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Home My WebLink About2194 CORTE MANGO; ; CB993551; Permit09/27/1999 City of Carlsbad Plumbing Permit Permit No CB993551 Building Inspection Request Line (760) 438-3101 Job Address Permit Type Parcel No Reference # Project Title 2194 CORTE MANGO CBAD PLUM 2552513300 Lot# Construction Type RICH RESIDENCE GAS LINE 0 NEW Status ISSUED Applied 09/27/1999 Entered By MDP Plan Approve oW^^&Ol 01 02 Issued 09/27/199JL PRHT 27 • 00 Inspect Area Applicant BHI BUILDERS 5620 PASEO DEL NORTE CARLSBAD CA 92008 619972-4043 Owner GREYSTONE HOMES INC 5973 AVENIDA ENCINAS #101 CARLSBAD CA 92008 Total Fees $2700 Total Payments To Date $000 Balance Due $2700 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee 0 0 0 : 0 0 1 0 $20 00 $000 $000 $000 $0 00 $000 $700 $000 $0 00 $000 $0 00 TOTAL PERMIT FEES $2700 Inspector FINAL APPROVAL Date 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 given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired CITY OF CARLSBAD 2075 Las PalmasDr, Carlsbad, CA 92009 (760)438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 1 SKpROJECT'lNFORMATION/' ' FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite tt) /0U, Business Name (at this address) Legal uescnptiori Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of Work CONTACT PERSON (if different from applicant) SQ FT #of Stories # of Bedrooms # of Bathrooms Name 3:: APPUCANT'"" [— jf ••;:::;;*;:;;;;:*v3 Contractor Address n Agent for Contractor ^d Owner City dlAgent for Owner State/Zip Telephone #Fax* .<., spli: •::JS;L Name Address City State/Zip Telephone # PROPBRTY OWNER Address City State/Zip Telephone #Name 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 Codel or that he is exempt therefrom, and the basis for the alleged exemption Any violation at Section 7031 5 by any applicant for a permit subjects the/applicanj top otVil penalty of not more than five huncjred dollars [$500]) Name Address State License # "7 T & -> 1 3> License Class /S City State/Zip Telephone # City Business License # /&£)&$ ^5 Designer Name A f /-fa Address State License # /I/// fT City State/Zip Telephone 6 'ItWORKERSrCOMPENSATION;: . '••••... 3f CSF-1'.. ' "Hi: •••;—- Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 l~l 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 lnsurance£ompany Policy No Expiration Date (THJSrSECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 isunlaystfuL-and~Shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1Q£TQOO), in addition tojtne cost_of_uompenSSfTondamages as provided for in Section 3706 of the Labor code,.mterest and attorney s fees SIGNATURE (^^- Sgj—^--— " DATE 1/3- ?/? "^ 7 OWNER-BUILDER,DECLARATION . '"'1L. .-:" : .. *„ "• "" "11.1: 'Ek' I hereby affirm that I am exempt from the Contractor s License Law for the following reason f~l 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) l~l 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) C] 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 l~l YES l~lNO 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 / address / 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 COMPLETE THIS i SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLYis.... i :r ihft; 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? d YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' d YES d NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site' l~l YES l~l 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 8 "Kl:6TiSTRUCTION LENDING AGENCY flf : ' "'""'' '.Ji ..... ;.v .. : '" ..... ' """' •,,• ...... 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 _ 9 ' ' • ..... 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 CitV 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 wijhm 365 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 tbl^Xvork is commenced for aneciod-eM-SO days (Section rO6-4uLU.niform Building Code) ^ --- —APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance UNSCHEDULED BUILDING INSPECTION DATE 5 " %' FV INSPECTOR PERMIT # f f ^?«r/7 PLAN CHECK # JOB ADDRESS DESCRIPTION CODE DESCRIPTION ACT COMMENTS UNSCHEDULED BUILDING INSPECTION DATE INSPECTOR PERMIT # LTHA6D01 PLAN CHECK # JOB ADDRESS DESCRIPTION. CODE DESCRIPTION ACT COMMENTS 23> fY^'KAy City of Carlsbad Inspection Request For 9/29/99 Permit# CB993551 Title RICH RESIDENCE Description GAS LINE Inspector Assignment 2194 CORTE MANGO Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT BHI BUILDERS Owner GREYSTONE HOMES INC Remarks Phone 6199724043 Inspector QfS Q\\ Total Time CD Description 23 Gas/Test/Repa,rs Act Comments Requested By BEN Entered By CHRISTINE Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 438-3550 2075 LAS PALMAS DRIVE TIME FOR INSPECTION CALL (760) 438-3101 RE-INSPECTION FEE DUE? ' 'YES FQR FURTHER INFORMATION, CONTACT PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER