HomeMy WebLinkAbout1619 MARITIME DR; ; CB070806; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 ,
03-27-2007 Plumbing Permit Permit No: CB070806
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1619 MARITIME DR CBAD
PLUM Status:
Parcel No: 2150820500 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: JIMINEZ: GAS & ELEC TO BBQ Inspect Area:
Applicant:
JIMINEZ BENCY G&MARIL YN B
1619 MARITIME DR
CARLSBAD CA 92011
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
TOTAL PERMIT FEES
0
0
0
0
0
1
0
Owner:
JIMINEZ BENCY G&MARIL YN B
1619 MARITIME DR
CARLSBAD CA 92011
ISSUED
03/26/2007
JMA
03/26/2007
03/26/2007
JM
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$20.00
$0.00
$0.00
$0.00
$47.00
Total Fees: $47.00 Total Payments To Date: $4 7. 00 Balance Due:
Inspector: Clearance:
$0.00
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 pennit was issued lo 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
f es/ x ti n f whi h ou av r viousl been iven NOTI E simil r to this or a t whi h h st le f limi ation ha r viousl h rwi ex ire .
-----------·-··--•-•.•· -.
FOR OFFICE USE ONL V
PERMIT APPLICATION PLAN CHECK No.0:v70 8""°0G ,
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By :: ~
Dato 5(&liLL
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Address (Include Bldg/Suite #I Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Proposed Use
# of Bedrooms II of Bathrooms
Name Address Citv State/Zip Telephone I • •••11 r rm:wer · · n F · r mrz ·· nwe~ ··· w,::1;t,·111N,li!ii~11e~"~'\i,"'~'~~;~~,11'.l\;i~r,r;~ ••••.
Name Address , City State/Zip Telephone I
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Name Address City S.tate/Zip Telephone #
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(Sec. 7031.6 BU8inass 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
exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (♦6001).
Name Address City Stete/Zip Telephone#
State License # _________ _ License Class ________ _ City Business License II _______ _
Designer Name
State License #
Address City State/Zip Telephone
'"""· ,. ·~ '" . \ . ·. " w~~Jk~td~~Thi~0ie:'M~~~~i#J4x~~:·s!!U. :. ·~:,.c;; def~•~::.i·v
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.
0 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____________________ Policy No.____________ Expiration Date. _______ _
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1♦1001 OR LESSI
D 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 aecure worken' compeinutfon coverage la unlawful, and ahaH sub.lect an employer to criminel penattles and cMI fines up to one hundred
thousand dollara ($100,000}, In addition to the coat of compensation, damagu as provided for In Section 3708 of the Labor code, lnterut and attorney's fees.
SIGNATURE DATE _________ _
ll!ltll? I I f !at 7 7 1f tlMltitlfli!ll-'ii!llii!ii~,~-~;l.~,!i.o"'•l~~,; ,; ,~;,;, ' ,, ;
I hereby affirm that I em exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their ~ole 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 veer of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
D 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).
D I am exempt under Section ______ Business and Professions Code for this reason: G I personally plan to provide the major labor and materials for construction of the proposed property improvement.ft YES ONO
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 I 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): _________ --_,_-------,----------------------------
1 t e following persons\o provide the work indicated (include name / address / phone number / type 6. I will provide some of the work, but I have contracted (hir
~ of work): _________ -CC,1--,;---:;;,:--:----->._t-;,-,------:;;----------,.,---::=--::---,.-,...,-------
\ PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant requ
program und• Sections 26506, 25533 or 26634 of the r.
ous materials registration form or risk management and prevention
count Act? D YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution ntrol district or air qualitv management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. mrnr ~,. 7 ""W r lrt◄fttrrr:rr ·rssatt!W1P!W{rif~~;~~~~~:~k:ii~.~:~>;f,,j{:;it:l:S~J: -h••·· .... ,;c,.x
I hereby affirm that there is e construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code).
LENDER'S NAME
1171 r ::
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 authOfize 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 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 Offlclal der 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 18 ays f m the dafit of such permit or if the building or work authorized by such pennit is suspended or abandoned
at any time after the work is com need for a period f 180 ys (Secti:n "'12'3.4.4 ~niform Building Code). 3 _ 'L, _r,-?
~PPLICANT"S SIGNATURE _}_~~'£.li~~..;~~~~~~.(,_~~~-------DATE C:,C> I./ /'
YELL PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/30/2007
Permit# CB070806
Title: JIMINEZ: GAS & ELEC TO BBQ
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
1619 MARITIME DR
Lot: 0
Inspector Assignment: JM ---
Phone: 7606443347
Location: Inspector: -----
OWNER JIMINEZ BENCY G&MARIL YN B
Owner: JIMINEZ BENCY G&MARIL YN B
Remarks:
Total Time: Requested By: VINCI
Entered By: CHRISTINE
CD
29
39
Description
Final Plumbing
Final Electrical
Act Comments
£j;__ ----J-,,1/21L.L-____,,h...,'(,,('~"'L4,)i>-"'d.._______.__..u;:...,.,d"'-"-"-----
f-
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lns12ection Histo!)'.
Date Description Act lnsp Comments
03/30/2007 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY
03/30/2007 34 Rough Electric WC JM
03/27/2007 23 GasfTesVRepairs AP JM BBQ