HomeMy WebLinkAbout2109 TWAIN AVE; ; CB051382; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB051382
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2109 TWAIN AV CBAD
PLUM
2081811300 Lot #: 0
Construction Type: NEW
CONNOLLY RES-GAS LINE-FUTURE
BBQ
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/18/2005
LSM
04/18/2005
04/18/2005
Applicant:
DRAIN PATROL CONNOLLY CATHRYN&DENNIS LIVING TRUST
4807 MERCURY ST
SAN DIEGO, CA 92111
619-560-1137
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: $27.00
2109 TWAIN AVE
CARLSBAD CA 92008
0
0
0
0
0
1
0
Total Payments To Date:
$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
$0.00 Balance Due: $27.00
6250 04/18/05 0002 01
C GP
Inspector:
FINA
Date: 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
02
27-00
FOR OFFICE USE ONLY
PERMIT APPLICA TlON PLAN CHECK NO. {J,f3 0 ~, "3 ~d--
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit f2?;;:\
Validated By_-----,-~--,---,,-----
Date 'f/ J'¾)Q S-
Address (Include Bldg/Suite I) Busines~ Neme (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units
Assessor's Parcel #
CAs c.,Nf
Dascriptlon of Work
Existing Use 'if I ,Of 3/'f II ff:_ Proposed Use
SO. FT. #of Stories I of Bedrooms # of Bathrooms
~il/:11~:(ffl~:«fttil'\il!l)J(ltfffittUmiif1imnii~iill~~~t,i:t,if':i:!i:i"1, -:{ !r·,·-; .:';li, :: ;, , ,' '. i , ·',J :, n, .,, , i :; . , 'r'.! ·,J·:v, •I'~: r.t, 1., ,.~, . : , -:':~.,:-:;;: E•i ,r::., \,,::.:-~ \;-~f':i: "~r:? ' -4i'i;-'~ 1_.'71 i~ •~
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Name Address City State/Zip Telephone # Fax #
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Nama Addre1& Re .. ::Jr:»J S City State/Zip Telephone #
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Name Addresa City' State/Zip Telephone #
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(Sec. 7031.5 Business end Profession■ Code: Any City or County which requires• parmlt to construct, altar, Improve, demollah or repair any structure, prior to lt1
IHuence, alao require• the applicant for such permit to file • signed statement that ha Is licensed pursuant to the provisions of the Contractor'• License Lew
!Chapter 9, commending with Section 7000 of Dlvlalon 3 . of tha Buslnesa and Profession■ Code) or that he la exempt therefrom, end the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subject• the applicant to• clvll panalty of not more than five hundred dollar■ t•500)l.
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Name Address City State/Zip Telephone #
State Llcanae # ~2,2,1 }C. License Class C. '3b City Buslnass Llcanse # / I q 'iO G""c:>
Designer Name Addrass City State/Zip Telephone
State License II _________ _
Ctffl!.l.w.iilllI~l~~li'il'IIW~'J'.~~1.irJJir.t.i/;ii~!¼i~~t,£~•Jii:,:,'!'i:1t~"iJf:f'.it~~~tii;:~7~~;1l:!\'.lilJt\~;:if;~.,,;ttif~i-if'.,~,,t ;;;7, ~ :2{, ',: ,'\t.::il.l':.I ,:.::-l~\1~;;. /i'x,:i,-1,tt,~:.;.m,t.!~
Workers' Companaetlon Declaration: I hereby affirm under penalty of perjury one of the following daclaratlons: •
Jil. I have and will maintain a certificate of consent to self-insure for workers' com'pensatlon es provided by Section 3700 of the Labor Code, for the performance
of the work for which this parmlt Is Issued.
0 I have and will maintain workera' compensation, as raqulred by Section 3700 of the Labor Code, for the performance of the work for which thil! permit Is
Issued, My worker's compeneatlon _Insurance carrier and policy number are:
Insurance Company :SIB rQ tC:U.0 0 Polley No. \ I O (o 7 '5S
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [t100J OR LESS)
Expiration Date io/ 0, ) 0 5" ,
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 aubject to the Workers' Compensation Laws of California.
WARNINO: Fellure.to -.ecure worliera' compena■tion coverage la unlawful, and ahal aubJect en employer to criminal penaltlH and clvll finH up to one hundred
thou■-nd doftara t• 100,0 0 In addition to the t of compensation, damegH H provided for In Section 3706 of the Le code lnterHt and attorney'• feea.
SIGNATUREiiiiiimliiiiw~i:i!fiiiij~iiiinii~fi~~ii~ij:i;\i~ DATE , O F!~BWHl!J:Jllffi . .. ... "Jfififfi,~iji;~~d~~Eti~~1Jil1,~~w~~~~~~-r~*:i:~Mil'~~;i[(~rPlR\::;-rJ.}~Fw.lm~~~'t'iij~;i7:ff"~~~-';l!i:fi'i:~-:,:~~~i:W~l3,~;, I ha;eby affirm that I am exempt from the Contractor's Llcen■e Law for the following reason:
0 I, es owner of the property or my employees with wages as their sole compensation, will do Iha work and tha structure Is not Intended or offered for sale
(Sec. 7044, Business end Professions Code: The Contractor's License Law doaa not apply to an ownar of property who builds or improves thereon, and who does
such work himself or through his own amployees, provldad that such Improvements are not Intended or offered for sale. If, howaver, the building or lmprovament Is
sold within one year of completion, the owner-builder will have the burden of proving that ha did not build or Improve for tha purpose of salel.
0 I, as owner of the property, •~ exclusively contracting with licensed contractors to construct the project '(Sec. 7044, Business and Professions Code: Tha Contractor'■ Llcen■e Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Lew). •
0 I em exempt undar Section ______ Business and Professions Coda for this reason:
1. I peraonelly plan to provide the major labor and ~atarlals for construction of the proposad property improveme_nt. O YES . ONO
2. I (have / have not) signed an application for • building permit for the proposed work.
3. I have contractad _with the following person lflrml to provide the proposed construction (Include name/ address / phone number / contractors license number):
4, I plan to provide portions of Iha work, but I have hired the following person to coordinate, supervise and provide the major work (Include nama / address / phona
number/ contractors license number): ______________________________________________ _
5. I will provida some of tha work, but I have contracted (hlredl tha following persons to provide the work Indicated (include nama / address / phone number / typa
of work): __________ __, ______________________________________________ _
PROPERTY OWNER SiGNATURE ________________________ DATE -----------,.
t¢J~t~iffitJ:i1ID.u~fiQNJlf.f;!ff,tqfiv...1.1le~,li.t.N.fl:t.i~.aLii.~1;11N.oarieaM1rr~:t!::iNllv-'.~~<.;;··:):•-1r.,u~~;.::i,;;!i(1.::i+:~1:t-f}.:fa1::i,•1:,:,,;,i!;,t1{:1r;:1\:;;.i1"ir;:,\i\h~J'.;~;-;,:,;;,;·,_ .. '.:;t'/.·.,;:;,~,i'.:i'.\
Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention
program under Sactlons 25606, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant requlied to obtain a permit from the air pollution control district or air quality manage;,,ent district? '[) 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.
tli~[r.fiiJ..B§1'!'B~¢i.,ilQSl~~.P.l~~;~~iff.j[~!!i.U~intiLV.,:;{ff:M;<:1i'.ii,'1t~;j~·.t;~\!•/~¾l"1:;t:t:·;,,,1;;:;,;}/;i~,:f•' .,~;.~,;; !;N,:';l>,-1;.·,-,,:1 .. ;::~j.;:-:; .. : :,·•'.i'P;;:;i:1~:. ;~,=,::
I hareby affirm that there Is a construction lending agency for the parformance of the work for which this permit Is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME _______________ LENDER'S ADDRESS:----------------------~----
. rf U4(awtC:-EB'ml#t~ilrli~~]jg;]i~;i;jl/J►fi~if~l!:'1tf;,l;,..,~\'.~i lF"f',f l ,i;1;,,~ ,; :;,ii ·,1,~ ;'$i1 ·;,#~.~~i :J,d\l'\1;1;r~~H{iJ'.fu;f,:''.iw.~~:!!1)/'l';z/t:r.<7i\:Jil:;,:Ji 9.!' ~fti::;,:f:r:~'ii~:1i1;~~t.~
I cartlfy that I hava read the application and i tate that the abova Information Is correct and that the Information on tha plans Is accurate. I agree to comply with all
City ordlnancea and State laws relating to building construction. I hereby authorize representatives of the Cltt 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 la requlrad for excavations over 5'0" deep and damolltlon or construction of structures over 3 storlas In height.
EXPIRATION: Every permit Issued by the building Official under the provisions of this Code shall expire by limilatlon and become null and void if the building or work
authorized by such permit Is not commenced within 180 days from the date of such permit or If the building or wor1< authorized by such permit Is suspended or abandoned
at any time after lhe wor1< is commenced fo erlod of 180 days (Section 106.4.4 Uniform Building Coda).
DATE _..,,Y+/2-'-r.._K_._h...;;,.o..c::s; ____ _
WHITE: Fila ·YELLOW: Applicant PINK: Flnanca
. • City of Carlsbad Bldg Inspection Request
For: 04/19/2005 .
Permit# CB051382
Title: CONNOLLY RES-GAS LINE-FUTURE
Description: BBQ
Type: PLUM Sub Type:
Job Address: 2109 TWAIN AV
Suite: Lot 0
Location:
Inspector Assignment:
Phone: 7605216466
Inspector: L
OW NER CONNOLLY CATHRYN&DENNIS LIVING TRUST
Owner: CONNOLLY CATHRYN&DENNIS LIVING TRUST
Remarks:
Total Time: Requested By: CHRIS
Entered By: CHRISTINE
CD Description
23 GasfTest/Repairs
1:J(-~
fi:-om_m_e_nt ________________ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments