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Home My WebLink About2350 LAPIS RD; ; CB061703; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-13-2006 Plumbing Permit Permit No: CB061703 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2350 LAPIS RD CBAD PLUM Status: Parcel No: 2132213100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: MEDINA RES: GAS TO FIREPIT, Inspect Area: FUTURE FIREPLACE, & BBQ; ELEC. TO BBQ Applicant: MEDINA MARIO P&L YNN CA 1325 STANISLAUS DR CHULA VISTA CA 91913 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 Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 Owner: MEDINA MARIO P&L YNN CA 1325 STANISLAUS DR CHULA VISTA CA 91913 ISSUED 06/13/2006 JMA 06/13/2006 06/13/2006 $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: FINAL AP I... Date: Clearance: $0.00 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 pem,it 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 similar application processing or service fees in connection with this project NOR DOES IT APPLY to any f x in fwhi h I n iv n N Tl E imilart his r hi h h flimi in h vi t PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECT INFORMATK>N Address (Include Bldg/Suite#) l , 0 1 Business Name (at this address) .i~so •ris MM ~~s"A4( _ c,4 -,.uoq Description of Work Q. FT. L , • 1• j """"' ro & e.a '~S<-'flrif. e1ea,,1c, I~ 'T(.16 ~ ,t. 2. ~~TPiMQN (ttJIHfmm..frqm appl~ ------- ;\ Name Address State/Zip Name Name Address ~ML.MAW eLfC.. FOR OFFICE USE ONLY PLAN CHECK No.0300170_3 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By s..l_lll:\: Date h{ ci]ob Phase No. <, Proposed Use 5.,, hie. # of Bedrooms Telephone# Telephone# Total # of units '15 # of Bathrooms (Ffz.. Fax# (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 pem,it 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. Any violation of Section 7031.5 by any applicant for a pem,it subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Name Address City State/Zip Telephone# State License# _________ _ License Class ___________ _ City Business License# ___________ _ Designer Name Address City State/Zip Telephone# State License# ________ _ •. ____ !~~!~~!f.;.;;;;;;.;...__. _______________________ _ Workera' Compensation Declaration: I hereby affim, under penalty of pe~ury one of the following dedarations: D 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 perfomiance of the work for which this pem,it is issued. D I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the perfom,ance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company _________________ Policy No. ____________ Expiration Date ___________ _ (THIS SECTION NEED NOT BE COMPLETED IF TliE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) ~ CERTIFICATE OF EXEMPTION: I certify that in the perfom,ance of the work for which this pem,lt is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Cal~omia. WARNING: Fallure to aeeure workersf:' compenHtlon coverage la unlawful, and ahall subject an employer to crtmlnal penaltlea and clvll flnea up to one hundred thousand dollars($100,000), hf Jd~itlon to the c t of mpe Ion, damagea are provided for In Section 37011 of the Labor Code, lntereat and attomey'a fni / • SIGNATURE V~ . DATE <, _/~ o(, 7. OWNEJl.aui.DiER beci:AIIAfiON I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will d 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). D I, aa owner of the property, am exdusively 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). )!I' 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. D YES D NO 2. I (have/have not) signed an application for a building pem,it for the proposed work. 3. I have contracted with the following person (fim,) 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 I address / phone number / /ontractors license number): ----------------------------------------------- 5. I wMI provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (indude name / address / phone number / type of work): PROPERTY OWNER SIGNATURE _ _ipt;;;; ___ -=..· __ P._._..:.~...:.....=.'::.:P--:,:c.__.=_; ____________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance PERM!T APF;>LICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Ceililfflntll SIC110NFOlll~ALBUl~IUliff dtLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES~ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES ,.a--,(o Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES µ-NO IF ANY OF TliE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS TliE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF TliE OFFICE OF EMERGENCY SERVICES AND TliE 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(1) Civil Code). 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 TliE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TliE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Off'tcial under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (S~tion 106.4.4 U?form ~ildlng C~e). APPLICANT'S SIGNATURE ~ /. ~ DATE ___ v_/_f_~_/o_f, _______ _ M11l"'10 f. t-1CAir\~ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 12/06/2006 Permit# CB061703 Inspector Assignment: PY --- Title: MEDINA RES: GAS TO FIREPIT, Description: FUTURE FIREPLACE, & BBQ; ELEC. TO BBQ Type: PLUM Sub Type: Phone: 6193161500 Job Address: 2350 LAPIS RD Suite: Lot 0 Location: Inspector: ---- OWNER MEDINA MARIO P&LYNN CA Owner: MEDINA MARIO P&L YNN C A Remarks: PM PLEASE, WATER LINE INS619/246-3821 Total Time: CD Description Act Comment Requested By: LIN MEDINA Entered By: BINSPECT 29 Final Plumbing M----- Comments/Notices/Holds Associated PCRs/CVs Original PC# lnS!2eCtion HistO[Y Date Description Act lnsp Comments 11/20/2006 29 Final Plumbing co JM SINK CANNOT DRAIN TO CURB 11/20/2006 39 Final Electrical co JM 06/21/2006 23 Gas/TesVRepairs AP PY 06/21/2006 31 Underground/Conduit-Wiring PA PY CONDUIT ONLY 06/21/2006 34 Rough Electric WC PY ·l ® PAD=233.10 FF=233.85 ~ APPROVED ( )'if}CA LAPIS ROAD BY_ JUN 13 2006 City of CARLSBAD BUILDING DEPT WESTERN PACIFIC HOUSING 5790 FLEET STREET SUITE 210 CARLSBAD, CA 92008 (760) 929-1600 20F2 PHASE 6 -LOT 46 La Costa Greens fr'-"i "Villareal" IV\"~ NEIGHBORHOOD 1.09 CARLSBAD, CA., 92009 1>-\n'\?7\ .r,.-nn\.-vh lhlta\l nT nl~('I n ~IJ~\PHA<:F fi I OT 4fi P~ ? nwnr 1?7!'i t.lor-01-2006:10:50 ,, CP:o<o t 7 63