HomeMy WebLinkAbout1166 MARIPOSA RD; ; CB102310; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-03-2010 Plumbing Permit Permit No: CB102310
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1166 MARIPOSA RD CBAD
PLUM
2122211700 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: NYUGEN RES-GAS & ELECT LINE
TO FIREPLACE (NOT TO EXCEED 6FT IN HT) AND TO
Applicant:
CEG
344 MAIN STREET
VISTA CA 92084
726-3360
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:
J T TRUST 03-13-05
1166 MARIPOSA RD
CARLSBAD CA 92011
Issued:
Inspect Area:
ISSUED
12/03/2010
LSM
12/03/2010
12/03/2010
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$20.00
$0.00
$0.00
$0.00
$47.00
Total Fees: $47.00 Total Payments To Date: $4 7. 00 Balance Due:
Inspector:
FINA/4PPROVA,7
Date • 2 7 · I Clearance:
$0.00
NOTICE: Please take NOTICE that .iporoval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter coUectively
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 for!r. 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 i h h v r ·i I hi whl h h flimi in h v I
«1~ Building Permit Application Plan Check No. C8 10 d-=, l D
1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ¥ CITY OF 760-602-2717 / 2718 / 2719
CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit
www.s;;~rls~Q!;;§.gQ:i
Date I "2--f-z.J I 0 !swPP
JOB ADDRESS \ I (o (p ti-e~
SUITE#/SPACE#/UNIT# I"" yY\OI. r I ,Plf':, c, ---
CT/PROJECT# ILOT# I Pn>Qc# I# vr UNITS I# B1:.DR--···S #BATHRvvMS I 1cNANT BUSINESS NAME
,-•-'"• •••-,--oROOP
DESCRIPTION OF WORK: Include Square Feet of Affected AIN(s)
G,~ ..I.-let.EL~ \ (._ k-t, nr,;__ r\i<::, d f-tA hA, ti ¥i&
II-"
lJ l\d.e.. (,, '
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPlACE I AIR CONDITIONING I FIRE SPRINKLERS
YES □#_ NOD YES □ NO □ YES □ NO □
CONTACT NAME (If Different Fom Applk:ant) ~. -v.., ("'-1. lql,..,.l"L APPLICANTNAME ~.,-,..A (,,, J ~,. ,reL
ADDRESS ADDRESS 3'/4 \11Cl\V\ "iT
CITY STATE ZIP CITY VI s 1"¥-\ STATE '"ct 2..u f '-( (! A
PHONE I"" PHONE I'"" 7 w 7z._,(, -CJ6"Z.3 ,60 '72.k, -33 (.o
EMAIL
EMAIL \\e_c.\w ~ CEC:,04.i<JaS .ton
PROPERTYOWNERNAME_j 11!. l f-.{ •I>-I CONTRACTOR BUS. NAME c~ LY\"V\ct Sl.. A✓.;: C-1.<cn, l;,{
ADDRESS j 0{£_01) Cf-_ I .:[ 1$ /..J hl!V E i--1 ADDRESS 3Y'f />10111..1 sr
CITY • STATE ZIP CITY STATE ZJP q'Z_o ¥° 1 \ \ (p<., \'VI. M" l (7c.S ~ TLC~ VI) IY;1. c.,,.1
PttON/ '1o l-,o•s--faA-1~ IFAX PHONE I'""
EMAIL EMAIL
ARCH/OE.SIGNER NAME & ADDRESS I STATE UC.# STATEUC# 7 y /,3 I z__ l°T-l..1 l°ITYBUS-~ >a!-{ r .;;i.. o d.
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to lts issuance, also ~ulres 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 [hat he is exem_[lt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applieanffor a permit sub,ects the applicant to a
civil penalty of not more than five hundred dollars ($500}).
WORKERS" COMPENSATION
Worker•' Compensation Oeclaratlon: I hereby affirm under penalty of petjuty one of th6 follcwing d6dsrtttions:
□ I have and wlll maintain a certificate of coneent to seff-i'lsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of lhe work for which this permit ii issued.
□ I have and wlll maintain wortltrs' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My WOIMl'S' compensallon inllnnce carrier and policy
number are: Insurance Co. __________________ Policy No. ____________ Expiration Dalt ________ _
section need not be completed if the permit is for one hundred dollars ($100) or less.
Certlfk:ate of Exemption: I certify that in the performance of the work for which this pennil is issued, I shatl not employ any person in any manner so as to become subject to the Worilera' Compensalioo Laws of
fornla. WARNING: Fallure to secure workers' compensation coverage Is unlawful, and sha en employer to criminal penaltits and dvH fines up to one hundred thousand doNars (&100,0001, In
addition to the cost of compensation, damages as provided for In Stctlon 3706 of and attorney's fen.
,t!S CONTRACTOR SIONA
I henlby llffiml that I am exempt from Contractor's Ucense Law for th6 following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Busl,ms and Proresslons Code: The Contraclor's
License Law does not apply to ai O'M18f of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such ~ are not intended or offered for
sale. If, however, the building or improvement is sold within one year of oompletion, the owner-bulkier will have the burden cl proving that he did not build or Improve forh purpose of .. ).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Cootractor's License Law does not apply lo .. owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo lhe Contractor's License Law).
□ I am exempt under Section ---~-uSWl8SS and Professions Code for this reason:
1. I personally plan to provide lhe m~ labor and materlals for construclion of lhe proposed property improvement. □ Yes □ No
2. I (have I have not) signed an application for a building permit for lhe proposed wor1t
3.1 have contracted with the following person (filTll) to provide the proposed construction (include name addres$ /phone/ contractors' license numbM):
4.1 plan to provide portions of the work, but I have hired the following person kl coordinate, supe!Vise and provide the major work (include name I address I phont / connclorl' bnNI number):
5. l wil provide some rl the 'Mlfk, but I have contracted (hired) the following persons lo provide the wont indicated (include name / address / phone / type of work):
,t!S PROPERTY OWNER SIONA TUR£ □AGENT DATE
COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or Mure bu~cling 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 lhe
Presley--T anner Hazardous Substance Account Ad.? □ Yes □ No
Is lhe appllcant or future buildrlg occupant required to obtain a permit from the air pollution control district or air quality management dlstrtct? □ Yes □ No
Is the facility to be coostructed within 1,000 feet of the outer bouOOary of a school slle? D 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 DISTRtCT.
CONSTRUCTION LENDING AGENCY
I hereby affinn that there IS a oonslruclion lending agency for Iha perionnance of Iha WO<k tt;s pennit IS issued (Sec. 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I haw read the application and state that the above lnfonnatlon Is coned: and that the lnfonnation on the plans Is accuiate. I agiee to com"°wllh all Cky oldlnancas and Stats laws relattngto building construclon.
I toret,y aullorize representatt,e of lhe CKy of Carlsbad t, --lhe ab<Ml ""111lned property i:,r i1specli:Jn pu,pooes. I Al.SO AGREE TO SAVE, lfollEMNIFY ANO KEEP HARMLESS 1HE CITY OF CARSBAD
AGAINST ALL LLI\BILITIES, JUDGMENTS, COSTS #fl EXPENSES WHICH MAY IN AN'/WAY ACCRUE AGJ>JNST SAIOCITY IN CONSEQUENCE OF THE GRANTNGOF THIS PERMIT.
OSHA: AA OSW. permit o ,equiad i:,r excavations """SU' deep and -or C005lrucoon of """ 3 stJries n height.
EXPIRATION: E"'~ pennlt issued by lhe Bolding Olll:ial under lhe provisb1s of~• Code shall linMaoon and becoma nul and dl I lhe buidr,g or-auhlrized by such pemit ii oot coomenced v.til
180 days tom he dai!'of such permt crifhe buldilQ or'IIOn( ~ 1 ty slifth peimit · or abandoned ataiytine after ht 'MJJk is cxmnenced b' a peood of 180 days (Sedi:1111re.4.4 l.klitlrm &ti"lg Code).
~APPLICANT'SSIGNATURE • ~ DAlE (Z -3, -O
~ w City of Carlsbad Bldg Inspection Request
For: 06/23/2011
Permit# CB102310 Inspector Assignment: PD ---
Title: NYUGEN RES-GAS & ELECT LINE
Description: TO FIREPLACE (NOT TO EXCEED 6FT IN HT) AND TO
FUTURE BBQ
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
1166 MARIPOSA RD
Lot:
OWNER J T TRUST 03-13-05
Owner: J T TRUST 03-13-05
Remarks:
Total Time:
CD Description
0
Act Comments
Phone: 7608010044
lnspecto(P ;C
Requested By: DAVID
Entered By: CHRISTINE
29 Final Plumbing 37 ____ _ llfc------
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
lnsQection Histor)'.
Date Description Act lnsp Comments
0511012011 29 Final Plumbing NR PD STILL WORKING
01/06/2011 23 Gas/Test/Repairs AP PD PER PLAN
0110612011 31 Underground/Conduit-Wiring AP PD