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HomeMy WebLinkAbout1029 GOLDENEYE VW; ; CB020554; Permit~t-City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-22-2002 Plumbing Permit Permit No:CB020554 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1029 GOLDEN EYE VW CBAD PLUM 2110900100 Lot#: 0 Construction Type: NEW SMITH RES-GAS/ELECT-FUTURE BBQ & FIRE PIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PACIFIC VIEW LANDSCAPE SMITH JOANE ISSUED 02/22/2002 RMA 02/22/2002 02/22/2002 1615 0212;~/02 ooo:~ 0.1. 02 906 SANTA FLORENCIA SOLANA BEACH CA 92075 858 793-3590 1029 GOLDEN EYE VW CARLSBAD CA 92009 f~.:::G1::n Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 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 Additional Fees TOTAL PERMIT FEES Inspector: l.!±hf__t..~~ 0 0 0 0 0 1 0 FINAL APPROVAL Date: -i-J 2-,/0 '2- $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 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 vou have oreviouslv been aiven a NOTICE similar ta this or as ta which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION FOR OFFICE USE O!L); PLAN CHECK No.Ll:Ol,CJSsy EST.VAL. __________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit -4-r- Validated By · • 1/iff Date 2/ A 1 (_ ~ -z.._ I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use Assessor's Parcel # Existing Use J"°,;157'1\;Ll ~ t\b d-L1 cent rL Lt µt.. W: ft1)t])Jce Description of Work B0G.. "'\-~,R.ef lt SQ. FT. #of Stories # of Bedrooms # of Bathrooms R'?,~~1hJgjN1ti'.¢mr"1;B~~Nrt1n11ttii~~i:\t'.1tqm:,l!ti~1111i1i:lt1, · · •• : •.. 1J,u0s::;, Ht ltbAeL :p-\:(2/Zbrov-2 Name Address City State/Zip Telephone# Fax# Name Address City State/Zip Telephone# l~1''f~~v0~~t'.ttlfi;. ·)7:(_Ss )1310 '6c1o Name Address City State/Zip 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 exe+'!c~Fl~tion u~e~ 703 .5 by any applicant for a q~s.1~:; the a=;o a <:ivil pes;i;:;ot more than o..hundr~~~lars [$500])i Name Address /I' "\ '-City State/Zip Telephone # 9-yJ, ~570 State License # Gqy d 9 { License Class L <:::::I -t-City Business License # / d f 00 90 Designer Name State License # ~--------~ t'.lt '·(iwoRtl!RS.lc1):fti!¥~N$'.Al'iONc' .... Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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. ~ 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 .:_?mpensation insurance carrier and policy number are: J ! Insurance Company 't;,\.Jl.'"'t:D-C-fvKT10i..>AL Policy No . .38 0tco/ ;)SS--O( Expiration Date 3 {2 Z..f-D (_ (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 secure w ers c pensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1<jP,900), i ad t the cost of compensation, damages as provided for in Section 3706 of the Labor ode, in erest and attorney's fees. SIGNATURE 1--iJ DATE d de) affirm that I am exempt from the Contractor's License Law for the following reason: 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 licen.sed 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 I phone number I 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 I address I phone number I type of work):~-----------------,-----------------------------------------~ PROPERTY OWNER SIGNATURE 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 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. 3097(i) Civil Code). LENDER'S NAME 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Officia nd 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 1 fro 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 comme ed for a peri O ay (Section 106.4.4 Uniform Building Code).. " j \ ' (o "', APPLICANT'S SIGNATURE DATE ~ ~ ~ __ <..__., YELLOW: Applicant PINK: Finance .. / 12b :S-'f //;11 Ill/ City of Carlsbad Bldg Inspection Request For: 02/25/2002 Permit# CB020554 Title: SMITH RES-GAS/ELECT-FUTURE Description: BBQ & FIRE PIT Type:PLUM Sub Type: Job Address: 1029 GOLDEN EYE VW Suite: Lot 0 Location: APPLICANT PACIFIC VIEW LANDSCAPE Owner: SMITH JOAN E Remarks: LATE AM PLEASE Total Time: CD Description Act Comments Inspector Assignment: Phone: 6198137123 Inspector: /{ ( f3 Requested By: N/A Entered By: ROBIN 21 31 Underground/Under Floor Underground/Conduit-Wiring e.P (). K .t;, ~ -F, tv11111- _L ______ _ Associated PCRs Inspection History Date Description Act lnsp Comments