HomeMy WebLinkAbout252 JUNIPER AVE; B1; CB051466; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 0v:Jj~
04-25-2005
1
/ Plumbing Permit Permit No: CB051466
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
252 JUNIPER AV CBAD St: 61
PLUM Status:
Parcel No: 2042405513 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference#~ Plan Approved: '•, '· Issued:
Project Title: ·-,. JOSEPH RES GAS TO BBQ Inspect Area:
)
Applicant:
JOSEPH HARRY R
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:
JOSEPH HARRY R
252 JUNIPER AVE #601
CARLSBAD CA 92008
ISSUED
04/25/2005
SB
04/25/2005
04/25/2005
$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: $0.00 Balance Due: $27.00
6761 04/25/05 0002 01
CGP
Inspector:
FIN,c\L
Date:lf-: Clearance:
at approval of your project includes the "Imposition~ of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f . n fwhi h h v r vi I n iv n N Tl E imi hi r h f i i n h I h rwi
02
27-00
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·PERMff APPLICATION PLAN CHECK No.~S-llffo-6
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. DeposY-~
Validate:18/~-
Date ~{s=
R.
Address (include Bldg/Suite #) Business Name (at this address)
.s~"" Legal Description ~ Lot No. Subdivision Name/Number•
qs 13 Qfr Do<:.14 .1sBg32-, LJi.,? lv'T /1,,J larlTK '8 I
Unit No. Phase No.
Assessor's Parcel # ' Existing Use 1 Proposed Use
204-2..40-. '>$-I 3
Total # of units
~:;,;l.~:~~t1 ,H~~ ~~itit,r.~~.t•~,1:~;~:;.~~-~~li~i; iJJ(--'1~~·!:{,M~~~"~~~~-;~~~~~~{fJ~;.:~;;~:~~~;;f:~~~:r:;:;~~~~!(1e~.~~c.f;7z9, -=Ii!,), ... ,;._.ID.~i:,.,,,. ___ ..... -"~'t"~~,n,aw:.=•~·'·'""".!i!, ,im,;,~ ,,,,.i.,~o: .. l'lt;li,,,,.,,.,14:,,_>,llj,iW,.)',.,.,_ ..... , .~ .. 1"l-::I'..'-~"'·· . ' ... ,. "'"'\:;.D'JS .... ,,111, """"'"""""'":;.L ,,!;"""""''""'' ., .. t ,&o'5"'f ~-1 ~ .~,I< -/1(,
Name Address City Slate/Zip Telephone #
l ~&Jitii'fm'gi"J',g!Jru-c.'c:ilf~NYffl4t;;-~&~~~~~m.~~;1ef~~<llf~ffl~~~~i~~"f.lJ~B~;,~~'t~&i~i'a'lla~~~JWf&li,tiU~il.imi;~
(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
exemption. Any violation of Section 7031.6 by any applicant for a permit subjects tha applicant to a civil penalty of not more than five hundred dollars 1$5001).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Ad-jress City State/Zip Telephone
State License # _________ _
(~D.wrfB.it~~if,®M.f~'lA'nlUii.W....~~~?~ffl~~~'~f:~r~~$'"l~A~~"¾\$!\§;~~r;~;,~~~~1\t',"g~'Cfr~~1~~-~;!i;lfi~~:t~
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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 performance
of the work 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 work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company_____________________ Policy No.____________ Expiration Date _______ _
(THl~CTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
WJ"' CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Fallure to aecure workers' compensation coverage Is unlawful, and shaU subject an employer to criminal penalties and civil fines up to one hundred
thousand dollar• ($ 0), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE:_~LJ~~~======-=-===-================= DATE__________ ,, ..,,,;rn.;,;:w.iEa;i;"' '1'l'b-..,, 'Fl'/•"RA'.iffor,i'il'llfl,,;;r.Jl!1~rm:;-~;i!1!1.l1'f}'l'.!J'~';t,'l"i:l'~✓-.'wll!i"Ji~'t)¼>)(J'lll':"'l'iE'.Jf1~'.;~J.'li<'.'J'JJ~iil'c!i~~;ii'afi,'F-l~~i':[l,r,1'!.~,i,11'~'1:!!tlll'~•~i:,~,'l't~'!ir\"~~ffl\2f'lffr~.~; W&ru•'l.: ..... ,~!.!-.H~,---~· •. _..,_ ~~-.'!L ,>-='.~-~~1\iUM~ir.lm-'iE{~~l,ll!!j~.~~if.1mPJtt.c,W.&Jti.~-.t~ ... .,L~ ... ~•i::L~~.1~1~!~l~.4;'~¥.,1,:!~mc....~bi,\'°"'r~Jt11,»1'l!.~#i:M .. -.. ;!~·i:t~~-...
I her_,Py affirm that I am exempt from the Contractor's License Law for the following reason:
ii;r"' I, as owner of the property or my employees with wages as their sole compensation, will do the work and th~ 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).
D
1.
2.
3.
I am exempt under Section ______ Business and Professions Code for this reason:
I personally plan to provide the major labor and materials for construction of the proposed property improvement. ~ES ONO
I lhave / have notl signed an application for a building permit for the proposed work.
I have contracted _with the following person lfirm) 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 I 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): ___________ _,.-#-Fc.~h-----=-----------------------------------
PROPERTY OWNER SIGNATURE --,<t;,e._.1.-'!,,9'-------------------DATE _________ _
tc:QM!l~~'t~,~tHi.~'§.E~~JigMfi6.:i\W...Q& efs)7i, ..... t~llWfRf&9.1!f§ir;iJi'$.i'.~~~JLvrm:4:m'ffi~tllii$il~~~~~-~4'iiE~~l!:i1!!fi~7:l~
Is tha applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 26505, 25533 or 25634 of the Presley-Tanner Hazardous Substanc',, 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? D YES D 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 AND THE AIR POLLUTION CONTROL DISTRICT.
m~~§11i~gti.ey8T11eyr!?J.['<t~fi~1Rr, -· ·1,'l:i~W-~'i~Ja~liiltJft:ihl~1't~1~~~':1~~~!if~~tir~~~!!IIJ~r~~~,:riJ~~f11f1'\'I~~~ru1,B,1ti~i1ili!ltiidrir.~'ffi~Ei
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ISec. 3097(i) Civil Code).
LENDER'S ADDRESS. ________________________ _ LENDER'S NAME ______________ _
~fi~filt![c.!'i'fJQJR]li:imfi'@Nm~w~P.Ii&~l'.~~~ii~tlll~~~,.a~~~.i,li~L~~i~m~~.wu;~j',,1~
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 Cit\' of Carlsbad to 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,
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 6'0" 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 ls 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 ol 1BO days (Section 106.4.4 Uniform Building Code).
APPLICAI\' 5 SIGNATURE __________________________ _ DATE _____________ _
WHITE: File YELLOW: Applicant PINK: Finance
~ • City of Carlsbad Bldg Inspection Request
For: 06/10/2005
Permit# CB051466
Title: JOSEPH RES GAS TO BBQ
Description:
Type: PLUM Sub Type:
Job Address: 252 JUNIPER AV
Suite: B1 Lot 0
OWNER JOSEPH HARRY R
Owner:
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment: BN ---
Phone: 7608047296
Requested By: GARYfTERRY
Entered By: CHRISTINE
23
29
GasfTest/Repairs
Final Plumbing W--------------
Associated PCRs/CVs
Inspection History
Date Description
05/02/2005 21 Underground/Under Floor
05/02/2005 23 Gas/fest/Repairs
Act lnsp Comments
AP BN
AP BN