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