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Home My WebLink About1450 CHESTNUT AVE; ; CB003743; Permit10/05/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB003743 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1450 CHESTNUT AV CBAD PLUM 2051307900 Lot#: Construction Type: GAS LINE TO FIRE RING 0 NEW Status: ISSUED Applied: 10/05/2000 Entered By: JM Plan Approved: 10/05/2000 Issued: 10/05/2000 Inspect Area: Applicant: SAN DIEGO LANDSCAPE SYSTEMS #16 12642 POWAY RD POWAY CA 92065 760788-8140 Owner: * i WIEGAND NEGLIA CORP, 1060 WIEGANDRD #1601 0431 10/05/00 0001 01 ENCINITAS CA 92024 C-PRMT 02 27-00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due: $27.00 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 0 0 0 0 0 1 0 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Inspector:SB, FINAL APPROVAL 1X18/00Date: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 t'mely 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 IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. , PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit j> Validated ByJJlfis^, Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number / s Unit No.Phase No.Total # of units Assessor's Parcel %ing_ A Proposed Use Description of Work 2. CONTACT PERSON (if different from applicant) SQ.TT.r Stories # of Bedrooms # of Bathrooms Name Address City 3, APPLICANT J0 Contractor Q Agent for Contractor Q Owner D Agent for Owner State/Zip Telephone #Fax* Name 4, PROPERTY OWNER Address City State/Zip Telephone Address City State/Zip Telephone #Name 5. CONTRACTOR - COMPANY NAME (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 to its issuance, 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 for a perrgit subjects the applicant to a civil penalty of noj more than fivejjundred dollars [$500])." ~~ ' ' Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # "" 6. WORkERSSCOMPENSATION ,.-.-,-„ , : > ,•*-. I . ., ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: |~l 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 work for which this permit is issued. |2 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 insuranceca/rier and policy number are: Insurance Company ^^^^T^^- f~^ys*<//^ Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 Workers' Compensation Laws of California. WARNING: Failure to secure worjtecsi-CQrngensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dotiarSTS 1 oo.oooj?,Jnadditioiv-tatraDfeost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ~^I>--::::-^S5L^^ DATE ./£? "^?~Z? (£7 7. OWNER-BUILDER DECLARATION ," '- " - - I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q |, 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). l~l 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). f~l 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. Q YES C]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 (include name / address / phone number / contractors license number): 4. I 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 number / contractors license number): 5. I will 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/VOAM?£S/DBV7Mi BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. CONSTRUCTipN LENDING AGENCY I hereby affirm that 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. I hereby authorize representatives of the City 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 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 required for excavations over 5'0" deep 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 time after the work isjaremeric,ed tor a^periCfJ3? TBU gays (seetjpn 106.4.4 Uniform Building Code). APPLICANT'S SIGNATSJaE- c—-=Z$Z^-^>^___-——-"^^I^—— DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 11/7/2000 Permit# CB003743 Title: GAS LINE TO FIRE RING Description: Inspector Assignment: SR 1450 CHESTNUT AV Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT SAN DIEGO LANDSCAPE SYSTEMS Owner: WIEGAND NEGLIA CORP Remarks: Phone: 7607888140 Inspector: Total Time: CD Description 29 Final Plumbing Act Comments ft£> Requested By: RON PARK Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 10/10/2000 21 Underground/Under.Floor WC SR 10/10/2000 23 Gas/Test/Repairs AP SR OCT-05-2000 02:11 PM S.D. L.ANDCARE SYSTEMS 858 6797778 P. 01 COMPENSATIONINSURANCE P.O. BOX 807, SAN FRANCISCO,CA 94101-080? •FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: O2-O1-OO POLICY NUMBER 1491117 - 00 CERTIFICATE EXPIRES; 02*01*01 ','38 CONTRACTORS STATE LICENSE BOARD ATTN: WORKERS' COMP, UNIT BOX 26000 SACRAMENTO CA 95826 • '<*,«• 001: LIC 4V9073B •' •..- :\ INCEPTION DATE: Oa-01-OOV' * D.O.: SAN DIEQO :: VV.> This k to certify that w« have Issued a valid Workers' Compensation Insurance policy in « form approved by the California Insurance Commissioner to the employer named below for the policy period indicated ' . This policy is not subject to cancellation by the Fund except upon to dm' advence written notice to the employer. We will also vow 10 days' advance notice should this policy be cancelled prior to its normal expiation. This certificate of insurance is not an Insurance policy and does not amend, extend of alter the coverage afforded by the policies listed herein. Notwithstanding iny requirement term, or condition of any contract or Other documentwith respect to which this certificate of insurance may be issued or may pertain. tl» insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such pofcjos- ?'•,' ."'!... '' ' vV '• •••*'. ::' • . CMPLOYEM'S LIABtUTY LIMIT INCLUDING OtfttUt COSTS: $1,<X»,bOO.<» PER OOCURMNCE. "iJ-%' '"»'''•.' (.' :.-!*• EMPLOYER SAN DIEGO LANDCARE SYSTEMS INC 12642 POWAY RD POWAY CA 9206A LEOAL NAME PICOO LANDCAW 5TS 'V. *w PBINTSCk