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HomeMy WebLinkAbout2552 Ingleton Ave; ; CB071146; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-23-2007 Plumbing Permit Permit No: CB071146 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2552 INGLETON AV CBAD PLUM 2131303500 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: CHEATHAM RES-GAS TO BBQ & FIRE PIT Applicant: FRED CHEATHAM 2552 INGLETON AVE CARLSBAD CA 92009 760 801-7904 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: FRED CHEATHAM 2552 INGLETON AVE CARLSBAD CA 92009 760 801 -7904 Issued: Inspect Area: ISSUED 04/23/2007 RMA 04/23/2007 04/23/2007 PC $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: FINA4A:r~y_A Date: \J Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.' You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f x i n f hi h h v r vi I · E i ii r hi whi h h f Ii i i n h I h PliRMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK No. CJ3o J 11 Lf b EST. VAL.----------- Plan Ck. Deposit ---------MI-.-- Validated By ---+----+---iA:r'd--- Date ---~t-f--.J.._....!H...Y.-+--- 25S""2. ::r:.N,CrtJJDN Av~ ji ':> Business N~t this add~ 3s Q~SS I 4f -~(#$'1 0£ f f.lAJt{.. Z AddftSS (indude Bldg/Suite #) ~1"1.Crt..(_ ~IL"J \)\...)U<..IM'- Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units A~sor's Parcel # DAC..tc:- Def11!ption of Work f~u--l~T 2. CONTACT PERSON (If different from applicant) Name Address City 3. APPLICANT D Contractor a Agentfor Contractor Ml Owner 'f '4icO Cl:\li.ATH AVV\ us "2 ;t:N c,«. -n,,J A LIi\: Name Address City 4. PROPERTY OWNER M:l(J) C,s-Ut TI+A:M 2SS1-~"' (g Tot-I A~ Name Address City 5. CONTRACTOR -COMPANY NAME Proposed Use #dBedrooms # of Bathrooms State/Zip r Telephone#'-= (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 d the Contractor's license Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Profesaiona 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 ($5001). Name Address City State/Zip Telephone# Slate License# ________ _ License Class-----------City Business License# __________ _ Designer Name Address City State/Zip Telephone# State License# _______ _ $. WORKER'S COMPENSATION Compensation Declaration: I hereby affirm under penalty of perjury one of the following dedarations: 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 this permit is issued. D I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performanoe of the work for which this permit is Issued. My worker's compensation Insurance earner and policy number are: Insurance Company Policy No. Expiration Date __________ _ (THIS SECTION NEED NOT BE COMPLETED IF lHE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D 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 Cslifomia. WARNING: Failure to secure workers' compenHtlon coverage Is unlawful, end shell subject en employer to criminal penalt1es and civil fines up to one hundred thousand dollars($100,000), In addition to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, Interest and attorney's fees. SIGNATURE DATE. _________ _ ·7. OWNER-BUILDER DECLARATION I he.!J'bY affiml that I am exempt from the Contractor's License Law for the following reason: V I, as owner of the property or my employees with wages as their sole compensation, wil d the work and the structure is not in1en<led or dfered 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 w~I have the burden d proving that he did not build or improve for the purpose of sale). a I, as owner of the property, am exdusivety 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 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. 11!1'" 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 I address I phone number I 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 I address I phone number I /ontractors license number): -------------------------------------------- 6. I will provide some of the work. but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): PROPERTYOWNERSI~~< -DA11a ,;-2 3 -cJ 7 WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION . . CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIOENnAL BUILDING PERMITS ONLY 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'? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control dlsbict or air quality management district? 0 YES O 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, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIRE,.,ENTS 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 work for which this permit is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME~~~~~~~~~~~~~~~~~~~ 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 to comply with all City ordinances and State laws relating to bu~ding construction. I hereby authorize representatives of the City of Ca~sbad 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 LIABIUTIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations of 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 pennit is not commenced within 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 of 180 days · 1~iform Building Code). APPLICANrS SIGNA DATE f-Z.5 .... 07 ' WHITE: File YELLOW: Applicant PINK: Finance ~ '1rl City of Carlsbad Bldg Inspection Request For: 06/11/2007 Permit# CB071146 Title: CHEATHAM RES-GAS TO BBQ & FIRE Description: PIT Type: PLUM Sub Type: Job Address: Suite: Location: 2552 INGLETON AV Lot APPLICANT FRED CHEATHAM Owner: APODACA CARLYN Remarks: Total Time: 0 CD Description Act Comment 21 Inspector Assignment: PC --- Phone: 7608017904 Inspector: Requested By: FRED Entered By: JANEAN Underground/Under Floor I ~-0~f'S~TIB~~--~~~-~~~~~~~- ~ ~IA 4'i4. --------(./ ( l ( 1'/c'ir?ments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ~'"'•""'-w"'c.'-/ 31" 11,r.:::,T,111-r...:.....a-;~~--• ,~rtfl:r4••.~d Cc< O~i) j ~~/Y\Pi O ..:z;i~~-,;;~~ Cof'le/Uc ~E.. LIC.,ttTI"4tr -Fx $~ zo..., UP t.U,>ffiH c,- 35" w Ur TU£.s "Zf) 1,111 s.,., Sffb&6S Ru,..r 4!:f,, .. ,Alv """!= ~r 1,,-r111,.. 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