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Home My WebLink About2876 VIA CONQUISTADOR; ; CB011071; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03/19/2001 Plumbing Permit Permit No:CB011071 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2876 VIA CONQUISTADOR CBAD PLUM 2225922900 Lot#: 0 Construction Type: NEW ORTIZ RESIDENCE GAS LINE TO FIRE PIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: MICHAEL MCGONIGLE ORTIZ WILLIAM&KATHLEEN P 2876 VIA CONQUISTADOR ISSUED 03/19/2001 MOP 03/19/2001 03/19/2001 3308 CALLE SAN BLAS CARLSBAD CA 92008 815 3035 CARLSBAD CA 92009 4385 03/19/01 )002 )_ 0.2 Total Fees: $27.00 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 TOTAL PERMIT FEES Total Payments To Date: 0 0 0 0 0 1 0 $0.00 lnspector:Uf t, -~ FINAL APPROVAL Date: q/2-i,/ot 7 Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 CGP 27 )0 $27.00 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 capactiy 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 vou have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY • PERMIT APPLICATION PLAN CHECK NO .. _6_\4-·___,l._;::07'--'---'\ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date. _______________ _ Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# 3. APPLICANT 0 Agent for Contractor 0 Owner O Agent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER Name Address City S.tate/Zip 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 exemption. Any violation of Section 7031.5 by any applicant f r a permit subjects the applicant to a civil enalty of not more than five hundred dollars 1$500)). ~ • .3: ~ Designer Name Address City State License # __________ _ 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. O 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: mpany ______________________ Policy No. ____________ _ Expiration Date _______ _ TION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100] 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' Compensatio ws of California. WARNING: Failure to secure workers' com s Ion coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), J.!>'8dditi t of compensation, damages as provided for In Section 3706 of the La70 code,ln3Prest and attorney's fees. SIGNATURE. ____ -=:_/_---,.£.~~-----------------DATE L/,Jf1/J7 I 7. OWNER-BUILDER OECLAR " / 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 (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). O 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). 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. 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 I 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-RESIDENnAL 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? 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. 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. 3097Ii) 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 Citt 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 authorized by such permit is not commenced within 180 days from the da e of such permit or if the building or work authorized by such permit is suspended or abandoned s.t any time after the work is commenced for a period of 180 day (Sec · 106.4.4 Uniform Building Code). L/ ~ A::? df APPLICANT'S SIGNATURE ---------,L--~---=;z.._M~------------DATE __ z:;.L.c....,c..~---<4L--/...,..._'----'-/--' 0'~""----1------ PINK: Finance 11a.1 t/~i City of Carlsbad Bldg Inspection Request Permit# CB011071 Title: ORTIZ RESIDENCE Description: GAS LINE TO FIRE PIT For: 09/25/2001 Inspector Assignment: RCB Type: PLUM Sub Type: Phone: 7608153035 Job Address: 2876 VIA CONQUISTADOR Suite: Lot 0 Inspector: fi,c./7 Location: APPLICANT MICHAEL MCGONIGLE Owner: ORTIZ WILLIAM&KATHLEEN P Remarks: S; 30 -Cf : o0 Total Time: CD Description 29 Final Plumbing Associated PCRs Inspection History Date Description 09/20/2001 21 Underground/Under Floor 09/14/2001 29 Final Plumbing 08/29/2001 29 Final Plumbing 04/03/2001 21 Underground/Under Floor 04/03/2001 23 Gasrrest/Repairs Act Comments Requested By: PHIL Entered By: CHRISTINE ft P r /Nf/L Act lnsp Comments PA RC PIPING HAS BEEN PROTECTED -WILL SIGN FINAL AFTER CEMENT IS PATCHED NR RC WORK NOT COMPLETED CO RC SEE NOTICE (UNPROTECTED GAS PIPING) AP JC AP JC