HomeMy WebLinkAbout2559 Ingleton Ave; ; CB072636; PermitCity of Carlsbad ... 1635 Faraday Av Carlsbad, CA 92008
10-15-2007 Plumbing Permit Permit No: CB072636
Building Inspection Request Line (760) 602-2725
Job Address: 2559 INGLETON AV CBAD
PLUM Status: Permit Type
Parcel No 2131305200 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #·
Project Title: MUNDY RES GAS TO 6'FIREPLACE
&BBQ,ELEC TO BBQ&PORT SPA
Applicant
MUNDY RICHARD J&TERESA I
2559 INGLETON AVE
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
TOTAL PERMIT FEES
0
0
0
0
0
1
0
Plan Approved:
Issued:
Inspect Area:
Owner:
MUNDY RICHARD J&TERESA I
2559 INGLETON AVE
CARLSBAD CA 92009
ISSUED
10/15/2007
KG
10/15/2007
10/15/2007
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$20.00
$0.00
$0.00
$0.00
$47.00
Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due:
FINAL APP7ovA).,
Date Z • I ~ 0 0 'V Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 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.
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 s/exacti n fwhi h hav r vi I n ·v n N Tl E imil r thi whi h h t tut flimit tin h r vi I h rwi
City of Carlsbad Plan Check No.C {lj}7 2{b _'3 ~
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717,/ 2718/ 2719 Est. Value
Fax: 760-602-8558 Plan Ck. Deposit
Building Permit Application Date
SUITE#/SPACE#/UNIT# APN
s
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF} DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESD #_ NOD YES D NOD YES D NOD
CONTACT NAME (If Different Fom Applicant)
L_ ________________ _
ADDRESS
L_ _______________ _
CITY STATE ZIP
LP_H_O_N_E ______________ J FAX-------------
EMAIL
PROPE~ER JIAME I A A d "/""'I/ch", d / -u,11?
IPH07GO 931-0r/'7"-/ FAX
APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMA1i.
CONTRACTOR BUS. NAME
PHONE FAX
EMAIL EMA~•c../,...,--3e·"----/2-"-0-a--'----d.-... -V1_,')_"'_<=_f"_,_C_O_yY1 __
ARcH/DESIGNER NAME & ADDRESS srAT'",~L~IC~ .• -------+,~,~Ar=,=,~,c=,------------Tc=LA=ss~---~c=,TY~S=u~,~. ,~,c=,---------
!Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter/ improve, demolish or l'l!P.air any structure1 prior to its issuance, also requil'l!s the applicant for such permit 10 file a 1igned statement that he is icensed _!!unuant to the provisions of the Contractor's Licen1e Law {Chapter 9, commending with Section 000 of Division 3 of the Business and Proressions Code} or 1ha1 he is uempt therefrom, and the ham for th, alleged exemption. Any violation of ~ecMn 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of oot more than five hundred dollan {$500}).
Workers' Compensation Declaration: I hereby affirm under penalty of perJUf'/ one of the following declarations:
l:l 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.
l:l 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 ______________________ Policy No.---------------Expiration Date __________ _
This section need not be 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 (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
_g CONTRACTOR SIGNATURE DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
0 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)
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 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. ~es D No
2. I (have I 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 I phone 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 I 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 I address I phone I type of work)
Is the applicant or future building occupant required to submit a business plan, acutely hazardo 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 D 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 D 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, 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.
1 certify that I have read the application and state that the above infoITTlatlon fsoorrectand that the infoITTlation on the plans lsareurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby au!hOfize 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 ANYWAY 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 W the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the buil ing or work lhoriz by such permit is su nded bandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 UnifoITTl Building Ccxle)
~ APPLICANT'S SIGNATURE DATE .@ k /'Oz
Inspection List
Permit#: CB072636 Type: PLUM
Date Inspection Item
03/11/2008 29 Final Plumbing
03/11/2008 39 Final Electrical
03/05/2008 23 Gas/Test/Repairs
03/05/2008 31 Underground/Conduit-Wirin
12/05/2007 23 Gas/Test/Repairs
10/29/2007 23 Gas/Test/Repairs
Tuesday, March 11. 2008
Inspector
PD
PD
PD
PD
PD
PD
MUNDY RES GAS TO 6'FIREPLACE
&BBQ,ELEC TO BBQ&PORT SPA
Act Comments
AP FINAL
AP
AP NOT FINAL
AP NOT FINAL
co
co ON CARD
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