Loading...
HomeMy WebLinkAbout2344 JEFFERS PL; ; CB100749; Permit... 'I> • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-03-2010 Plumbing Permit Permit No: CB100749 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2344 JEFFERS PL CBAD PLUM 2081615800 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: GROVE RES-GAS TO BBQ,FIREPIT Inspect Area: & 2 FIRE BOWLS, ELECT TO BBQ, FOUNTAIN & FUTURE Applicant: WATERLINEPOOLS P 0. BOX 605 92007 760 815-6733 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 Sewerfee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 Owner: GROVE JAY R&VICKI F 2344 JEFFERS PL CARLSBAD CA 92008 ISSUED 05/03/2010 RMA 05/03/2010 05/03/2010 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due: Inspector: Clearance: $0.00 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. t~~ ( ~ C I T Y OF CARLSBAD JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Date -00 CT/PR JECT# LOT# PHASE# # BEDR MS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES O NOD YES O NOD CONTACT NAME ( Dlffe~ Fom App/leant) ' I/. E77i:'/'l.. ADDRESS ? ¥/ 5;1~ CITY ,~ j S-A,...J /Vl l+n Cu ~ PH~() [!j/) EMAIL PHONE 7(?0 EMAIL ARCH/DESIGNER NAME & ADDRESS ZIP 9z.o 8 FAX L• ZIP C:,2.008 FAX STATE UC.# APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC.# qee,s-3 O CLASS c -S-3 (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 ,ss applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law fCha'fter 9, commending with Secti Business and Professions COdeJ or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a per t civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of Iha following dadarations: 0 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 perm It is issued. Jfi_1 have and will maintain work.era' com!!!nsati as required by Section 3700 o e Labor Code, for the performJl!C! of the work for which th1:::~lt is issued. My workers' oornpensatioo/•~er and policy number are: Insurance Co. -.,,..,CJF:J..-/. Policy No.::S5 3-ODO 04..__'-7 3 Expiration Date .L.{ULJ.!..-"Z..t) Fe, This section need nol be oornpleted K lhe permil is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that In the perfom,ance of the work for which this permit is Issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' co sation verage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addttlon to the cost of compensation, damag as wu._..,...,.,..ro .. S tion 3706 of the Labor code, Interest and attorney's fHs. _N$ CONTRACTOR SIGNATURE I heroby affirm that I am exempt from Contractor's Ucensa Law for the following reason: □ I, as owner of the proper1y or my employees with wages as their sole compensation, will do lhe work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's License Law does nol 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 cl proving thal he did not build or improve for lhe purpose of sale). O I, as owner of the proper1y, 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). O I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and malerials for construction of the proposed property improvement O Yes □ No 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 I phone I contractors' lioense 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' Rcense number): 5. I wiH provide some cl the work, but I have contracted (hired) the following persons to provide the work indicaled (include name I address I phone/ type of work): _N$ PROPERTY OWNER SIGNATURE □AGENT DATE OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY I J., · :,:,licanl orJuture building occupant required to submit a business plan, aCIJlely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the fl,tlsley-Tanner Hazardous Substance Account Ac(? □ Yes □ No ~ the applicant or Mure building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ Yes □ No is the facility to be constructed within 1,000 feet of the outer boundary d 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 haYe read the application and state that the al><Ml infonnation ls correct and that the lnfonnatlon on the plans Is accurate. I ag,eeto comply with all City ordinances and State laws relating to building construction. I hereby authorize representawe o1 the City ol Carlsbad ti enter upon the above menooned property for rispecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requred br excavations over 5'0' deep and dernootion or construction ol structures over 3 stiiies ri height. EXPIRATION: Every pennit issued by the Building Offtial under the provisions of this Code shall expi'e by linftation and become nul and void t the buidrig or wOII( authorized by such pemit is not oomrenced v.ithin 180 days rom the date of such perrril oc ~the buidrig oc wOll(authorized by such permit is suspendedocabaoooned at any line afilrthe wOll(is commenced for a peood ol 180 days (SectiJn 106.4.4 lklibm Buikling Code). _,f$ APPLICANrS SIGNATURE DATE ' - •·' City of Carlsbad Bldg Inspection Request . ' For 11/02/2010 . Permit# CB100749 Inspector Assignment: PD --- Title: GROVE RES-GAS TO BBQ,FIREPIT Description: & 2 FIRE BOWLS, ELECT TO BBQ, FOUNTAIN & FUTURE SWIM SPA Type:PLUM Sub Type: Job Address: Suite: 2344 JEFFERS PL Lot: Location: APPLICANT WATERLINEPOOLS Owner: GROVE JAY R&VICKI F Remarks: Total Time: CD Description 29 Final Plumbing 39 Final Electrical 0 Comments/Notices/Holds Phone: 7608156733 Inspector~ Requested By: steve Entered By: CHRISTINE Associated PCRs/CVs/SWPPPs Original PC# lns(1ection Histoiy Date Description Act lnsp Comments 07/07/2010 92 Compliance Investigation Pl PD BUILT PER PLAN/ CALLED COMPLAINTANT • L. M. 05/04/2010 23 Gas/TesURepairs AP PD PER PLAN 05/04/2010 53 Electric/Conduit/Wiring AP PD