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2274 AVENTURINE PL; ; CB062883; Permit
10-04-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB062883 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2274 AVENTURINE PL CBAD PLUM 2132424000 Lot#: Construction Type: MULLEN RES-GAS TO BBQ&FIRE PIT ELECT TO BBQ & 2 FOUNTAINS 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/04/2006 RMA 10/04/2006 10/04/2006 Applicant: ELITE LANDSCAPE 13578JADESTONEWY SAN DIEGO CA 92130 858481-8513 Owner: WL LACOSTA 68 ASSCS LLC 6183 PASEO DEL NORTE #160 CARLSBAD CA 92011 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 $20.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $47.00 Total Fees:$47.00 Total Payments To Date:$47.00 Balance Due:$0.00 Inspector: harat FINAL APPR0V Date:Clearance: NOTICE: Please take NOTICE thafapproval 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 1, FOR OFFICE USE ONLY PLAN CHECK NO.J EST. VAL. Plan Ck. Deposit Validated By, Date Address (include Bldg/Suite #)Business Name (at this address) Na~me 3.- APPLICANT Q Contractor Address Q Agent for Contractor Q Owner City Q Agent for Owner Telephone #Fax # Name Address City State/Zip Telephone # PROPERTY OWNER ,joe( ^ Gtoyfld Address City State/Zip Telephone #Name S. CONIWfcTOB" COMPANY NAME (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 violatio/i of Section 7031 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).y violatio/i of Section 7031.5 by any applicant foi Uiodfcapo revel Of yyyftl- " AddressName State License # Address License Class City " ^ State/Zip City Business License # Designer Name State License # 6. Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0sJ 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. l~l 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: _ Insurance Company £,lxAr£&K tftfl N£TlftMAi Policy No. \\ 5^ 00 W O Expiration Date^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) L3 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Faikjifl to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar*($/70p>v6o1, hradditioJ to the/c^st erf-compensation, damages as provided for in Section 3706 of the Labor .code, interest and attorney's fees. SIGNATURE Y^L/^ V^l^ IS ^^ _ DATE 7* bwNiER^ujii^iilliraiATioNi ........ '".'". ............ : : ............. ' ...... ""•""• .......................................................................................................................... ......... ': I hereby affirm that I am exempt from the Contractor's License Law for the following reason: CD 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). l~l 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 contractorls) licensed pursuant to the Contractor's License Law). n I arn 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 CD 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 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 / phone number / type of work): _ _ PROPERTY OWNER SIGNATURE DATE COMPLETH THIS SECTION FOR/VOW^RfS/OflVTMl BUILDING PERMITS ONLY 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? CD YES CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES CD 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. ;8, ^CONSTRUCTION LENDING AGENCY 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 9. APPLICANT CERTIFICATION , , .-...'-. 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 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 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 180 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 commejiced for^rperiod o^-TSDTlaysJSection 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/29/2007 Permit# CB062883 Title: MULLEN RES-GAS TO BBQ&FIRE PIT Description: ELECT TO BBQ & 2 FOUNTAINS Inspector Assignment: RB 2274 AVENTURINE PL Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT ELITE LANDSCAPE Owner: MULLEN JOEL M&CHANDA R Remarks: Phone: 8583421873 Inspector: Total Time: CD Description 29 Final Plumbing 39 Final Electrical Act Comment Requested By: JAY Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 10/25/2006 23 Gas^est/Repairs AP RB UNDRG GAS LINE 10/25/2006 31 Underground/Conduit-Wiring AP RB CONDUIT ONLY License Detail Page 1 of2 California Home Wednesday, Octo License Detail Contractor License # 802087 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&P7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin 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: 10/04/2006 Business Information * * * JAY ROBERTS LANDSCAPE INC 13578 JADESTONE WAY SAN DIEGO, CA 92130 Business Phone Number: (858) 481-8513 Entity: Corporation Issue Date: 12/12/2001 Reissue Date: 05/07/2002 Expire Date: 05/31/2008 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * Class ( Description__,___-_— * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 6334751 in the arr $10,000 with the bonding company http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 10/04/2006 License Detail Page 2 of2 SURETY COMPANY OF THE PACIFIC. Effective Date: 05/31/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) JAY ROBERTS certified that he/she owns 10 percent or more of the voting stock/equity of corporation. A bond of qualifying individual is not required. Effective Date: 05/07/2002 * * *Workers Compensation Information * * * This license has workers compensation insurance with the CLARENDON NATIONAL INSURANCE COMPANY Policy Number: N00400693 Effective Date: 02/01/2006 Expire Date: 02/01/2007 Workers Compensation History * * * Miscellaneous Information * * * Date Description 05/07/2002 LICENSE REISSUED TO ANOTHER ENTITY! Personnel List [ License Number Request [Contractor Name Request [Personnel Name Request [Salesperson Request | Salesperson Name Request © 2006 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 10/04/2006 PLAN W-2XB PAD-210.80 fF«2tf.4 l*»«w . •X?T^Q\)ME