HomeMy WebLinkAbout1774 CALLISIA CT; ; CB012192; PermitCity of Carlsbad
06/27/2601 -'
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No:CB012192
Job Address:
Permit Type: PLUM Status: ISSUED
Parcel No: 21 5881 271 5 Lot #: 0 Applied: 06/27/2001
Reference #: Plan Approved: 06/27/2001 Issued: 06/27/2001
Project Title: SI LVE RMAN RES1 DENC E Inspect Area:
1774 CALLISIA CT CBAD
Construction Type: NEW Entered By: MDP
GAS LINE FOR BAR B QUE
Applicant: c3wFwc A-AAAAAAAAAAAA DRAINS FOR LESS DEL PATRJCIA t
300 CARLSBAD VILLAGE DR
CARLSBAD CA 92008
1770 CALLISIA CT
CARLSBAD CA 92009
Total Fees: $27.00 Total Payments To Dab: $0.00 Balance Due: $27.00
Plumbing Issue Fee Fixture or Trap
Building Sewer
Roof Drain
InstalVRepair Water Line
Water Heater andlor Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee Additional Fees
TOTAL PERMIT FEES
$20.00 $am
$0.00 $0.00
$0.00 $O*w $7.00 $0.00
$0.00
$0.00 $0.00 $0.00
$27.00
I FINAL APPROVAL I
NOTICE Please take NOTICE that approval of your project indudes the'lmposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as Wexactions.' You have 90 days horn the date this permit was issued to protest imposition of these feeslaxactions. If you protest them, you must follow the protest procedures set forth in Government code Section 66020(a), and file the prokst and any other required information with the City Manager for
processing in accordance with Cailsbad Muniapal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent lqal action to attack, review, set aside, void, or annul their imposition.
You am hemby FURTHER NOTIFIED that your rigM to protest the specifii feedexactions DOES NOT APPLY to water and sewer connection fees and cam
changes, nor planning, zoning, grading or other similar applimtion processing or service fees in connection with this project NOR DOES IT APPLY to any
feedexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK NO. 61- ZICjZ
4 * EST. VAL.
Plan Ck. Deposit
Validated By
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total X of units
Assessor's Parcel X Existing Use Proposed Use
#of Stones X of Bedrooms X of Bathrooms
Name Address city Statelzip Telephone X Fax X
Name Address City StateEip Telephone X
c
(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
nt to a civp
Address Cid Statelzip Tele hone X
City Business License X / %) 2 dq 7 - State License X License Class C ,3
Designer Name Address City Statelzip Telephone
State License X
0 of the work for which this permit is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
Insurance Company FL3 9 4 4%2W -? Policy No. 0 f D Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [81001 OR LESS)
0 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: Fallure to secure workers' compensation coverage ir unlawful. and shell subject an employer to ulmlnal penaltier and civil fines up to one hundred
thousand dollars (8100,000), in addition to the cost of compensation. damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
I have and will maintain e certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
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
.No I
I hereby affirm that I am 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 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).
0 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).
0
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this raason:
4.
number I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
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 l address I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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.
0 YES 0 NO
YES
LENDER'S NAME LENDER'S ADDRESS
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit) of Carlsbad to enter upon the above mentionad
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
EXPIRATION: Every permit authorized by such permit is not co
at any time after the work IS comme
APPLICANT'S SIGNATURE DATE L /;17 /a
s over 3 stories in height.
r the provisions of this Code shall expire by limitation and become null and void if the building or work
m the date of such permit or if the building or work authorized by such permit is suspended or abandoned
ction 106.4 4 Uniform Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
- City of Carlsbad Bldg Inspection Request
For: 06/28/2001
Permit# CB012192 inspector Assignment: 4 LA
Title: SILVERMAN RESIDENCE
Description: GAS LINE FOR BAR B QUE
Type: PLUM Sub Type:
Job Address: 1774 CALLlSlA CT
Suite: Lot 0
Location:
APPLICANT A-AAAAAAAAAAAA DRAINS FOR LESS
Owner: SILVERMAN LEONARD&CAROLE R
Remarks:
Phone:
Inspector: 4 Ll)
Total Time: Requested By: NA
CD Description Act Comments
Entered By: CHRISTINE
21 UndergroundlUnder Floor 8p p/NA fbL4 CKD 6~p S~;ESL ptPG
W/N&W 9LrnK PdPf5 - 4& a
f!&i~cr CGAK c?fQ td.H.
23 GasnesffRepairs
24 Rough/Topout
Associated PCRs
InsDection History
Date Description Act lnsp Comments
ii-i~-oo; i:48PM;fro insurance ;925 460 8494