HomeMy WebLinkAbout1420 PINE AVE; ; CB992506; PermitCity of Carlsbad ~i~q,"{
07/0?r'1999 Plumbing Permit Permit No:CB992506
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
1420 PINE AV CBAD
PLUM Status:
Parcel No: 2050204900 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Trtle: HARVEY RES-GAS-FUTURE FIREPLAC Inspect Area:
Applicant:
GS DREAMSCAPING
4045 HARBOR DR
CARLSBAD, CA 92008
619-729-1549
Total Fees:
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
.... ,-(. -.
0
0 ~ . 1 INCORPORATED .~
'0:, cf/, . . '"' -;__~\f-
. ~a()(}@f{})~~
ISSUED
07/07/1999
RMA
07/07/1999
07/07/1999
$0.00
$0.00
$27.00
$27.00
Inspector:
FINAL APPROVAL
Date: :--, ) \C\ f(\C\ Clearance: ------
NOTICE: Please take NOTICE that approval of )'OIJ' project includes the "I mposltlon' of fees, dedlcatloos, raservatlons, Of other exactions hereafter collectively
referred to as 'fees/exactions.' You have 90 days from the date this permit was Issued kl protest Imposition of these fees/exacfuns. If you protest them, you must
follow the protest procedures set forth In Goverrvnent Code Section 66020(a), and file the protest and any other required Information with the City Manager for
processing In accordance with cartsbad Municipal Code Section 3.32030. Failure to timely folbw that procedure will bar any subsequent legal action to attack,
reviaw, sat aside, vok:t, Of BllllUI their lmposfllon
You are hereby FURTHER N OTl FIED that your llJ ht to protest the specllled fees/exactions OOES NOT APPLY to waler and sewer connection fees and capactly
changes, nor planrq, zoolng, grading or other slmllar appllcatlon processing Of ssrvlce fees In connection with this project NOR DOES rr APPLY ti any
fees/exacllons of which vou have oreviouslv been alven a NOTICE slmDar to this Of as to which the statute of llmltatloos has orev!o1l'llv othe!wlse =Ired
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
27-00
FOR OFFICE USE ONLY
PER'VIIT· APPLICATION
'
PLAN CHECK NO. qq isoto
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
1. PROJECT INFORMATION
Jlt ?.O J?; (\i::. A..J c::..
Address (Include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. SubdMston Name/Number Unit No. Phase No. Total # of unlts
# of Bathrooms
2. CONTACT PERSON (If different from eppllcwrt)
Name
'3. APPLICANT ~ontrector
01 S V<:i,c-Ar-'\.S~i/\.d
Name
4. PROPERTrOWNER
Address
D Agent for Contractor
l;:!;i']O °y;,r'.\r;;;.
Addre!IS
City
D AiJent tor 0wner
Ce.>\<;,~
City
Stete/Zlp
State/Zlp
1'1TL; t111..~ ~""lA'uG t-lA"l§'i l'(l.Q ?;,q: A"!'.,, CN\s't>Ad <!A q~
Telephone II
Telephone II
Name 'Address City ~ State/Zlp Telephone I
Fax I
6. CONTRACTOR -COMPANY NAME GJ S, tx-~'S.cP\.°\)l'(\c; . C Gttoy SA.\)A.\A.)
(Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to conlltrl.lCt, alter, Improve, demoHsh or repair any structure, prior to Its
Issuance, also requires the applicant for such permit to file II signed statement that he Is licensed pursuant to the provislons of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Dlvlslon 3 of the Business end Professions Code] or that he is exempt therefrom, and the beals for the alleged
exemption. Any violation of Section 7031.6 by any appUcant for II permit subJects the applicant to a civil penalty of not more than five hundred dollars ($600]). di 5 })q:·A(v\$c:ei;)\Aa= \3,p :v~l\.:z;_ A..ll:::. CAC\SW ¢A 9).p:::S 770-1170
Name Address City State/Zip ~hone I
State License, ~S35:;\9 License Class c-::z_.--, City Business License, I I 2 <Jf/¥
Designer Name Address Clty State/Zip Telephone
State Llcen110 I----------
'6. WORKERS' COMPENSATION
Worlcers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D. I have end will maintain a certificate of consent to self-Insure for workers' compensetlon as provided by Section 3700 of the Labor Code, for the performance
of the work for whlch this permit is issued.
B-I have and will maintain workers' compensation, es reqwred 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 G,o~C). ~\i"'.,, ::X (\;s,. ;,:C Py\.<: r t"Q Polley No. N{,JC! SS"oS:<c;Pj CX?
ffHIS SECTION NEED NOT BE COMP~F THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
Expiration Date 3 h,.7 J 1-QO= J I
D CERTIRCATE OF EXEMPTION: I certify that In the performance of the work for which this permit ls Issued, I shell not employ any person In any manner so ea
to become subject to the Workers' Compensation Lewa of California.
WARNING: Faili.e to secure work coverage la unlawful, and 811111 aubfect 11n employer to criminal penllltlu and civil flna up to one hundred
thoWland dollars ($100,000), I cost of compensation, damages a provided for In Section 3706 of the~ code, Interest and attorney's teu.
SIGNATURE DATE 7 a '1Cf
7. OWN£R-8UILDER I
I hereby affirm that I em exempt from the Contractor's License Lew for the following reason:
D I, es owner of the property or my employees with wages es their sole compensation, will do the work end the structure is not intended or offered for sale
(Sec. 7044, Business end Professions Code: The Contractor's Licenae Lew does not apply to en owner of property who builds or Improves thereon, and who does
such work himself or through his own employees, provided that such Improvements ere 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 bulld or Improve for the purpoae of BIiie).
D I, es owner of the property, em exclualvely contracting with licensed contractora to construct the project (Sec. 7044, Business and ProfBlllllons Code: The
Contractor's License Lew does not apply to an owner of property who builds or Improves thereon, end contracts for such projects with corrtractor(e) licensed
pursuant to the Contractor's License Lew).
D I em exempt under Section ______ Business end Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D 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 hired the following person to coordlnate, supervise and provide the major work (Include name / address I phone
number I contractors license number): _____________________________________________ _
6. I will provide some of the work, but I have contracted (hired) the foll owing persons to provide the work Indicated (Include name / address I phone number I type· of work): _________________________________________________________ _
PROPERTY OWNER SIGNATURE-----------------------
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUllOING PERMJTS ONLY
DATE _________ _
Is the applicant or future bulldlng occupant required to submit II business plan, acutely h11ZBrdous materials registration form or risk management and prevention
program under Sections 26606, 26633 or 26634 of the Presley-Tenner Hazardous Substance Account Act? D YES D NO
ls the applicant or future building occupant required to obtain a permit from the e1r pollution control district or air quality management district? D YES D NO
ls the faclllty 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 that there Is e 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 ADDRESS ~------------------------------------------~ · 9. APPLICANT CERTIACATION
I certify that I have reed the application and state that the above information Is correct end that the Information on the plans Is accurate. I agree to comply with ell
City ordinances and State laws relating to bulldlng construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned
property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU UABILmES,
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 exc11vatlon11 over 6'0" deep and demolition or constructlon of atructures over 3 stories In height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation end become null and void If the building or
work authonzed by such permit ls not commen · 366 days from the date of such permit or If the building or work authorized by such permit Is suspended
or abandoned at eny time after the work Is com r II period of 180 days (Section 106.4.4 Unlform Building Code).
--;/7 'rt DATE
YELLOW: Applicant PINK: Flnence l
ll City of Carlsbad Inspection Request
For. 7 I 14/99 .
Permit# CB992506
ntle: HARVEY RES-GAS-FUTURE FIREPLAC
Description:
Type:PLUM Sub Type:
Job Address: 1420 PINE AV
Suite: Lot 0
Location:
APPLICANT GS DREAMSCAPING
Owner: HARVEY BRADLEY P&BLAYNE
Remarks:
Total Time:
CD Description Act Comments
\,JC
Inspector Assignment: SR : . ---
Phone: 7608026211
Inspector:
Requested By: NA
Entered By: BARBARA
21 Underground/Under Floor ~~~~~~~~~~~~~~~~~~~~
23 Gas/Test/Repairs £~~~~~~~~
Inspection History
Date Description Act lnsp Comments
719199 23 Gas/Test/Repairs CO SR NO PRESSURE IN GAS LINE
., , ..
/\
/ _Iv +--:::------------t-~__,___t-----'---r--~
< rz.' r <"
I l :!1'
)
I
I~