HomeMy WebLinkAbout1951 MARCASITE PL; ; CB100159; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-25-2010 Plumbing Permit Permit No: CB100159
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1951 MARCASITE PL CBAD
PLUM
2132922200 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: CUZENS: GAS & ELEC TO FUTURE
FIREPLACE & SPA
Applicant:
R. E. JOHNSON INC
PO BOX 901
SOLANA BEACH CA
92075
858-755-0424
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:
CUZENS JARROD W
1951 MARCASITE PL
CARLSBAD CA 92009
Issued:
Inspect Area:
ISSUED
01/25/2010
JMA
01/25/2010
01/25/2010
$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: $47.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: o-t.{, 0 «;>(-z..oto 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 pem1it was issued to protest imposition of these fees/exactions. If you protest them, you must
follow !he 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 x i n f whi h h r i I i Tl imil r hi r hi h f lim· ti n has r vi I h rwi
~ «.,~~
~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
Plan Check No.
Est. Value
Date
SUITE#/SPACE#/UNIT#
PHASE# # OF UNITS II BEDROOMS # BATHROOMS ENANT BUSI NE S NAME
(OOlS-
NSTR. TYPE OCC. ROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES D #_ NO D YES □ NO D YES D NO □
CON,TACT NAME (tf Different Fom Applloant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
PROPE
STATE
("..-2-
PH FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STAT!;; LIC, # STATE UC.# ,...;: ? -~,o -, :,, e,
(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 lssu c • 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)).
WORKERS' COMPENSATION
Worktrt' Compensation Declaration: / h6reby affirm under penalty of perjury one of the following declarations:
□ I have and wlll maintain a ~llfliflcate of consent lo self-Insure for workers' compensation as provided by SecGon 3700 of the labor Code, for the performance of the work for which this perm ii is issued.
CJ"'lhave and will maintain workera'rrt•naatlon, as required by Section 3700 of the Labor Code, for the performance ofJhS,.WS!rk for which if ~it is issued. My workers' compensation in urance rrie, and policy
number are: Insurance Co. t"', f-[ew,,(2 Policy No. Wt;J&t? l P '2--0 f Expiration Date l l-0
This section need not be completed if the permit is for one hundred dollars ($100) or less.
0 Certificate of Exemption: I certify that in the performance of the work for which 1his 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 Hcure workera' compensation coverage 11 unlawful, and ahalt subject an employer to criminal penalllea and civil fines up to one hundred thousand dollars (&100,000), In
addition lo the coat of compenaatlon, da,,-,w-11'".Jlllovlded for In Section 3706 of the Labor code, Interest and attorney's fees.
AS CONTRACTOR SIGNATURE
I hereby affirm that tam exempt from Contractor's License Lew for the following reason:
D 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 comple6on, the owner-builder v.ill have the burden of proving 1hat he did not build or improve for the purpose of sale).
D I, as owner of !he property, am exclusively contracting with licensed contractOfS to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does no( apply to an owner of
property who builds or improves thereon, and contracts for such projecls with contractor(s) licensed pursuant to the Contractor's LiCllnse Law).
□ 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. D Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed worl1.
3. I have contracted with the following person (firm} to provide the proposed construction (include name address I phone I contractors' license number):
4. I p\an to provide portions of the work, but I have hired the fallowing person to coordinate, supervise and provide the major work (include name I address I phone I conlractm' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (inciude name I address / phone I type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan cutely hazardous materials regislration fO!lll or risk management and prevention pzogra under Sections 25505, 25533 or 25534 of the
Presley-Tanher Hazard!ius Substance Account Aci? □ Yes o ~
Is the applicant ~'t Mure building occupant required to obtain a permit from the air pollution conlrol district or air qu ty management district? □ Yes No
Is the facility lo be constn.icted within 1,000 feet of the outer boundary of a school site? D Yes 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there JS a cons1ruction lending agency for the performance of 1he work 1his permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I hM read the applfcatlon alld state that the above lnfunnatlon is conect and that the Information on the plans Is accurall!. I agree to comply wltll all City ordinances and Slate laws relating to bull ding construcilon.
thereby au1horize representative of the City of C to enter upon the aoove mentioned property for inspection purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 11-lE CrTY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, C D EXPENSES WHICH MAY IN Af-JYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF GRANTING OF 11-llS PERMIT.
OSHA: An OSHA permft is required for exca tions r 5'0' deep and demolition or oonstrudkln ofsiuctures-0\18f 3 stories in height.
EXPIRATION: Everypennitissued by ild~ . I nder1he prcMSions of this Codeshatle,q>ire bylinitatioll and becomenuR ind void if the building or
180 days from the date of such permit ikf aulhorized by such ft is suspended or abandoned at any tine after the 'Mllk is comme
AS APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 01/29/2010
Permit# CB100159
Title: CUZENS: GAS & ELEC TO FUTURE
Description: FIREPLACE & SPA
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
1951 MARCASITE PL
Lot:
OWNER CUZENS JARROD W
Owner: CUZENS JARROD W
Remarks:
Total Time:
CD Description
0
Act Comments
Inspector Assignment:
Phone: 8583536201
Inspector: _ ...... rJL_C... __
Requested By: RON
Entered By: CHRISTINE
23 Gas/Test/Repairs
31 Underground/Conduit-Wiring
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Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
I I.
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