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Home My WebLink About2168 DICKINSON DR; ; CB043186; Permit08-10 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB043186 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2168 DICKINSON DR CBAD PLUM 2081821600 Lot# Construction Type BUNCH RES GAS/El EC TO BBQ GAS TO FIRE PIT 0 NEW Applicant BUNCH JAMES H&MICHELE K 2168 DICKINSON DR CARLSBAD CA 92008 Status Applied Entered By Plan Approved Issued Inspect Area Owner BUNCH JAMES H&MICHELE K 2168 DICKINSON DR CARLSBAD CA 92008 ISSUED 08/10/2004 SB 08/10/2004 08/10/2004 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 0 1 0 $2000 $000 $000 $000 $000 $000 $700 $000 $2000 $000 $000 $000 TOTAL PERMIT FEES $4700 Total Fees $4700 Total Payments To Date $000 Balance Due $4700 38,10/04 0002 01 47, Inspector Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition o: these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any othpr required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review set aside void or annul theinmposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection wilh this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY,OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 - PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated Fy C/ £>& Ctte.cs BftD Address (include Bldg/Suite #1 Business Name (at this address) Legal Description Assessor s Parcel # y £r /$-<>? QtB-CJifaC-T /O S|3p/| Description of Work ' / Lot No Subdivision Name/Number Existing Use frft$ 7T> Ft&f-f>l 7 SQ FT #of Stories Unit No Phase No Proposed Use tt of Bedrooms Total tt of units tt of Bathrooms lSS,',,ii;CONTAQT,PERSON:(lfdJffereht1fr6m applicant^ Name Address S3.,. ^APPLICANT £... Q Contractor, ' D Agent for Contractor • City f Owner Q: Agent for Owner State/Zip Telephone #Fax # Name L* i&PROPEHTY/iOWNERS^i.C ;.,J Address City State/Zip Telephone # Name Address City State/Zip Telephone # (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 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 ($5001) ' ' ' P\'fa <\ 990 ViHtLArtA M. Sfe HO-5 5ouwd-ftd\ Cftfacl-5 <gg£-~"^ ' Name State License tt' Address 1 icense Class City State/Zip City Business License tt Telephone tt Designer Name Address City State/Zip Telephone State License tt 6.; .WORKERS COMPENSATION . _. ...„,. „ Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 Q 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 NEID NOT BE COMPLETED IF THt PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 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 85 to become subject to the Workers 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 ($100 000) in addition to the coat of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE ___ DATE iS^*S4^t:K^t^'itefcteife!!t,:'r--r'- /\J hereby affirm that I am exempt from the Contractor s License Law 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 a (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an ownar 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) / ^QJ ' as owner of tne 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) C] 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 QNO 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 / 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) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATUREC^DATE <Z//Q//) ^COMPLETE THIS SECTION FOBVVOArWKSTOeVTMi BUILDINQiPERMITS ONLYs;u,i:Li£^ ! i *.„•£. ..*.Ai..-± •'.*. •... ,-L^ ' .L, , ,....- Is the applicant or future building occupant requued 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? O YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES (~l NO Is the faciht" to be constructed within 1 000 feet of the outer boundary of a school site? Q YES l~l 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 LliL.CONSTRUCTION LENDING AGENCY .JV".;^.,.- __,;„. __. ' :,.;_. _L> "1 ' Ji,±, _ .,: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS feo^jcAHOJCANTtKiTnnCATION*^ , < 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 authorize representatives 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 stones in height EXPIRATION Every permit issued by the building Official under 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 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 commencedfor a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE ho WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 08/15/2005 Permit* CB043186 Title BUNCH RES GAS/ELEC TO BBQ Description GAS TO FIRE PIT Inspector Assignment PD Type PLUM Sub Type Job Address 2168 DICKINSON DR Suite Lot 0 Location APPLICANT BUNCH JAMES H&MICHELE K Owner BUNCH JAMES H Remarks water to b b q is disconnected Total Time Phone 7604313779 Inspector U<T7 A 7 Requested By JIM Entered By CHRISTINE CD Description Act Comment Inspection History Date Description 02/15/2005 29 Final Plumbing 02/15/2005 39 Final Electrical 08/18/2004 23 Gas/Test/Repairs 08/18/2004 31 Underground/Conduit Wiring 08/11/2004 23 Gas/Test/Repairs 08/11/2004 31 Underground/Conduit-Wiring Act Insp Comments CO RB SEE NOTICE ATTACHED CO RB AP RB undrg Gas line AP RB conduit only CA PD CA PD City of Carlsbad Bldg Inspection Request For 02/15/2005 Permit* CB043186 Title BUNCH RES GAS/ELEC TO BBQ Description GAS TO FIRE PIT Inspector Assignment PD 2168 DICKINSON DR Lot 0 Type PLUM Sub Type Job Address Suite Location OWNER BUNCH JAMES H&MICHELE K Owner BUNCH JAMES H Remarks Phone 7604313779 Inspector Total Time Requested By JIM BUNCH CD 29 39 Description Final Plumbing Final Electrical Entered By CHRISTINE Act Comment / i C^6 5^"J£ /tsfy^' ' *-— ^— 11 Associated PCRs/CVs Inspection History Date Description Act Insp Comments 08/18/2004 23 Gas/Test/Repairs AP RB undrg Gas line 08/18/2004 31 Underground/Conduit Wiring AP RB conduit only 08/11/2004 23 Gas/Test/Repairs CA PD 08/11/2004 31 Underground/Conduit Winng CA PD CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE DATE " f £'TIME LOCATION £) f-^ PERMIT NO ~T7^L FOR INSPECTION CALL (760) 602 2725 RE-INSPECTION FEE DUE1? FOR FURTHER INFORMATION, CONTACT YES BUILDING IN PHONE TOR CODE ENFORCEMENT OFFICER