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HomeMy WebLinkAbout2811 VIA CONQUISTADOR; ; CB994546; PermitCity of Carlsbad 12/09/1999 Plumbing Permit Permit No:CB994546 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2811 VIA CONQUISTADOR CBAD PLUM Status: ISSUED 12/09/1999 GMF Parcel No: 2225921500 Lot #: 0 Applied: Construction Type: NEW Reference #: Entered By: Plan Approy~ Issued: 12~~~~01 01 12/09/19~PRMT Project Title: INSTALL 2 110V ELECT OUTLETS/ Inspect Area: Applicant: ALLSCAPE INC 905 LILAC CT SAN MARCOS CA 92069 760-480-0441 Total Fees: $47.00 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 Inspector: Owner: SHEA HOMES LTD PARTNERSHIP C/O SUSAN TRIMINGHAM 10721 TREENA ST #200 SAN DIEGO CA 92131 Total Payments To Date: Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $47.00 FINAL APPROVAL Date: ~-?-OD Clearance: $47.00 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 47-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. c ~'l']£\S:,4f <e CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ Plan Ck. Deposit ________ _ (760) 438-1161 Validated By_Jl....,J: _______ _ Date 11l,t1, 1. PROJECT INFORMATION 28 11 Via Conquistador Address (Include Bldg/Suite I ) carlsbad. CA NIA Business Name (It this 1ddrasst Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel II Existing Use Proposed Use 2 110v electrical outlets on Description of Work existing: switch; J gas line for barbeqqe & future fire pit SO. FT. lot Stories • of Bedrooms I of Bathrooms 2. CONTACT PERSON Uf dlffecent from applicant) Name Address 3. APPLICANT :;Cl: Contractor O Agent for Contractor Name Address City 0 Owner -□ Agent for Owner City State/Zip State/Zip 4. PROPERTY OWNER . 4 ,' 'J... Telephone I Telephone II Tina and Jovan Zivkovic, 2811 Via Conquistador, Carlsbad, CA 92009, 760.804.0087 Name Address City State/Zip Telephone I 6. CONTRACTOR • COMPANY NAME Fax I (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 issuence, also requires the applicant tor 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 allegJ.d 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 ($5001). ~206S Mark A. Smith, Allscape Landscape & Design, Inc.,629 S.Rancho Santa Fe Rd.#403, San Marcos, CJ Name Address City State/Zip Telephone '760. 480. 4041 State License II 714004 License Class C-27 City Business License I 1203114 Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decl■rationa: 0 I have and will m11ntain a cenificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. ~ I have ano will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit i1 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Fanner' s Insurance Policy No. N2QQ87965 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (f100) OR LESSl Expiration 0a€()nt i QllQll5 0 CERTIFICATE OF EXEMPTION: I cenify that in the performance of the work for which this permit is issued, I ■hall not employ any par■on in any manner 10 11 to become subject to the Workers' Compensation Laws of California. WARNING: Failure o ■ecure worlterw' compenntion coverage I■ unlawful, and ahell ■ubject en employer to criminal penaltlu and clvU fin11 up to one hundred thouaancl dollar■ ($1 , 00), in addition to compenntion, damag1111 provided for In Section 3706 of the labor code, lntereat end attorney's fH■. SIGNATURE....A.--4,::.,J.J,.!:J::::!::::::!::::::::=:::'.:...L:....¥.!::1..~'t--------------DATE /.,.2 ,..q-4: r 7: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the propeny or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for 11le (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of propeny 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 11le. If, however, the building or improvement i1 sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for tha purpo■e of aalal. 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 1uch projects with contractor(sl licen■ed 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 propeny 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 (f,rm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide ponions of the work, but I have hired the following person to coordinate, supervise end provide the majQr. work (include name / adllress / phone number / contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persona 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 requ1red to submit a business plan, acutely hezardous 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for tho porformence of the work for which this permit Is issued (Sec. 30971il Civil Codel. LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _ 9. APPLICANT CERTIRCATION I cenity that I have read tho application and state that the above Information is correct and that the information on the plans 11 accurate. I agree to comply with 111 City ordinances and State laws relating to building construction. I hereby aU1horize representatives of tho Citt of Cart1bad to enter upon the above mentioned propeny for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requ,red 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 365 days from the date of such permit or if the building or work authorized by s•1ch permit is suspended or abandoned at any time after the w is commenced for a pe io of 18 days (Section 106.4.4 Uniform Building Codel. _/) APPLICANT'S SIGNATURE • DATE l,:?_ ,q . 7~9:..__ _____ _ PINK: Finance City of Carlsbad Bldg Inspection Request For: 5/1/2000 Permit# CB994546 Title: INSTALL 2110V ELECT OUTLETS/ Description: ADD 1 GAS LINE Type:PLUM Sub Type: Job Address: 2811 VIA CONQUISTADOR Suite: Lot Location: APPLICANT ALLSCAPE INC Owner: ZIVKOVIC JOVAN&TINA Remarks: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical Associated PCRs lnsgection Histo[Y Date Description 1/31/2000 29 Final Plumbing 1/31/2000 39 Final Electrical 12/10/1999 21 Underground/Under Floor 12/10/1999 23 GasrresURepairs 12/10/1999 34 Rough Electric 0 Act co co AP AP AP lnsp DA DA DA DA DA Comments Inspector Assignment: DA --- Phone: Inspector: Requested By: ALL SCAPE, DOREEN Entered By: CHRISTINE PROVIDE GAS VALVE