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HomeMy WebLinkAbout2326 LA COSTA AVE; C; CB100629; Permitt ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-12-2010 Plumbing Permit Permit No: CB100629 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2326 LA COSTA AV CBAD St: C PLUM 216310141!> Lot#: 0 Construction Type: NEW AL TA VERDE CONDOS-REPLACE GAS LINE FROM METER TO EXTERIOR OF BLDG Owner: PROPERTY SERVICE PLUS MILLER BARBARA L Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 12341 OAK KNOLL 92064 858-486-6364 1590 RAMONA DR CAMARILLO CA 93010 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 TOT AL PERMIT FEES 0 0 0 0 0 1 0 ISSUED 04/12/2010 KG 04/12/2010 04/12/2010 $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: ,s .. ,°' -\D $0.00 NOTICE: Please take NOTICE lhat approval of your project includes the "Imposition· of fees, dedica1ions, reservations, or other exactions hereafter collecttvely 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, wni ng, grading or other similar application processing or seNice fees in connection with this project. NOR DOES IT APPLY to any f i h hav r vio sl Tl imil r hi whi h th I Ii i i h I h rwis x ire , ~ ~? ~ C IT Y OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) CONTACT NAME (If Dlff.,•nt Fom App/leant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL STATE ZIP en-'12,JZ-.J FAX STATE UC. f Plan Check No. Est. Value FIREPLACE AIR CONDITIONING FIRE SPRINKLERS vEsD NcQ YES □No□ YESO NoO STATE ZIP 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 ,ts 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 exemgt 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 ($5001). Workara' CompenHtion Oedaration: / hemby sfllrrn underpenal/.y of petjury one of the following declarations: 8 I have and will maintain a certificate of con,.,t to Hlf-insu111 foc workers' CO!lll8nsation as pr<Mded by Seclion 3700 of the Labor Code, foc the performance ct the work foc which this permit is issued I have and wlll maintain workers' compen11!on, as reouired bv Secbon 3[00 of lhe LabOf Code. for the pet101111ance of the work foc wf1ch ttis oorrrit is issued. My worke!s' CO!lll8n~~,ins,.apoe carrie.-and paicv nurooerare:lnsuranceCo J)2..,(ps Lnsucc..n.ce. YJM.~4,o.f PdicyNo. OS, DK"~m1-2c::o/-~'ls: ExpiretionDate O l_,_/Jc~o ___ _ ~section need not be cofr4)1eled ~ the permt is foc one huncted dala.-s ($100) Of less. LJ Certificate of Exemption: I certify that in the pet101111ance of the work foc which ttis permit is issued, I shall not el!lAoy any person in any manner so as to become subject to the WOl"kera' Collll8nsaHon Laws of Celifomia WARNING: Failure to aecureworkera' compen11tlon coverage 11 unlawful, and shall subject en employer to criminal penlfllte and civil ffnea up to one hundred thousand dollars (&100,000), In addition to the cost of compenaadon, da a provided for In Section :1706 of the Labor <:ode, Interest and attomey'a fees. /15 CONTRACTORSIGNATURE ,_~,,,,,,A.,..,, /1'_ DATE I hereby afffrrn that t am exempt from Contractor's Uoense Law for the following reason: D I, as owner of lhe property oc my efr4)1oy886 with wages as their sde compensation, wil do the W<rt and lhe slructure is not Intended oc offered IOI" sale (Sec. 7044, Business and Professions Code· The Conlreclor's License Lew does no< appy to an owner or property who buids a if11)10Ves !hereon, and v.tlo does such work himself oc tlTough his own el!lAoyees, pr<Mded that such lnvovemenls are not intended oc offered ta sae. If, however, lhe buidng 01' impro'lement Is sdd within one year of cofr4)1eHon, the ONner-buider wil have the b,.den of p-oving that he cid not buid oc irll)l"Ove foc lhe purpose of sale). D I, as owner of the property, am exclusively contracbng with licensed contractm to conslrucl the project (Sec. 7044, Business and Professions Code: The Con~actor's License Law does not appy lo an owne.-ct property v.t1o buids Of lf11)10Ves thereon, and contracts fa such projects wilh con~actoc(s) licensed pursuant to the Contracta's License Law). D · I am exelf4ll under Section ----~Business and Professions Code IOI" this reason: 1. I personaly ?Bn lo provide the major labor and malerials fa constructton or lhe p-oposed properly improvement. O Yes °"° 2. I (have/ have not) signed an appication IOI' a buicing permit foc lhe prC4)0Sed wait. 3. I have con~acted with lhe fdlowmg person (finn) to prOV!de lhe proposed construction (indude name a<ttess I phOne / con~actOl"S' license number): 4. I ?an lo provide poctions of the work, but I have hired the fotlowng person to cOOl"dinale, si.pervise and provide the majoc work (indude name/ a<ttess / phone I contracl-Ofs' license number): 5. I will provide some of the WCJl1!, but I have contracted (lnred) the fdlC7f,ing persons to pr<Mde the work indicated ~nclude name I ad<tess / phone I type ct work): ,,1$ PROPERTY OWNER SIGNATURE □AGENT DATE ' Is the appicant or f4ture buiding occupant required to subrrit a business.JW!, acutely hazardous materias registration form or risk management and prevention IJ"09r&m under Sections 25505, 25533 or 25534 c:A lhe Presley-Tanner Hazardous Substance Account Ar.I? D Yes LJNo Is the appicant or future buldng occupant requimd lo obtain a pe<rrit from th& air pdlulion contra tisiict a li,(S.1Jaity management tistricl? []ves 0 No Is the faciity to be constucted v.ilhin 1,000 feet of lhe outer boundary of a schoa site? C]ves LJNo . IF ANY OFTHE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY IIAY 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 hereby affirm that there is a oonstrudion lendng agency for the performance of the WOik this permtt is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I cerUfythat I have l8ad the application and Slate thatthealKM! lnfonnation Is oonectand that the Information oo the plans Is aocura18. I agree tooomplylltth allCltyordlnancesalll state laws relatlngtobulldlngoonslructlon. I herfbf al.Chaize r~esentawec:Atheaty c:AQr'lsbadto enter l4J(lll theltx:Nementioned~f(J inspedionpu-poses. I Al.SO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITYOF CARLSBAD AGAINST ALL UABILJTlES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AnOSHA poorit rs reqltedfCJ excavations Oler sa d3epaiddemoition CJoons!rudion ci stuc1Lr8S oi« 3 staiesin hagti. EXPIRATION: Every poorit issued by the Buldng Offi<ia under the p-o.,isions a tlis Code shal expre by liTitalion and becxrne nl.1I ard ltid ff the butdng er v.ak aulhc:rtzed by S1JCh poorit is rd cxmnenced wtlin 100days Iran the date a sUdl poorit n.rng _av.ak aulhc:rtzedby such perrrit is suspencildCJ ltlancb1edal aITf tine after thev.akls cxmnencoofa p!Jiodc:A 100 d!ys (Section 100.4.4 Urifam Bijdng Codei APPLICANT'S SIGNATUR(_~/-/4--DATE / Z,, /o . a City of Carlsbad Bldg Inspection Request . . . Permit# CB100629 For: 05/14/2010 Title: AL TA VERDE CONDOS"REPLACE Inspector Assignment: TP --- Description: GAS LINE FROM METER TO EXTERIOR OF BLDG Type:PLUM Sub Type: Job Address: 2326 LA COSTA AV Suite: C Lot 0 Location: APPLICANT PROPERTY SERVICE PLUS Owner: Remarks: a m please (gas meter to exterior) Total Time: CD Description Act Comments 11/ Phone: 6199547618 Inspector: L Requested By: MAC Entered By: CHRISTINE 23 Gas/Test/Repairs --------------------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 04/30/2010 23 Gas/Test/Repairs Act lnsp Comments CO TP FAILED TEST