HomeMy WebLinkAbout2185 TWAIN AVE; ; CB040812; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-1\)-20~4 Plumbing Permit Permit No: CB040812
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Building Inspection Req uest Line (760) 602-2725
2185 TWAIN AV CBAD
PLUM
2081803400 Lot #: 0
Construction Type: NEW
SANTINA RES-GAS LINE FOR BBQ
&FPANDELECFORSPAANDBBQ
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/10/2004
KMT
03/10/2004
03/10/2004
Applicant:
D.R. LANDSCAPING
P.O. BOX 2776
SHEA HOMES LIMITED PARTNERSHIP
C/O PAUL BARNES
92079
760-492-6380
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: $47.00
0
0
0
0
0
1
0
10721 TREENA ST #200
SAN DIEGO CA 92131
Total Payments To Date: $0.00
$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
Balance Due: $47.00
7208 03/10/04 0002 01. 02
CGP 47-00
FINAL APPROVAL
DAnfi!J{id(cLEARANCE
SIGNATURE J W"v ---
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. 0.i:>OL-J D~( d-.
CIT.Y OF~ARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit-~-~------
Validate1 By J V fr1t'
Date 3 ~ 101 oY
1. PRO.,l~CT l~RMATION
'2..1 j'S 1 WAIN
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
CONTACT PEl'!.SON (If different Jr9m applicant)
Name Address City State/Zip Telephone# Fax#
3. APPLICANT O Contractor D Agent for Contractor D Ow ner O Agent for Owner
Name Address City State/Zip Telephone#
l4, PROPERTY OWNER • E;...,,e..ico Ser--1:nA1e
Name Address City State/Zip Telephone #
[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 Code! or that he is exempt therefrom, and the basis for the alleged
City State/Zip Telephone #
City Business License # ~ f'l, I 1 '1 '-1 License Class (; -2 7
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: 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.
D 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 ($100] OR LESS)
~ 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 workara' compenHtion coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dot a ($100,0001, i d' on o he ci,st of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attomey's fees.
SIGNATURE~~~~~C:~~~~~~:..__----------==--==-DATE 10 MArt zoo':{
7. OWNER-BUH,!)Ejl DE!:
ense Law for the following reason:
0 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 t he burden of proving that he did not build or improve for the purpose of sale).
D 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).
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. D YES O 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 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 parsons to provide the work indicated (include name/ address / phone number / type
of work):. ____________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _
!COMPLETE THIS SECTION FOR NON-RESIDENnAL 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 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 bec onstructed w ithin 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
j8. ~_QNST_RUCTIQN LENDING 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 ________________________ _
19, APPLICANT CERTIFIC~TION
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 Cit\' 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 lhe building or work
authorized by such permit is not commenced within 1 BO 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE ----------'----------------
DATE _____________ _
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/06/2004
Permit# CB040812
Title: SANTINA RES-GAS LINE FOR BBQ
Description: & FP AND ELEC FOR SPA AND BBQ
Type: PLUM Sub Type:
Job Address: 2185 TWAIN AV
Suite: Lot
Location:
APPLICANT D.R. LANDSCAPING
Owner: SENTINA ENRICO&DACY
Remarks:
Total Time:
CD Description
0
Act Comment
Inspector Assignment: RB ---
Phone: 7604926380
Inspector: J'W\
-----
Requested By: DANIEL
Entered By: CHRISTINE
23
31
Gas/Test/Repairs
Underground.4Coin uit-Wiring
/4JL, _________ _
~---------
V'1..c_. __ ec _________ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
03/09/2004 23 Gas/Test/Repairs AP RB LEFT POOL HANDOUT REQUIREMENTS ALSO
03/09/2004 31 Underground/Conduit-Wiring AP RB