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HomeMy WebLinkAbout2260 IVORY PL; ; CB071593; Permit.:' -City of Carlsbad 1635-Faraday Av Carlsbad, CA 92008 06-08-2007 Plumbing Permit Permit No: CB071593 Building Inspection Request Line (760) 602-2725 Job Address: Perm it Type: 2260 IVORY PL CBAD PLUM Status: Parcel No: 2132021700 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: ROSS: GAS TO FIREPLACE (UNDER 6FT), BBQ & FIREFALL Applicant: ROSS JAY S&RENEE C 2260 IVORY PL CARLSBAD CA 92009 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 TOTAL PERMIT FEES 0 0 0 0 0 1 0 Plan Approved: Issued: Inspect Area: Owner: ROSS JAY S&RENEE C 2260 IVORY PL CARLSBAD CA 92009 ISSUED 06/08/2007 JMA 06/08/2007 06/08/2007 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: f1"'-~ Clearance: $0.00 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 infonnation with the City Manager for processing in accordance witl1 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 impositlon. You are hereby FURTHER NOTIFIED that your right lo protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacrty changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f I xac i n f whl h h v r i I n ·v n N Tl imil hi r a whi h h I f limi i n r i l h i City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-:2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS -z_ -z_ {p O Iv b( LOT# Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# APN TENANT BUSINESS NAME CONSTR. TYPE OCC.GROUP BUILDING AREA (SF) ADDITION AREA (SF) GARAGE (SF) PAT!OS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # --NOD YES D NO □ YES D NO □ CONTACT NAME (H Different Fom App/leant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# CLASS CITY BUS. UC.# /Sec. 7031.5 Business and Professiom Code: Ally City or County: which requires a permit to con1truct, alter/ improve, demolish or reP,air any structure1 prior to iu issuance, also requires the applicant for such permit to file a signed statement that he is rKensed -9.ursuant to the provisions of the Contractor's License law {Chapler 9, commending with Section 000 of OiYision 1 of the Buiiness and Pro1tuion1 Code} or that he is exempt therel'rom, and die basis for the alleged enmption. "'Y Yiolation of Section 7031.5 by any applicant for a pennit subjects the applicant to a ciYil penalty of not more than five hundred dollars {$500}). WORKERS" COMPENSATION Worltel'1' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D 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. □ 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 workers' compensation insurance carrier and policy number are: Insurance Co. ____________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed if the 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 as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's faes. 85 CONTRACTOR SIGNATURE IIIE DATE hereby affirm that I am exempt from Contractor's Licanse Law for the following reason: □ 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). Ji{ 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 contraclor(s) licensed pursuant to the Contractor's License Law). □ 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. □ Yes □ No 2. I (have I 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 I contractors' license number): 4. I plan to provide portions of the work, butt have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): e, of the work, b I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): r. - 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (1) Civil Co<le) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I hM read the application and state that the allow Information is oorrect and that the infonnation on the plans Is accurate. I agree to oomplywlth all City ordinances and State laws relating to building oonstructlon. I hereby autholiZe '"l)resenlalive of ~e Cly of Catsbad ID enler upon lhe above mentioned propel1y for i,spection pu,poses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABllfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AfN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requi'ed for excavatioos over 5'0' deep Md demolition or construction of strucbJres r:Nef 3 stories i1 heghl EXPIRATION: Every permit issue!i by lhe Bolding Official under lhe pro,,isoos of ~is Code shan e,pi,. by Imitation and become nul and void I~• bui~"!I or -authorized by such pem,it • not commenced .;~;, 180 days from lhe dale of such pemitor llhe bui~~ or-auth · by such pennl is suspended or -doned at any line afferlhe-is commenced for a peflod of 180 days (Sedion 106.4.4 Unlorm Buid~ Code) . .@S' APPLICANT'S SIGNATIJR A----DATE /,;, -fr -t) 7 m . • . City of Carlsbad Bldg Inspection Request . For: 08/28/2008 . Permit# CB071593 Inspector Assignment: MC --- Title: ROSS: GAS TO FIREPLACE (UNDER Description: 6FT), BBQ & FIREFALL Type:PLUM Sub Type: Phone: 7603051421 Job Address: 2260 IVORY PL Suite: Lot: 0 Location: Inspector: ----- APPLICANT ROSS JAY S&RENEE C Owner: ROSS JAY S&RENEE REVOCABLE TRUST Remarks: Total Time: CD Description 29 Final Plumbing Act Comments Requested By: JAY Entered By: JANEAN yl ~ ii:> :f~'l?t..Uoe ~ &i!>f? ,:;:,;.J,tJ-('I &u!.s :ti> F li.c;."FAU -~1...1.M,c~. Comments/Notices/Holds Date 03/19/2008 11/30/2007 11/30/2007 06/29/2007 06/29/2007 06/19/2007 06/19/2007 06/18/2007 Associated PCRs/CVs Original PC# lnsiiection Histo!Y Description Act 92 Compliance Investigation PA 29 Final Plumbing co 39 Final Electrical co 21 Underground/Under Floor WC 23 Gas/Test/Repairs AP 21 Underground/Under Floor NR 34 Rough Electric WC 23 Gas/Test/Repairs co lnsp MC PY PY PY PY MC MC MC Comments NEED TO VERIFY THAT ALL THE CORRECTIONS HAVE BEEN MADE ON THE CO LIST ON THIS PERMIT. H.0. WILL HAVE A STRUCTURAL ENG. VERIFY FIREPLACE ASAP. SEE NOTICE ATTACHED AFTER STOP \L-J;.'{ NOTICE ATTACHED