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HomeMy WebLinkAbout2270 CAMINO VIDA ROBLE; ; CB054203; Permit12-09-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB054203 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2270 CAMINO VIDA ROBLE CBAD PLUM 2130504700 Lot#: 0 Construction Type: NEW BAKE HOUSE FOODS R& R GAS LINE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/09/2005 SB 12/09/2005 12/09/2005 Applicant: JOHN STEVENSON PLUMBING STEA108 6351 CORTE DEL ABETO CARLSBAD CA 92009 760918-04456 Owner: 2270 CAMINO VIDA ROBLE LLC 685 TURQUOISE ST LA JOLLA CA 92037 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 0 0 0 0 0 1 0 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector: FINAL AP Date: - OVAL Clearance: NOTICE; Please take NOTICE tijh 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 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By. Date Address (include Bldg/Suite #)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 of Work SO. FT.#of Stories # of Bedrooms # of Bathrooms Name * Address JSjgiontrantor OiAgenHor Contractor Q Owner City vAgeritfor Owner State/Zip Telephone # Fax # Name Addres Name Address City State/Zip Telephone (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 of not more than five hundred dollars ^>fa*9 £***>****«**&****,'«* /£e\"V £ae**e .delx&Afe JL-J0X- cxfcz/X&afi 9Zj»/t State/Zip Telephone # State License ff CitV Business License # Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: f~1 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. ^0C 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: I / * Insurance Company ^ffLJ&f,, ^^tgfr? /?«Bryjg tfo *^*? Policy No. &W» '&0(^~**S Expiration Dats/^X/cP L0 (THIS SECTION NEED NOT BE COMPLETED IF *IE 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, 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 is unlawful, and shaH subject an employer to criminal penalties and civil fines up to one hundred ausand dollars ($100,OJP)JwdjlWon/o the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. 3NATURE fl&j&Z? ^7^t^4^££j DATE (_2~ — ^ ** '<O»_f^ I hereby affirm that I am exempt from the Contractor's License Law for the following reasoni 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). D 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 / ph'one number / type of work): PROPERTY OWNER SIGNATURE DATE !*^WP&1iSMIS;SECTiOr^^ /••." - -;; ;.' . K'^^e:^ V;'^i;?^ 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 ^T""Rb Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES CSLwo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES -0~MO 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. i^l'CpW^Rra^ .; . •: •.'•• •'•'•- :. . . /,- - . - ./. ".. '• - .... . - - ":.>. /V^.-TX ..= - " . •'•'': "-y 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 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. 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 1 80 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 commenced for a pepod of 180d«ys (Section 106.4AAJa|fonri Building Code). APPLICANT'S SIGNATURE DATE PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/12/2006 Permit* CB054203 Title: BAKE HOUSE FOODS R& R GAS LINE Description: 2270 CAMINO VIDA ROBLE Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER 2270 CAMINO VIDA ROBLE LLC Owner: 2270 CAMINO VIDA ROBLE LLC Remarks: Final? Inspector Assignment: PY Phone: Inspector: Total Time: CD Description 29 Final Plumbing Act Comment Comments/Notices/Hold Requested By: CHRISTINE Entered By: CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 12/15/2005 23 Gas/Test/Repairs AP PY 12/14/2005 23 Gas/Test/Repairs PA PY START GAS TEST City of Carlsbad Bldg Inspection Request For: Permit* CB054203 Title: BAKE HOUSE FOODS R& R GAS LINE Description: Type: PLUM Sub Type: Job Address: 2270 CAMINO VIDA ROBLE Suite: Lot 0 Location: APPLICANT JOHN STEVENSON PLUMBING Owner: 2270 CAMINO VIDA ROBLE LLC Remarks: AM PLEASE Total Time: Inspector Assignment: CD Description 23 Gas/Test/Repairs Act Comment Phone: 7609180456 Inspector: Requested By: JEFF Entered By: JANEAN Comments/Notices/Hold ?nts License Detail •California Home Page 1 of2 License Detail Contractor License # 588895 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the tin button to obtain complaint and/or legal action information. • Per B&P 7071.17. only construction related civil judgments reported to the CSLB are disclosed. • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 11/17/2005 * * * Business Information * * * JOHN STEVENSON PLUMBING & MECHANICAL INC 6351 CORTE DEL ABETO #A108 CARLSBAD, CA 92009 Business Phone Number: (760) 918-0456 Entity: Corporation Issue Date: 02/21/1990 Reissue Date: 07/02/2002 Expire Date: 07/31/2006 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * ^^•^•••M*Class C20 C36 Description WARM-AIR HEATING,VENTILATING AND AIR-CONDITIONING PLUMBING * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 159860 in the ami tiffiv//ufunif4 onv/P55T R T TOR ARY/T i a<m 11/17/7005 Detail Page 2 of 2 $10,000 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL^!): The Responsible Managing Officer (RMO) J CAMERON STEVENSON certified that he/she owns 10 percent or more of the voting stock the corporation. A bond of qualifying individual is not required. Effective Date: 07/02/2002 * ** Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 046-0012699 Effective Date: 01/01/2004 Expire Date: 01/01/2006 Workers Compensation History * * * Miscellaneous Information * * * Date 07/02/2002 Description LICENSE REISSUED TO ANOTHER ENTITY Personnel Llrt license Num ber Request Contractor Name Request Personnel Neme Request Salesperson Request Salesperson Name Request © 2005 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+-Detail.asp 1 1/1 7/2005