HomeMy WebLinkAbout2328 CAMINO ROBLEDO; ; CB000696; Permit03/01/2000
City of Carlsbad
Plumbing Permit Permit No:CB000696
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2328 CAMINO ROBLEDO CBAD
PLUM
2552721300 Lot#:
Construction Type:
GAS LINE TO BBQ/FIRE PIT
0
NEW
Applicant:
LORCO
4488 SALISBURY DR
CARLSBAD CA 92008
619-434-8945
Status: ISSUED
Applied: 03/01/2000
Entered By: RMA
Plan Approved: 03/01/2000
Issued' ,.03/01/2000
Inspect Aril? <*W« oooi 01
C-PRHT
M&BROWN-BARRY MARY JOE
02
27-00
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
Due: $27.00
0.00
0.00
0.00
0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $27.00
Inspector:
FINAL AfPRbVAL
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 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
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK
EST. VAL.
Plan Ck. Deposit
Validated
Date_
Address (include Bldg/Suite *)Business Name (at this address)
Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel #ting Us
Description of Work SO. FT.#of Stories # of Bedrooms # of Bathrooms
,- b.~>M| I ft VjuiS;il «„*-** - ! -*•
Name Address C,ty State/Zip Telephone *Fax*
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 ha 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. Arw uiplatio/M)f Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]}.uo K>*<^
Name
State License *
Address
License Class
City State/Zip
City Business License *
Telephone #
Designer Name
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:
lnsuL*nce Company Policy No. Expiration Date
raWS SECTION NEED NOT 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: Faflura to secure worker/' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (9100,000), in addMon tojtw cost of compensation, damages as provided for In Section 3706 of the Lgbgr^Codf*, Irtfeceat and attorney's fees.
SIGNATURE \S^ DATE
I hereby affirm that I am exempt frofn the Contractor's License Law for the following reason:
O I, as owner of the property oiyny 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 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 the proposed construction (include name / address / 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. 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):
PROPERTY OWNER SIGNATURE DATE
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 eir 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 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,
t 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
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 excavations over o'O" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the builjUhg Official under the provisions of this Code shall expire by limitation and become null and
authorized by such permit is not commenced wljnin 180 days from the date of such permit or if the building or work authorized by sycj;
at any time after the work is commenced for ajteriod ofJSO days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
d if the building or work
suspended or abandoned
City of Carlsbad Bldg Inspection Request
For: 4/26/2000
Permit# CB000696 Inspector Assignment: TL
Title: GAS LINE TO BBQ/FIRE PIT
Description:
Type: PLUM Sub Type:
Phone: 7604348945
Job Address: 2328 CAMINO ROBLEDO
Suite: Lot 0
Location: Inspector:
APPLICANT LORCO
Owner: BARRY WILLIAM M&BROWN-BARRY MARY JOE
Remarks:
Total Time: Requested By: LORCO
Entered By: CHRISTINE
CD Description Ac^ ^Comments
29 Final Plumbing
Associated PCRs
Inspection History
Date Description Act Insp Comments
3/2/2000 21 Underground/Under Floor WC TL
3/2/2000 23 Gas/Test/Repairs AP TL
3/2/2000 31 Underground/Conduit-Wiring WC TL