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HomeMy WebLinkAbout2270 LEVANTE ST; ; CB091123; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-08-2009 Plumbing Permit Permit No: CB091123 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2270 LEVANTE ST CBAD PLUM 2162404100 Lot#: 0 Construction Type: NEW SNELSON RES-GAS FOR FUTURE BBQ & FIRE PIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/08/2009 RMA 07/08/2009 07/08/2009 PD GRISWOLD-SNELSON REVOCABLE TRUST 05-21-98 GRISWOLD-SNELSON REVOCABLE TRUST 05-21-98 2270 LEVANTE ST 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 Total Fees: $27.00 0 0 0 0 0 1 0 2270 LEVANTE ST CARLSBAD CA 92009 $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 Payments To Date: $0.00 Balance Due: Clearance: $27.00 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 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 lega~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 f f i h v r vi I n Iv n N Tl E imil r hi r whi h h t fli i ion h I h IWi ~ « ..r'» Building Permit Application Plan Check No. /Ji)()Cf 112] 1...,-' fJV I ' ~ CIT'( 0 F 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CARLSBAD 760-602-2717 / 2718 / 2719 Plan Ck. Deposit, Fax: 760-602-8558 www.carlsbadca.gov Date 7/ ,//no/ I /l ;fr JOB ADDRESS 2270 Ll=v,Aµyt= ST. SUITE#/SPACE#/UNIT# IAPN I(_, I V --- CT/PROJECT# 1 ,o,. r HASE# 1 • o, UNITS 1 • BEDROOMS # BATHROOMS lTENANT BUSINESS NAME l CONSTR. TYPE I DCC. GROUP DESCRIP110N OF WORK: Include Square Feet of Affected Area(s) l__U,U DER C: £ a !.l A.I 0 643 l l-1 If: Fol? .. c.( 2 n,,1,('. E-.B8Q :t" F1t2E Pi, EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE I AIR CONOIT10NING I FIRE SPRINKLERS YES □#_ NOD YES O NOD YES O NOD CONTACT NAME (If Different Fom Appl/cant) APPLICANT NAME ADDRESS ADDRESS ~---··· CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE IFAX ~----EMAIL EMAIL PROPERTY OWNER NAME 31-+1 I? l EY SUE lSlJAJ CONTRACTOR BUS. NAME ADDRESS ~2 70 L€ V~ T -f--ST~E£1 ADDRESS CITY CARLS~ STATE~ cf2co9 CITY STATE ZIP PH7(o0 43<o,3o3 I FAX PHONE I FAX EMAIL d d. d I'\ r O.Cl"-e...w <.0 /'-aadrunf/er,cQ/V\ EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS 1 CITY BUS. LIC.# /Sec. 7031.S Busrnus and Profemom Code: Any (1ty or,County: which requires a permit to comtruct, _alter/ improve,. demol11h or rtP.atr any structure1 prior ro 111 muance, also requires the applicant lot mh penmt to file a 11gned narement that he 1s ric,nied_,P.ursuant to the prov11ions of the Contractor's L1ceme Law {Chapter 9, commending with Se<t1on 000 of D1m10n 3 of the Busineu and Pro1t11ion1 Code} or that he is exempt there li'om, and the b;i1i1, for the alleged t'iemption. Any Yiolation of Section TO? 1.5 by any applicant for a permit subject1 the app!1canr to a civil penalty of not more than five hundred dollars {S500}). * * ,-~--~*""'" -,-* )**"''"'*"' '"' WORKllilU' COMPENSATION -" Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a cettificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormarice of the wo~ for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 ol the labor Code, for the pertormance of the wo~ for which this permit is issued. My wo~ers' compensation insurance carrier and policy number are: Insurance Co. Policy No. _______________ Expiration Date __________ _ This sec lion need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the pertormance 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 lo secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to 1he cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. _g CONTRACTOR SIGNATURE DATE ~ -~ 1/ M ~= ~ 1 "" "'""* " 1 " -Wl'¾"mB"'*0f"'.0'~?ltr'TI'Z"'f = 1 i1½!'1G"l*1tm ~=" 1-~ ~m;ywc ~ =="~" mn:m1 1 , , " " ~ ~ owlviR-BUft.Dl!ff Dl!CLARATION --I, f hereby affirm that I am exempt from Contractor's License Law for the following reason: 11( I, as 1Jwner 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. :1, 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 !or the purpose of sale). □ 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 prooerty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 1 am exerript 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. O Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. :;. l have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have conlracted (hired) the following persons to provide the worl< indicated (include name I address/ phone t type of wo~): Is the applic:mt or future building occupant required to submit a business p\an, 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 app/,cl:!nl 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? D Yes o 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. I certify that I have read the application and state that the above lnfonnation is correct and that the lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building constructlon. l hereby authorize representative 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 perm~ is required for excavations over 5'0' deep and demolition or construction of stn.tciures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Ccxfe shall expire by limitation and become null and void tt the building or wolk authorized by such permit is not commenced within 180 days from the date ol such permit or tt the tx.rilding or wor1< authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Buikling Cooe). /ES APPLICANT'S SIGNATURE ~ a ~ DATE / -~-0 9 City of Carlsbad Bldg Inspection Request For: 07/13/2009 Permit# CB091123 Inspector Assignment: PD Title: SNELSON RES-GAS FOR FUTURE BBQ Description: & FIRE PIT Type:PLUM Sub Type: --- Phone: Job Address: 2270 LEVANTE ST Suite: Lot Location: 0 lnspe{J;t; APPLICANT GRISWOLD-SNELSON REVOCABLE TRUST 05-21-98 Owner: GRISWOLD-SNELSON REVOCABLE TRUST 05-21-98 Remarks: AM PL;EASE Total Time: Requested By: SHIRLEY Entered By: CHRISTINE Comment CD 23 Date Description Gas/Test/Repairs Act _1!/ Comments/Notices/Holds frNkL-[<.J-rort,,«z ~o~ I f:r(LEf! T Associated PCRs/CVs Original PC# Inspection History Description Act lnsp Comments I I I , ""'/ / ""' ~ -r-"'-,;:1// < X X X "'--/ "'-- / ""' / )< / "" / ""' r)r ' ;/. A . 'il v ""' / /"'- '-< ""'/ ""'p />( X "'--A ""' / ""' A 11 ~ /""' II I " / "x/ j I /< II ""'/ ""'-/5 r< /""' /""'-~ "'--/ V ] ""'/ ""'/ / ""' / ""' )1 , ~ "'--/v"'--> ""'-f u{Ul,!I E:- toS .... y -, \ _.., City of CARLSBAD BUILDING DEPT ,,/, / I / I 1 { X >f X ""' . ""' / ""' / ""' / ""' --- < ~ A I :r-,, IL \ I __ J I ""' / ""' / / ""' / ""' 'v V A /" / ""'-/ ""'< ' ' ~J ~ ""' / ""' / ""-./ V --y y v V y / "'--/ "'--/ "'--/ --/ ""'-/ "'--/ ""'-I / "'--/ ""'- / '>( ~ A )< X . /X IX )< - ·1 I \ \0 ~ ""' / ""' / ""' / ""' / ""' / V / ""' /I ""' / ""' /2 '7'-=r, 7 ':M=,~" /"-, /< A A A A, A I I "' -------------·~---~· I --_J SHIRLEY SNELSON 2270 LEVANTE STREET CARLSBAD CA 92009 t "--~ 1 CONCRETE LAYOUT PLAN d6j436·7303 J I ~ I ~ I A4t .::,