HomeMy WebLinkAbout2178 TWAIN AVE; ; CB080805; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-01 -2008 Plumbing Permit Permit No: CB080805
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2178 TWAIN AV CBAD
PLUM Status:
Parcel No: 2081802800 Lot #: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: SORRENSEN: GAS TO BBQ Inspect Area:
Applicant:
SORENSEN SCOTT&LORRAINE
2178 TWAIN AVE
CARLSBAD CA 92008
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
Owner:
SORENSEN SCOTT&LORRAINE
2178 TWAIN AVE
CARLSBAD CA 92008
ISSUED
05/01/2008
JMA
05/01/2008
05/01/2008
$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: $27.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' o 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 ;11forrnation 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 project. NOR DOES IT APPLY to any
f x i n f whi h h v r vi I n iv n N Tl imil r hi r whi h f limi i n h I
City of Carlsbad ..
Plan Check No. CbOR-cfc)(:)J----•
1635 Faraday Ave., Carlsbad, CA 92008
~--~ Est. Value 760-602-2717 / 2718/ 2719/ 7541
Fax: 760-602-8558 Plan Ck. Deposit ..
Building Permit Application Date .. s/ I 7 0 y I ~
JOB ADDRESS
("£>,..LS ~J).., /. ~ Loo<"/
SUITE#/SPACE#/UNIT# IAPN ...... ..... ~ ---71,0
~•t eROJECT # I LOT # r HASt# r OF UNITS
1
. BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) bs L,,.,,i Br,...tl..,. ' et:~1 7t..J 9, .0 L BB<-'R l..J ✓l HoJ~e. -ro @:Jx., ',Ly pf 1 VNIT
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS
YESO N<O m □No□ YES□No□
CONTACTT~E (lfOlfferee_omAppllcant) .-! APPLICANT NAME
1 .... .r ,-f"j('.f.
ADDRESS '"two,~ ADDRESS
"2.J 1~
CITY( r;TATE ZIP q CITY STATE ZIP
·-R....p--, °ll t>O
PHONE lo -IFAX PHONE tAX 71PO ~1c..01,6l
EMAIL
~<.. o '1.. ~"' c; E. ..J a 'l. '-' HoJ "'fr -r • lo r-"\
EMAIL
PROPERTY OWNER NA~
0 ,...,~ CONTRACTOR8,:JS/AE
ADDRESS ADDRESS ,
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE I FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS 'STATE UC.# STATE UC.# 'CLASS I CITY BUS. UC.#
(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 !hat 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)).
Wor1<ers' Compensation Declaration: / hereby affirm under pen/Mty of petjury one of the following declarations: D I have and wlll maintain a certificate of consent to self-Insure for v.orkers' compensation as provided by Secllon 3700 of the Labor Code, for the perfonnance of the v.ork for which this permll Is Issued. D I have and will maintain wor1<ers' compensation, as reouired by SectiOn 3700 of the Labor Code, for the performance of the v.ork for which thlS permit Is Issued. My v.orkers' compensation Insurance carrier and policy
number are: Insurance Co Polley No. ______________ Expiration Dale ________ _
This section need not be completed W the permit Is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify thal in the perfonnance of the v.ork for wlllch this permil is issued, I shall not employ any person in any manner so as to become subjecl to lhe Wor1(ers· CompensatiOn Laws ol
California. WARNING: Failure to secure wor1<ers' compensation coverage is unlawful, and shall subject an employer to cr1mlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
~ CONTRACTOR SIGNATURE DATE
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the v.ork and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such v.orl< himself or through his own employees, provided that such improvemenlS are not Intended or offered for
sale. If, however, the build Ing or Improvement is sold within one year of completlon, 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 License Law).
I am exempt under SectiOn ____ ,.,.usiness and Professions Code for lhis reason:
1. I personally plan to provide the major labor and maler1als for construction of the proposed property Improvement. 0 Yes 0 No
2. I (have I have not) signed an applicatlon for a building permit for the proposed v.ork.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number):
4. I pl<11 to provide portlons of the v.ork, but I have hired lhe following person to coordinate, supervise and provide the major v.ork (Include name I address / phone I contractors' license number):
ired) the following persons to provide the v.ork indicated (include name I address/ phone/ type of v.ork):
~ PROPERTY OWNER SIGNATU DATE
Is the applicant or future building occupant required to submit a business,.ll!a!), acutely hazarnous materials registration fonm or risk management 111d prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazarnous Substance Aocount Act? D Yes LJNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? O Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes LJNo
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 AJR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the wor1< this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that I haYe read the application and state that the above Information is correct and that the information on the plans Is aocurate.I agree to comply with all Cityornlnances and State laws relating to building construction.
I hereby authorize representati'Al of the City a Car1sba:1 to enter UJX)O the atxJve mentioned properly for inspero)ll purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'M-IICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permt is required for excavations over 5'0' deep and ition or oonstrudion of structures over 3 stories in height.
EXPIRATION: Every permt Issued by the BuildE1ng • under the s of ths Code shall expire by limitation and bocome null 111d \<lid if the building or wor1< authorized by such permit is not commenced within
180days from the date of such permtorifthe bui ng orwor1< • by such permt is suspended or aba1doned at anytime after thewor1< is oommeooed for a period_)lf 180 days ( • ~00j4 Lkliform Buiding Code).
/if APPLICANT'S SIGNATURE ,,,,,,,-DATE ~ ) Q 1/
City of Carlsbad Bldg Inspection Request
For: 10/21/2008
Permit# CB080805
Title: SORRENSEN: GAS TO BBQ
Description:
Type: PLUM Sub Type:
Job Address: 2178 TWAIN AV
Suite: Lot: 0
Inspector Assignment: PY ---
Phone:
Location: Inspector: -----
OWNER SORENSEN SCOTT&LORRAINE
Owner: BUSHOUSE SCOTT R&KATHLEEN A
Remarks: Can you final?
Total Time:
CD Description Act Comments
Requested By: CHRISTINE
Entered By: CHRISTINE
29 Final Plumbing -----~----------------------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lnsgection Histo[Y
Date Description Act lnsp Comments
05/20/2008 23 Gas/TesURepairs AP PY
05/05/2008 21 Underground/Under Floor WC PY
05/05/2008 23 Gas/TesURepairs NR PY need pressure test
05/05/2008 31 Underground/Conduit-Wiring PA PY