Loading...
HomeMy WebLinkAbout1254 MARIPOSA RD; ; CB030714; PermitCity of Carlsbad . 1635 Faraday Av Carlsbad, CA 92008 03-11-2003 Plumbing Permit Permit No: CB030714 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1254 MARIPOSA RD CBAD PLUM 2122202100 Lot#: 0 Construction Type: NEW CARROLL RES-GAS TO BBQ&FIRE PIT, ELECT TO BBO&FUTURE SPA Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/11/2003 RMA 03/11/2003 03/11/2003 TIERRA BELLA LANDSCAPE CARROLL ROBERT&GAIL FA'1Jb1l'oJ'JI!Jiif5~2 01 02 1895 AUTUMN LN 92084 760 945-0358 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: $47.00 Inspector: 1254 MARIPOSA RD CGP 47-00 CARLSBAD CA 92009 0 0 0 0 0 1 0 Total Payments To Date: $0.00 L $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 Balance Due: Clearance: $47.00 at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified lees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f hi h h r i l I hi hi h f lim' i n h r i I rwi PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Assessor's Parcel # FOR OFFICE USE ONLY PLAN CHECK NO. Cllt2 < 071y EST. VAL. _________ _ Plan Ck. Deposit ____ .,,,_ ___ _ Validated By ___ .,.'";: __ Ml<.,.k::""'----- Date __ 3~· .....,_/__,!_.!__,(...,(4,..,_~"-'------ Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # ,,.~J-,-'{;1Y~~ril~£~ef$!rl~ft~ Name Address City State/Zip Telephone# C>LL Name Address City S.tate/Zip Telephone # -~~ (Sec. 7031.6 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 Ption. Any violatio_o..qf Section 7031.6_ b)f any applicant for a per"l,[t subjects the 8!PPlican\ tq a civil penalty of not more than f)ve h':lndred dollars ($600]). off,l•t t'.)"C GT' N l"eflS A<JTV11.1..J µ V "5"1 <2.A-<?. '.--0·· S'e, State License # _$Q:i:.,,_,c,O,e'._€,J;o<c.-..l/~-=J::·t-- Address Citv State/Zip Telephone # License Class C ~ -Z )-City Business license , t 2 l L../ ~bo Designer Name Address City State/Zip Telephone State license # _________ _ ~d~Wf!t&f::la@~fi~I}, ,,M _-, _, llinl:~~%(tltUrlli90RfJf!?llliift'?JiJ0ftW~7~~T:F+mR½±l~~t:fl;1Af;tZmi~~?t\'?h Wor9trs' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~~ 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 ~; work for which this permit is issued. D 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: Insurance Company____________________ Polley No. Expiration Date, _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$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 o ers' Compensation Laws of Califomia. WARNING: Failure to • re w rkera' compensation coverage la unlawful, and shall subject an employer to crlmlnal penaltlea and civil fines up to one hundrad thousand dollars 1$1 dltlon to the coat of compensation, damages ea provided for In Section 3706 of the L bor c e, Interest and attorney's faea. SIGNATURE DATE O /2 0~ --I hei'eby affirm that I am AXemot from the Contractor's License Law for the following reason: D I, as owner of (Sec. 7044, Busine~ such work himself o sold within one yea, D l, as owner of Contractor's Licens pursuant to the Con D I am exempt L 1 • I personally pl; 2. I (have / have 3. l have contra< 4. I plan to provi number / contracto1 6. I will provide of work):. ___ _ PROPERTY OWNEF -Is the applicant or program under Sec Is the applicant or future building occupant required to obtain.a permit tram tne a,r p1111ul1u11 .,.,,..,,.., .,.,_ ... w. -· Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO --,_ not intended or offered for sale mproves thereon, and who does ,r, the building or improvement is e of sale). Iess and Professions Code: The jects with contractor(s) licensed ND r'lber / contractors license number): >rk (include name / address / phone ne / address / phone number I type risk management and prevention int district? 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A ANAL 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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S 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 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 over 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by Official under the provisions of this Code shall expire by limitation and become null and void if the buildlng or work authorized by such permit is not comm 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tim• after the work is comma of 180 days (Section 106.4.4 Uniform Building Code). ! /. 2 APPLICA, ·s SIGNATURE ::::-k:'f:ilj/r.'---l-:,-;7----==--=------:-:-=--------=-------DATE '?J{!2.C:!7' WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/11/2004 Permit# CB030714 Title: CARROLL RES-GAS TO BBQ&FIRE Description: PIT, ELECT TO BBQ&FUTURE SPA Type: PLUM Sub Type: Job Address: Suite: Location: 1254 MARIPOSA RD Lot 0 APPLICANT TIERRA BELLA LANDSCAPE Inspector Assignment: PY --- Phone: 7604389232 Inspector: ----- Owner: CARROLL ROBERT&GAIL FAMILY TRUST 04-05-03 Remarks: AFTER 1 PM PLEASE Total Time: Requested By: BOB Entered By: ROBIN CD Description 29 Final Plumbing ~-m_m_e_n_t _________________ _ Associated PCRs/CVs lnsgection Histoiy Date Description Act lnsp Comments 03/31/2004 39 Final Electrical AP PD EMR 03/30/2004 39 Final Electrical NS PD 07/23/2003 29 Final Plumbing co PY SEE NOTICE ATTACHED 03/14/2003 23 Gas/T est'Repairs AP PY BBQ SINK MUST DRAIN INTO BLDG SEWER 03/14/2003 31 Underground/Conduit-Wiring AP PY ------···---