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HomeMy WebLinkAbout2348 CAMINO ROBLEDO; ; CB000695; Permit03/01/2000 City of Carlsbad Plumbing Permit Permit No:CB000695 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2348 CAMINO ROBLEDO CBAD PLUM 2552721700 Lot#: Construction Type: GAS LINE TO BBQ/FIRE PIT 0 NEW Status: ISSUED Applied: 03/01/2000 Entered By: RMA Plan Approved: 03/01/2000 Issued: 03/01/2000 Inspect Area: Applicant: LORCO 4488 SALISBURY DR CARLSBAD CA 92008 619-434-8945 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 03/01/00 0001 01 02 0.00 iO.OO iO.OO 0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 27.00 $27.00 TOTAL PERMIT FEES $27.00 Inspector' FINAL AR 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 capacity changes, nor planning, zoning, grading or other simitar 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 NO.. EST. VAL. - /fr- Plan Ck. Deposit Validated By. 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 *Existing Use Proposed Use Description of Work SQ. FT.*of Stories # of Bedrooms # of Bathrooms Name State/Zip &4* 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 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 exempt therefrom, and the basis for the alleged exemption. Amy violation of Section 7031.5 by any applicant for a permit subjects the epplicant to a civil penalty of not more than five hundred dollars ($500)). Name State License # Address License Class City State/Zip City Business License * ele; 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 es 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: insurance^ompany : Policy No. Expiration Date (THIS'SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) *J& CERTIFICATE OF EXE to become subject to the Wq WARNING: Failure to eecu thousand dollars <* 100,001] SIGNATURE ION: 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 kers' Compensation Laws of California. workers' compensation coverage Is unlawful, and aheH subject an employer to criminal penalties and olvfl fines up to one hundred Ition to the cost of compensation, damages as provided for In Section 3706 of the Labor codaArta/ett-wul attorney'* fee*. DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q I, as owner of the property or my 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 en 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. 1 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 e business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? Q YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES D 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. I 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 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 eli 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 1HUNY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excevations over 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Opkjial undertrie provisions of this Code shall expire by limitation and become null authorized by such permit is not commenced within 1C 3 faays'from the date of such permit or If the building or work authorized by such pei at any time after the work is commenced for a period >f 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 9 WHITE: File YELLOW: Applicant PINK: Finance if the building or work uspended or abandoned City of Carlsbad Bldg Inspection Request For: 5/26/2000 Permit* CB000695 Title: GAS LINE TO BBQ/FIRE PIT Description: Inspector Assignment: TL Type: PLUM Sub Type: Job Address: 2348 CAMINO ROBLEDO Suite: Lot 0 Location: APPLICANT LORCO Owner: BLANC HARD MICHAEL P Remarks: Phone: 7604348945 Inspector: Total Time: CD Description 29 Final Plumbing Act Comments Requested By: LORCO Entered By: CHRISTINE 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