HomeMy WebLinkAbout2421 MICA RD; ; CB110738; Permit...
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-07-2011 Plumbing Permit Permit No: CB110738
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2421 MICA RD CBAD
PLUM
2132701500
Status:
Lot#: 0 Applied:
Construction Type: NEW Entered By:
Plan Approved:
Issued:
Project Title: TOLES RES-GAS LINE TO FIREPIT Inspect Area:
AND STUB FOR PORTABLE BBQ, ELET TO OUTLETS
Applicant:
ULTIMATE OUTDOOR ENVIRONMENTS
3459 CORTE FRESA
CARLSBAD 92009
942 4090
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:
WILLIAM LYON HOMES INC
4490 VON KARMAN AVE
NEWPORT BEACH CA 92660
ISSUED
04/07/2011
LSM
04/07/2011
04/07/2011
$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: f1,\. ~
FINAL APPROVAL
Date: o'5/ o,/u Clearance:
$0.00
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. lf 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 f i h h v i I Tl E imil r hi r hi h flimi in h i I h i
~ Plan Check No. C.br 107 3g
Building Permit Application «,1» 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~-CITY 0 F 760-602-2717 / 2718/ 2719
CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit
www.i;;;~rl:;iQadca.gov Date'-(-1 / i I JswPP
JOB ADDRESS SUITE#/SPACE#/UN!TII '" ---"2--'121 M 1c..-A-~o
CT/PROJECT# I LOT II I PHASE# I# OF UNlTS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
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EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) 1DECKS (SF)
1
FIREPlACE
I
AIR C0NDlTI0NING lFIRE SPRINKLERS
YES □#_ NO □ YES O NO □ YES O NO □
CONTACT NAME (ff Different Fom App/leant) APPLl3:':T ~L. !IA A---=--A-w o
ADDRESS ADDRESS 1bb<i<tc;L, l" .A.AA I°" n ll.e"°.\1.--::l;o i o 1.f~'2 q
CITY STATE ZIP CITY STATE ZIP
. t !\ IL.vs. l!,.Jr() t,-k . 'f~oc'i'
PHONE 1FAX PHONE IFAX 760 -z..11.{ -'1 of o
EMAIL EMAIL
vJ'f fM'+,€ 9 ,/T/JctJL-GN ✓ 111..b.v,..e.vf> liit9 ,,.,,,,, L, <.CM
PROPERTY O'J'/R !A'!E 1oL£f CONTRACTOR BUS. NAME "i; <..-f"/l\1fiifyt ClfTpf) 0/l. Ol\} f P-c,IJ},f.f;A/f>.
ADDRESS ADDRESS tcA,L ";/f--r;:, i./ 3 t 9 "2--'( -Z.1 "" \ cA-£._j) 1ob"I, 'f1.,cAM1#JO
CITY (' ..A-fU.. ST~' l:f 1,l)f}(/
CITY STcA----, Z11'"l-O"'i ~$ 9-lf!) 7bo 2-71.i-i/o</o
PHONi7. I) IFAX p~sf.;Pr/J I FAX bO v71,/-'(ot/,o
EMAIL EMAIL ~ v ,_,, m/t"r{ l'--'JPP~~g,.,,~.Lt/ll~ ($c-,l,cn+c v t-T r M "1'"1[' o.rrOcoe...&.ivrk.Jfl/t"lf!. .9'1"'i1 I•"' ii
ARCH/DESIGNER NAME & ADDRESS l STATE LIC. # STATE LIC.# l'LASSf> l''T'/'us/22 .. -3 obb 7°'1-o?.-<-
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demohsh or repair an:r structure, pnorto 1ts issuance. also requires the applicant for such permit to file a siitned statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem9.t therefrom. and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
WORKERS" COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I have and wiN 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 worli: for which this permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the WOO\ for which this permit is issued. My worli:ers' compensation insurance carrier and policy
n,mbe,ar"lnsuranceCo. ,S':f]"r-r:€ ~ Pol;cyNo. Lj,"JJ •t:>OO~L~ Exp;ratJonDate 1/iul fE-
~on need not be completed if the permit is for one hundred dollars ($100) or less./ Jct Certificate of Exemption: I certify that in the performance of the work for which this permil is issued, I shall not employ any person in any manner so as to become subject to the Worilers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penattles and civil fines up to one hundred thousand dollars (&100,000), In
addition to the coll of compensation, damages as vided for In S lo 706 of the Labor code, Interest and attorney's faes.
~ CONTRACTOR SIGNATURE
I hereby afflrm that I am exempt from Cont,ector's License Law for the following reason:
□ I, as owner of !he properly or my employees with wages as their sole compensation, will do the worli: and the structure is not inlended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of properly who builds or improves thereon, and who does such worli: himsell 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 nOl build or improve for the purpose of sale).
□ 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 lO an owner of
properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
D lam exempl under Section ----~usiness and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes D No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following persoo {!inn) lO provide the proposed construction (include name address I phone/ contractors' license number):
4. I plan to provide portions of the worli:, but I have hired lhe following person to coordinate, supervise and provide the major worli: (include name I address I phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the worli: indicated (include name I address/ phone/ type of work):
,65 PROPERTY OWNER SIGNATURE □AGENT DATE
fcoMPLETE-THIS -SECTION FOR NON,l!ESIDENTIAL SUILD"ING PERMITS ONLY·-. . ~ ~ ~ ~, ~ ' ~~ "" ,, -'
Is the applicant or future building occupant requlred lo 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? D Yes D No
Is the applicant or future building occupant required 1o obtain a permit from the air pollution control district or air quality management district? 0 Yes □ No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes D 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 1s a construction lending agency for the performance of the work this perrmt 1s issued (Sec 3097 (1) CIVIi Code)
lender's Name lender's Address
APPLICANT CERTIFICATION
I certify that I haw read the application and state that the above infonnation Is conect and that the infmmation on the plans Is accurate. I agree to comply with aH City ordinances and State laws relating to butlding construction,
I hereby authorize representative of the City of cansbad b enter upon the above menool'led property for i1specoon pwposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AfNWAY ACCRUE AG,'JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pennil is required for excavations over 5'0' deep and demolitioo or CXlflstructkm of structures CNer 3 stories Jl hei:)ht.
EXPIRATION: Every pelTTlil issued by lhe Buii:ling Qffic-.ial under the provisions of this Code shall expire by linilation and become null and void W the buildJlg or work authorized by such pennit is not coovnenced v.ithin
180 days from lhe date of such permit c, if the buidi,g or WOO( autiorized by such pelTTllt is suspended or abandoned at any time alter the work is commenced for a perkxl of 180 days (Seclbn 106.4.4 Uniform Building Code).
kf APPLICANT'S SIGNATURE ~ DATE ~ 7 / I
. .
City of Carlsbad Bldg Inspection Request
For: 09/01/2011
Permit# CB110738 Inspector Assignment: MC ---
Title: TOLES RES-GAS LINE TO FIREPIT
Description: AND STUB FOR PORTABLE BBQ, ELET TO OUTLETS
Type: PLUM Sub Type:
Job Address: 2421 MICARD
Suite: Lot: 0
Location:
APPLICANT ULTIMATE OUTDOOR ENVIRONMENTS
Owner: WILLIAM LYON HOMES INC
Remarks:
Total Time:
CD Description Act Comments
Phone: 7602744090
Inspector: -----
Requested By: MARK
Entered By: CHRISTINE
29 Final Plumbing j:1__ $Jt° Of'r @ f14e:.-'f'lC . '$SQ tJcsc-1"1.S{'""A,1tt,?J>
---~--)/ \?Jl,.Mr m"to1-f,e_ w.n, ~P04ad--+--~----
-. __ . -~ ~ t,l,df: tM,r:-A.UOJ
Comments/N';;'tices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
lnsQection Histo!Y
Date Description Act lnsp Comments
08/11/2011 29 Final Plumbing co MC SEE NOTICE
08/11/2011 39 Final Electrical co MC
04/08/2011 23 Gas/TesURepairs AP MC METER TO BBQ & REAR YARD WATER FEATURE
04/08/2011 31 Underground/Conduit•Wiring AP MC CONDUIT ONLY, METER TO (2) WATER FEATURES ONLY