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Home My WebLink About2511 VIA SORBETE; ; CB100292; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-18-20 10 Plumbing Permit Permit No: CB100292 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2511 VIA SORBETE CBAD PLUM 1674002800 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: Applicant: SUCHA JANS SUCHA RES-REPAIR GAS LEAK IN BACK PATIO AREA 2511 VIA SORBETE CARLSBAD CA 92010 41 5 328 7209 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 Owner: SUCHA JANS 2511 VIA SORBETE CARLSBAD CA 92010 Issued: Inspect Area: ISSUED 02/18/2010 LSM 02/18/2010 02/18/2010 $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 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: Date: Clearance: $0.00 hat approval of your project includes the "Imposition· of s, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions You have 90 days from the date this pemiit 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 f «~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. C,,& t O O ~'t.).. ~ ,CITY OF CARLSBAD JOB ADDRESS 51\ Vio. 6or~ CT/PROJECT# LOT# PHASE# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# # OF UNITS # BEOROOMS # BATHROOMS o.-\rt.ru-J. ~~~ S""'-oJ.A.. ~cJr.CrV\.. EXISTING USE GARAGE (SF) PATIOS (SF) CONTACT NAME (If Different Fom App/leant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME a.,, ADDRESS 2511 v,·tt ADDRESS CITY Car-I sh a.of STATE CA ZIP CITY 2.010 PHON 415) 3?-.S --=,-20°1 FAX PHONE . svcha,@ mcu I· C1'1YL EMAIL ARCH/OESIGNER NAME & ADDRESS STATE UC.# STATE UC.# Est. Value Plan Ck. Deposit Date d2-l 1 gJ ,o APN FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES O NOD YES O NOD STATE ZIP FAX STATE ZIP FAX CLASS CITY BUS. UC.# (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 (Cha'fter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or !hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 103 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penally 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for lhe performance of the work for which this permil is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. _______________ Expiration Date _________ _ This section need nol be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of lhe worl< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worl<""'' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addttion to tho cost of compensation, damages as provided for in Section 3706 ol the Labor code, interest and attorney's fees. _,1$ CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Con/rector's Ucense Law for the following reason: □ I, as owner of lhe properly or my employees with wages as lheir sole compensation, will do the work and the slructure is nol inlended 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 thal such improvemenls are nol inlended or offered for sakl. If, however, lhe building or improvemenl 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). □ ~ I, as owner of lhe properly, 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 conlract~s) licensed pursuanl to the Contractor's License Law). 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. □ Yes □ No 2. I (have/ have not) signed an applicalion for a building permit for the proposed work. 3. I have contracted wilh the following person (firm) lo provide lhe proposed construction (include name address / phone/ contractors' license number): 4.1 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 / contractors' license number): 5. t wiU ovide some ol lhe work, but I have contracted (hired) the following persons to provide the worl< indica ed (include name/ address / phone I type of work): 6 l,O 0 _,6 PROPERTY OWNER SIGNATURE □AGENT DATE 1ic OM PL ET E TH IS SECTION FOR,, NON · RESIDENTIAL 8 U I l. DING PERMITS o 'N LY '!' • ~ X ~ < ~ _,, <,{( c;t e, ~ ' ' Is the applicant or future building occupant required to submit a business plan. acutely hazardous materials registration form or risk management and prevention prog<am under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acri □ Yes □ No Is the applicant or futu,~ building occupant required to obtain a permit from the air pollution control district or air quaNty management district? □ Yes □ No ts the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. I certify that I have read the application and state that the aboYe Information Is correct and that the Information on the plans is accurate. I agree to comply with all City onlinances and State laws relating ID building construction. _I hereby auhlrize represenlawe of the City of Carlsbad i> enter upon the above menli:Jned property for inspecoon purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. OSHA: Ar. OSHA perm~ is required b' excavations over s·o· deep and demolition or construction of structures over 3 sbies in height EXPIRATION: Every pennil issued by the Building Ofocial undef provisions of this Code shall ire by linMtion and become nuU and void W the buiding oc work authorized by such permit is not <XlllYTl8llald wilhil 180 days from the date of such permit oc if the bui<f • by such permit is • or abandoned at line ali!rthe work is commenced for a period of 180 days (Sediln 106.4.4 lklOOrm Building Code). ..15 APPLICANrs SIGNATURE DATE 2 ,~ /0 City of Carlsbad Bldg Inspection Request For: 02/19/2010 Permit# CB100292 Title: SUCHA RES-REPAIR GAS LEAK Description: IN BACK PATIO AREA Type: PLUM Sub Type: Job Address: Suite: 2511 VIA SORBETE Lot: 0 Inspector Assignment: ~ Location: Inspector: OWNER SUCHA JAN S Owner: SUCHA JAN S Remarks: call when you are on your way to inspect Total Time: CD Description Act Comments 23 Ga_s_/T_e_s_u_R_e_p_ai-rs-----~-- ---- Requested By: YAWN Entered By: CHRISTINE ---- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments