HomeMy WebLinkAbout2172 DICKINSON DR; ; CB042555; Permit07-02-2004
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No
Building Inspection Request Line (760) 602-2725
CB042555
Job Address
Permit Type
Parcel No
Reference #
Project Title
2172 DICKINSON DR CBAD
PLUM
2081821500 Lot#
Construction Type
VON RUSTIN RES- RUN GAS LINE
AND ELECTRIC TO BBQ
0
NEW
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
06/25/2004
KMT
06/25/2004
06/25/2004
RB
Applicant
EKUALL CONSTRUCTION
330 WOODLAND DR 92083
945-7899
Owner
SHEA HOMES LIMITED PARTNERSHIP
CIO PAUL BARNES
10721 TREENAST#200
SAN DIEGO CA 92131
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
0
0
0
0
0
1
0
$2000
$000
$000
$000
$000
$000
$700
$000
$8000
$000
$000
$000
TOTAL PERMIT FEES $10700
Total Fees $10700 Total Payments To Date $4700 Balance Due $6000
5753 07/02/04 0002 01 02
CGF"60.00
Inspector
FINAL APPROVAL
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 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
fees/exactions of which vou have previously been qiven 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 By/ / ~'Date (
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor s Parcel tt
~^} <3<\j
7N)escnptk)n of
J:m*0p.i *,
' /\^
_L
Existing Use Proposed Use
SQ FT #of Stories of Bedrooms » of Bathrooms
Address City
L3;,4;j^PPLICANT:XfiHContriiotarri' >,D.Agent for Contractor.^" Q Owner - Q Agent for Owner
State/Zip Telephone tt Fax #
Name
i PROPERTYiOWNER 1;* J
Address City State/Zip Telephone tt
~\Ai,,sil?Ats
* Name
i ydF •**&&.-Z.VYV
Address City State/Zip Telephone tt
••- .--1 «r* .:f-"-r '-; •;• ••--.•-- <- 5 ? •,,, •• ; - .,,,
(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
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 IS 5001)\K -
Name
State License #
Address
License Class
City State/Zip
City Business License tt ( <J~- I
Telephone.*
n(
Designer Name Address City State/Zip Telephone
State License #
6.j^JrVQRKERS'COMPENSATION,,,.. .„,.., - ,,...„. . ,„ .,„ ....
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
|~l 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 NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
JjSfc 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 Failure to aacure worker*} compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($300~000) Jrj apdnlpn to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney * fees
SIGNATURE ^_> llA V\ DATE Co "L^-O^-/
IJTJMPWNERWI^ .-".'>-^'- V' . •*•< ••- j-
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
(~1 | 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)
Q I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business end 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)
[~l 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 Q 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 supeivise 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 SIGNATURE DATE
,COMPLETE THIS SECTION FORWO/V^£S/DSV7Mf BUILDING PERMITS ONLY£iE.u^* ',€ ; i,- «^-, ;„::;,!,.:... , ..... ,.j- , . .. ,
Is the 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? Q YES D NO
Is the applicant or future building occupant requued to obtain a permit from the air pollution control district or air quality management district? l~l YES f~l NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES Q 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
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code)
LENDER S NAME LENDER S ADDRESS
^
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 CitV 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 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
authonzed by such permit is not commenced within 180 datslrom the date of such permit or if the building or work authonzed by such permit is suspended or abandoned
at any time after the work is commenc£cUo; a perjfojjb^lyo^ays (Section 106 4 4 Uniform Building Code)
DATE C ^T^O ^l
WHITE File YELLOW Applicant PINK Finance
APPLICANT S SIGNATURE
tv
i City of Carlsbad Bldg Inspection Request
For 12/28/2004
Permit* CB042555
Title VON RUSTIN RES- RUN GAS LINE
Description AND ELECTRIC TO BBQ
Inspector Assignment RB
2172 DICKINSON DR
Lot
Type PLUM Sub Type
Job Address
Suite
Location
OWNER SHEA HOMES LIMITED PARTNERSHIP
Owner VONRUSTEN JOHN&GRACE
Remarks
Phone 7606724897
Inspector
Total Time
CD Description
29 Final Plumbing
39 Final Electrical
Requested By SHANE
Entered By KAREN
Act .Comment
AT
I
Associated PCRs/CVs
Inspection History
Date
11/16/2004
11/16/2004
07/02/2004
07/02/2004
07/02/2004
07/01/2004
07/01/2004
06/30/2004
06/30/2004
06/28/2004
06/28/2004
Description
29
39
21
23
31
23
31
23
31
21
31
Final Plumbing
Final Electrical
Underground/Under Floor
Gas/Test/Repairs
Underground/Conduit Wiring
Gas/Test/Repairs
Underground/Conduit Wiring
Gas/Test/Repairs
Underground/Conduit Wiring
Underground/Under Floor
Underground/Conduit Wiring
Act
CO
CO
we
AP
PA
CO
CO
CO
CO
NR
NR
Insp
RB
RB
JM
JM
JM
RB
RB
RB
RB
RB
RB
Comments
SEE NOTICE ATTACHED
BBQ
CONDUIT ONLY
3RD TIME SEE NOTICE PAY REINSP FEE
SEE NOTICE ATTACHED
City of Carlsbad Bldg Inspection Request
For 11/16/2004
Permit* CB042555
Title VON RUSTIN RES- RUN GAS LINE
Description AND ELECTRIC TO BBQ
Inspector Assignment RB
2172 DICKINSON DR
Lot 0
Type PLUM Sub Type
Job Address
Suite
Location
OWNER SHEA HOMES LIMITED PARTNERSHIP
Owner VONRUSTEN JOHN&GRACE
Remarks
Phone 7608041414
Inspector
Total Time
CD Description
29 Final Plumbing
39 Final Electrical
Requested By JOHN
Entered By CHRISTINE
Act Comment
Associated PCRs/CVs
Date
07/02/2004
07/02/2004
07/02/2004
07/01/2004
07/01/2004
06/30/2004
06/30/2004
06/28/2004
06/28/2004
Inspection History
Description
21
23
31
23
31
23
31
21
31
Underground/Under Floor
Gas/Test/Repairs
Underground/Conduit
Gas/Test/Repairs
Underground/Conduit
Gas/Test/Repairs
Underground/Conduit
Wiring
Wiring
Wiring
Underground/Under Floor
Underground/Conduit Wiring
Act
we
AP
PA
CO
CO
CO
CO
NR
NR
Insp
JM
JM
JM
RB
RB
RB
RB
RB
RB
Comments
BBQ
CONDUIT ONLY
3RD TIME SEE NOTICE PAY REINSP FEE
SEE NOTICE ATTACHED
CITY OF CARLSBAD
BUILDING DEPARTMENT
NOTICE (760) 602-2700
1635 FARADAY AVENUE
DATE /I
LOCATION X/ "7
TIME.
S i^T-vi^
PERMIT NO
A- & C, ^x?/~4 c
s e^e-
*
y xr
^
FOR INSPECTION CALL (760) 602 2725 RE-INSPECTION FEE DUE?
FOR FURTHER INFORMATION CONTACT
YES
7 BUILDING INSPE
PHONE
CODE ENFORCEMENT OFFICER
City of Carlsbad Bldg Inspection Request
For 07/01/2004
Permit* CB042555
Title VON RUSTIN RES- RUN GAS LINE
Description AND ELECTRIC TO BBQ
Inspector Assignment RB
2172 DICKINSON DR
Lot
Type PLUM Sub Type
Job Address
Suite
Location
APPLICANT EKUALL CONSTRUCTION
Owner SHEA HOMES LIMITED PARTNERSHIP
Remarks AM PLEASE
Phone 7606724897
Inspector
Total Time
CD Description
23 Gas/Test/Repairs
31 Underground/Conduit-Wiring
Act Comment
I
Requested By SHANE
Entered By CHRISTINE
*~eo-
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
06/28/2004 21 Underground/Under Floor NR RB
06/28/2004 31 Underground/Conduit Wiring NR RB
CITY OF CARLSBAD
BUILDING DEPARTMENT
DATE ~"7 - /
NOTICE
LOCATION 7
PERMIT NO
(760) 602-2700
1635 FARADAY AVENUE
TIME
/*
FOR INSPECTION CALL (760) 602 2725 RE INSPECTION FEE DUE? ' YES
FOR FURTHER INFORMATION, CONTACT
PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ®
City of Carlsbad Bldg Inspection Request
For 06/30/2004
Permit* CB042555
Title VON RUSTIN RES- RUN GAS LINE
Description AND ELECTRIC TO BBQ
Inspector Assignment RB
2172;:DICKINSONDR
Lot 0
Type PLUM Sub Type
Job Address
Suite
Location
APPLICANT EKUALL CONSTRUCTION
Owner SHEA HOMES LIMITED PARTNERSHIP
Remarks
Phone 7606724897
Inspector
Total Time Requested By NA
Entered By CHRISTINE
CD Description
23 Gas/Test/Repairs
31 Underground/Conduit-Wiring f-
Act Comment
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
06/28/2004 21 Underground/Under Floor NR RB
06/28/2004 31 Underground/Conduit Wiring NR RB
CITY OF CARLSBAD
BUILDING DEPARTMENT
DATE
NOTICE
LOCATION
PERMIT NO
I d-
(760) 602-2700
1635 FARADAY AVENUE
TIME
sr •&*/
3,
Jer? ^ /& £-/s t c,
FOR INSPECTION CALL (760) 602 2725 RE INSPECTION FEE DUE1? ! YES
FOR FURTHER INFORMATION CONTACT
PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ®
City of Carlsbad Bldg Inspection Request
For 06/28/2004
Permitft CB042555
Title VON RUSTIN RES- RUN GAS LINE
Description AND ELECTRIC TO BBQ
2172 DICKINSON DR
Lot 0
Type PLUM Sub Type
Job Address
Suite
Location
APPLICANT EKUALL CONSTRUCTION
Owner SHEA HOMES LIMITED PARTNERSHIP
Remarks AM INSP PLEASE
Inspector Assignment
Phone 0000000000
Inspector
Total Time
CD Description
21 Underground/Under Floor
31 Underground/Conduit-Wiring
Act Comment
Associated PCRs/CVs
Requested By N/A
Entered By ROBIN
Inspection History
Date Description Act Insp Comments
NOTICECITY OF CARLSBAD (760) 602-2700
BUILDING DEPARTMENT 1635 FARADAY AVENUE
DATE (Q'~~ S~~Q " 0^7 TIME
LOCATION ^ / y7 ^ 1//C 'T/y
PERMIT NO
c r_.
x
/^>&-?/*#*• r~~
A
FOR INSPECTION CALL (760) 602 2725 RE INSPECTION FEE DUE? ! _! YES
FOR FURTHER INFORMATION CONTACT
PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ®