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2557 DOGWOOD RD; ; CB080073; Permit
01-08-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB080073 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2557 DOGWOOD RD CBAD PLUM 2131701200 Lot#: 0 Construction Type: NEW SWARTZ RES-FIREPLACE, GAS & ELECT TO BBQ & FIREPLACE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/08/2008 LSM 01/08/2008 01/08/2008 Applicant: TERRA BELLA LAND DEVELOPMENT PO BOX 9192 RANCHO SANTA FE 8583388151 CA 92067 Owner: SWARTZ LOUIS&JOAN 2557 DOGWOOD RD CARLSBAD CA 92009 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 $109.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $136.00 Total Fees:$136.00 Total Payments To Date:$136.00 Balance Due:$000 V Inspector: FINALAPE Date: _L Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. City of Carlsbad X^ 1635 Fateday Ave., Carlsbad, CA 92008 H| ^tefp^> 760-602-2717/2718/2719 ^A^QJoi' Fax: 760-602-8558 ^W^i^ Building Permit Application JOB ADDRESS • CT/PROJECT# 1 LOTS'-' 1 PHASE # # OF UNITS [((BEDROOMS DESCRIPTION OF WORK: &A$ ** £^f^r??(c, TO ftgo c EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME --, , ADDRESS CITY . ^ STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # SL Plan Check No. Q& O %dX> "7 "3> H Est. Value / Plan Ck. Deposit Date ifrfoS' SUITE#/SPACE#/UNIT# APN ((BATHROOMS TENANT BUSINESS NAME 1 CONSTR. TYPE 1 OCC. GROUP L ^rtLpta**. tS^Er- b* PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANTNAME ADDRESS, ^_ ,-». CITY STATE ZIP PHONE x FAX EMfflL -^ CONTRACTOR BUS. NAME . ;rV rv^>-^ \ss2.(lct ^**<i( U^i/2l<'j!-''*tei''Cr ADDRESS 1 CITY -, STATE ZIP K.-S-/'- £4- 9 ^'^7 PHQWE \ FAX EMAIL ' STATE LIC.# CLASS 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 the applicant for such permit to file a signed statement that he islicensed 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 ofSection 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: C] 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. S^. 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 workers' compensation .insurance carrier and policy number are: Insurance Co. 5 (J rr ^CVvCut't'cvtce Grr*y£*i>\ Policy No. UySZ^/^/^T $$*£& f Expiration Date j? / / /if 8' \\ */ I This section need not be completed if the permit is for one hundred dollars ($100)orfess. O Certificate of Exemption: I certify that in Ihe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, darpaSeSSsp/oviderJJoiinSggtien 3706 of the Labor code, interest and attorney's fees. JS$ CONTRACTOR SIGNATURE ^^^^.^f ^~^-' DATE / hereby affirm that I am exempt from Contractor's License Law for the following reason: n 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). Cl 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). O 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. Cl 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 major work (include name / address / phone / 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 / type of work): ^PROPERTY OWNER SIGNATURE DATE 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? CJ 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? O Yes G No Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? d Yes D. No IF ANY OF THE ANSWERS ARE YES, I EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,K iK-y*,. 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 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 ordinancesand State laws relating to building construction. bhereby authorize representative of the City 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 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Build 1 80 days from the date of such permit or if ttjejjujlding or wort autaizgdJsy'such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 01/18/2008 PerrniW CB080073 Title: SWARTZ RES-FIREPLACE, GAS & Description: ELECT TO BBQ & FIREPLACE Inspector Assignment: PY 2557 DOGWOOD RD Lot: Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT TERRA BELLA LAND DEVELOPMENT Owner: SWARTZ LOUIS&JOAN Remarks: Phone: 8583538052 Inspector: Total Time:Requested By: GABRIEL Entered By: CHRISTINE CD Description 23 Gas/Test/Repairs 31 Underground/Conduit-Wirin Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 01/09/2008 23 Gas/Test/Repairs CO PY SEE NOTICE ATTACHED 01/09/2008 31 Underground/Conduit-Wiring CO PY City of Carlsbad Bldg Inspection Request For: 01/09/2008 Permit* CB080073 Title: SWARTZ RES-FIREPLACE, GAS & Description: ELECT TO BBQ & FIREPLACE Inspector Assignment: 2557 DOGWOOD RD Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT TERRA BELLA LAND DEVELOPMENT Owner: SWARTZ LOUIS&JOAN Remarks: Phone: 7604551529 Inspector: Total Time: CD Description 23 Gas/Test/Repairs 31 Underground/Conduit-Wiring Act Comments Requested By: NICK Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE TIME LOCATION *L5-& 1 £> a^ U/ g> -ft J? PERMIT NO. A-. rxJ.X FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? i i YES FOR FURTHER INFORMATION, CONTACT PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER Check A License: Contractor's License Detail Page 1 of 2 Skip to: CSLB.Home | Content | Footer | Accessibility Search CONTRACTORS STATE LICENSE BOARD 01 I 07 BWLMM6 OFHCIM.S GEN£R»LINFO WHAT ¥OU CAN DO About CSLB CSLB Newsroom Board and Committee Meetings Disaster Information Center CSLB Library Frequently Asked Questions Online Services « Check A License or HIS Registration • Filing a Construction Complaint • Processing Times • Check Application Status • Search for a Surety Bond Insurance Company « Search for a Workers' Compensation Company How to Participate CONTRACTOR'S LICENSE DETAIL tii DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be awai the following limitations. • CSLB complaint disclosure is restricted by law (B&P 7124,6). If this entity is subject to pu complaint disclosure, a link for complaint disclosure will appear below. Click on the link 01 obtain complaint and/or legal action information. • Per B&P..7071,17, only construction related civil judgments reported to the CSLB are disc • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitn • Due to workload, there may be relevant information that has not yet been entered onto th license database. License Number: Business Information: Entity: Issue Date: Expire Date: License Status: Classifications: Bonding: 902982 Extract Date: 01/08/21 TERRA BELLA LAND DEVELOPMENT PO BOX 9192 RANCHO SANTA FE, CA 92067 Business Phone Number: (858) 335-8151 Corporation 09/04/2007 09/30/2009 This license is current and active. All information below should b reviewed. CLASS DESCRIPTION C27 LANDSCAPING Workers' CONTRACTOR'S BOND This license filed Contractor's Bond number 100018004 in the ami of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 08/30/2007 BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) NICOLO PAUL MAZZOCCO certified that he/she owns 10 percent or more ol voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 09/04/2007 This license has workers compensation insurance with the http://www2.cslb.ca.gov/General-Information/interactive-tools/check-a-license/License-i-... 01/08/2008 Check A License: Contractor's License Detail Page 2 of 2 Compensation: SUAINSURANCE_CQMPANY Policy Number: WSLHPE008001 Effective Date: 03/01/2007 Expire Date: 03/01/2008 Personnel listed on this license (current or disassociated) are listed on other licenses. 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