HomeMy WebLinkAbout1018 TURNSTONE RD; ; CB042346; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-14:-2·004 • Plumbing Permit Permit No: CB042346
Building In spection Request Line (760) 602-2725
Job Address:
Permit Type:
1018 TURNSTONE RD CBAD
PLUM Status:
Parcel No: 2110912500 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title: KREMERS RES-RUN GAS LINE TO
BBQ
Applicant:
KREMERS FAMILY TRUST 12-10-03
1018 TURNSTONE RD
CARLSBAD CA 92009
760-223-9999
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
0
0
0
0
0
1
0
Plan Approved:
Issued:
Inspect Area:
Owner:
KREMERS FAMILY TRUST 12-10-03
1018 TURNSTONE RD
CARLSBAD CA 92009
ISSUED
06/14/2004
KMT
06/14/2004
06/14/2004
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
•• • ,., ,,,.. -.1; •
-....... -:it•::-.. ~ . . ·-'-. . .. . '
4275 06/14/04 0002 01 02
CGP 27 -00
•• ••;,,,....,11..._, __
PERMIT APPLICATION
FOR OFFICE USE ONLY
PLAN CHECK NO. C,804'J.34¼)
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Depo~
Validat~ By_~..p,,=...:::.--1..--------
Date (~4HAOLJ
eJIMC..T.JtE.QRMATI
,,,...J \O\~ Tv~'S)TQ"-'r-
• ~ddress (include Bldg/Suite #)
,.;
C)>., <U..S e,~ 9 , l, ~ 92.0cf}
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel# / Existing Use Proposed Use
-i.-;:; 6~% L, N t;. \S\SG.
/ ,ascription of Work 1 SO. FT. #of Stories # of Bedrooms # of Bathrooms
Jltilflttt!l!..W!mARP!!!;ant)
Name
AP.PLICANT
Name Address
City
. 0 Ov,,nar -.0.Aa!nt for owner
City
State/Zip Telephone# Fax#
CA ~~e/Zip (.A
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
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _ .
I hereby affirm under penalty of perjury one of the following declarations:
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.
0 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:
Insurance Company_____________________ Policy No.____________ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 aecure workers' compensation coverage la unlawful, and ahaU aubjact an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,0001, In addition to tha cost of companaation, damages ea provided for in Section 3706 of the Labor coda, interest and attorney's fees.
SIGNATURE DATE :;-'.":;:;:;::;;;;;;;::::;:;:=;::;;::==:::::;;;;.,....,,...,,...."·'""'''"""'•""'"'.,,,. OWNER• U D£
I h reby affirm that I am exempt from the Contrector'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
c. 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 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 Lawl.
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/ 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): ______________________________________________ _ !; wolr:::ill provide some of the work, butt I ha~cted (hired) the following persons to provide the work indicated (include n:me / address / phone number / type
"1.. PROPERTY OWNER SIGNATURE Vil,«;,;.. .--::::::: DATE (;/( '/ fr'f
/ \_~f!l.m..Tt:!IS S~(:T!!)lll, FOIi f;IJ}l.:M,~~L B!!fl.QJ1'0,Pl;RM!1S ON~'G--------•"""'---
7
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 26605, 26533 or 26534 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? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8 OIIISTRU.QJl(ttHEND!ti9:AGENCY ,.__._........ ___ ....,......., ...,.....,_ ___ ,_
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 ______________ _ LENDER'S ADDRESS ----------------------------,.....,.nu.,.,!C..Al'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 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 ANO 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 comme f period of 180 days (Section 106.4.4 Uniform Building Code). ! /
APPLICANT'S SIGNATURE --+-ffif:+-+.-IY-~"\----:.-=;::.______________ DATE (,{!_'I ft.If ----~,.._ ....... _______ _
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 01 /18/2005
Permit# CB042346
Title: KREMERS RES-RUN GAS LINE TO
Description: BBQ
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
OWNER
1018 TURNSTONE RD
Lot 0
KREMERS FAMILY TRUST 12-10-03
Owner: KREMERS FAMILY TRUST 12-10-03
Remarks: DID NOT LEAVE TYPE OF INSPECTION
Total Time:
CD Description Act Comment
21 Underground/Under Floor ~ A&
Associated PCRs/CVs
lns12ection Histo[Y
Date Description Act lnsp Comments
Inspector Assignment: JM ---
Phone: 0000000000
Inspector:
Requested By: MARK
Entered By: JANEAN
(L~L ~,
11/10/2004 29 Final Plumbing co JM SINK CONNOT DRAIN TO YARD DRAINAGE
06/15/2004 21 Underground/Under Floor WC JM
06/15/2004 23 Gas/Test/Repairs AP JM BBQ