HomeMy WebLinkAbout2372 LARIMAR AVE; ; CB061129; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-26-2006 . Plumbing Permit Permit No: CB061129
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2372 LARIMAR AV CBAD
PLUM Status:
Parcel No: 2132210500 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: SAZON RES-GAS & ELECT TO BBQ Inspect Area:
Applicant:
CAMILLl'S CONCRETE & MASONRY
PO BOX290
BONSALL CA 92003
626 966-3795
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:
SAZON FAMILY TRUST 05-26-99
21335 STOCKTON PASS RD
WALNUT CA 91789
ISSUED
04/26/2006
RMA
04/26/2006
04/26/2006
$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: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'lmpositi n' 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 similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f . h h I i n N Tl E imil r h' h h r i I h rwi x .
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO.~ Cfj Ob I I 7-. Cf
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit 71--
Validatedrt-y ~ z ~
Date _ /_ 0 J t)b 7
r I
~-PROJECTINFORMr ~ 2 3] 2. o(, M c,. (
· 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 fl Existing Use Proposed Use
# of Bedrooms # of Bathrooms
Name Address
3. APPLICANT O Contractor O Agent for Contractor O Owner
Name Address
City
0 Agent for Owner
City
State/Zip Telephone II Fax #
State/Zip Telephone#
/-. 4. PRO~RTY OWNER ·T <I~ 1 (:l_ -Z.oN -Z37Z l. ~rt'/tlc. / r'/-11"/s~L-// t! J:1-t zc:.-9tt -3 7?~-
Name Address City State/Zip Telephone#
6. CONTRACTOR • COMPANY NAME
(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
exam tion. Any violation of Section 7031.5 by an applicant for a permit subjects he applicant to a civil penalty of n~llmore than f~; hundred dollars ($5001). ,.1'.2 """'' e.. D f'I Al <'....v-,-,C/6 70-~-{:,07,
Name
State License fl __.5...__...,7,_.,.7~8'.~'--,.i--Address f' q,I State/Zip !! Telephone#
License Class --"-=---=-\)_____ City Business License II 14,!'.'../V fur
Designer Name
State License # 5 ] ] 8'. b f
6. WORKERS' COMPENSATION
Address City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
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 31'& work for which this permit is issued.
[2f 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
V issued. My worker's com ensation insurance carrier an~ ~olicy number ar~. ..(. I ! ' J_ // /
.../' Insurance Company +~ 0 'M ~,/'\, ";, ftf .,9 "'-(, Policy No. 1(2 (s) ~ ~C) :._rxpiration Date 04 J_O I LltKJ
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE H OREO DOLLARS ($100) OR LESS)
1
0 CERTIFICATE OF EXEMPTION: 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
to become subject to the Workers' Compensation Laws of California.
WARNING: Fallure penaatlon coverage la unlawful, and shall subject an empl yer to criminal penalties and civil fines up to one hundred
~uaand dollars ( 0 , nsation, damages as provided for In Sectio 3706 of the r code,linterea~nd attorney's fees .
./'s'.GNATURE_--'=l<£..._""?..,c::.....,,r;.._-..,~ .,_-_-_-_-_-_--:_+--------------:-=----,1 DATE -2 P -(5
7. OWNER-BUILDER
0 I, as owner e 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 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).
0 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).
0 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. 0 YES O 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 / 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 -----------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
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 ______________ _
9. APPLICANT CERTIFICATION
LENDER'S ADDRESS _________________________ _
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 Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official 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 com ced wilhin 1 BO d from the date of such permil or if the building or work authorized by such permit is suspended or abandoned
at any time afler the work is comme c for a period 80 days (Section 106.4.4 Uniform Building Code).
Y APPLICANT'S SIGNATURE r"'b-"---'7"'7"---"'---,~-7------------=-=!-DATE --;"~c.._-__ z_c_-__ c:r_/ __ _
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 07/19/2006
Permit# CB061129
Title: SAZON RES-GAS & ELECT TO BBQ
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
2372 LARIMAR AV
Lot 0
APPLICANT CAMILLl'S CONCRETE & MASONRY
Owner: SAZON FAMILY TRUST 05-26-99
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment: JM ---
Phone: 7605946841
Inspector: -----
Requested By: DANNY
Entered By: JANEAN
29 Final Plumbing (£_ ______ _
39 Final Electrical --t---_
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
lnsE'.)ection Histo!Y
Date Description Act lnsp Comments
0412712006 23 Gas/Test/Repairs AP JM BBQ
0412712006 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY
Owner/Contractor: Job Site Loc,tion:
Name Q,p"",,;\l~ S /Dar1"''{ NameSaz.CJll Re.s1der1ce.
Address v 3 \ <.;; ~;<;<;,a~ 2 0 Address Z. ??7 2 Lon·mav:
City/State/Zip f c-\\(2)Q,ook_ C.A qr,oti:' City/State/Zip CaY/5bad/Cl4/qzoo9
Phone 7ft:.0 04 -I:, 'i'I I Phone ( lP 2.~) Cf&,&, -3,c1-s-
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