HomeMy WebLinkAbout1949 DOVE LN; ; CB072531; Permit10-02-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB072531
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
1949 DOVE LN CBAD St: 208
PLUM
0000000000 Lot #: 0
Construction Type: NEW
PALOMA APTS- REPAIR GAS LINE
REPAIR BETWEEN UNIT & METER
Applicant:
GEORGE PLUMBING CO INC.
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/01/2007
LSM
10/01/2007
10/01/2007
PY
POBOX462762 92029
760-489-5229
Plumbing Issue Fee $20.00
Fixture or Trap 0 $0.00
Building Sewer 0 $0.00
Roof Drain 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 $0.00
Master Drainage Fee $0.00
Sewer Fee $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $27.00
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: ^^^^7 Clearance:
NOTICE: Please take NOTICE thfit approval of your project includes the "Imposition* of fees, dedications, resen/ations, or other exactions hereafter collectively
refen'ed to as lees/exactlons." You have 90 days from the date this pemilt was Issued to protest Imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth In Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for
processing in accordance with Carisbad 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/exactlons DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or sen/Ice fees In connection with this project. NOR DOES IT APPLY to any
fees/exactlons of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired.
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
' Fax: 760-602-8558
Buildii irtnli Application
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
ONC l^v>e SUITE#/SPACE#/UNIT# APN
CT/PROJECT # LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
cp5 lint vf/pQir oP \ndv\i\du^\ m.vA- Wc-hx^ejn DESCRIPTION OF WORK:
EXISTING USE PROPOSED USE GARAGE (SF)
res I ch A ^{p\ Ye^\c^A\\^\
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES • # NO • YES • NO • YES • NO •
CONTACT NAME (H Different Fom Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX ^bo .^Sl- 322^
EMAIL
PROPERTY OWNER NAME . T\ -v ^
/.^ 0
CITY • STATE ^ ZIP
Cc^Y\s\n^d OA. Q^nA^
CITY ~" , STATE Zip->^ ^ , ,
n(nr^ .41(0-^8(05 RHONE „ , FAX
EMAIL " EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# CLASS CITY BUS. LIC.#
O%)C'l0 \y^7Lna^
(SK. 7031.5 Business and Prolessions Code: Any City or County whicli requires a pemiit to constract, alter improve^ demolbh or repair any stracture, prior to its issuance, also requires tlie applicant for such pennit to tile a signed statement that he is licensed pursuant to the provisions of tlie Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 ol the Business and Prolessions Code} or that he b exempt dierelram, and the basis for the alleged exemption. Any violation of Section 703I.S by any applicant for a pennit subjects die applicant to a civil penalty of not more than live hundred dollars {{SOO}).
W ORKBaS COMPENSATION
Workers'Compensation Declaration: thereby affinn under penalty of perji^ one d the following declarations:
O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Oxle, for the perfonnance of the work for which this pennit is issued
QlS'\ have and vriil maintain woikers' compensatlqp^ required by Seclion 3700 of the Labor Code, fbr the perfbrmance of Jhe work fbr which this pennltislssued. My workers' compensation Insuranoe carnsr
S^hRlV^ -K.^^fi Policy No. 0^(nl:2jR(i2.-al Exoiration Date Ql (TfOPj
and policy
number are: Insurance Co..
This section need nol be completed if the permit is for one hundred dollars ($100) or less.
n Certificate of Exemption: I certify that In the perfomiance of the work for which this pennit Is issued, I shall not employ any person in any manner so as to become subject to the Woricers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,00D), In
addition to the cost of compensation, danjiaesjMirovlded for In Sectl^iJ^^ of the Labor code. Interest and attomey's fees.
^eS" CONTRACTOR SIGNATURE y^^^^
o w N E «• fit ii 11, o »It *f i CLAHATION
DATE /(?///^-7
/ hereby affirm (haf / am exempf from Confractor's License Law for ffie following reason:
O I, as owner of the property or my employees with wages as their sole compensalion, 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 nol apply to an owner of property who builds or improves thereon, and who does such work tiimself or through his own employees, provided that such Improvements are nol intended or offered for
sale. If, however, the building or improvement Issold within one year of complelion, 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 witti licensed contractors lo construct the projeci (Sec. 7044, Business and Professions Code: The Contrxtor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuanl to the Contractor's License Law),
• I am exempt under Section Business and Professions C^de for this reason:
1.1 personally plan lo provide the major labor and materials for construction of the proposed property improvement. • Yes O No
2,1 (have / have not) signed an application for a building permit for the proposed work.
3,1 have contracted with the following person (firm) lo provide the proposed construction (include name address / phone / contractors' license number):
4,1 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 / contractors' license number):
5,1 will provide some of the virork, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
^PROPERTY OWNER SIGNATURE DATE
:0««Pl.if8 THIS SECTION FOR iNloN RSSlDBNTiAiL BUILOING PERMITS ONLY
Is fhe 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? D Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quallly management district? • Yes O No
Is the fxility to be constructed vflthin 1,000 feet of the outer boundary of a school site? OYes ONo
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.
CON^tRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is Issued (Sec. 3097 (I) Civil Code),
Lender's Name Lender's Address
A PPmCAUt CERTIFICATION
I certify that I have read the application and state that the above Infomnation Is conect and that the Infonnation on the plans Is accurate. I agiee to comply with all City ordinances and State laws relating to building consfruction.
Uiereby aulhorize representative of the City of Cartsbad to enter upon the above mentkxied property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CPFY 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 pennit is required fbr excavatkxis over 5'0' deep and demolitkxi or constmctkin of stnjctures over 3 stories in height
EXPIRATION: Every pemnit Issued by Ihe BuikJing Official under Ihe proviskxis of Ihis Code shall expire by Smltatkxi and become null and void If the buikling or wori( authorized by such perniit is not commenced wiWn
180 days fhxn the dale of such pemilt or if the bulklira qrj^ authorized by su^
^APPLICANT'S SIGNATURE DATE
City of Carlsbad BIdg Inspection Request
For: 10/02/2007
Permit# CB072531
Title: PALOMA APTS- REPAIR GAS LINE
Description: REPAIR BETWEEN UNIT & METER
Inspector Assignment:
Type: PLUM ^<^t/^ Sub Type:
Job Address: •««' DOVE LN
Suite: 208 Lot 0
Location:
APPLICANT GEORGE PLUMBING CO INC.
Owner:
Remarks:
Phone: 7604513229
Inspector:
Total Time:
CD Description
29 Final Plumbing
Requested By: MARIE
Entered By: CHRISTINE
Act Comment
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
inspection Historv
Date Description Act Insp Comments