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HomeMy WebLinkAbout2126 TWAIN AVE; ; CB050283; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 I 01-31-2005 Plumbing Permit Permit No: CB050283 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2126 TWAIN AV CBAD PLUM 2081812800 Status: Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: PUZO RE/-G TO BBO/ELEC -SPA :Jj'plicant: \ BURL JORDAN LANDSCAPE 2740 LUCIERNAGA ST 92009 760 04-0675 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: PUZO A DAVID TRUST 07-15-94 2126 TWAIN AVE CARLSBAD CA 92008 ISSUED 01 /31 /2005 LSM 01 /31 /2005 01/31 /2005 $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 0674 01/31/05 0002 01 CGp, Date: Cl earance: NOTICE: Please take N at approval of your project includes the "Im osition" f fees, dedications, reservations, or other exactions hereafter collectively referred to as 'iees/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 fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. 02 47-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO . IBt2 S-()d-~3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposi Validated BY-,..c--F-::=------- Date I 1 . PRO)ECT INFORMA ]'ION ..1 1.:.1-<.e Tu.n, n Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use SQ, FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON Uf different from applicant) Name Address City State/Zip Telephone # Fax# ,'3. APPLICANT 9i Contraotor • 0 Agent for Contractor O Owner fun :roxda'<\ Latds.ca?=' i\nc 277,2 , c\a?r Name Address 0 Agent for Owner 0.u,.'< \s ~ , CA; 'l2@"?s ·1 (.d)-~ -<Yo 7; AV? ½Jes\~~ City State/Zip Telephone# ,4. PROPERTY .OWNER tt;l(i,d, Pv,.20 Ca.x: l.,s.tnd CA 92ro8: l(d)43l-~l8 Name Address City State/Zip Telephone# 16, • CONT,RAC:TOR , COMPANY NAM.E (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 1$5001). B AX:\ &do."" \ o ~\'! 1 \ vv:. 2722--lo\:;;e r A\t:' . V};s-t =-"= B cm:\ scad CA q2,:1)'8:: ,(,,0 '©<-1 Name Address City . State/Zip Telephone# CX,:,jS State License, 55 152:CYti License Class C. ;i_ 1-City Business License, /,:}. /,ruf I Designer Name Address City State/Zip Telephone State License # _________ _ 6. WOR,CERS' 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 t e work for which this permit is issued. 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 sued. My worker's compensation insurance carrier and policy number are: I Insurance Company §¼ ~(, T t..<. "'°" Policy No. \ 7\,p] to ] I -1J.::Ol-{. Expiration Date Q l ?:,\ ) 0 'S (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 cure workers' compen tlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ,000), in mpensatlon, damages as provided for in Section 3706 of the Lab SIGNATURE__,,L,.}i.:.&:a:;:,.2b.. _ _.,,,...!E:.~::::::::_ _______________ _ -7. I hereby affirm that I am exempt from the 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 / 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): ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone number/ type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENT/AL 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 Act7 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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. 18, , . <;QN~TRUCTiON LE,NDING 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 CodeJ. LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ ;9, 0APPLICANf 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\' 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 the building or work aulhorlzed by such permit is not commenced within 18 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 commenc r a peri 180 days ion 106.4.4 Uniform Building Code). / / APPLICANT'S SIGNA~ _ _,L.:,_)~~:,2S:=--7"~~~~=::::::::::,,. _______ DATE f /3.1 Q 5 PINK: Finance ~I ~ City of Carlsbad Bldg Inspection Request For: 07/07/2005 Permit# CB050283 Title: PUZO RES-GAS TO FIREPT/ELC-SPA Description: Type: PLUM Sub Type: Job Address: 2126 TWAIN AV Suite: Lot 0 Location: APPLICANT BURL JORDAN LANDSCAPE Owner: PUZO A DAVID TRUST 07-15-94 Remarks: Total Time: CD Description Act Comment Inspector Assignment: PY --- Phone: 7609316518 Inspector: ---- Req uested By: DAVID Entered By: CHRISTINE 29 Final Plumbing c0 39 _F_i_na_l_E_le_c_t_ri-ca_i ______ ~--------------------- Associated PCRs/CVs lnsQection Historl'.'. Date Description Act lnsp Comments 02/01/2005 21 Underground/Under Floor WC PY 02/01/2005 23 Gas/Test/Repairs AP PY 02/01/2005 31 Underground/Conduit-Wiring PA PY CONDUIT ONLY