HomeMy WebLinkAbout2457 LAPIS RD; ; CB061893; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-03-2006 Plumbing Permit Permit No: CB061893
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
2457 LAPIS RD CBAD
PLUM
2132300600
Status:
Lot#: 0 Applied:
Construction Type: NEW Entered By:
Plan Approved:
Issued:
Project Title: PATEL RES-GAS LINE TO FUTURE
FIREPIT
Inspect Area:
Applicant:
A PASSION FOR GARDENING
10424 BURNED OAK LN
ESCONDIDO 92026
760 749 7021
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:
PATEL FAMILY TRUST 10-04-84
2457 LAPIS RD
CARLSBAD CA 92009
ISSUED
07/03/2006
LSM
07/03/2006
07/03/2006
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector:
FINAL APP,ROVAL
Date J...-t,-c:>l. 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. 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 Ca~sbad 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.
-PERMIT APPLICATION 1<.AD
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
1. PROJECT INFORMATION
9YS1 L.cL,p IS
Address (include Bldg/Suite#) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No.
Assessor's Parcel # Existing Use
#of Stories
FOR OFFICE USE ONLY 3 PLAN CHECK NO. a_g 0~ l tq
EST. VAL. __________ _
Plan Ck. Deposit __ .,_~__,------
Validated By -----'~"----,,.=-=------
Date __ ___;(D.=--'-'--1,-/..:::.G~/ O::;.h~-
Phase No. Total# of units
Proposed Use
# of Bedrooms # of Bathrooms
City State/Zip Telephone#
"· PROP~Rl; OWN~ _-J-/) /\ t b (\ ,. f/1t;gan4Nf.RCA t:"f¥,El 2f/5'7Lepes KJt• C'ABJs f¼-kl)(fi, mo9 -7(d')-9Sc,_.433l,
Name ' Address City State/Zip Telephone#
5. 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 Contrae10r'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
ya leant for a permit subjects lean to a civil penally of not an five hund lars I ]).
~. E:' ~ £,
State License# E' C/Q<;{ 15 8: AddresL~cense Class C. ;;i..1
Designer Name Address City State/Zip Telephone#
State License# _______ _
I. WORKER'S COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and wUI 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 permit is issued. P(_ I have and wit maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the woril for whz thhis rmit is issued. My
lnsuranceCompany ~jt:.. ru r, PolicyNo. IJ'LU 5bJ-20w Expiration Date P:':: /'0.-.01)_ worker's compensation ln~~pol~ber are?£. o I\ 3 n /1/ ,.., ?
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMITS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
1
0 CERTIFICATE OF EXEMPTlON: 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.
7. OWNER-8UILDER DECLARATION
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 woril 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).
O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contrae10r's
License Law does not apply to an owner of property who buffds or improves the19011, and contracts for such projects with con~s) licensed pursuant to the Contractor's
License Law).
D I am exempt under Section ________ Busineas and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement O YES O NO
2. I (have/have not) signed an application for a buMdlng permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (indude name/ address I phone number/ contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to COOldinate, supervise and provide the major woril (indude name / address / phone number/
/Ontractors license number): ---------------------------------------------
6. I will provide some of Iha work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number/ type of work):
PROPERTY OWNER SIGNATURE __________________________ DATE __________ _
WHITE: File YELLOW: Applicant PINK: Finance
PER"1IT APPLICATION
~ CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
COMPLETE nus SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONL y
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? D YES □ NO
Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility lo be constructed within 1,000 feet 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the wol1( for which this permit Is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME __________________ _ LENDER'S ADDRESS __________________ _
9. APPLICANT CERTIFICATION
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 lo comply with all City
ordinances and Stale laws relating to buWding construction. I hereby authorize representatives of the City of Carlsbad lo 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, JUDGEMENTS, 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 of s•o• deep and demolition or construction of structures over 3 stories In height
EXPIRATION: Every permit issued by the bu ing Official under the provisions of this Code shall expire by limitation and become nuU and void if the bu~ding or wof1c authorized
by such permit is not commenced within a from the date of s rmit or if the building or woric authorized by such permit is suspended or abandoned at any time after
the work is commenced for a period of O Section .4.4 Un' u~ding Code). /2 /4
APPLICANT'S SIGNATUREµ1:e:q......:::-~"::.-::~~~~1.L.--,~~-----=:::...-----DATE A ;-Ci
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For 07/05/2006
Permit# CB061893
Title: PATEL RES-GAS LINE TO FUTURE
Description: FIREPIT
Type: PLUM Sub Type:
Job Address: 2457 LAPIS RD
Suite: Lot 0
Location:
OWNER PATEL FAMILY TRUST 10-04-84
Owner: PATEL FAMILY TRUST 10-04-84
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment:
Phone: 7607345937
Inspector: -~g~µ __
Requested By: ROBERTO
Entered By: CHRISTINE
23 Gas/Test/Repairs #------
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments