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