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