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HomeMy WebLinkAbout2568 Ingleton Ave; ; CB060706; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-19-2006 Plumbing Permit Permit No: CB060706 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2568 INGLETON AV CBAD PLUM Status: Parcel No: 2131303900 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: MELLET RES-GAS & ELECT TO BBQ ELECT TO POND Applicant: PATIOS PLUS OF CARLSBAD STE 255 2588 EL CAMINO REAL CARLSBAD CA 92008 760 724-2400 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: MELLET FRANCOIS&CAROL YN D 2568 INGLETON AVE CARLSBAD CA 92009 ISSUED 03/14/2006 RMA 03/14/2006 03/14/2006 TP $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: Inspector: FINAL APPROVAL Date: k-Jt/--'11:::, 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 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 Car1sbad 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 lo 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 fwhi h hi h i PERMIT APPLICATION FOR OFFICE USE Cir; PLAN CHECK NO. ~ Ob () ?Ol CITY OF c'ARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL. _________ ~ Plan Ck. Deposit--------- Validated By, . {}4-: Date J / {L({tJG 1 Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories C. ~cc.AZ_ City State/Zip Telephone# Fax# D Agent. for -owner Name Address 3i APPLICANT'° 'ittontracitor o:,AQent'fof :contra_e.tor 0-'0wn:er Name Address City State/Zip Telephone# 4 · · PROPERT:Y'OWNER Name Address City State/Zip Telephone# sc· > C"ONJ!t'!QT-06°> COMPAN'l'NA!',,IE · Designer Name Telephone State License # ---------- $,; :wo11K~a~i·,i;or,i~,ATIQNC Workers' Compensation Declaration: 1 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 wi11 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: Company Policy No .. ____________ _ Expiration Date, _______ _ ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 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 sec compe on c erage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred e cost compensation, damages as provided for in Section 3706 of the labor code, Interest and attorney's fees. 3 -( L(_ o(p I hereby affirm that I am exempt from the Contractor's license law for the following reason: D 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). D 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. D YES ONO 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 I address I phone number I contractors license number): 4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number 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/ address I phone number I type ofworkl: ______________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- '(;Qt,j~I.ETi!''l'fttltSECl)i;IN;FORiN(J/lli!/1£$/0tfm.ALf!.~ll.t:IIN~• PERMIJS:QN~J:,··· 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 ot 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? D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ~; i' i~i;INS:IRUOJ!Q/f~Ej'IC!INGAGENC.Y ·· 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--------------- i9,;,,,c AliPUCANJ'CC:ERlJFl~AlJON· 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 Officia~er 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 .t.80'1fays f.thm the date ch 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~Od of 180 days ec · n 1 .4.4 Uniform Building Code). APPLICANT'S SIGNATURE ""~ DATE )> ·-( ({. -0 E::> WHITE: File YELLOW: Applicant PINK: Finance m . City of Carlsbad Bldg Inspection Request . . Permit# CB060706 For: 06/19/2006 Title: MELLET RES-GAS & ELECT TO BBQ Description: ELECT TO POND Type: PLUM Sub Type: Job Address: Suite: Location: 2568 INGLETON AV Lot 0 APPLICANT PATIOS PLUS OF CARLSBAD Owner: MELLET FRANCOIS&CAROL YN D Remarks: Card on side @ gate -No pets Total Time: CD Description Act Comment Inspector Assignment: TP --- Phone: 7607242400 Inspector: -~'~"'--..,- Requested By: NA Entered By: CHRISTINE 1---29 Final Plumbing 39 Final Electrical ·---~-------------- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 03/15/2006 23 GasfTesVRepairs Act lnsp Comments AP PC 03/15/2006 31 Underground/Conduit-Wiring AP PC (\ ' (!) ....., ;.,---, - ' ' \ ( ' <. ~ ( I ------"---....... _ ._ -._ -...... -- f\'1E:u£t ~ 1 D~)\l(£ z5bS :rN&l-£!0\l u~. ~-,-uQ._ :f CfL~ c~ wcEtL ______ ((_' (;if'f:, L, Ne ~ F.rL--£1cA-C ~oT+\ u~"ut::~ 4 '' Co--..~~~ ' City of CARLSBAD BUILDING DEPT ' \ I urE I / 11 -cc;'' ir-6 -- -- ya' T ;t:,' \