The URL can be used to link to this page

Home My WebLink About218 PINE AVE; ; CB992555; Permit07/09/1999 City of Carlsbad Plumbing Permit Permit No:CB992555 Building Inspection Request Line (760)438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 218 PINE AVCBAD PLUM 2032501100 Lot#: 0 Construction Type: NEW AYOUB RES-FROM SEPTIC TO SEWER Status: ISSUED Applied: 07/09/1999 Entered By: RMA Plan Approved: 07/09/1999 Issued: 07/09/1999 Inspect Area: Applicant: AYOUB SALIM&SHERAN 4335 SUNNYHILL DR CARLSBAD CA 92008 Total Fees: $1,889.00 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 TOTAL PERMIT FEES 1701 07/09/99 0001 01 02 HERAN c-PRHT 1889-00 eDue: $1,889.00 0.00 0.00 5.00 .00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,854.00 EXPIRED PERMIT "ERMIT HAS EXPIRED IN ACCORDANCE WITH UB.C. SECTION 106.4.4 $1,889.00 Inspector: FINAL APPROVAL VDate: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 66Q20(a), and file the protest and any other required information 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/exactions DOES NOT APPLY to water and sewer connection fees and capactiy 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMA FOR OFFICE USE ONLY PLAN CHECK N0._ EST. VAL. Plan Ck. Deposit Validated By_ Date ' '/ / Address (include Bldg/Suite *)Business Name tat this address) Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total # of units CONTACT PERSON (tf dttfenmt f Name Address City 3, APPLICANT Q Contractor Q Agent for Contractor O Owner 0 Agent for Owner State/Zip Telephone * Fax # Name 4. PROPERTY OWNER City State/Zip Telephone # Name Address City State/Zip Telephone # 5. CONTRACTOR - COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, elter, 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, end the basis for the slleged 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 1*5001). Name State License It Address License Class City State/Zip City Business License * Telephone # Designer Name Address City State/Zip Telephone State License # 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 NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) Q CERTIFICATE OP EXEMPTION: I certify that in the performance of the work lor which this permit is issued, I shall not employ eny person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, end shall subject an employer to criminal penalties and dvR fine* up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damage* ee provided for in Section 3706 of the Labor code. Interest and attorney's lees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sole compensation, wilt 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, end who does such work himself or through his own employees, provided that such improvements ere 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). IX I. BS 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 to en owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Lew). |J3 I arn 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 G3"O 2. I^BayeJ/ have not) signed an application for a building permit for the proposed work. IavTcontracted with the following person (firrrUto provide the proposed construction (include neme / 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 SIGNATURE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUII DATE 40 PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain e permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES D 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is e construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS *. APPLICANT CERTIFICATION 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 ell City ordinances and State laws relating to building construction. I hereby authorize representatives of the CrtV 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 Offjciel under the provisions of this Code shaH expire by limitation and become null and void if the building or work authorized by such permit is not commencedwafiin 3B5 days from the date of such permit or if the building or work authorised by such permit is suspended or abandoned at eny time after the work is comrnetlcedirfB period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WITH: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 12/9/1999 Permit* CB992555 Title: AYOUB RES-FROM SEPTIC TO SEWER Description: Type: PLUM Sub Type: Job Address: 218 PINEAV Suite: Lot 0 Location: APPLICANT AYOUB SALIM&SHERAN Owner: AYOUB SALIM&SHERAN Remarks: Inspector Assignment: SR Phone: 7606039225 Inspector: v Total Time: CD Description 16 Insulation Act Comments Requested By: NA Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 7/14/1999 22 Sewer/Water Service AP SR