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Home My WebLink About2279 CAMINO ROBLEDO; ; CB993477; Permit09/20/1999 City of Carlsbad Plumbing Permit Permit No:CB993477 Building Inspection Request Line (760)438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2279 CAMINO ROBLEDO CBAD PLUM 2552726400 Lot#: 0 Construction Type: NEW MANGANO RESIDENCE GAS LINE Applicant: BROOKWOOD LANDSCAPE 6218FAIRMOUNTAVE SAN DIEGO CA 62121 Status: ISSUED Applied: 09/20/1999 Entered By: MDP Plan Approved: 09/20/1999 Issued: 09/20/1999 Inspect A«3? 09/20/99 OOOi 01 C-PRMT D PARTNERSHIP 00 02 27-00 Total Fees:$27.00 e Due:$27.00 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 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Inspector: 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." 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 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Business Nima (it this address)Address (include Bldg/S^ijte #) Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work SQ.FT.*of Stories # of Bedrooms # of Bathrooms /y*» •rtaiiill li.nii eniliiei .. #f_+r/ftf4 fo*J Name " L- Jnroo^t* Address City State/Zip Telephone # Fax * n Name Addreas /City State/Zip ' Telephone # -?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 jemption. Any violation of Section 7031.5 by any applicant for a permit subjects the.applicant to e civil penalty of not more than five hundred dollars I*500]). /Address License Class Designer Name State License * City State/Zip City Business License * /* «*' City State/Zip Telephone j*^^Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to self-insure for workers' compensation ss provided by Section 3700 of the Labor Code, for the performance of thewortc for which this permit is issued. Qf 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 , JJa^g fftf9j*V*i4J 3*~ Policy No. COM T^-^^^^O" Of Expiration Date (THIS SECTION NEED lOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*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 en employer to criminal penalties and dvfl fines up to one hundred thousand doHars (9100.000), In addition to thacost cjtsjBgytmsattoreMnadjSteas provided for in Section 3706 of the Labor/cod*, Interest and attorney's fees. SIGNATURE . J~~^iTTT^*^a s ^s^- /fflfilS^s ^J^P DATE ""* *~ ' 7. OWNER-BUILDER DEC I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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, end contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Lew). D I sm 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 nave 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 neme / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE OTMPlEtrl^irSECTiWFOftWWa : ' '. .- ' '• '•- -.' '."-".:.: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? 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of & school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, REQUIREMENTS OF THE OFRCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 il^t^MJrtaCa^cHHH^^ 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, 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 shell expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 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 period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE P1W City of Carlsbad Inspection Request For: 10/21/99 Permit* CB993477 Inspector Assignment: SR Title: MANGANO RESIDENCE Description: GAS LINE Type: PLUM Sub Type: Phone: 0000000000 Job Address: 2279 CAM I NO ROBLEDO Suite: Lot 0 Location: Inspector: ^ APPLICANT BROOKWOOD LANDSCAPE Owner: MANGANO FRANK A&KATHRYN L Remarks: FOLLOW UP INSPECTION Total Time: Requested By: CHRISTINE Entered By: CHRISTINE CD Description 'Act Comments 29 Final Plumbing Inspection History Date Description Act Insp Comments 9/22/99 21 Underground/Under Floor WC SR 9/22/99 23 Gas/Test/Repairs AP SR niM-14-1999 L.C.I.S.(CERTS}209 297 0362 P. 01/01 FREMONT INDEMNITY COMPANY NfcH FREMONT COMPENSATION INSURANCE COMPANY THt IMSU<£i) AMU MAILlFtt. A _WANBSCgE, IfC. iA CORPJAVcmlcFAIflMOUKTCA 92120SAM aeco tiTH£R HCKKPLACES NOT SHOMtt NONE PRGUUCEBS LANOSCAPe CONTRACTORS INSURANCE D FREMONT PACIFIC INSURANCE COMPANYPQUCY NO* **NON PARTICIPATINC FEIN2 ENTl TY 3 CGJPGftATlGfc BUREAUS 31 2293 4 : FRESNO PRODUCER CCOcS 4216/075ACENCT BILL POLICY FtftlGD: FROM 04/01/99 TO 0-W12501 A*fU SrANUAKO TIME AT THE INSURE C«S AO CRESS* 3. f _ A* fcOWCcRS' CUMffeMSATlON 1NSU«ANC£= PART OH£ OF THE PO- ICTf APPLIES. JOHORKEkS* COMPENSATION LANS OF TH£ STATES L IS TED HEBEs CALiro«NiA JOILY INJURY BY o is EASE* BODILY INJURY BY DISEASE* EMPLOYeRS* LIABILITY INSURANCES PART TWO OF 1«t POLICY APPLIES TC NOWIN £JCH STATE LISTED IN ITcM 3.A* .THE LIMITS OF OUR LIABILITY UNO£RPART TMU ARc IIpILY INJURY £V ACCIDENTJ *ltOOgT000 £AOJ ACCIDENT «IJOOO» OOC POLICY LIMIT C. GTHEX S)ATtS INSURANCE PAttT THRS: Cf TH€ POLICY APPLIES TO ALL THE STATS, JF ANYt LISTEB H£Ri=s NONE U. THIS POLICY INCLUDES TtES£ ENDOK5E«tNTS AMD SCH£OUi£S: _ENOCHSEHENTS: Ol*HC9906U« * 02.HC04Q30iAt 03«MCO40402 • M-HC990301A.OS «UC9 90302 THE PREMIUM FOR THIS POLICY HILL 3E DETERIUNEO BY UiR WANWLS QF RUCLASS IF JLATIUNS* RATES AND RATlNC PLANS* ALL INFORMATION REOJIREO aSUBJECT TG VERlflCATION AKU Cf*NC£ BY AUOITT ON IS BASIS: PREMIUM bASIS = TOTAL ESTIMATED ANNUALAATE ^ RATc PfcR *1CG GF R£MUI€IUTIGN« CAP = EiTIflA TED /NRIAL P REfUUH- BASIS LWbscAPE fittuEiaiw^ALi: OPERATIONSMAINTENANCE OF CARDERS.c* CA CA «aiO<Jj CLERICAL CFFIC&200,000 560 JUNIMU* PREMIUM S500 DEPOSITPREMIUM 4202 «33« EXPERIENCE MODIFICATION TOTAL STANDARD PREMIUM 77*34*30*- IDC POSIT TRANSFER FROM AOOITICNM.DE POSIT: CUE T&TAL ESTIMATED ANNUAL PREHJUM - SKCAS ASSESSMENT. DUE WITH DEPOSIT_ - NCFA ASSESSftNT OU£ WITH DEPOSIT.PAYROLL AtPQRTihe ANU PREMIUM AOIUSTMENT. PtRlOINSTALMENT BILLINGSPAYROLL REPORTING FR£UUENC¥= MON1ULY AT GtENtiALE, CALIFORNIA CN O<r-0«-9 "TOTPL P.01