The URL can be used to link to this page

Home My WebLink About14 GREENVIEW DR; ; CB051708; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ., 05-16-2005 Plumbing Permit Permit No: CB051708 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 14 GREENVIEW DR CBAD PLUM Status: Parcel No: 2152313600 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: OSBORNE RES INSTALL 50 GAL H2O HEATER Applicant: CALIFORNIA DELTA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 TOT AL PERMIT FEES 0 0 0 0 1 0 0 Plan Approved: Issued: Inspect Area: Owner: OSBORNE FAMILY TRUST 12-04-85 14 GREENVIEW DR CARLSBAD CA 92009 ISSUED 05/16/2005 KG 05/16/2005 05/16/2005 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 EXPIRED PERMIT 8334 Q5/c~a5 0002 01. 02 PERMIT HAS EXPIRED IN ACCORDANCE WITH t • • • CGP 27. 00 SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATES',>':'\,6& SIGNATURE Q\MC FINAL APPROVAL Inspector: Date: _____ _ Clearance: _____ _ 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 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 i . . I . . Ii . i . . , FOR OFFICE USE ONJ,Y_ "5 /1 .r/ PLAN CHECK No.C r:;Q_ Oi> PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave ., Carlsbad CA 92008 Legal Description Lot No. Subdivision Name/Number Assessors Parcel # Existing Use Unit No. EST. VAL. _________ _ Plan Ck. Deposit ~ Validated By -=-,,----~--:;,..L-'-~"---- Date ~--Zr --6~ , Phase No. Total# of units Proposed Use # of Bathrooms Description of Work SQ. FT. ~l-5v gq,£~ ~a4 '.~. CO TACT PERSON (If dlffeient from ~pptlcant) 0 # of Stories # of Bedrooms t~.,,Y-1~~ r-1 ·c .... ·.~ #. ... -• .-,, r 6, CONTRACTOR • COMPANY NAM{ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior toils issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors 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 for a.permit subje<:ts the appli nt to a civil penalty of not more than five ~ndr dollars $500]). · · 5 O i1-~, ~ ~S-W,8-- Designer Name Address City State/Zip Telephone# State License# _______ _ s;• WORKER'S CDMPE~SATION Worl<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: • I 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 of the wor1< for which this permit Is issued. • I have and will main!ain workers compensation, as r uired by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My worl<ers compensation in ra carrier and icy ri,umber e: ( I a . 2 ? ---:1__ / l O r Insurance Company • Policy No. l'.2=-1 ~ :2 Expiration Date + \ ,L (TI-IIS SECTION NEED NOT BE COMPLETE IF TI-IE PE IT 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 Worl<ers' Compensation Laws of California WARNING: Failure to socure workers' compensation covorag I uni dollars($100,000), In addition to the cost of componsatlon, dam g s a SIGNATURE I '!,, f OWNER:su)LOER D~CLARA_nor(: .. • • I hereby affirm that I am exempt from the Contracto(s nse for the foll · g reason: hundra thousand 3706 of the Labor Code, interest and attomoy's fees. DATE. ____ ...._,f-:::-=--4->'D'-"' .,.._ • I, as owner of the property or my employees with ages as their s e compensation, will d the wor1< and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contrador's License Law does not pply 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 i tended or offered for sale. ~. 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). • I, as owner of the property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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 Contractors License Law). • I am exempt under Section ________ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. • YES • NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (indude name I address I phone number/ contractors license number): 4. I plan to provide portions of lhe work. but I have hired the following person to coordinate, supervise and provide the major work (indude name/ address / phone number/ /ontractors license number): -------------------------------------------- 5. I will provide some of the wor1<, 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 __________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIDENnAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan. acutely hazardous materials regis1ration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is 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 affirm lhat there is a cons1ruction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _________________ _ LENDER'S ADDRESS __________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and slate 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 cons1ruction. I hereby authorize representatives of the City of Carlsbad to enler upon lhe above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS Tl!E CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF IBIS PERMIT. OSHA: An OSHA permit is required for excavations of 5'0" deep and demolilion or construction of structures over 3 s1ories in height. EXP IRA TlON: Every permtt issued by the building Official u lPr the rovisions 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 1 days from I ate of su rmit or if the building or work authorized by such permtt is suspended or abarned al any time after the work is commenced for a period of 18~ a ( io 1 . . · m Building Code). , / / , m uc,-,•s """"'""' ' . OA,S -3 /-5. I o.f WHITE: File YELLOW: Applicant PINK: Finance