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Home My WebLink About2178 TWAIN AVE; ; CB110654; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-29-2011 Plumbing Permit Permit No: CB110654 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2178 TWAIN AV CBAD PLUM 2081802800 Lot#: 0 Status: Applied: Construction Type: 5B Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: BUSHOUSE: 8 FT FIREPLACE= Inspect Area: PRE-FAB FIREBOX W/ CONCRETE BLOCK HEARTH//GAS & Applicant: JOHN D. HEBERT 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: BUSHOUSE SCOTT R&KATHLEEN A 2178 TWAIN AVE CARLSBAD CA 92008 ISSUED 03/29/201 1 JMA 03/29/20 11 03/29/20 11 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $126.00 $0.00 $0.00 $0.00 $153.00 Total Fees: $153.00 Total Payments To Date: $153.00 Balance Due: Inspector: f1: Lo-{ti,w:. FINAL APPROVAL Date: O? -i. 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 project. NOR DOES IT APPLY to any ~ Building Permit Application Plan Check No. C6t l O<oS1f « •: 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ C I I Y o r 760-602-2717 / 2718 / 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.Qarlsbadcs;l.gov Date 3{ z.,q/" lswPP 108¥DRESS -\-~,~ SUITE#/SPACE#/UNIT# r PN d--l'7~ C<U.,.0 --- ~I/ ·nvk~ # I LUI# I -~•# 1 • u• UNIT~ I # ~EOnvvM~ # BATHRvvMa I IE,-., ~U:SINca~ •-< lw>a•n. >e< I ""'"""vUP DESCRIPTION OF WORK: Include Square Feet of A"ected Area(s) f-,r--f' f b.c. .. 1 f3 Is Q__ ~~ .-9-L ~~c.-{ r I<: ?f' C o~tu---l(_ £bcl ~~.-{~ \..u ~l.r, fr~~" -f, f.p bo-+ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) !FIREPLACE IAIR CONDITIONING 'FIRE SPRINKLERS YES □ #_ NO □ YES □ NO □ YES □ NO □ ~T ~0 /f Dlffer~:'.e A~c~t) f ,-j APPLICANT NAME ADD~l\ <co t { q1(,e>(_ Ov· ADDRESS CITY ? STATE ~~ CITY STATE ZIP car liGa_ <1 PHONE I FAX PHONE IFAX EMAIL EMAIL P~E~TY NER NA~ ~ C ,u...<:::.... u~-,c CON':\TRAACTOR BUS. NA~ ~ '<:-llr--> . ..\-I~ f::p, rl- AD~SS '? --\ , f7 wa,~ q_Uf ADDRESSb S°lL CJ l '-a fboL l.JI c~fWcu1 STATE 1ZJJco8 CITY c1 STATE ZIP:>-? C 1 (4 r rs../,C<.. <c:; q O?J PH~s--L, (:, 7 ~ I s:) \ I FAX PHONE 232? b l f:AX 760 -4 <t_")_ EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # 53st1g~ Im (~,ICITYi~2 4 f & c../ .. (Sec. 7031.5 Business and Professions Code. Any City or County which requ11es a permit to construct. alter. Improve, demolish or repa11 an~ structure, pnor to its issuance, also requ,res 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)). Wor1ters' Compensation Declaration: I hereby affirm under penalty of petjury one of the lo/lowing dec/ara6ons: D 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. '{ZS-1 have and will maintain workers' cornpenutloQ, as required by Section 3700 of the Labor Code, for the perf0111lance of lhe work for which this permit Is issued. My workers' compensation insurance carrier and policy umber are: Insurance eo.A,Mbl..J(lf (\ Policy No.~ c_ \ >-,:;z__\ b C\., Expiration Dale 5-) ~ I \ This section need not be completed If the permit Is for one hundred dollars (S1Cl0) or less. D Certificate of Exemption: I certify that in the perf0111lance of lhe 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 workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), In addition to the cost of compenutlon, da~gH as provided for In Section 3706 of the Labor code, Interest and attorney"s fees. ~ CONTRACTOR SIGNATURE (1~' \.\~ □AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense 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 (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 himsett 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 Ucense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _____ Business and Prolessions 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 tor the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan Ill provide portions of the work, but I have hired the following person to cooldinate, supervise and provide the major work Onclude name / address/ phone I contrac11>rs' license number): 5. I will provide some ot the work, but I have contracted {hired) the following persons to provide the work Indicated (include name / address/ phone I type ot work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE 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? □ 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 feet 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address 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 representative of the City of Carlsbad lo enter upon the above mentoned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA penntt is required br excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Official under the provisons of this Code shall expire by timitatoo and become nul and void if the building or WOO< authorized by such permit is not commenred v.ithin 180 days from the date of such permtt or if the building or work authorized by such permtt is suspended or abandoned at any time after the WOO< is commenred for a peood of 180 days (Seeton 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE ~ ~-DATE ]-')..9 --( f . ~ ~ City of Carlsbad Bldg Inspection Request For: 05/20/2011 Permit# CB110654 Inspector Assignment: PY Title: BUSHOUSE: 8 FT FIREPLACE= Description: PRE-FAB FIREBOX W/ CONCRETE BLOCK HEARTH/IGAS & ELECT. TO BBQ & FIREPLACE Type: PLUM Sub Type: Job Address: 2178 TWAIN AV Suite: Lot: 0 Location: APPLICANT JOHN D. HEBERT Owner: BUSHOUSE SCOTT R&KATHLEEN A Remarks: Total Time: CD Description Act Comments 29 Final Plumbing t:=:l Phone: 7608894692 Inspector: Requested By: JOHN Entered By: CHRISTINE 39 Final Electrical ~ &1F1 f /k>~l--i1o"1 ~ u,vet Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns12ection Histoey Date Description Act lnsp Comments 04/28/2011 29 Final Plumbing PA MC GAS SHUT OFF TO BBQ & FIREPLACE OK 04/28/2011 39 Final Electrical co MC SEE CARD, DBL. CK GFI PROTECTION 04/04/2011 21 Underground/Under Floor WC PY 04/04/2011 23 Gas/TesURepairs AP PY 04/04/2011 31 Underground/Conduit-Wiring PA PY olL \ \ ! \ \ I \ \ \ \ I I \ \ ·1 I \ ' I v-] /2 - ,.., q' r .,.,,.. \ II I \ ' \ \ \ is'-T I . \ \ \ \ ' ' ' I \ \ \ \ \0 BY / (l.o"=-cr>,,rm-ac:..- / ""~11\Xl\ / \ / \ \ ~PROVED )1/\Nf • "City of CARLSBA~ BUILDING DEP1 I \ 2D 0 ~ L.T"1 .. J"""'-SCA.£ N FEET I \ ' \ \ i ··hl i \ '-'I I \ [\ec-f11e - f'V!-'q':;, \. j ,c • { (>) .. ;f, i~ ~ ..,.-i: ~ ~s Cu ~I ~ ·n ~ ~i C ~ ::.L. .E { ~ -0 = ci H ---' ~~ s ~Cl <J) No. Dcte Re-W'I Oient: ; ~ Bushouse , }:: I '-- AdcteSS : "\ 2176 -woin Ave i "'-J Cori5bcxl, CA • I (Scde:f =f:i' ) ===:::::~=--) Designer : J. µebert Editor : Date : K)l'4J0 I I Cot \0 toSlf