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2410 COPPER WAY; ; CB101800; Permit
09-30-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB101800 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2410 COPPER WYCBAD PLUM 2133100200 Lot#: 0 Construction Type: NEW BOIVIN RES- GAS TO STUB FOR PORT BBQ, FIREPIT / ELECT TO OUTLET Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/30/2010 LSM 09/30/2010 09/30/2010 Applicant: ULTIMATE OUTDOOR ENVIRONMENTS 3459 CORTE FRESA CARLSBAD 92009 942 4090 Owner: LC GREENS 1.3 LLC C/0 DANNY GABRIEL 4747 MORENA BLVD #100 SAN DIEGO CA 92117 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 0 0 0 0 0 1 0 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $47.00 Total Fees:$47.00 Total Payments To Date:$47.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE thaaapproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Yo» 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 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 Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. 66 f Q 1 Est. Value Plan Ck. Deposit Date SWPP JOB ADDRESS.Co f> SUITE#/SPACE#/UNIT# CO CT/PROJECT*# OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP ESCRIPTION O^WORK: Include Square Feet of Affected Area(s)' EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D #NO O AIR CONDITIONING YES D NO O FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Fom Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR NAME ADDR ADDRESS CITY STATE ZIP CITY STATE PHONE . . ^ &79) l/f FAX ONE FAX EMAIL EMAIL <JT ARCH/DESIGNER NAME & ADDRESS STATE LIC. #CLASS -7 CITY BUS. LIC.# (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 theapplicant 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 theBusiness 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: CD 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. ~3ri.hav*^nd^ll-mainUln-wo>l«eTsrcbmpensation, as>equired"by Sectiori^ro^btlheLaboTCode, for the performance oT the work fo^^ number are: Insurance Co. _ Policy No. _ Expiration Date _ This section need not be completed if the permit is for one hundred dollars ($100) or less. ^3— 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: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section ajj&of the Labor code, interest and attorney's fees. ^CONTRACTOR SIGNATURE OAGENT DATE ~ I hereby affirm that I am exempt from Contractor's License Law for the folbwing reason: d 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 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, 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). a I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes D No 2.1 (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 / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the maj or work (include name / address /phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE DAGENT DATE JP E RIW i T s 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? OYes DNo 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 G No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes D No IF ANY OF THE ANSWERS ARE YES, t EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address OSHA: An OSHA permit is required for excavations over SO' 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 commenced within ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 03/08/2011 Permit* CB101800 Title: BOIVIN RES- GAS TO STUB FOR Description: PORT BBQ, FIREPIT / ELECT TO OUTLET Inspector Assignment: PY 2410 COPPER WY Lot: Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT ULTIMATE OUTDOOR ENVIRONMENTS Owner: Remarks: CALL WITH ANY PROBLEMS Phone: 9202790408 Inspector: Total Time: CD Description 29 Final Plumbing AcU Comments Requested By: BRANDON Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 10/04/2010 21 Underground/Under Floor WC PY 10/04/2010 23 Gas/Test/Repairs AP PY 10/04/2010 31 Underground/Conduit-Wiring PA PY CONDUIT ONLY Check a License - Contractors State License Board Page 1 of 1 Department of Consumer Affairs Contractors State License Board Contractor's License Detail - License # 704022 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. » CSLB complaint disclosure is restricted by law (MR.Z124.j3) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. •* Per B&-P.ZQ71/LZ , only construction related civil judgments reported to the CSLB are disclosed. £J Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. • * Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number 704022 Extract Date: 9/30/2010____________ 7668 EL CAMINO REAL Business Information CARLSBAD, CA 92009 _J^inessJ^hgneNu^b5r^76^J29J^S58 ^ Entity;: Sole Ownership jssueJDate _ 03/16/1,995 _ Expire Date _ 03/31(201,1 '. _ License Status This license is current and active. All information below should be reviewed. AdditionaiStajtus; _ _ _ _ _ ^ CLASS DESCRIPTION Classifications:B _ GEJ4EEAL_EUlLDlIiQ....G.QNTMCIQB CONTRACTOR'S BOND This license filed Contractor's Bond number 110029 in the amount of $12,500 with the bonding company B°nd'n9: AMERICAN.CQNIRACIQRSJNDEMNJIY COMPANY, Effective Date: 01/01/2007 Contractor's Bonding History This license is exempt from having workers compensation insurance; they certified that they have no employees at this time. Workers'Compensation: „„,.,..,..„„,-Effective Date: 02/14/1995 Expire Date: None • Conditi.Qns.of Use I Pliyacy..Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=7... 09/30/2010 £*VUI*W f>o t v W / ALtYs^w W?rre^6S>- d^LSS/lO 3,* <?.«=*=• X (I'tl^V/S- 2-^2=f^)Ci?2^>2Te?'QfO<fe> ^OV-T^^^. U<=T -z^i Ar 01- i?<Mr/<» CT^-E£'^ do A/ <2.£/" r<^^ '-• u/^//5sayhpe D cs S/^'5 •' J1^ <^-^-^ s (ft*1 %^ -*gs >> ?8 _£011 OSli 1'I i i