HomeMy WebLinkAbout2277 CAMEO RD; ; CB080479; Permit03-17-2008
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB080479
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2277 CAMEO RD CBAD
PLUM
1670801800 Lot*
Construction Type
WILKINSON RES MOVE GAS LINEE
TO NEW METER LOCATION
0
NEW
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
03/17/2008
LSM
03/17/2008
03/17/2008
Applicant
WILKINSON ROBERT E
2277 CAMEO RD
CARLSBAD CA 92008
760 707 4685
Owner
WILKINSON ROBERT E
2277 CAMEO RD
CARLSBAD CA 92008
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
0
0
0
0
1
' 0
$2000
$000
$000
$000
$000
$000
$700
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $2700
Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE disapproval 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
City of Carlsbad
163^ Faraday Ave Carlsbad CA 92008
760 602 2717 / 2718 / 2719
Fax 7606028558
Building Permit Application
Plan Check No
Est Value
Plan Ck Deposit
Pate 5(0
CT/PROJECT*PHASE # |#OF\JNITS I # BEDROOMS
SUITEf(/SPACE#/UNIT#
# BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YESL1 #NOD
AIR CONDITIONING
YES D NO Q
FIRE SPRINKLERS
YES D NO D
CONTACT NAME (If Different fom Applicant)APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS NAME
(Sec 70315 Business and Professions Code Any City or County which requires a permit to construct alter, improve demolish or repair any structure, pnor to its issuance also requires the applicant for such permit to file a signed statement that he islicensed pursuant to the provisions of die 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 ofSection 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
Workers Compensation Declaration I 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 carrier 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
O 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
J&Z CONTRACTOR SIGNATURE DATE
/ hereby affirm that I am exempt from Contractor s License Law for the following reason
D 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)
O 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 D Yes O 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)
JK PROPERTY OWNER SIGNATURE
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' a Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 D Yes O 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 ,
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 thattfteaboveinfonriatonisc»rrecJandthatthe information on the plans isaocurate I agreetocomprywitti all City ordinances and State laws relating to building construction
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALS6 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 6F THE GRANTING OF THIS PERMIT
OSH A 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 (he provisions of this Code shall expire by limitation and become null and void if the building or work autnonzed by such permit is not commenced within
1 80 days from the date of such permit ornps^tpk^ntjir workAm^J by aichpermit is suspended or abandoned at any time after the work is commenced fora period of 1 80 days (Section 106 4 4 Uniform Building Code)
^APPLICANTS SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For 03/20/2008
Permit* CB080479
Title WILKINSON RES- MOVE GAS LINEE
Description TO NEW METER LOCATION
Inspector Assignment
2277 CAMEO RD
Lot
Type PLUM Sub Type
Job Address
Suite
Location
APPLICANT WILKINSON ROBERT E
Owner WILKINSON ROBERT E
Remarks
Phone
Inspector
Total Time
CD Description
23 Gas/Test/Repairs
Act Comments
Requested By ROBERT
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments