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HomeMy WebLinkAbout1294 VERONICA CT; ; CB042587; Permit✓ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB042587 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1294 VERONICA CT CBAD PLUM 2145501000 Lot#: 0 Construction Type: NEW DEMI LL RESIDENCE --FIREPLACE, GAS & ELEC FOR BBQ AND LANDSCAPING Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/29/2004 MOP 06/29/2004 06/29/2004 PD Applicant: BLUE HORIZON LANDSCAPE DEMILL BURRITT IV&KATHLEEN K PO 2361 RANCHO SANTA FE CA 92067 760 756-4553 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: $136.00 Inspector: 0 0 0 0 0 1 0 1294 VERONICA CT CARLSBAD CA 92009 Total Payments To Date: $47.00 FINAL APPROVAL Date: L -2-0 $- $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $109.00 $0.00 $0.00 $0.00 $136.00 Balance Due: $89.00 0101. OB/31/04 0002 01 CGF" 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 89 -00 PERMIT APPLICATION . AC.,. ,... FOR OFFICE USE ONLY' PLAN CHECK NO. u CITY OF CARLSBAD BUILDING DEPARTMENT 1 ?35 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units L~ Proposed Use I of Bedrooms I of Bathrooms Name Address City ~. :AP!'!-lCANT J( Contraota ; □• ~gent forJ;oiitreqioi:i,,. 0 •.Own.er:.,. Q-All•llt for Owner -1__ Name . r~ Address City Name Address [II~ CO,NWCTOI\' COMt'_ANY!NAMl;,§',ti, . .':,.t1,--..•f'W">';e:-,,·; ·1-,·• <';;,:~~•t;!"l'<-t"•-•~•,a,•·.-.;_•'• ' "':',.., • •_<· • State/Zip Telephone# Fu# State/Zip Telephone I 00 Telephone# ,.-.. I I ISec. 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 exam tion. Any violation of Sec ion 7 31.5 by any ap Ilea t for a permit subjects the a licant to a civil panal!,Y f not more than five hundre ollars ($500)1. .... .,.._J ,e. ' I 6 (_ '12-06 7 -Ji • Name Address City State/Zip T ~lfe!:one I State License # S"'o 2-3 / \ License Class .C, (.,, 7 City Business License , / '2. 0]$ 't_J Designer Name Address City State/Zip Telephone State License I _________ _ 1e., Yt'.Q.RK&Rs: coMPEf!IS'ATIOl't,...., ........... ,... ~••·A , • .. , • _ • • • ~ • • •.:•, •. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. f'5t' 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is Cued. My worker's c pensation insu~e 7arrier ■rJdtolicy um er are: B Q { / 'i,t ~ J Insurance Company n~r}cc.,J iVt-efj.{Jol¼i:c),v~ Policy No. S-G 7_ .1. _ Expiration Data __ -z.;;, LOS: , (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O 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 ■s to become subject to the Workers' Compensation Laws of California. WARNING: FallUfe to HCUra worken' compen■atlon coverage la unlawful, and ahaU subject an employa, to criminal penaltlH and clvll fines up to one hundred thou■and dolla,a ($100,000), in addition to the coat of compan■atlon, damages aa provided for In Sactlon 3706 of the Labor coda, lnterHt and attorney's fees. SIGNATURE. ______________________________ DATE _________ _ b bY.ffltRlli.01'1:>tllt't>~TIQII! -~ •• ·:,.z~~~;;;-sf~--\--i-'lt~··' •·::·i-~----i--.:-. .::.,-..... ;:::.~ ,~ ·; ·~ ·1.-,.•~-·~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 ISec. 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 sala. 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). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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(sl licensed pursuant to the Contractor's License Law). O 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. 1 lhave / have not) signed an application for a building permit foi the proposed work. 3. I have contracted with the following person lfirm) 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): _________________________________________________ _ 5. I will provide some of the work, but I have contracted lhiredl the following persons to provide the work indicated !include name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ j 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 ·Clccupant ri1quired 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? 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. ll.i.!..'-Ql,ISTRU~ E.J'.,l1ll.l'iQ.:A~C.)'_::,:_..:._: •· • • '· " •-~':i.'.;..~-'•·-,. __ , ··~··· _ _ _____ . 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 ________________________ _ t!:li . ~PPUCANT'CESTIFICAllOr,l,<1/d_:..,,_;, ,.~,...,...;-.,, ,1,...,~_.,..,...~:,j; ...... ..,i.~ -..:-.,~;...:•~"~-· 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 ANO 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 authorized by such permit Is not c menced within 180 days from the a of such permit or if the building or work authorized by such permit Is spended or abandoned at any time after the work is com ced for a period of 180 s (~ ti 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance i . m City of Carlsbad Bldg Inspection Request For: 02/01 /2005 . Permit# CB042587 Title: DEMILL RESIDENCE --FIREPLACE, Description: GAS & ELEC FOR BBQ AND LANDSCAPING Type: PLUM Sub Type: Job Address: Suite: Location: 1294 VERONICA CT Lot 0 APPLICANT BLUE HORIZON LANDSCAPE Owner: DEMILL BURRITT IV&KATHLEEN K Remarks: Total Time: CD Description Act Comment 29 Final Plumbing Inspector Assignment: PD --- Phon~ lnspecto. Requested By: KATHLEEN Entered By: CHRISTINE 3; t:(_((_ t ALL 0 FI 4 _5'Trv --r. Associated PCRs/CVs lnsgection Histoty Date Description Act lnsp Comments 09/10/2004 68 Fireplace/Tie Straps AP PD FTG 06/30/2004 23 Gas/TesVRepairs AP PD 06/30/2004 31 Underground/Conduit-Wiring AP PD