & " PROPEHTY'QWNER'LK ., ? fT'1 '*. ^Cj'. ' ' ,'/ O . tbQriAe\c\^faxWfr ms vfoflflncK «S*~*ti''fr2M6''''(oi4'-22>i- Address City State/Zip Telephone #Name js;iC 'CONTRACTOR i COMPANY-NAME^ "'-,.1:'"', " ,,••» . -i, \ ,t> • ',• ^-^ i,1,1' ^./pt (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 noimore than five hundred dollars 1*5001)K f\ *j -»/-\ _i_ ,/h .vi"-,/\i ~ L>-\ n, i fll— ._ ir\ ./\A A i J-r\ \ f. rV; _*!•, r > ./ ri~> \_r> />s\, fy) /Jy.,O-rT TV-UO^ ' applicant for a permit subjects the applicant to afen n fflurrw fV^c Name / ^7^ 1 ^/} State License tt (0, ^M ~\J I (^Address License Class City State/Zip City Business License It \ ~7t Telephone tt 1£*7/. /w -^ If IV ' *4S V Designer Name State License ft Address City State/Zip Telephone je ^WORKERS; COMPENSATION* ^^r.^7 -/ r r ", :"<x /.- . ^5 i'?u^"i"€ ^^t.-.-'^'vri • " i-'-. - :-/"?—_ - '- = v--^ - * A Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations/ L-// [X^ 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 O 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 co(Tiperisi«fon insurance earner and pokey number are / /--- — ~ I / ' / ~Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100J OR LESS) Q CERTIFICATE OF EXEMPTION 1 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 amployer to criminal penalties and civil fines up to one hundred thousand dollar^TVlQO-pOOL injiddition to the cost of compeoaation, damages as provided for In Section 3706 of the Labor code. Interest and attorney s fees SIGNATURE JA d A \Qt \ /* tXV^ _ DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason n 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 en 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-buildar will have the burden of proving that he did not build or improve for the purpose of sale) Q 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) (3 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 Q YES QNO 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 / eddress / 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) _ PROPERTY OWNER SIGNATURE _ DATE _ |1COM>LETEflTHlS1SECTION'FORArOW-flf5//J£/V77/li'BUILDINQ PERMITS ONLY \ '„' * N/,l,', - ' tj'E , ^ , , V >-' h!> 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? Q YES Q 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 Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [3 YES C] 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER S NAME LENDER'S ADDRESS CERTIFICATION r"1 P £& „-_ » ",\l" -£:>u,- ;^>^" T, ,| p/£, -_ -V^: V_7 •, >';^-, --, ~ ;e. ,'FW ^."i"'1. ',- -"'.i ;,-* '."-^ 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 City 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 cdmhaencBd for,a penod of 180 days (SectidrTTpfM 4 Uniform Building Code) APPLICANT'S SIGNATURE^LAvMnJ U/V M/ V/V_ DATE 3/4 WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 03/07/2005 Permit# CB050679 Title GITT1NS RES REPLACE MAIN Description UNDERGROUND GAS-LINE Inspector Assignment 1000 CHINQUAPIN AV Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT NORTH COUNTY PLUMBING Owner WQODRIDGE VILLAGE APARTMENTS LLC Remarks Phone 7607354900 Inspector Total Time CD Description 29 Final Plumbing Act Comment Requested By JEANIE Entered By KAREN Associated PCRs/CVs Inspection History Date Description Act Insp Comments License Detail Page 1 of2 Cajjfprn ia_Hom Friday, Ma License Detail Contractor License # 659157 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the lin button to obtain complaint and/or legal action information • Per B&P 7071_ 1_7, only construction related civil judgments known to the CSLB are di • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 03/04/2005 Business Information * * * NCPINC PO BOX 1758 VISTA, CA 92085 Business Phone Number (760) 735-4900 Entity Corporation Issue Date 11/23/1992 Expire Date 11/30/2006 * * * License Status * * * This license is current and active All information below should be reviewed. * * * Classifications * * * C36 PLUMBING C16 FIRE PROTECTION CONTRACTOR C20 JWARM-AIR HEATING. VENTILATING AND AIR-CONDITIONING * * ** * * Bonding Information CONTRACTOR'S BOND: This license filed Contractor's Bond number GCL1144339 in the http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 03/04/2005 License Detail Page 2 of 2 of $10,000 with the bonding company U Effective Date 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): This license filed Bond of Qualifying Individual i GCL1144338 for OLIVER ALFRED HAMLIN III in the amount of $7,500 with the bonding c INTERNATIONAL BUSINESS AND MERCANTILE REASSURANCE COMPANY. Effective Date 08/24/1995 BQI's Bonding History * * * Workers Compensation Information * * * This license has workers compensation insurance with the REDLAND INSURANCE CO. Policy Number RPSI1067802 Effective Date 01/01/2005 Expire Date 01/01/2006 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licei Personnel List Other Licenses License Number Request •Contractor Name Request [personnel Name Request [salesperson Request Salesperson Name Request © 2005 State of California Conditions of Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 03/04/2005