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HomeMy WebLinkAbout2313 CAMINO ROBLEDO; ; CB994138; Permit11/03/1999 City of Carlsbad Plumbing Permit Permit No:CB994138 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2313 CAMINO ROBLEDO CBAD PLUM 2552726100 Lot#: Construction Type: 0 NEW ROY RESIDENCE SINK, GAS AND ELECTRIC FOR BAR-B-QUE Status: ISSUED Applied: 11/03/1999 Entered By: MDP Plan Approved: 11/03/1999 Issued: 11/03/1999 Inspect Area: PY Applicant: LORCO 4488 SALISBURY DR CARLSBAD CA 92008 619-434-8945 Total Fees:$61.00 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 7.00 0.00 '$0.00 $7.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 0001 01 C-PRHT 02 £1.00 $61.00 TOTAL PERM IT FEES $61.00 Inspect 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(3), 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 capactiy 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 qiven a NOTICE similar to mis, 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 Patmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. . [I"" Plan Ck. Deposit Validated By Date Address (include Bldg/Suite f)Business Name {at this address) Legel Description Lot No.Subdivision Name/Number Unit No.Phase No.Total * of units Proposed Use Description of Work 2. CONTACT PEraONWdWefWtlromepplc.nl) SQ. FT.>of Stories # of Bedrooms f of Bathrooms Name Address City State/Zip Telephone *Fax* {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 exemptiodl. Anji violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 195001). State License * V<7T3 Lr£-l& Address **V^ License Class '•/ City State/Zip Citv Business License * Telephone # j'Z— ^Designer Name S^~^**^ State License # Address City State/Zip Telephone 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q 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: InsuranceJBompany / Policy No. Expiration Date IF THE PERMIT IS FOR ONE HUNDRED DOLLARS-|$100J Oft LESS) Brtify that in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as bensation Laws of California. coverage is unlawful, and shaH subject an empkryw to criminal ' cost of compensation, damages M provided for In Section 3706 of the Labor DATE civlf fines up to one hundred attorney's fees. <THIS-*ECTION NEED NOT BE COM • IS CERTIFICATE OF EXEMPTION: I Mo become subject to the Workers' Coi WARNING: Failure to secure workers thousand dollars ($100,000), In ad SIGNATURE 7. OWNER-BUILDER DECLARA1 I hereby affirm that I am exempt from the 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). 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, and contracts for such projects with contractor(s) licensed pursuant to tha Contractor's License Law). D I »m exempt under Section Business and Professions Code for this reeson: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. t (have / have not) signed an application for a building permit for tha 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 th« 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): . . . .. DATEPROPERTY OWNER SIGNATURE «OMptEttfrWS:SECTMMiFOII^^ •;... . ," . :. . -',.-,,, Is tha 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 tha Presley-Tanner Hazardous Substance Account Act? Q YES Q 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 G NO Is the facility to be constructed within 1,000 faet of the outer boundary of a school site? Q YES Q 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. !«V ;c6wst«uc™^ ,.•'./ :^/w.n.:>"r.':.'•• :• •• - >;,.-" ;.• .;--•;;•.., '-..-:• I hereby affirm that there is a construction lending agency for tha performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME. 9. APPLICANT LENDER'S ADDRESS kltON 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 excawions over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Balding 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 365 days from the date of such permit or if the building or work authorised by such permit is suspended or abandoned at any time after the work is dlmmenced for a period of 180 days (Section 106.4.4 Uniform Building Coda). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 12/30/1999 Permit# CB994138 Title: ROY RESIDENCE Description: SINK, GAS AND ELECTRIC FOR BAR-B-QUE Inspector Assignment: PY 2313 CAMINO ROBLEDO Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT LORCO Owner: ROY APURBA&KOBAYASHI AKIKO Remarks: Phone: 7604348945 Inspector: Total Time: Date CD Description 29 Final Plumbing 39 Final Electrical Requested By: LORCO Entered By: CHRISTINE Act Comments Associated PCRs Inspection History Description Act Insp Comments 11/10/1999 21 Underground/Under Floor 11/10/1999 22 Sewer/Water Service 11/10/1999 23 Gas/Test/Repairs 11/10/1999 31 Underground/Conduit-toiring 11 /4/1999 22 Sewer/Water Service AP PY AP PY AP PY NEED GAS TEST AP PY CO PY NEED CLEAN OUT AND TEST