Loading...
HomeMy WebLinkAbout2137 TWAIN AVE; ; CB044155; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB044155 Building In spection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2137 TWAIN AV CBAD PLUM 2081810600 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: JEN RES GAS TO FIREPIT&BBQ Inspect Area: 2 ELEC OUTLETS 1@880, & 1 FOR FUTURE POND Applicant: CARLOS SOLIZ 30244 SILVER RIDGE CT 92591 909-538-8943 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: JEN TEH-SEN&SHIAO-LI 2137 TWAIN AVE CARLSBAD CA 92008 ISSUED 11/15/2004 KG 11/15/2004 11/15/2004 $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 Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 Inspector: FINAL Date: 5486 11/15/04 0002 01 02 CGP 42-30 5486 11/15/04 0002 02 CG • 4.70 Clearance: 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 fee /exacti • PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NOef;~t.jl//t;j CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ------""T"--.-:=-- Validated By--.---+------,"""'f'd--- Date __ ___,h-+-+--+",__,......._'-# ____ _ 1. Business Name (at this address} lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 2. CONTA :r PERSON01f different from applicant} b .) b'v I '\.., Nam Address City 3. APPLICANT er Contractor O Agent for Contractor O Owner O Agent for Owner State/Zip Telephone# Fax# Name Address City State/Zip Telephone# 4. PJ},.ROPERTY OWNER .k~ :U3'"\ CiwJl51;i,4 ,.._ J )1...,1: J\.v\..'~ ~c. C/7,, QQ 2 ... Name Address City State/~p 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 exemA • n. Apy vi lation Section 7031.5 by any applicant f a permit su jects thuPplicant to a • • ena y of n ore than five h}l'jdred dollars ($500]). 9 0 Ul I.,( • It,,, '-{' (> ' ' l b I.. • Address City State/Zip Telephone 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. 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: lnsura e Company ______________________ Policy No._____________ Expiration Date _______ _ (THI SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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. pensation coverage is unlawful, end shall subject an employer to criminal penalties and civil fines up to one hundred the cost of compensation, damages as provided for in Section 3706 of the/Labor code, interest and attorney's fees. SIGNATURE_-\:-,:::1,C=--&.--::...y.-----------------DATE L · /J· Of 7. I hereby affirm that I am exempt fro e Contractor's license 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 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 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. 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 I address I 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 persons to provide the work indicated (include name / address / phone number/ type of work}: ____________________________________________________________ _ 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 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 be constructed within 1,000 feet of the outer boundary of a school site 7 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 AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION 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 ________________________ _ 9. APPLICANT CERTIFICATION 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\t 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 u er 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 m lhe 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 com ced for a period of 180 ays (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE II-IS· o\.f YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/24/2005 Permit# CB044155 Inspector Assignment: BN --- Title: JEN RES GAS TO FIREPIT&BBQ Description: 2 ELEC OUTLETS 1 @BBQ, & 1 FOR FUTURE POND Type: PLUM Sub Type: Job Address: 2137 TWAIN AV Suite: Lot Location: APPLICANT CARLOS SOLIZ Owner: JEN TEH-SEN&SHIAO-LI Remarks: Total Time: CD Description 23 GasfTest/Repairs 29 Final Plumbing 34 Rough Electric 39 Final Electrical Phone: 7606038998 0 Inspector: Requested By: TA SIN JEN ? Entered By: CHRISTINE Act Comment ~----------a ______ _ Associated PCRs/CVs lns~ection History Date Description Act lnsp Comments 05/18/2005 29 Final Plumbing co BN WP BOX @ BBQ NOT ATTACHED TO CONDUIT 11/17/2004 31 Underground/Conduit-Wiring AP BN 11/17/2004 34 Rough Electric WC BN 11/16/2004 23 Gas/Test/Repairs AP RB GAS LINE & TEST 11/16/2004 31 Underground/Conduit-Wiring NA RB