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Home My WebLink About2251 CAMINO ROBLEDO; ; CB990177; Permit01/15/1999 City of Carlsbad Plumbing Permit Permit No:CB990177 Building Inspection Request Line (760)438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2251 CAMINO ROBLEDO CBAD PLUM 2552715300 Lot#: 0 Construction Type: NEW GAS & ELEC TO BBQ AND LIGHTS Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/15/1999 BT 01/15/1999 01/15/1999 Applicant: LORCO 4488 SALISBURY DR 92008 619-434-8945 Owner: '&DONNA L DO 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 TOTAL PERMIT FEES 5399 01/15/99 0001 01 02 C-PRMT 47-00 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 $47.00 Date:Clearance: NOTICE: Please tate 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 PF APPLY to any Joes/exactions of which you havegeyiously 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 FOR OFRCE USE ONLY PLAN CHECK NO. I l &I7 "/ EST. VAL. Plan Ck. Deposit Validated By Date Address (Include Bldg/SuiM *)Business Name lit this address) Legal Description Lot No.Subdivision Name/Numbs?Unit No.Phase No.Total # of unit* Assessor's Parcel * S v- Existing Use -fc Proposed Use Description of Work SQ.FT.*of Storie*# of Bedrooms.* of Bathrooms Nsms Neme Address State/Zip EJi^|*fStfjga 7700^3 State/Zip Telephone * l^^gassaig* „.. .SESKSKSi &i*Sf«sSU - Si-ass vvi* y- Fex * tl'! • Telephone # gW^rpig«amB|(aS!3g^'*f*H' MC* **S.^S^^^.<-'^-*^R!»*<*J*sMiii.. ~ (Sec. 7031.5 Business and Professions Cods: Any City or County which require* e permit to construct, after. Improve, demolish or repair any structure, prior to its issuance, else requires the applicant for such permit to file a signed statement that he t* licensed pursuant to the provisions of tin Contractor'! License Lew (Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Code) or that he Is exempt therefrom, and the beers for the alleged exemption.} Any violation of Section 7031.6 by any applicant for a permit subtaets the appjjpnt to a civil panefty of not more then five hundred dollars 1*5001). Name State License **5 36 ZZ 3 Address License Class —, & City State/Zip Cltv Businese License * (f Telephone # Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaration*: G I nave and will maintain a certificate of consent to serf-insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance of the work for which this permit i* issued. G 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'* compensation insurance carrier and poHcy 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-""CERT1FICATE OF EXEMPTION: I certify that in the performance of the work for which thi* permit Is issued, I shell not employ any person in any manner so es to become subject to tin Workers' Compensation Law* of California. WARNING: Failure to eecufll woman' compensation coverage la unlawful, and anal subject an employer to criminal penalties and cM fine* up to one hundred thousand doBar* (*100,OOTtfh^addJtfcin to the cost of compensation, damage* es provided for In Section 3706 of the Lena/ code, jfjtf|a*t end attorney's fee*. SIGNATURE I DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: G I M owner of the property or my employees with wsges es their sole compensation, wHI do the work and the structure i* not intended or offered for sal* (Sec. 7044, Business end Professions Code: The Contractor's License Lew does not apply to *n owner of property who buHd* or improves thereon, end who does such work himself or through hi* own employee*, provided that such improvements era not intended or offered for call. If, however, the building or improvement i* sold within one year of completion, the owner-builder wM have the burden of proving that he did not buHd or improve for the purpose of sale). G I- •» owner of the property, em exclusively contracting wtth 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, end contracts for such projects with eontractorla) licensed pursuant to the Contractor's License Lew). G I •"> exempt under Section ______„ Business and Professions Code for this reason: 1. I personally plan to provide the major tabor end materiel* 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 h*vs contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors Hconse number): 4. I plan to provide portion* of the work, but I hive 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 DATEm Is the applicant or future building occupant required to submit • business ptan, acutely hazardous materiele registration form or risk management end prevention program under Sections 26505, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account ActY- Q-VfiS—Q-NO - Is the applicant or future building occupant required to obtain • permit from trw afr pollution carrot distriM or rir o^llty rra G YES G NO lstn*fidlTWtobecor»*truttedwltWn 1,000 fe« of Q YES Q NO IP ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT K 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 • construction lending agency for the performance of the work for which this permit I* issued (See. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I neve reed the application and state that the above information 1* correct and that the Information on the plena is accurate. I agree to comply with all City ordinances and State laws relating to building eonatruction. I hereby authorize representatives of the City of Carisbed to enter upon the above mentioned property for inspection purposes. I ALSO AOREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND EXPENSES *HICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY M CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required EXPIRATION: Every permit i**ued work authorized by such permit is or abandoned at any time after the xcavstions over 6'0* deep end demolition or construction of structures over 3 stories In height. Building Official under the provisions of this Coda alwH axplre by limitation and become null and void rf the building or /commeneed within 366 days from the date of such permit or if the building or work authorized by such permit is suspended is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE: Hie YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 5/20/99 Permit* CB990177 Title: GAS & ELEC TO BBQ AND LIGHTS Description: Inspector Assignment: PY Type: PLUM Sub Type: Job Address: 2251 CAMINO ROBLEDO Suite: Lot 0 Location: APPLICANT LORCO Owner: MASON JOHN W&DONNA L Remarks: Phone: 619-434-8945 Inspector: Total Time: CD Description 21 Underground/Under Floor 31 Underground/Conduit-Wiring Requested By: LORCO Entered By: CHRISTINE Act Comments^-N fj f-'/^&A f Inspection History Date Description Act Insp Comments 1/18/99 21 Underground/Under Floor AP PY 1/18/99 23 Gas/Test/Repairs AP PY 1/18/99 31 Underground/Conduit-Wiring AP PY