HomeMy WebLinkAbout2271 CAMEO RD; ; CB080419; Permit03-06-2008
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB080419
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2271 CAMEO RD CBAD
PLUM
1670801700 Lot#
Construction Type
0
NEW
NASH RES-REPLACE SEWER
LATERAL &UNDERGROUND PLUMBING IN GARAGE
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
03/06/2008
LSM
03/06/2008
03/06/2008
Applicant
NASH RICHARD&VICKY L
965 WESTBANK RD
GLENWOOD SPRINGS CO 81601
9703795172
Owner
NASH RICHARD&VICKY L
965 WESTBANK RD
GLENWOOD SPRINGS CO 81601
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
0
1
0
0
0
0
0
$2000
$000
$1500
$000
$000
$000
$000
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $3500
Total Fees $35 00 Total Payments To Date $35 00 Balance Due $000
Inspector r
FINAL APPROVAL
Date 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 Youjjiave 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 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
City of Carlsbad tf*3^
1635 Faraday Ave Carlsbad CA 92008 iS'lfti/^
7606022717/2718/2719 ^^PfJ^
Fax 760 602 8558 VS*L^
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Building Permit Application
JOR ADDRESS ,^-» »•» ^^> f st f} si
CT/PROJECT* LOT* PHASE* # OF UNITS # BEDROOMS
\ Plan Che
M Est Valu
^ Plan Ck
Date
SUITE#/SPACE#/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME
sckNo d& O^O^i °(
e
Deposit
34wlG%
.
CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK S\
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (If Different Font Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC #
PATIOS (SF) DECKS (SF) FIREPLACE
YES D #
APPLICANT NAME ~-, fi
/<~tC. ff)0rl4* /
AIR CONDITIONING FIRE SPRINKLERS
NOD^ YES D NOD YES 0 NO D
u*>//
ADDRESS -^
CITY * STATE ZIP s~^
tsfa-t-'Sz&Ste^- CA- /["Zoos'
PHONE
970 5-7? 577Z_
EMAIL >?/O
FAX
J**J/&* Co^^
CONTRACTOR BUS NAME
ADDRESS
CITY STATE ZIP
PHONE
EMAIL
STATE LIC #
FAX
CLASS CITY BUS LIC #
ec 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
censed pursuant to the provisions of the Contractors 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
ection 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
Workers Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
O 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
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 workers compensation insurance earner and policy
number are Insurance Co Policy No Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less
n Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of
California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100 000) in
addition to the cost of compensation damages as provided for In Section 3706 of the Labor code interest and attorney s fees
JS$ CONTRACTOR SIGNATURE DATE
/ herebyjlfcm that I am exempt from Contractor s License Law for the following reason
flr\ 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)
D 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)
a 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 d Yes d 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 / 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 / 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 / type of work)
>£fpROPERTY OWNER SIGNATURE
Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the
Presley Tanner Hazardous Substance Account Act' d Yes d No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' D Yes D No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' a Yes D No
IF ANY OF THE ANSWERS ARE YES
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work 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 authonze representative of the City of Carlsbad to enter upon the above mentoned 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 stones in height
EXPIRATION Every permit issued by the Building Official under the provisions of ttiis/Code shall expire by limitation and become null and void if the building or wotk authonzed by such permit is not commenced within
180 days from the date of such permit or if the bujdtpg or iwrk aMtaized by suchja/emjt is suspended or abandoned at any tone after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
^APPLICANT S SIGNATURE DATE
UNSCHEDULED BUILDING INSPECTION
DATE O / to I uf) INSPECTOR
WPERMIT # - Y PLAN CHECK #
JOB ADDRESS
DESCRIPTION
CODE DESCRIPTION ACT COMMENTS
21