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HomeMy WebLinkAbout2099 TRUESDELL LN; ; CB081280; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ..... 09-16-2008 Plumbing Permit Permit No: CB081280 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2099 TRUl;._SDELL LN CBAD euJM-f-'h10 1671801800 Lot#: 0 Construction Type: NEW SIMPKINS: GAS TO FIREPLACE, FIREPIT h GAS & ELEC TO BBQ, SINK IN BBQ/727SF t'A-f I 0:7 {_;i) Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/03/2008 JMA 07/03/2008 07/03/2008 MASTERPIECE BUILDERS SIMPKINS DONALD&KATHLEEN FAMILY TRUST 12-26-07 14329 SAWGRASS CR VALLEY CENTER 92082 760 749 6000 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 Total Fees: $220.00 Inspector: 0 1 0 1 0 1 0 6512 CAMINO DEL PARQUE CARLSBAD CA 92011 $20.00 $0.00 $15.00 $0.00 $7.00 $0.00 $7.00 $0.00 $171.00 $0.00 $0.00 $0.00 $220.00 Total Payments To Date: $220.00 Balance Due: Clearance: $0.00 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this proje,;t, NOR DOES IT APPLY to any of Carlsbad Plan Check No. C\3 0 ~( z_go 1635 Faraday Ave., carlsbad, CA 92008 760-602-2717 / 2718/ 2719 ' Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application JOB ADDRESS EXISTING USE CITY PHONE EMAIL ADDRESS CITY STATE PHONE FAX EMAIL ARCM/OESIGNER NAME & ADDRESS ZIP ZIP STATE LIC. # SUITE#/SPACE#/UNIT# PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL Est. Value Plan Ck. Deposit Date ? .3 0 g-- APN FIREPLACE YES □#_ NO □ STATE FAX AIR CONDITIONING YES O NO 0 ZIP FIRE SPRINKLERS YES O NO □ /Ste. 7031.S lu1int11 and ProJiuion1 Codt: Ally City or County which rtqaim a ptnnit to conslnKI. alter1 im~,, defflolisll or rtp_air any ltnletUtt, P!ior ID its issuance, also rtquirt1 tht llltliant for such permit to file a siped l\llement dlat he is kfflled-"!nulllt to tht ~IJOIII of die Cootrac1Dr'1 Uc,nst Law {Chaplff 9, commending" with !tction 000 of Dmsion l of tht lusinns and Proftisions Codt) 04" dlat he is exempt dlmtom. llld tht bllll for tht alecfd mmpbOA. Aay Yiolatioft of St<tion 703 I.S by any applicint for a permit swjtcts die applicint to a cm pellllty of not ffl04"e dlan me hundred dolan {SSOO}~ WORl<ERS ' COMPENSATION Worken' Compensation Declaration: I hereby afflrm under penalty of perjury one of the following d6clarations: D I have and wlll maintain a ctrtlfic.te of consent to sell-Insure for wO!UIS' compensation as provided by Section 3700 of the Labor Code, for the pe,formance of the WOl1< for which this permit Is Issued. D I have and wlll malntalrr worken' compensation, as required by Section 3700 of the Labor Code, for the pe,formance of the wOlk for which this pennlt Is issued. My wOlkers' compensation insurance ca-rier and policy number are: Insurance Co. ____________________ Policy No. _____________ Expiration Date ________ _ This section need not be completed if the pennlt Is for one hundred dollars ($100) or less. la._ Certlflcate of Exemption: I certify that In the pe,formance of the wcrt for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Wcrters' Compensation Laws of tallfornla. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crfmlnal penaltin and civil fines up to one hundred thouund dollars (&100,000), In addition to the cost of compensatlon, damages II provided r In Sect 706 of the Labor code, Interest and attorney's fees . .JtS CONTRACTOR SIGNATURE ~ I hefllby aff,rm that I am exempt from ConlTllctor's 1../cense Law for the fol/owing reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the wcrt 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 Ucense Law). □ 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. □ Yes □ No 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 / contractors' license number): 4. I plan to provide portions of the wcrt, but I have hired the following person to coordinate, supervise and provide the major wcrt (Include name/ address / phone / contractors· license number): 5. I will provide some of the WOl1<, but I have contracted (hired) the following persons to provide the wcrt Indicated (include name / address/ phone / lype of WOl1<): .JtS PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 At;r/ □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes □ 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 certify that I have read the appllcatlon and strtethatthe above Information Is correct and that the Information on the plans Is accurate. I agree to complywtth all City ordinances and State laws relating to building constructlo I hereby authorize representawe of the City ri CMSbad ID enter upon the~ meotioned property fCf nspeciion purposes. I ALSO AGREE TO SAVE, INDEM--llFY AND KEEP HARM.ES$ THE CITY OF CARLSBAD AGAINST ALL LIABILJTIES, JUOGMENTS, COSTS AND EXPENSES 'vVHICH ~y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMT. OSHA: Ari OSHA pem,it is requred for excavations over 5'0' deep Md demolition or construction ri structures over 3 stories il height EXPIRATION: Every pemi~ issued by the 9.Jilding Official ooder the pl'O'lisials ri lhis Code shall expi'e by mtatioo Md become nul Md void W the buildilg or work authorized by such pemit is ncx oo,,, iei iced v.ithi1 180 days from the date of such pemit or Wthe buidilg or work authorized by such pemi~ is suspended or abandoned atarrJ tine after the work is corrmeticed for a perm 180 days (Sedion 106.4.4 Uniform &Jidilg Coe .JtS APPLICANT'S SIGNATURE City of Carlsbad Bldg Inspection Request For: 03/05/2009 Permit# CB081280 Inspector Assignment: PC --- Title: SIMPKINS: GAS TO FIREPLACE, Description: FIREPIT, GAS & ELEC TO BBQ, SINK IN BBQ/727SF PATIO(3) Type: PLUM Sub Type: Phone: 7607496000 Job Address: 2099 TRUESDELL LN Suite: Lot: 0 (}/' , .-(0 Location: Inspector:~ {~ ~ J OWNER SIMPKINS DONALD&KATHLEEN FAMILY TRUST 12-26-07 ~ ;rJ\ ~Co()~ Owner: SIMPKINS DONALD&KATHLEEN FAMILY TRUST 12-26-07 vJ(} p,J J~ Remarks: pm please 12-2 ij/- Total Time: Requested By: BRUCE Entered By: CHRISTINE CD Description 29 Final Plumbing J;f__o_m_m_e_n_ts ________________ _ ------------ ----- Comments/Notices/Holds Associated PCRs/CVs Original PC# lnsgection Histo[Y Date Description Act lnsp Comments 09/30/2008 11 Fig/Foundation/Piers AP PC 09/30/2008 22 Sewer/Water Service AP PC 09/30/2008 23 Gas/Test/Repairs AP PC 09/30/2008 31 Underground/Conduit-Wiring AP PC