The URL can be used to link to this page

Home My WebLink About2187 CAMINO ROBLEDO; ; CB993692; Permit10/07/1999 City of Carlsbad Plumbing Permit Permit No:CB993692 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2187 CAMINO ROBLEDO CBAD PLUM 2552620100 Lot#: Construction Type: 60' OF GASLINE FOR BARB/FIRE R ADD ELECTRICAL OUTLET 0 NEW Applicant: BELLE TERRE LANDSCAPES STE110B 16776 BERNARDO CENTER DR SAN DIEGO CA 92128 619487-8639 Status: ISSUED Applied: 10/07/1999 Entered By: GMF Plan Approved: 10/07/1999 Issued: 10/07/1999 Inspect Area: 1C CORP BLVD Total Fees:$47.00 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 Due: $47.00 0.00 0.00 0.00 '$0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 TOTAL PERMIT FEES $47.00 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 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 similarto 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 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated Bv Date Address (include Bid isiness Name (at this address) Legai Description Lot No.SubdivisiorTName/Number Unit No.Phase No.Total # of units Assessor's Parcel (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish oFTepair 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 morejjian five hundred dollars tf 5001).~ ' - • - Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name State License # Address Crty State/Zip Telephone fkers's' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 kthe work for which this permit is issued. fQ 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 permtt is issued. My worker's compensation insurance carrier and policy number are: _/_ i \>a~ ns I Insurance Company -fglW*»<Jl3» Jh£»AV^iOCg Policy No. y470Ln ~**jn ~ I 7 TO Expiration Date VQ/2O (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT (S FOR ONE HUNDRED DOLLARS [S1001 OR LESS) Q 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 secure workers' compenaatioaxoveraAe is unlawful, and ahafl subject an employer to criminal penalties and dvil fines up to one hundred thousand dollars ($100,000), In addition to the^pa»f MnaXnullon, damages aa provided for in Section 3706 pf the Labor code. Interestand attorney's fees. SIGNATURE f IU / /&*[ ^-- DATE 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, 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 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). O 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, 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 OATS 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? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the atr 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? 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 OFRCE 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. 3097(i) 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 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 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 36ft 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 compM|nc|lq\/qVarariod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 11/15/99 Permit* CB993692 Inspector Assignment: SR Title: 60* OF GASLINE FOR BARB/FIRE R Description: ADD ELECTRICAL OUTLET Type: PLUM Sub Type: Phone: 6194878639 Job Address: 2187 CAMINO ROBLEDO Suite: Lot 0 Location: Inspector: APPLICANT BELLE TERRE LANDSCAPES Owner: RAUSCHER KENNETH G&DEBORAH B Remarks: Total Time: Requested By: JANET Entered By: CHRISTINE CD Description Act Comments 29 Final Plumbing 39 Final Electrical Inspection History Date Description Act fnsp Comments 10/14/99 31 Underground/Conduit-Wiring AP SR 10/14/99 34 Rough Electric WC SR 10/12/99 21 Underground/Under Floor WC SR 10/12/99 23 Gas/Test/Repairs AP SR 10/12/99 31 Underground/Conduit-Wiring CO SR ND TO BE 18" UNDER EARTH