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Home My WebLink About1616 CORTE ORCHIDIA; ; CB021768; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-12-2002 Plumbing Permit Permit No CB021768 Building Inspection Request Line (760) 602-2725 Job Address 1616 CORTE ORCHIDIA CBAD Permit Type PLUM Status ISSUED Parcel No 2159500400 Lot# 0 Applied 06/12/2002 Construction Type NEW Entered By RMA Reference # Plan Approved 06/12/2002 Issued 06/12/2002 Project Title GOLDMAN RES-GAS & ELECT TO BBQ Inspect Area & FIRE PIT Applicant Owner 1AN MARTIN RAMARHIA I 02 PARKER, DAVID GOLDMAN MARTIN R&MARCIA.L 3614COUNTOURPL 1616 CORTE ORCHIDA CGF:° CARLSBAD, CA 92008 CARLSBAD CA 92009 Total Fees $4700 Total Payments To Date $000 Balance Due $4700 Plumbing Issue Fee $20 00 Fixture or Trap 0 $0 00 Building Sewer 0 $0 00 Roof Dram 0 $0 00 Install/Repair Water Line 0 $0 00 Water Heater and/or Vent 0 $0 00 • Gas Piping System 1 $7 00 Vacuum Breaker 0 $0 00 Other Plumbing Fees $20 00 Master Drainage Fee $0 00 Sewer Fee $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $47 00 FINAL APPROW fj / c? /. Inspector // //& P*~~ Date // 6/ * 1 Clearance VAL « * NOTICE Please take NOTICE tjlat 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 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 Adlress (include Bl2g/Suite #)l r /_±L^o'/C -ft FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date r Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel/*'--;Existing Use Proposed Use Description of Work i2 i CONTACT PERSON (if different from applicant) SO FT '#of Stories # of Bedrooms tt of Bathrooms Name Address i3.: ,:'APPLICANT!!;;^ Q Contractor »"'*{ ED VSgenffbflContractorl City 'Q]?Agerit foVOwnefJ State/Zip Telephone Fax # Name *•' jiPROPERTY OWNER ; -sff'"*"•*• Address City State/Zip Telephone tt City State/Zip TelephoneName v ' ' ^ "» T A'ddress 5 "CONTRACTOR;- COMPANY NAME';:1?: (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 Codel or that he is exempt therefrom, and the basis for the alleged xemption_ Any^yiolation of Section 703J 5 by any applicant for a permit subjects the^appjicant to a civil penalty of not more than (tua hundred dollars. Name " ^_ ^ State License tt /C) ' < ^ Address ' - ""5 C? / License Class ( eA. / City State/Zip ^ City Business License tt 1 ^ . Telephone tt ^£>&/&^-o^ Designer Name State License tt Address City State/Zip Telephone S' COMPENSATION , ;:" .;: TiT/*' "' 3 '::* '\i "' -. f 'k. .": : ' . ' :'' ' . .::' ' ' I -...: 7.^. .,: Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 bf the/work for which this permit is issued \$f 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 "Issued My worker's compensation insurance carrier and policy number are ^^ __ A/^ Insurance Company jyTJ} T*P t C2(JLJL CL- Policy No ^-v^^i ~~~£2/ * Expiration Date TED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 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 pensation Laws of California compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred n to tlje costjof compensation, damages as provided for in Section 3706 of the/Labor code, interest andjjttorney's fees DATE L*? I D ~ (THIS SECTION NEED NOT BE CO f~l CERTIFICATE OFEXEMPTIO to become subject to/the Workers' WARNING Failure Ao secure thousand dollars ($100/000) SIGNATURE "\ I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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) (~| 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) n I arn 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 l~l YES QlNO 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 COMPLETEiTHISHSECTIQN,£OR NgN-RESIDENTIAL BUJLD|NGiPERMITS;pNLY i; / ' \ '/. '-. .'• :.'.. ""„ ; ' 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? CD YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? (~| YES f~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CD YES CD MO 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-'::'"CblNSTRUlctiONlENblNGjAGlENCY. ." •--;- --!--:••.•- ^-^-.•..••••^-^ -v"jL •.:;:" '^ ":•""'] '"• ••<".-{ '". ": v • ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER S ADDRESS 9 A^LICANt CERtlFICATION r X* -. .. •^ .. ^'', ..s=-::' kt: „,_...„*; ...... j.;... -L.I; £°''.3-- ... ,J ;£; ". . . .,.\ .'. _•' .'.,-, 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^xca^iations over 5'0" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued b/thettiflding Official under the prjavyons of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not conyngflctKl within 180-dSQ 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 commenced for-afjenod of 18j/days (Section 106 4 4 Uniform Building Code) /} — APPLICANT S SIGNATURE // ^ //^7*-4^ DATE &* ~~ """ WHITE File\YELLOW Applicant PINK Finance UNSCHEDULED BUILDING INSPECTION DATE y / y/ 45 INSPECTOR*ti ^ PERMIT # 02--J 7^ PLAN CHECK # _ JOB ADDRESS //£ //^ DESCRIPTION CODE DESCRIPTION ACT COMMENTS Jl _ City of Carlsbad Bldg Inspection Request For 11/14/2002 Permit# CB021768 Title GOLDMAN RES-GAS & ELECT TO BBQ Description & FIRE PIT Sub Type 1616 CORTE ORCHIDIA Lot 0 Type PLUM Job Address Suite Location APPLICANT PARKER, DAVID Owner GOLDMAN MARTIN R&MARCIA L Remarks Inspector Assignment PY Phone 7609291334 Inspector Total Time CD Description 29 Final Plumbing Act Comments Requested By MARSHA GOLDMAN Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 06/13/2002 21 Underground/Under Floor WC PY 06/13/2002 23 Gas/Test/Repairs AP PY 06/13/2002 31 Underground/Conduit-Wiring PA PY CONDUIT ONLY CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION_ PERMIT NO Si (760) 602-2700 1635 FARADAY AVENUE TIME FOR INSPECTION CAUL (760) 602-2725 RE-INSPECTION FEE DUE? : YES FOR FURTHER INg&RMATIOk OONTA'CT PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ® sc COMPENSATION INSURANCE FUND PO BOX 807, SAN FRANCISCO,CA 94101-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-01-02 POLICY NUMBER 229-O2 UNIT O017449 CERTIFICATE EXPIRES 01-01-03 CONTRACTORS STATE LICENSE BOARD ATTN: WORKERS' COMP. UNIT BOX 26000 , SACRAMENTO CA 95826 JOB # 709501 INCEPTION DATE O1-01-02 D.O SAN DIEGO This is to certify that we have issued a valid Workers' Compensation insurance policy in a 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 todays' advance written notice to the employer We will also give you 10 days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein Notwithstanding any requirement term, or condition of any contract or other documentwith respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,OOO,OOO.OO PER OCCURRENCE. STANDARD EXCLUSION INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY. EMPLOYER LEGAL NAME DAVID L. PARKER LANDSCAPE 3614 CONTOUR PL CARLSBAD CA 92008 PARKER, DAVID L