HomeMy WebLinkAbout1979 MARCASITE PL; ; CB090174; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-02-2009 Plumbing Permit Permit No: CB090174
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1979 MARCASITE PL CBAD
PLUM Status:
Parcel No: 2132911900 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
PC#:
Project Title: HALENZA RES GAS TO FUTURE BBQ
ELEC TO OUTLET
Applicant:
ULTIMATE OUTDOOR ENVIRONMENTS
3459 CORTE FRESA
CARLSBAD 92009
942 4090
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
Plan Approved:
Issued:
I nspecl Area:
Owner:
HALENZA JUSTIN M&KRISTIE L
1979 MARCASITE PL
CARLSBAD CA 92009
ISSUED
02/02/2009
KG
02/02/2009
02/02/2009
$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:
FINAL APPROVAL
Date 09 Jvll(l./2.. "''1 Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, ,x other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pennit 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
f /x in fwhih h r i I Tl imilr hi hihh flimiains:1
City of Carlsbad Plan Check NoC-6rJ Y t/ / 7'
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
JOB ADDRESS
CT/PROJECT# LOT#
Est. Value
Plan Ck. Deposit
SUITE#/SPACE# /UNtT#
/,. ' # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
It f,~
OF De/,
GARAGE (SF) PATIOS (SF) DECKS (S
CONT ACT NAME (ff Different Fom App/leant) APPLICi-'9i~k
ADDRESS ADDRESS
~ sq
CITY STATE ZIP
PHONE FAX
EMAIL
ADDRESS
CITY STATE
PHONE O I.:\. FAX ]/Jr7 ~0'/-1 z_ 7Z--
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
YES □ NO □ YES □ NO □
/0~11/,1,1d-
~/\JV,
~ec. 7011.S Busineu and Profmion1 (ode: Any City or Countr, which requires a permit to conuruct, _alter/ improve, demolish or reeair any structure, prior to in issuance, .tbo requim 1he ap_plicanl for mh pMmit to filt a signed 11attment that he is t1cen1ed J!Ursuant to the provisions of the Contractor's lietnst law {Chapt!r 9, commending with Sectmn 000 of DrYision 3 of the Business and Pro1essions Codt} or that ht is mmpt there ll'Om, and the basis for the alleged extmption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant 10 a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Dectaratlon: / hereby affirm under penalty of perjury one of the following declarations:
D 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.
D 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 workers' compensation insurance carrier and policy
number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _
~ section need not be completed if the permit is for one hundred dollars ($100) or less. JIii. Certificate of Exemption: t certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Cahlornia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided or ec on 3706 of the Labor code, Interest and attorney's fees.
2$ CONTRACTOR SIGNATURE ~
I hereby affirm that I am exempt from Contractor·s License Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work and 1he structure is not intended or offered !or 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 wrthin 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 !o 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).
□ I am exempt under Section ____ Business and Prolessions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement O Yes O No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (lirm) to provide the proposed construction (include name address/ phone/ 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 I 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 I address/ phone/ type of work):
~ PROPERTY OWNER SIGNATURE DATE
-l::CUUU,l!fE fHU SE~Tll:IN 'i;c,;n" HtJ1f'.iiii"i''ifif'.ji,jifHiii'r~i.11;tifl',i'tl 'i!l'ifMITS ol'li:t · .. · --:,
~ "'' j 1~ ' '' ,~¼! '' '
rs the applicant or !uture building occupant required to submit a business plan, acutely hazardous materials registration torm or rrsk. management and prevention program under Sections 25505, 25533 or 25534 of the
Presley"Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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.
I certify that I have read the application and state that the above infonnation is correct and that the infonnatlon on the plans is acrurate. I agree to comply'Mth all City ordinances and State laws relating to building construction.
I hereby authorize representative 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 excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permtt issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void tt the building or work authorized by such permit is not commenced within
180 days 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 a period of 180 days (Section 100.4.4 Unttorm Building Code) .
.Jl5 APPLICANT'S SIGNATURE ~ DATE "2--1
m City of Carlsbad Bldg Inspection Request
.
For: 03/09/2009
.
Permit# CB09017 4
Title: HALENZA RES GAS TO FUTURE BBQ
Description: ELEC TO OUTLET
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
1979 MARCASITE PL
Lot: 0
APPLICANT ULTIMATE OUTDOOR ENVIRONMENTS
Owner: HALENZA JUSTIN M&KRISTIE L
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: MC ---
Phone: 7602983558
Inspector: (Vl G ---"----
Requested By: MARK MAZANO
Entered By: CHRISTINE
29
39
Final Plumbing
Final Electrical
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-------------------------
-------------------------------------------------··---·--·-·--
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lns11ection Histoiy
Date Description Act lnsp Comments
02/24/2009 29 Final Plumbing NR MC
02/24/2009 39 Final Electrical NR MC COMPLETE TRIM OUT
02/12/2009 98 BMP Inspection PA MC ASKED CONTRACTOR TO COVER STOCK PILE AT FRONT YARD
02/03/2009 21 Underground/Under Floor WC MC
02/03/2009 23 Gas/TesURepairs AP MC HOUSE STUB OUT TO BBQ ONLY
02/03/2009 31 Underground/Conduit-Wiring AP MC CONDUIT ONLY, EXT BOX TD BBQ
02/03/2009 98 BMP Inspection PA MC BPMs NEED REESTABLISHMENT@ FRONT YARD
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