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Home My WebLink About1328 PINE AVE; ; CB011430; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04/16/2001 Plumbing Permit Permit No:CB011430 Building Inspection Request Line (760) 602-2725 Job Address: Pemilt Type: 1328 PINE AV CBAD PLUM Status: Parcel No: 2050201000 Lot#: O Applied: ISSUED 04/16/2001 JM 04/16/2001 04/16/2001 Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: KELLETT-GAS&ELEC LINE TO BBQ Inspect Area: Applicant: GS DREAMSCAPING 4045 HARBOR DR CARLSBAD, CA 92008 619-729-1549 Total Fees: $47:00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain I I Install/Repair Wat~r Line · Water Heater and/or Vent Gas Piping System·· Vacuum Breaker · Other Plumbing Fees Master Drainage Fee · Sewer Fee Additional Fees TOTAL PERMIT FEES Inspector: __ ...__ __ Owner: .. KELLETT PATRICK M&lEANNE B 1328,Pl,NEAVE :..· CAR!,.SBAD CA 92Q08 , · 6102. 04/WO! 0002 01 02 CGP 47.00 \ Total Payments To Date: $0.00 ·. Balan'ce.nue: $47.00 0 0 0 0 0 1 0 . '' ', i ,' . I $20.00 :-$0:001 : $0.00. '$0.00·: $0.00 $0.00 $7.00 $0.00 $20.00 .· $0.00 , . · .. '-$000' EXPIRED PERMIT PrnMIT HAS Wi!'G:;) r,i nr.~lNCE Wffil U.B C. SFCTJON 106.4.4 , . ~ ' SiGNATIJRE ..... Ccfw ____ _ FINAL APPROVAL Date:-----Clearance: ----- NOTICE: Please take NOTICE that approval of yoLr project lncf l.ldee the '1 mposltlon' of fees, dedications, reservations, or ~ exactions hereaflll' collecliYely referred to as 'feesJexactlons.' You have 90 days from the date this pemi was Issued lo prolest Imposition of these fees/exactions. If you prt8t them, you roost follow the protest procedures set forth ri Govoovnent Code Sectkln 66020(a), and fie the proilst arxt any other requied Information with the City Manager foc processi1g In accordance with Carlsbad Municipal Code Section 3.32.030. Failure kl timely follow that procedll'e wDl bar any subseq oont legal action to attack, review, set aside, void, or 1111ul their Imposition. You are hereby FURTHER NOTIFIED that your r,;iht to protest the speclled feeslexactk>os DOES NOT APPLY to waler and sewer comectlon fees and capactly changes, nor planning, zoning, gradilg or other sbnllar applicatlon processing or service fees In connectloo with this project NOR DOES rr APPLY lo 8ll'f fees/exac!lons of whkh have been a NOTICE similar to Of as to which !he statute of llmlta1lons has otherNlse · . PERMIT Af PLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PRo.iECT INFOR¥,\TION 13::z,£. ~: .... I:'!-~Cc FOR OFFICE USE ONLY PLAN CHECK Nc:LJ;5b/ll/30 EST.VAL._~~~~~~~~~ Validated By _ _;:::,.......,c::..__:....--,,.<.,s,r.+,,-,,.':r-,.-- Date _________ -'1-~!'W-,b:,9'--- Address (Include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivlslon Name/Number Unit No. Phase No. Total I of units Exist] ng Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from appDcant) C2s.2 'I SA\;;ALA, Name Addreas City State/Zlp Telephone# Fax# 3. APPLICANT "O:t'"ontraator O Agent for Contractor O Owner O Agent for Owner ~S, ~AMS¢Ay:"t:3 \3:):::) Y~fi.r.. A.yk.". ~ 770, ll?Q Name Address City State/Zip Telephone I '4. _ PROPERTY OWNER 13M: \l.db:.1':: 720 -, :'> '-\B Name Address City Stete/Zlp Telephone I 6. CONTRACTOR • COJ.'IPANY NAME (Sec. 7031.6 Business and Professions Code: Any City or County whlch requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, elao requires the applicant for such permit to file a signed statement that he ls 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 7031.6 by any 11ppllcant for a permit subject! the applicant to a civil penalty of not more than five hundred dollars [$6001). Name Address City Stete/Zlp Telephone 6 State License II (;,6 3S: \9 License Class _ __,c_ __ -_'J_.;.=J_._ ___ _ City Business License ' I\ '384 IS Designer Name Address City Stete/Zlp Telephone State License II--------- 8. WORKE~'-COMPENSATION , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain e certificate of consent to self-Insure for workers' compensation ea provided by Section 3700 of the Labor Code, for the performance of the work for whlch this permit ls Issued. ~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 end policy number are: Insurance Company CAL ,or:ko.o-k :rrvs (G? Polley No. Ah.ol-,·!o L--,JA (THIS SECTION NEED NOT BE COMPLETED IF;JjE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Expiration Date_• _____ _ 0 CERTIFICATE OF EXEMPTION: I certify that In the performence of the work for which thla permit Is Issued, I shall not employ any person in any manner so es to become subject to the Workers' Compensation l.8wa of Callfornls. WARNINO: Fallure to securn worli:Bn1' compenll81:lon cowraga Is unlawfuJ, and shafl llllbject en employer to crbnlnel penalties and civil fines up to one hundred thousand dollers ($100,000), bl addition to the COllt of compansatlon, damagaa BS provided for In Section 3708 of the Labor code, Interest end attorney's fees. SIGNATURE DATE--------- 7. OWNER-E!UILDER DECLARATION I hereby affirm that I em exempt from the Contractor's License Law for the following reason: 0 I, es owner of the property or my employees with wages es their sole compensation, wlll do the work end the structure ls not Intended or offered for sale (Sec. 7044, Business end Professions Code: The Contractor's License Law does not apply to en owner of property who builds or improves thereon, end who does such work himself or through hls own employees, provided that euch Improvements are not Intended or offered for sale. If, however, the building or Improvement ls sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpoae of sale). 0 I, BS owner of the property, am exclusively contracting with licensed contrllctors to construct the project (Sec. 7044, Business end Professions Code: The Contractor's License Law does not apply to an owner of property who builds or lmprov!JS thereon, end contnlcts for such projects with contractor(s) licensed pUIBuant to the Contractor's License Law). O I am exempt under Section ______ Busln!JSs end Professions Code for this resson: 1. I personally plan to provide the major labor end materials for conlltructlon of the proposed property Improvement. 0 YES ONO 2. I (have I have not) signed an application for e building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hlred the following person to coordinate, supervise end provide the major work (Include name I address I phone number I contractors license number): ___________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work lndlcated (Include name I address I phone number I type of work): ___________________________________ ~----------------~ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ ~ COMPLETE THIS SECTION FOR NON-RESIOENT1AL BUILOINO PERMITS ONLY Is the 11ppllcent or Mure building occupant required to submit e business plan, acutely hazardous meterlela registration form or risk management and prevention program under Sections 26606, 26633 or 26634 of the Presley-Tenner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future bulldlng occupant required to obtain a permit from the eJr pollutlon control district or air quality men11gement district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. CQNSTRUCTION LENDING AOENCY I hereby affirm thst there Is a construction lending agency for the performance of the work for which this permit ls Issued (Sec. 3097(1) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ ·a. APPLICANT CERTIACATION I certify that I have reed the application end st11te that the above Information ls correct end that the Information on the plans ls accurate. I agree to comply with ell City ordinances and State laws relating to buildlng construction. I hereby authorize representatives of the Cftt of Carlsbad to enter upon the above mentioned property for Inspection purp088!. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AOAINST ALL LIABILITIES, JUDOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEQUENCE OF THE ORANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 6'0" deep end demolltlon or construction of structurea over 3 stories In height. EXPIRATION: Every permit Issued by the building Official under the provtslons o1 this Code shall expire by llmltaUon and become null and void If the bulldlng or work authortzed by such permit Is not commenced within 180 d the date o1 such permit or If the building or work authorized by such permit ls suspended or abandoned at any Ume after the work Is commenced for a period ys (Sectfon 106.4.4 Uniform Building Code). . J_ /, APPLICANT'S SIGNATURE DA TE ~ljt& 0 l I YELLOW: Applicant PINK: Finance . m City of Carlsbad Bldg Inspection Request For: 04/17/2001 Permit# CB011430 ntle: KELLETT-GAS&ELEC LINE TO BBQ Description: Type:PLUM Sub Type: Job Address: 1328 PINE AV Suite: Lot 0 Location: APPLICANT GS DREAMSCAPING Owner: KELLETT PATRICK M&LEANNE B Remarks: Total Time: CD 21 Descriptlon Underground/Under Floor 31 Underground/Conduit-Wiring Associated PCRs Inspection History Date Description Comments Act. lnsp Comments Inspector Assignment: Phone: 7608026211 Inspector. AJ(... Requested By: GUY ? Entered By: CHRISTINE