The URL can be used to link to this page

Home My WebLink About2317 MASTERS RD; ; CB111373; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-24-2011 Plumbing Permit Permit No: CB111373 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2317 MASTERS RD CBAD PLUM Parcel No: 2121420700 Lot#: 0 Construction Type: NEW Reference #: PC#: Project Title: OWENS RES-GAS LINE REPAIR@ KITCHEN ISLAND Applicant: TIM OWENS 2317 MASTERS RD 760 792-6468 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 TOTAL PERMIT FEES 0 0 0 0 0 1 0 Owner: TIM OWENS 2317 MASTERS RD 760 792-6468 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/24/2011 RMA 06/24/2011 06/24/2011 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: Clearance: $0.00 t approval of your project includes the "Imposition" of fees, dedications, rese1Vations, 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 f x i h h Tl E i ·1 r i h h f . i i I <<1'>> ~ CITY OF CARLSBAD JOB ADDRESS .} 317 CT/PRO.JECT # D Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.car!sbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/U IT# APN # BEDROOMS # BATHROOMS TENANT BUSINESS NAME In SWPP . GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES O NOD YES □ NO □ CONTACT NAME (If Different Fom Appl/cant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAM CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# STATE LIC.# CLASS CITY BUS. LIC.# (Sec~ 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mIt to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Olapter9, commend"ingwIth Section 7000 of D1v1sion 3 of the B_usIness and Professions Code) orfhat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit sub1ects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' coMPENSATlQN Workers' Compensation Declaration: / hereby affinn under penalty of perjury one of the following decJara/ions: □ I have and wUI 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 th'1s pennlt ·~ issued. □ t have and will maintain workm' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expjration Dale _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less □ Certificate of Exemption: I certify that in the perfonnance of the work for whCh this pennit 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. ~ CONTRACTOR SIGNATURE □AGENT DATE OWNIIR•BUILDl!R Dl!CLARATIOl!I I hereby affirm that I am exempt from Conlractor's Ucense Law for the following reason: A""'" I, as oYmer 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 wm have the burden of proving that he did not build or improve for the purpose of sale) □ □ I, as owner of the property, am exclusively contracting with licensed contractors to constrl/CI 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). I am exempt under Section _____ Business and Professions Code for this reason: 1. I ~nally plan to provide the major labor and materials for construction of the proposed property improvement. ~ □ No 2. I~ I have not) signed an applica~on for a building permit for the proposed work. 3. I have contracted with the following person (firm) to JrOVide the proposed construction C1nclude name address/ phone I contractors' l'icense 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 I address/ phone/ type of v.ork): ,,1$ PROPERTY OWNER SIGNATURE □AGENT DATE • " C:OMPlETll THU SIICTION FOR NOl\l•IU!lllHINTJAL IIUII.DING PlllRMITS ONLY Is !he applicant or !ult/re building occupant required to submit a business plan, acutely hazardous materials registration tonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control d1str'1ct or air quar1ty management d·Istrict? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. I certify that I have read the application and state that the aixlve infonnation Is correct and that the lnfonnation on the plans is acx:urate. I agree to complyYoith all City oldlnances and S1ate laws ralatlng1D bulldlng oonstructlon. I hereby authorize representative of the City of Carlsboo to enter urxin the aOOve mentbned property br inspectx:Jn purJX)Ses. I ALSO AGREE TO SAVE, INDEMNIFY IIJ'JD KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUCX,MENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: kl OSHA permit is required br excavations over 5'0' deep and demolition or construction of structures over 3 stores in height. EXPIRATION: Every permit issued bylhe 0Jik11ng Offcial under the Pf™SIOns of !his Oxle shall expire by fimitation and become null and void ~the buik:ling or 'MJfk authorized by such permit is not commenced 'Mthin 100days from the date ofsudl permit · · · g orv.ork auth~uch permit is suspended or abandoned at any lime after the 'Mlrk is commenred for a pe/00 f 100 days (Section 106.4.4 Uniform Building c.ode). LAPPUCANT'SSIGNATURE ~ u~ DATE 6 J // «~~-~ CITY OF CARLSBAD DATE: ts~~':\.-', UNSCHEDULED BUILDING INSPECTION B-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 PERMIT #: \ 1, \ ~ "::t, :s CONTACT:~ ---'--------- PHONE#: -------- JOB ADDRESS: ~::::s \'::7, Cr:,, ~A Ab J DESCRIPTION: ___________________ _ CODE DESCRIPTION ACT COMMENTS E:-•Qb :Sa?\ -0~~-¥-(3;///fL_ f2itUX \ Bldg Inspection Form Page 1 of 1 Rev. 06/09