HomeMy WebLinkAbout2558 DOGWOOD RD; ; CB063516; Permit12-? 5-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB063516
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
2558 DOGWOOD RD CBAD
PLUM
2131701600 Lot#: 0
Construction Type: NEW
FENG RES GAS LINE TO BBQ
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/15/2006
KG
12/15/2006
12/15/2006
Applicant:
IDEAL LANDSCAPE.POOL&SPA
7320 CELATA LN
SAN DIEGO CA 92129
858-335-7191
Owner:
FENG GANG&JIANG JING
2558 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
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $27.00
Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00
Inspector:Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposinon" 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.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
,1. PROJECT INFORMATION
^5573 POfe IQOOD g.P
FOR OFFICE USE ONLY
PLAN CHECK
EST. VAL.
Plan Ck. Deposit
Validated B'
Date
r.fl ~
Address (include Bldg/Suite #)
Legal Description
Assessor's Parcel #
Description of Work Q
Business Name (at this address)ii ^j / • \ii ^t^^^*^
Lot No. Subdivision Name/Number Unit No. Phase No.
. "* Existing Use Proposed Use
SO. FT. #of Stories # of Bedrooms
Total # of units
# of Bathrooms
\2: CONTACT PERSON {if dlfferentWm applicant)320"7
'
CBfrP-f £5?-335-7/77
NaVne ' ' Address ' City
3. APPLICANT IS Contractor Q Agent for Contractor Q'QwrieW:: O:Agentifor Owner
State/Zip Telephone #Fax*
Name Address City State/Zip Telephone #
PROPERTY OWNER
Address City State/Zip Telephone #Name
5, CONTRACTOR - COMPANY NAMi
(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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not morethan five hundred dollars [$500]).
Name
State License #
Address
License Class QjZy , Op .? ;
State/Zip TelephoneDesigner Name Address City
State License # ^5\J f ^) .S O
6, WORKERS' COMPENSATION ''.' ,:." ..- " :":j ;.. ' ::''::':; :;^: ;' " : :;
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
l~1 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.
|JQ 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^'yZyg QvHfD^.'T1] ^J+fffAJ fhJjfyKAW& Policy No. I £j^£-DS^> Y" Expiration Date_
(THIS SECTION NEED NoVsE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
l~l 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: 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 (S100/OOS), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE I*j-J*~^ S\-A-/\ DATE /^ f ^ _ Q^
7. OWNER-BUiLDEI«ECUVRATioN~~^ : ^ ~~~~
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
[~l 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).
O 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).
l~l 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. O YES l~lNO
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 / 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 / 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):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR/VO/V-fl5S/£"£/V77/U BUILDING PERMITS ONLY
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? d 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? [~| YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l YES l~l 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 AGEhlCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) 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 to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV 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 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 is 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 commencedjor a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE •/ / | J/jL>'/l'4.>'*/7—- DATE /£• /& ~~
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 04/18/2007
Permit* CB063516 Inspector Assignment: PC
Title: FENG RES GAS LINE TO BBQ
Description:
Type: PLUM Sub Type:
Phone:
Job Address: 2558 DOGWOOD RD
Suite: Lot: 0
Location: Inspector: _
OWNER FENG GANG&JIANG JING
Owner: FENG GANG&JIANG JING
Remarks: can you final or want Exp Ltr sent?
Total Time: Requested By: CHRISTINE
Entered By: CHRISTINE
CD Description Act CommentsA/p
29 Final Plumbing ' x I
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
12/18/2006 21 Underground/Under Floor AP PC
12/18/2006 23 Gas/Test/Repairs AP PC
12/18/2006 31 Underground/Conduit-Wiring NR PC NO CONDUIT TO DATE
c«) (*) (sV09 (X) (?) 09
STATE COMPENSATION INSURANCE FUND
CONDITIONAL RECEIPT
This is to certify that we, in consideration of the total deposit premium and any mandatory surcharge of $ 1177 and
the full premium to be adjusted later upon the total remuneration of employees during the policy period
3/30/06 to 3/1/07 , agree to issue a valid worker's compensation insurance policy
in a form approved by the California Insurance Commissioner to
PAUL CHU
Ideal Landscape Pool And Spa
7320 Celata Ln
San Diego CA 92129 FAX ( )
THE EXECUTIVE OFFICE OF THE FUND RESERVES THE AUTHORITY TO GRANT INSURANCE COVERAGE AND THE
RIGHT TO REJECT ANY AND ALL APPLICATIONS BUT WHEN ACCEPTED, INSURANCE WILL BE MADE EFFECTIVE AT
12 01 A M PACIFIC STANDARD TIME THE DAY FOLLOWING RECEIPT OF THE COMPLETED APPLICATION FOR
CALIFORNIA WORKER'S COMPENSATION INSURANCE AND YOUR CHECK FOR THE DEPOSIT PREMIUM AND ANY
MANDATORY SURCHARGE BY THE FUND UNLESS A LATER DATE IS REQUESTED BY YOU
POLICY NUMBER -
DIVIDEND STATEMENT
UNDER CALIFORNIA LAW IT IS UNLAWFUL FOR AN INSURER TO PROMISE THE FUTURE PAYMENT OF DIVIDENDS
UNDER AN UNEXPIRED WORKERS COMPENSATION POLICY OR TO MISREPRESENT THE CONDITIONS FOR DIVIDEND
PAYMENT DIVIDENDS ARE PAYABLE ONLY PURSUANT TO CONDITIONS DETERMINED BY THE BOARD OF DIRECTORS
OR OTHER GOVERNING BOARD OF THE COMPANY FOLLOWING POLICY EXPIRATION
IT IS A MISDEMEANOR FOR ANY INSURER OR OFFICER OR AGENT THEREOF, OR ANY INSURANCE BROKER OR
SOLICITOR TO PROMISE THE PAYMENT OF FUTURE WORKER'S COMPENSATION DIVIDENDS
THE STATE COMPENSATION INSURANCE FUND HAS AN UNINTERRUPTED HISTORY OF DIVIDEND PAYMENTS SINCE
THE INCEPTION OF OPERATIONS IN 1914 OUR DIVIDEND PROGRAM PROVIDES THAT UPON THE TERMINATION OF
EACH POLICY YEAR AND AFTER ADJUSTMENT OF PREMIUM, YOU WILL BE ENTITLED TO PARTICIPATE IN ANY
DIVIDEND PLAN APPLICABLE TO THIS POLICY WHICH MAY BE APPROVED FOR DISTRIBUTION BY OUR BOARD OF
DIRECTORS IF THE FINAL PREMIUM DETERMINED AT THE END OF THE POLICY PERIOD IS MORE THAN THE MINIMUM
PREMIUM WITH THE FOLLOWING EXCEPTIONS
YOU WILL NOT BE ALLOWED TO PARTICIPATE IF
YOU FAIL TO PAY ANY PART OF THE PREMIUM FOR THIS POLICY AFTER WE REQUEST PAYMENT IN WRITING, OR
ALLOW IT TO REMAIN UNPAID FOR 90 DAYS AFTER WE MAIL A STATEMENT OF PREMIUM TO YOU AT THE MAILING
ADDRESS SHOWN IN THE DECLARATIONS
YOU DO NOT KEEP ADEQUATE RECORDS OF INFORMATION NEEDED TO COMPUTE PREMIUM, OR DO NOT PROVIDE
THEM TO US WHEN WE ASK FOR THEM, OR
WE MUST BRING SUIT AGAINST YOU TO OBTAIN THE RECORDS NECESSARY FOR US TO COMPUTE PREMIUM, OR TO
ENFORCE THE COLLECTION OF ALL OR ANY PART OF THE PREMIUM FOR THIS POLICY
YOUR PARTICIPATION WILL BE ACCORDING TO THE RULES ADOPTED BY OUR BOARD OF DIRECTORS