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HomeMy WebLinkAbout2267 AVENTURINE PL; ; CB063483; Permit12-12-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB063483 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2267 AVENTURINE PL CBAD PLUM 2132421100 Lot# Construction Type INGLE GAS TO BBQ & FIRPIT/ ELECTRIC TO FOUNTAIN & BBQ 0 NEW Applicant C TO C LANDSCAPE 339 N ACACIA AV SOLANA BEACH CA 92075 7619850-2205 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 12/12/2006 JMA 12/12/2006 12/12/2006 Owner INGLE ERICA L&DANIEL R REVOCABLE 2005 TRUST 2267 AVENTURINE PL CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees $2000 $000 $000 $000 $000 $000 $700 $000 $2000 $000 $000 $000 TOTAL PERMIT FEES $4700 Total Fees $47 00 Total Payments To Date $4700 Balance Due $000 Inspector FINAL APPROVAL Date 7*^/^V 7 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 nght 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 (his project. NOR DOES IT APPLY (o any fees/exactions of which you have_Dreviouslv been oiven a NOTICE similar to this, or as_lo_which the statute of limitations has previously otherwisejjxpired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 U IFIfcRP JECT^IFORMATI i^resslTncludeiBldg/Suite #) FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use Description^ Work SQ FT #of Stories ff of Bedrooms ff of Bathrooms - CON^^^ Name City State/Zip Telephone #Fax # (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 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 ofcnoi more than five hundred dollars ($500]) Name1 " f . " Address ' City State/Zip Telephone # State License # "7 & £ "?V \ License Class <—- -~~Z- « *- City Business License # f ^> // ^-"Z-C^ designer Name Address State License # ( -w City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 1 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 |5P- 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 ciynpeneation insurancacarner andpolicy number are Insurance Company /& *4c-**£&k £^W). LM*>^ *. Policy Na t Expiration DateW). h/E P(THIS SECTION NEED NOT BE COMPLETED IF THt PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, 1 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^oompensa/on coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000), in addition to the </st of compensation, damages as provided form Section 3706 of the LajSgrcode, Im/rest an/ attorney's fees SIGNATURE ^* Jj' ^^^ DATEf^*^ <•"' ^_^ 17^0VV^R":BUlLDER™[DlClSRAtfOr4"tIE2 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 trie project (Sec 7044, Business and Professions Code Trie 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) n ' 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 L_)NO 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 nave hired the following person to coordinate, supervise and provide the major work (include name / address I phone number / contractors license number) ___ i 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 ;SECTIONlFOr/tfO/tf-WS«>flV™^^ 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 Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution contra) district or air quality management district? D 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 OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICTi^T^onra ,!m>TW"p rvywr?! i^n&sv^&$w$£*'if'$ tmp rmr**" *' .al^Li^UUJk4X«jl3^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097d) 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 An OSHA permit is required for excavations over 5'0" de*p and demolition or construction of structures over 3 stories in height the provisions of this Code shall expire by limitation and become null and void if the building or work the date of such permit or if the building or work authorized by su^h permit is suspended or abandoned (Section 106 4 4 Uniform Building Code) OSHA EXPIRATION Every permit issued by the buildinoXSfficial un authorized by such permit is not commenced withjn 180 days, at any time after the work is commenced fo^ p/riod cJ180 APPLICANT'S SIGNATURE DATE nde /m WHITE File YELLOW Applicant PINK Finance City of CarlsbadBldg Inspection Request For 02/08/2007 Permit* CB063483 - Inspector Assignment RB Title INGLE GAS TO BBQ & FIRPIT/ Description ELECTRIC TO FOUNTAIN & BBQ Type PLUM Sub Type Phone 6198502205 Job Address 2267 AVENTURINE PL Suite Lot 0 Location Inspector APPLICANT C TO C LANDSCAPE Owner INGLE ERICA L&DANIEL R REVOCABLE 2005 TRUST Remarks Total Time Requested By CHRIS Entered By CHRISTINE CD Description Act Comment 29 Final Plumbing >T/ C^tsAtrfor' ,"4 t)ff"t "<-*<# 9 &fa/t% 39 Final Electrical //""* .J v .X t f *(<& Tixirc- 0r 1**??*i / Comments/Notices/Holds "t. Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 12/13/2006 21 Underground/Under Floor AP RB GAS LINE 12/13/2006 23 Gas/Test/Repairs AP RB UNDERG GAS LINE 12/13/2006 31 Underground/Conduit-Wiring AP RB DEC 2 2006 City of CKRLSBAD Z. CTOCLAN-01 MADA ACORDn CERTIFICATE OF LIABILITY INSURANCE PRODUCER . (530) 668-2777 Armstrong & Associates Insurance Services License # OB 50 501 P O Box 1270 Woodland, CA 95776-1270 INSURED C to C Landscape 509 Momlngslde Place Vista, CA 92084 DATE (MM/DD/YYYY) 6/19/2006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE, INSURERS Preferred Employers Insurance Company INSURERS INSURER C INSURER D INSURER E. NAIC* COVERAGES MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR A WOT H3BE i TYPE OF INSURANCE GENERAL LMBOJTf COMMERCIAL GENERAL LIABILITY ] CLAIMS MADE j | OCCUR GENT AGGREGATE LIMIT APPLIES PER- "IpoucYn^S HLOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESSAJMBRELLA LIABILITY I OCCUR I | CLAIMS MADE R DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS1 LIABILITY MM PROPWETORff'ARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe underSPEIJIAL PROVISIONS below OTHER POLICY NUMBER LSN 131 1991 POLICY EFFECTIVEDATE nauonim ' 5/2/2006 POLICY EXPIRATIONDATE ninuoorm 5/2/2007 UMTS EACH OCCURfcENCE DAMAGt TUHENTED PREMISES (Ea occurence) MED EXP (Any one person) PERSONAL A ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBWED SINGLE LIMIT(Ea accident) BODILY INJURY(Per person) BODILY INJURY (Per acadont) PROPERTY DAMAGE(Per accident} AUTO ONLY - EA ACCIDENT OTHER THAN , AUTO ONLY EAACC AOC EACH OCCURRENCE AGGREGATE v WC STATUA TORY LIMITS OTH- ER E L EACH ACCIDENT EJ. DISEASE - EA EMPLOYEE E L DISEASE - POLICY UMTT $ *S $ $ s s s s $ s s s s s « s s s 1,000,OOC s 1,000,000 $ 1,000,OQC DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES i EXCLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS Lte*767714 CERTIFICATE HOLDER CANCELLATION Contractors State License Board Attn Workers' Compensation Unit P O. Box 26000 Sacramento, CA 95826- SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO HAIL 30 DAYS WRITTEN ' NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ^^ . /*~\ , j ACORD 25 (2001/08)©ACORD CORPORATION 1988