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Home My WebLink About2321 CAMINO ROBLEDO; ; CB992383; PermitJf 06/25/1999 City of Carlsbad Plumbing Permit Permit No:CB992383 Building Inspection Request Line (760)438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2321 CAMINO ROBLEDO CBAD PLUM 2552725900 Lot#: Construction Type: GAS LINE TO BBQ & FIRE PIT 0 NEW Status: ISSUED Applied: 06/25/1999 Entered By: JM Plan Approved: 06/25/1999 Issued: 06/25/1999 Inspect Area: Applicant: RE JOHNSON PO BOX 901 CARLSBAD CA 92008 858-755-0424 Total Fees:$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 ID PARTNERSHIP 00 *292 06/25/99 0001 01 02 C-PRHT 27-00 ice Due: $27.00 0.00 0.00 0.00 iO.OO $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition* of fees, dedications, reservations, or other exactions hereafter collectively referred to as tees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 ; APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 T. PROJECT INFORMATION FOR OFFICE USE ONL PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated Bv -JT/yl ~ Date ($*/ /JL U Address (include Bldg/Suiu #1 Business Name (it this address) Legal Description Lot No.Subdivision Name/Number Unit NO.Phase No.Total # of units Assessor's Parcel # £ /'"e -X7./ xisting Urf Y Proposed Use Description of Work 2. CONTACT PERSON (H Afferent from app&nnt) SQ.FT.«f Stories"* of Bedrooms # of Bathrooms Name 3. APPLICANT 1L£ - To H Address Agent for.Contractor:-::D;Ownef: City State/Zip Telephone # Fax iT Name 4, PROPERTY OWNER Address City State/Zip Telephone # ^,.i!.:i-..'.-.,:,v,.:;v<;.i.Y'r»'...;,,, ' Name 7 Address City State/Zip Telephone * 5. CONTRACTOR - COMPANYNAME .' - •-'• '' "-.: '."Vy - '•"''••""^w^^ !'>- • '...:"-':' •: "• •• (Sec. 7031.6 Business end 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 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 [$500]). State License # Address License Class City State/Zip City Business License # ; Telephone * Designer Name Address City State/Zip Telephone State License # ;6, WORKERS'COMPENSATION ' . . . .. ' •,::-- . W£V"-r&Z^&^/•'&•'.:-*•'- . - '• . 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. GK'l have and will maintain workers' compensation, es 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 ere: » Insurence Company 4*C—\ ^ Policy No. / *•/ ?-^Og>"P Expiration Date ^ / H /? S (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [9100] 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 ss to become subject to the Workers' Compensation Laws of California. WARNING; Failure to secure workers' compensation coverage Is unlawful, end shall subject en employer, to criminal penalties end civil fines up to on* hundred thousand dollars JMQJMIPO), in «ddition to the cost of compensation, damages as provided for in Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE \^&=f^^1^~\. -~~" DATE (ff /'^ j *?^ 7. OWNER-BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the following teesorv. n 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 sele. 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 the Contractor's License Law). Q 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. 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 th« proposed construction (include name / address I 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. 1 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 COMPLETE THIS SECTION FOR AfOAMZESffiBmU BUILDING PERAUTS ONLY J r v! 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? 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? Q YES O NO Is the facility to be constructed within 1,000 feel 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 OFRCE 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{il Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION / i ; ;: 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 ell 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 ByUding Official under the provisions of this Code shall expire by limitation and become null and void if the building or within 365 days from the date of such permit or if the building or work authorized by such permit is suspended ~ >d for a p0ng£«f-l 80 days (Section 106.4.4 Uniform Building Code}. work authorized by such permit is not or abendoned at any time after the APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 8/24/99 Permit# CB992383 Title: GAS LINE TO BBQ & FIRE PIT Description: Inspector Assignment: SR Type: PLUM Sub Type: Job Address: 2321 CAMINO ROBLEDO Suite: Lot 0 Location: APPLICANT RE JOHNSON Owner: SHEA HOMES LTD PARTNERSHIP Remarks: Phone: 7604348945 Inspector: Total Time: CD Description 29 Final Plumbing Act Comments Requested By: LORCO Entered By: CHRISTINE Inspection History Date Description Act Insp Comments 8/19/99 29 Final Plumbing CO SR NO SHUT OFF VALVE AT METER 7/2/99 23 GasHest/Repairs AP SR