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Home My WebLink About1615 CORTE ORCHIDIA; ; CB052769; Permito 07-26-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB052769 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title Applicant NATURESCAPE 314CHAPALITADR 92024 1615 CORTE ORCHIDIA CBAD PLUM 2159503400 Lot# 0 Construction Type NEW MARTINSON RES- GAS LINE TO FIREPIT Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 07/26/2005 LSM 07/26/2005 07/26/2005 Owner MARTINSON THOMAS R&BRENDA L ««2i 0<V26/05 0002 01 1888 PALISADES DR CARLSBAD CA 92008 CGF" 02 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 Additional Fees 0 0 0 0 0 1 0 $2000 $000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $0 00 Balance Due.$2700 Inspector FINAL APPROVAL Date ///7/o6 Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1. . PROJECT INFORMATION CYf FOR OFFICE USE ONLY PLAN CHECK NO dB O EST VAL Plan Ck Deposit Validated By Date "t Address (irrr-lude Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel tt Existing Use Proposed Use Description of Work Z.*$.iON iifdifferent from applicant) SQ FT #of Stones tt of Bedrooms ff of Bathrooms Name •3.-, APPLICANT Name 4 .PROPERTY OWNER . J^jContractor Q AgentpfittTA W> Address City t for Contractor Q Owner.:- '' D^Agerit for Owner State/Zip Telephone tt Fax tt Address City State/Zip Telephone #Name 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Name State License , Address License Class City State/Zip City Business License tt / Telephone # Designer Name State License tt Address City tate/Zip Telephone 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 51 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 Company ^CT/Tjf? ^LJM_\ Policy No*•—*C>^></ ^f\ Q Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) n CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers'/c/ompensation coverage a unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($UO;QP8V]rfadjdiJicp to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE /If *>- 'A DATE - 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason Q 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) [~l I, es 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) PI 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 QNO 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/VOW^ : .ii. t. -••,«,.4-, ,. ,; 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 Jfa NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~l YES fp\ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES J^ 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.iLCONSTRUCTION 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 ff\J'£^h^~~ LENDER'S ADDRESS ife:«APW,ICAN^.C|ERTIFleAT»PN''':«'h!.--''.:::.-. ' 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 CitV 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 Officiallunder 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 withirrJfiO daJs 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 is commerfe^fof a oerfSd of\1O) days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE 4( / y^QslXDATE ilTE File YELLOW Applicant PINK Finance UNSCHEDULED BUILDING INSPECTION DATE , /\/l2~&<* PERMIT # JOB ADDRESS INSPECTOR PLAN CHECK # DESCRIPTION CODE DESCRIPTION ACT COMMENTS City of Carlsbad Bldg Inspection Request u.For 12/30/2005 Permit* CB052769 Title MARTINSON RES- GAS LINE TO Description FIREPIT ,. Inspector Assignment '"PY 1615 CORTE ORCHIDIA Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT NATURESCAPE Owner MARTINSON THOMAS R&BRENDA L Remarks AM 8-10 PLEASE Phone 7604760685 Inspector Total Time CD Description 29 Final Plumbing Act Comment Comments/Notices/Hold Requested By BRENDA Entered By JANEAN Associated PCRs/CVs Inspection History Date Description Act Insp Comments 12/20/2005 29 Final Plumbing NR PY NO JOB CARD 07/27/2005 23 Gas/Test/Repairs CO PY SEE NOTICE ATTACHED CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE TIME_ LOCATION. PERMIT NO VI AMuP -for FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? '_! YES f } ft x IFOR FURTflER^INFORMATION, CONTACT. ^_ PHONE CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For 07/27/2005 Permit* CB052769 Title MARTINSON RES- GAS LINE TO Description FIREPIT Inspector Assignment 1615 CORTE ORCHIDIA Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT NATURESCAPE Owner MARTINSON THOMAS R&BRENDA L Remarks please inspect in the AM Total Time CD Description 23 Gas/Test/Repairs Act Comment Phone 8585836444 Inspector Requested By BILL Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT NOTIC (760) 602-2700 1635 FARADAY AVENUE DATE 7/2 7/Q6 LOCATION, T,yE PERMIT NO \j' - \ FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? I '. YES FOR FURTHER/INFORMATION,JGONTACT PHONE 'BUILDING INSPECTOR^CODE ENFORCEMENT OFFICER ® C6 CtRThOLDEF! COPY 3., / SAN FRANCI.: COCA 9-M42 ..... 0807 \S' COJviPENSATiOlM INSURANCE '. <- >.. Ji-ilir oGARD SO GROUP OOOO44 POLICV NUMBER 002141O-2OO2 CERTIFICATE ID 1 C:HRT!rlCAl L-: EMPIRES 09-04-200S 03-05-2005/09-04-2005 LICENSE NUMBER CONTR LIC ;?803EJ" INCEPTION DATE 09-04-2003 00 SD i.. . ._.., .^i.v.1- \oikeis Compi-n^uon insjrance policy in a lorm approvea by tn= -j.-i. -;-i i._ iPrt <3.':iOi jyei named b^'ov.,-- TCJI The policy penod indic^leo ^ .;..:-i.c-ii-i.-j--; • .' ii:t; f unci e.-,cepi jpon io°'ay^' adv/^nce written nonce 10 the employer .- .. -J:1-:-ii^/- i':Ci:^L. jHOLid ihis pciici be Cancelled pnoi TO its normal expiration -.- ; :.c' jii 'iisuijiicc policv ana i:o=s noi amend e -.lend or jiier the coverage aiforded .''-.ji-.uii; iUciLi:rnj anv requirement tei m or condition of any contract or other document ;,\-.M i:.jtc or i:;:;,...'• ...nee may be issued 01 may peruin the insurance afiorded by the , - J.r-c1 - _i! 'i.-- it--rms e <clu£ior;; and conditions or such policies DEFENSE COSTS ^,1,000,000 00 PER OCCURRENCE .SiJ!j i-.'DIVlQUAL EnlPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE -;S £i.i.ii-lj/£tS UNDER THIS POLICY LEGAL NAME - ,j •'' i: S i_ - r h i. A i\ I j S C A P L . ..^"1^ - iAw'i'k i L SCHWAB BILL FRED •i'-r -'-'- -'»».!. .-.« .^/ 08-15-2005 „ ..