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HomeMy WebLinkAbout2345 LONGFELLOW RD; ; CB983867; PermitB C' I L D I N G P E R M r T Permit No: CB~Bjbt7 Project Nn: A980S045 Development No: 11/10/Ytt 14:44 Page 1 o:f 1 Job Acidress: 2345 LONGFELLOW Permit Type: PLUMBING Parcel No: 212-142-40-00 Valuation: 0 RD Suite: Lot#: Construction Type: NEW Occupancy Group: Description: GAS : AND Reference#: & ELEC LINE TO FUTURE POOL BBQ & FIRE PIT Status: Applied: Apr/Issue: ISSI JED 11/10/'-IH "!.1/10/98 JM Appl/Ownr : V H & P LANDSCAPE 7820 CALLE LOMAS CARLSBAD CA 92009 *** Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plun Gas Piping System Other 760 Entered -qy: 633-312.0 Collected & Credits *** ____ 328.LJU10L2B.. J>O.Q1_ 01.. _ ..Q2 ___ _ C-PRMT 47-00 .00 .00 47.00 Ext fee Data 2G.00 Y 7.00 20.00 ELH' FINAEAPPROVAL -\ INSP. R 8 DATE rf. ~ v:, zt-• "LEARANCE - CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 ) "PERM.IT APPLICATION FOR OFFICE USE ONB ?. / PLAN CHECK NO. 'i£;,/fJ<t:21 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ------,h"'r'"'T;-;-- Plan Ck. Deposit ----t-....L-!;,_...c___ Validated Bv· ___ ,.t..,_,t..,~JD..'-4- 0ate, ____ L..J.'-1-,(4.;:.,_J,..r;;i..--- 1. PIJ9,l~CT,.JNFOflMATION 1 , -J-1:i ':t '.::L LoNbtJtLLOw :LzOD~ Add1ess hnclude Bldg/Suite I) Lepal Descnpt1on Lot No. UrwtNo. PhaHNo. 101a1 I of unns Aasu1or'1 Parcel, L \ /Y5J:ffl.6 < {,c,::, M- oescr10,,on of Work Eximng UH GJ.-:r: c. :r:<w:: ru SQ. FT. PropNedUae lofStanes • of ledroams I of Batt,rooms 2. CONTACT PERSON 1ft ..,...., .,_,.......,;1 ---~---· -·,~--·---....... ----•--------·-- Neme ._/ Addreu City " r· A~ lil. Contractor D Avon• for Cclmrfflor . D awn.; . D Agtini" ior °""'"' .... r eo i :A;±D$Urpf 70),D l;fru,.. ~ \ 0 Mf'S3 CAf½SI\Q Name Addrfls City 6. CONTRACTOR· COMPANY NAME 1sec. 7031.5 Business end ProfHstOnS Coo.: Anv City o, County which requifa • permit to constNCt, after.'"""°"'• damaliSh or '9Nir ■nv atrucwre, pnor to tu issuance. also reouir■s the applicant for such permit 10 ftta • aigned 11■1un11nt thlt he ii lic=-lled punnam to Iha provilia1• of the Comrae1:or'1 Ucenae Law (Ch■pHr 9, commending with S•ction 7000 of Di~ 3 of the Buainea ~ Profalli~ Codi) or that he ts eumDt tneretro~. end the b111s tor the •ll•g•d ..-:, 3 e emption. v violation Secti 7031.5 ~ any eppltcant tor• permit aub;■cl1 the ODlllic>lnT.to • eiviJ _."Y of not more then ftff hundred dolterl It 001). C,5 r . q;)..ob O ;;I.(::, Addrfls Ctty -.izip T..._ I Ucenoo Cloos _ ___.c..._-...J.Z:J_;:.f-1,. __ Cit•--·------- Designer Name Adorns Crty Smit/Zip T.._,. St■te Lic■nse I _________ _ 6. WORKERS' COMPENSATION Work•rs' Compensation 0.cteretron: I hereby •ffirm undar penalty of o■,jury one of the foftowinC, ctectaretions: O I hav• and will maintain a certificate of consent to Hlf4nlunt for work1n' comp■nAtion u provided by Section 3700 of th■ Labor Code, tor the performance of? work for which this permit is iuu■d. ~ I have end will maintain woriters' coml)enlatlon, as required by Section 3700 ot the Labor Code, for the ..,,onnance of the work for which this permit ii issued. My worker's fl{mpenHtTY tnsurance carrier and POiicy number are: lnsu,.ncoComoonv ty1M-4 (<$HJ .'.GJ<,uM,Nr}: PuhcvNo/799> 177 0 I:] E.,,..1tion0otef{\(b..l 15 1 Jq<f°( !THIS SECTION NEED NOT IE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS 1*1001 OR LISSI / 0 CERTIFICATE OF EXEMPTION: I c:atity that in the performance of the work for which thill permtf iii -.u.d, I llhell not employ any peqon in eny manner 80 • to become subject to the Workers' COfflPeflNltton Laws of California. WARNING: F.Uure ID NCUre workerl' .....,...,. CO.,.,... .. una.wtul. end ... aulJt■ct • ....,..._ to ...._. ........ and clwll fines up to -hundred thous■nd doMan }:00,0001,~ln to:-. con of con,penuttan • ..,..... • pnmded tor In s.clian 3706 .. .,.__;~• -. --. 'e ..... sIGNAruRE tL,,eim _ /I~ CATE , ~-'19, 7. OWNER-BUILDERDEC(A {7 ~ -... ·· ,' ···-.. ·•·. ~---1~~--... · .... ,-,r:: · · I hereby affirm thllt I am axemPt tro?the Contractor's LicenH Lew for the following reuon: 0 I. as owner of the propenv or my ems,toYNS with wer,n n thetr ICH conepar-■b0i1, wffl do the worlc end the structure ia not Wended or of,._. tor Ate ISec. 7044, Bus,nus •nd ProfHIIDnl Coda: The Comractot'a LicenH Law cton not eppty to an owner of ~ who INli6da tM' irnprDvas theraon, and Who cloN such work himself or through his own ernptoyeu, provided tnet sueh •~menu •re not Intended or otfer9d ,_ ..... tf, hDwevw, Iha bulklng or 1m1XowefMl'l1 • sold within one Vtl•' of complettOn, the owne,-buUder wfll hen the burden of pfOVing ttlllt he Cid not build or 6rnpnn,e for the purpoN of Nlel. 0 1, as owner of the propenv, em exelusi"81y contracting with hcenHd camrector• to connruct the pra;ct CS.C. 7044, lkllineu end Prof■---Code: The Contractor's L1cen-■ Law doN not apply to 1n owner of PfOPfflv who builds o, nnprova thlnon, end com,acta tor euch pro;.c:ts wtth contr&'toftll licenud pursuant to the Contractor's LicenH Lewi. D I ■m exempt under Sectton ______ 8ulineu end Prof■QIOl'W; Code tor this ,-son: I personally plan to provide the major labor end meteriall for constructton of the prDPOHCf property lr1.p10.:arnent. 0 YES □NO 2. I lh■ve I have not) signed en eppijcation fore building pa,mjf tor the prODOHO work. 3 I have contracted with the following Plinion lfirmJ to provide the PfoPDled canstruction linctude name/ eddreu / pt.,. number/ comraC10fl ---• numb■l'I: 4. I plan to provide ponion• of the wort, but I have hired the toUowing person to coordinet:e, auptfViee end SllfO¥kle the mator wort tindude name I adcnu I phone number/ contractort lIcenae number):. _____________________________________________ _ S. I will provide •om• of the work, but I have contracted lhnd) the foHOWing perac,ns to PfO¥kle the work indiAted Undude Mffl8 I ..._, I phone number I .,_ of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ CATE ________ _ COMPLET6THIS SICTION FOR IIOII-IISIDIN1I BUlUJINQ PIIIMITi ONl.1-.··:--:---_--'; ._ ........... , .. '1~--.,.~--:r•-+·1.~►•.~: ............ Is the ■pplic•nt or future building occupem ......,_ 10 eubmtt • buainns .....,, ecut■tv .....,... llleteriela 1CgiUUatiur1 farm or riek ,...r,ement and _...,..iDn program und■r Sections 25505. 25533 or 25534 of the Prell8'f-,T.,_, ........ Sub■lenoe Ac:aatm Act? □ YES O NO Is the applicant or future building occuwm required to Obtain ■ ll■fflllt from the eir PDffution control district or eir quellty management Chlmct7 D YES D NO Is the tacilitv te b■ constructed within 1,000 fNt of the outer boundary of• IChaGI lit■1 0 YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE 01' 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. .a. CONSTRUCTION LENDING AGENCY -• •• --• -.-,.••--··•---,-•-.-•~--•~-, .. -•, ·•· ~ •• •• -•• T • --~•••••• • I hereby affirm that there Is ■ construction tending agency tor the Pfflormanc• of the work tor which this permit ill iuu■d ISec. 30971i1 Civil Code). LENDER'S NAME ______________ _ :9. APPLICANT CERTIFICATION LENDER'S ADDRESS _______________________ _ I certitv that I have read the ap~ic■tion and state that the above Information i1 conect and that the tnfonnetion on the r,tana i■ 1ccur11■. I •oree to complv with ell C1tv ordinances and State laws relating to building l:OftltNClion. I hlQby authorize reprnllfltltiYfl of the Cttt of Carta:bad to enter UPon the above men11on■d property for inspection purpoHs. I ALSO AGREE TO SAVE. INDEMNfFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOU!NCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required t~r excavations over 5'0" IIINP end demolition or c:onnructtan of structures over 3 stories in height. EXPIRATION: Every permit issued by the Bui ding Official under the provi■ions of this Code 1hlll •JCPire by limitation end become n I and void tt the building o• wor~ authorized bv such permit is not com ced within 365 days from the date of such permit o, If the building or work auth rized y such permit Is suspended or abandoned It env trme after the w»f commenced t _ • tad of 1 BO days !Section 108.4.4 Unttorm BuHding Coda I. DATE _ _,,_'-l--l>-'O-l--ql--<2z"------ YELLOW: Apphcant PINK: Finance Inspection List Permit#: CB983867 Type: PLUM GAS & ELEC LINE TO FUTURE POOL Date Inspection Item Inspector Act Comments 3/16/99 21 Underground/Under Floor RB AP 3/16/99 23 Gas/TesVRepairs RB AP 3/16/99 31 Underground/Conduit-Wirin RB AP 1/25/99 21 Underground/Under Floor RB AP 1/25/99 23 Gas/TesVRepairs RB AP 1/25/99 31 Underground/Conduit-Wirin RB AP 1/20/99 21 Underground/Under Floor RB AP 1/20/99 23 Gas/T esVRepairs RB AP 1/20/99 31 Underground/Conduit-Wirin RB AP 11/13/98 21 Underground/Under Floor NF AP 11/13/98 31 Underground/Conduit-Wirin NF AP Monday,August23, 1999 Page 1 of 1