HomeMy WebLinkAbout1578 MARITIME DR; ; CB994199; PermitCity of Carlsbad
11/08/1999 Plumbing Permit Permit No:CB994199
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
1578 MARITIME DR CBAD
PLUM
Parcel No: 2150713100 Lot#: 0
Construction Type: NEW
Reference #:
Project Title: GAS TO BBQ&FIRE PIT&ELEC LINE
Applicant:
NILAND JOSEPH M JR&GUSTAFSON JUDY L
1578 MARITIME DR
CARLSBAD CA 92009
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:
. ':rmat,Payments To bate: .
0
0
0
0
0
1
P.
FINAL APPROVAL
Date: l:,-2S.-00
Status:
Applied:
Entered By:
Plan Approved:
Issued:
ISSUED
11/08/1999
JM
11/08/1999
11/08/1999
Inspect Area:
4
•~eDue: '~ .
V
""" ' 0
V $20.00
. $0.00
,$0.00
Clearance:
~ .'"$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 IT APPLY to any
feeslex:actions of which vou have nreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has nreviouslv otheiwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
47-00
~
'PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
Legal Description Lot No. Subdivision Name/Number
Assessor's Parcel #
Name
3. APPLICANT O Contractor
Existing Use
Address
D Agent for Contractor O Owner
City
0 Agent for Owner
FOR OFFICE USE O~ L/ L7,
PLAN CHECK NO. ]:J.._ j/· l '1
EST. VAL. __________ _
Plan Ck. Deposit ~--------
Validated By_~=IIP"l"--'<vr------,--Date _____________ _
Unit No. Phase No. Total # of units
State/Zip Telephone# Fax#
Name
4.
Address City State/Zip Telephone# "7 {,()
1, ~r, fw,=-~r-~ rls ADO c-(p). -r). 4-~
Name City
6. 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 tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars· I$ 50011. '
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer 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:
0 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.
D 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 insurance carrier and policy number are:
Insurance CQmpany ______________________ Policy No. ____________ _ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work f~r which this permit is issued, I shall not emAloy any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to 1ecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penahias and civil fines up to one hundred
thousand dollars ($100,0001, In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, lnterast and attorney's fees.
SIGNATURE________________________________ DATE _________ _
)I 7. OWNER-BUILDER DECLARATION
\ I hereby affirm that I am exempt from the Contractor's License law for the following reason:
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 tor 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
uch 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
old within one year of €ompletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
l, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
ontractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed
ursuant to the Contractor's License Law).
10 I am exempt under Section ______ Business and Professions Code for this reason:
I
'I: I personally plan to provide the major labor and materials for construction of the proposed property improvement, ~ES
I (lsae / have not) signed an application for a building permit for the proposed work.
ONO
r I have contracted with the f llowing person {firm) to provide the proposed construction (include name f address / phone number / contractors license number):
/4. I plan to provide portions of the work, but I hilve hired the following person to coordinate, supervise and provide the major work (include name / address / phone
/number/ contractors license number):. ____ J"--\--ll------------------------------------------
',5. I will provide some of t w~. but I have contracted (hired) t following persons to provide the work indicated (include name / address / phone number/ type
;of work): ______ ....Ji"J...l..~1-'--.:::::s:;,------"s;:l};;ts:::----------------1 Tif-:a1,::;-:::------------
d to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 255"''-"'-='-"~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
ts the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) 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 al\
City ordinances and State laws relating to building construction. I hereby authOrize representatives of the Citt 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 icial 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 with1 65 days from the date of such permit or if the building or work authorize
or abandoned at any time after the""'"-':!,-io~mmenced for riod of 1 80 da s (Section 106.4.4 Uniform Building Code).
'\'.,APPLICANT"S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
Inspection List
Permit#: CB994199 Type: PLUM
Date Inspection Item
11/18/1999 23 Gas/TesURepairs
11/17/1999 21 Underground/Under Floor
11/17/1999 23 Gas/TesURepairs
Wednesday, June 28, 2000
Inspector
DA
DA
DA
GAS TO BBQ&FIRE PIT&ELEC LINE
Act Comments ------------
AP
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