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HomeMy WebLinkAbout1350 MALLARD CT; ; CB003754; PermitV ill 'l') City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 1di10/2000 Plumbing Permit Permit No:CB003754 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1350 MALLARD CT CBAD PLUM 2157901800 Lot#: 0 Construction Type: NEW VILLAFLOR RES-GAS&ELECT TO BBQ Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/10/2000 RMA 10/10/2000 10/10/2000 ALLSCAPE INC PMB 403 VILLAFLOR ROBERT F&MIRASOL-D. 629 S RANCHO SANTA FE RD SAN MARCOS CA 92069 760 480-4041 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: 1350 MALLARD CT CARLSBAD CA 92009 Total Payments To Date: 0 0 0 0 0 1 0 $0.00 FINAL APPROVAL Date: A..///}.. / 6 \ Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $47.00 $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 lT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. -·-------~------ FOR OFFICE USE ON)JI.,, PERMIT APPLICATION PLAN CHECK NO. (J]oo .?Js"y CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By c • f<r Date { CJ/{{)( (J 0 1. PROJECT INFORMATION Business Name (at this address) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total I of units ASSf:lSSOr's Parctd # Existing Use Proposed Use Gas 1 i ne for barheqne · i; 11 Ou 1 i gbts booked ta existing switches; 1 110y outlet hooked to Description ot Work existing switch . FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (if di1ftlrent frc,m applicant) N<une Address 3. APPLICANT ficontractor 0 Agent for Contractor O Owner N&me Address City 0 Agent for Owner City State/Zip State/Zip Telephone II Fax# Telephone# 4. PROPERTY OWNER Robert Villaflor, 1350 Mallard Court, Carlsbad, C.A 92009, 847.398.6713 (Illinois telephone) Name Address City State/Zip Telephone I 5. CONTRACTO~ -COMPANY NAME (Svc. 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 it& issu.:1nce, 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 exemption. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($60011. Mark A, Snith. Al J s:::ap-Tao:ls:ap-& IBsi go, Ire • 629 8 B3txto Sant·a Fe Rd RE 403 Sm 1'4mrs GI 92Ci59 760 480. Name Address City State/Zip Telephone# ' St<1ta Lictinse # 7 1 4 0 0 4 License Class C-2 7 City Business License I 12 Q 3 1 1 4 De:.1gner Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O J haYe 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 ttlt:1 work for which this permit is issued. !Kl 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 workur's cornp1;;1n:;dtion im,urance carrier and policy number are: Insurance Company fl',RME'R' S INSlJEbNCE Policy No. N2008 79 65 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Expiration Date 7,/2 8/Q 1 O 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 b1;;1come subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers· compensation coverage i• unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thouund dollars ($100, 0}, in addition to the st of ompensation, dameges as provided for in Section 3706 of the Labor code, Interest and attorney's tee,. SIGNATURE I DATE /0 ,;/ 0' c)t) 7. I herr:tby c1ffirm that I am exempt from the Contractor's License Law for the following reason: O 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, 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 that such improvements are not intended or offered for sale. If, however, the building or improvement 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). 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 such projects with contractor(s) licensed pursuant to the Contractor's license law). O I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major lr1bor and materials for construction of the proposed property improvement. 0 YES ONO 2. I \huve / have not) signed an application tor a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 / phone numbar / contractors license number): ________________________________________________ _ 5. I wiH provide some of the work, but I have contracted (hired) the following persons 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 required to submit a business plan, ac;1tely hazardous materials registration form or risk management and prevention program undm Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Js the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D 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, CONSTRUCTION LENDING AGENCY I hereby .itfirm th.it there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS, ________________________ _ 9. APPLICANT CERTIFICATION 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. 1 hereby authorize representatives of the Citt' of Carlsbad to enter upon the above mentioned prop1:lfty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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 requited for excavations over 5'0H det1p 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tirne after the work is~rp·m· 1er~ tor a periQ.d of 180 days e lion 10 .4.4 Uniform Building Code). APPLICANT"$ SIGNATURE & .J,:y....U'.i....:...,.<'.!e'~:...e:'.',,u.L&,.,~--------DATE L o~~--r_o~-~dYJ~------ PINK= Finance City of Carlsbad Bldg Inspection Request For: 03/30/2001 Permit# CB003754 Tille: VILLAFLOR RES-GAS&ELECT TO BBQ Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1350 MALLARD CT Lot APPLICANT ALLSCAPE INC 0 Owner: VILLAFLOR ROBERT F&MIRASOL D Remarks: LOST INSP CARD, GATE CODE#2222 Total Time: CD Description Act Comments Inspector Assignment: SR --- Phone: 7604804041 Inspector: SB, Requested By: ALLSCAPE LANDSCAPE Entered By: ROBIN 29 Final Plumbing ~ r~ _@_ _________ _ ~CL. ~ -P~Pc:\ Associated PCRs lnsgection Histo[Y Date Description Act lnsp Comments 12/12/2000 29 Final Plumbing co SR NO GATE CODE (NO ACCESS) 10/20/2000 21 Underground/Under Floor WC SR 10/20/2000 23 Gasrr est/Repairs AP SR 10/20/2000 31 Underground/Conduit-Wiring AP SR CONDUIT ONLY