HomeMy WebLinkAbout2584 Ingleton Ave; ; CB062344; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-16-2006 Plumbing Permit Permit No: CB062344
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2584 INGLETON AV CBAD
PLUM Status:
Parcel No: 2131304300 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: SHARIF: GAS & ELEC TO BBQ Inspect Area:
Applicant:
SHARIF ALFRED G&JANET K
2584 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
Owner:
SHARIF ALFRED G&JANET K
2584 INGLETON AVE
CARLSBAD CA 92009
ISSUED
08/16/2006
JMA
08/16/2006
08/16/2006
$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: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmpostlion" 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
f fwhi h h I T hi fli i . n h I h
FOR OFFICE USE ONL V
PERMIT APPLICATION PLAN CHECK No.cea£·J~3lfL/
C\TY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave .. Carlsbad. CA 92008
EST.VAL·---------~
Plan Ck. Deposit---------
~::i:ated S?f I t., I :-~r
Business Name (at this address)
legal Description lot No. Subdivision Name/Number Unit No. Phase No. T otat # ot units
Assessor's Parcel # Existing Use Proposed Use
# of Bathrooms ----
City State/Zip Telephone # Fax#
5. CONTRACTOR • COMPANY NAME
(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 more than five hundred dollars [ $5001).
Address /'1. City State/Zip Telephone# Name 7.. Q
State Ucense # ~q 7 l( r License ClassL ~7 City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
~· 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
~e work for which this permit is issued.
D 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----------------------Policy No .. ____________ _ Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE 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 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.
SIGNATURE DATE----------
7. OWNER~BUILDER DECLARATION
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 ,,+,-as -owne:r_ ?'. the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Conhactor'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'~ "i:.i&!mte-Law) .. _
D I am exempt under Section ______ .Bus,S,n"""",ol[ FProfes~.i.ons Code for this reason:
1. I personally plan to provide the major labor and~_!!l§teriar.S'f~-; construe f the proposed property improvement. D YES ONO
2. I (have I have not) signed an applicatigp..fof a building permit for the proposed wor .
3. I have contracted with t~;; person (firm) to provide the proposed construction (inclu e I address I phone number I contractors license number):
c:::
4. I plan to provid~rtions of the work, but I have hired the following person to coordinate, supervise and provide 1:he major work (include name / 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/ phone number I type
of work): ___________________________________________________________ _
PROPERTY OWNER SIGNATURE-----------------------
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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? 0 YES O NO
Is the applicant or future building occupant required to obtain a ·permit f~?mJ.b.e air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 f~t . .oHhe-Outei boundary of a school site? D YES O NO
IF ANY OF THE ANSWERS Al:l,E..¥--ES';JrFIN~ CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS l"Hi:'APPLICANT HAS MET OR IS MEETING THE
REQUIREMEN:!!--9..£.l-Hl:CJFFICE 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(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 Cit't of Carlsbad to enter upon the above mentioned
property for inspection pur oses. I ALSO AGREE AVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND PENSES WHICH MAY I AN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is r uired for excavations
EXPIRATION: Every permit i ed by the building O icial u
authorized by such permit is no ommenced within 1 day f
at any time after the work is com enced for a period f 18 d
APPLICANT'S SIGNATURE r
PINK: Finance
aid if the building or work
suspended or abandoned
List 1 -Permit-Type
From the following list, determine the permit-type that best describes the work you propose to do. Please put the code of that
permit-type in the blank at the top of the page on the front of this application. Residential permits (only) also require the 1'
identification of the structure-type to be associated with the permit. Choose a structure-type from ~List 2 -Structure-Types~ and Put
its code in the appropriate blank on the front of this application.
Residential Permits
Code Description
APT Apartments -new construction.
CONDO Condominiums -new construction.
CVNNR Conversion. Convert all or a portion of a
residential units.
non-residential building to residential use, creating one or more new
CVNRN Conversion. Convert one or more residences in a building to non-residential usage.
CVNRR Conversion. Increase or reduce the number of dwelling units in a residential structure through interior modifications
(i.e.: a four bedroom house converted to a duplex, with 2 bedrooms each).
DEMO Demolition oermit. (Also soecifv tvne of structure from List 2).
DUP Duplex -new construction.
MOHO Mobile home, renovation, repair, or addition of accessory structure not yielding a new living unit.
MOHON Mobile home, pre-fabricated house, or trailer installed (plumb<ed, wired) in a mobile home park (see distinction from
single-family residence, b<elow).
RAD Residential addition/alteration, creating no new dwellinR unit(s).
RRE!SSUE Residential permit re-issue.
RREPAIR Residential building repair. Damax:e, fire, etc.
RREPLACE Residential building replacement (no additional units).
SFA Single-family, attached -new construction. A one-family house attached to one or more other houses, with one or
more common walls extending from fonndation to roof at, or forming, a lot line. Has own plumbing and heating
svstem (e.g.: townhouse, row house, half-plex)
SFD Single-family, detached -new construction: A one-family house with open area on all four sides. May have an
attached or detached garage, or a business. May be a detached ~granny flat". May be a mobile home or trailer on an
individual lot, but not in a mobile home park.
Non-Residential/ Accessory Permits
Code Description
COM Commercial structure, new construction.
CREISSUE Commercial pennit re-issue.
CREPAIR Commercial building -repair. Damage, fire, etc.
CREPLACE Commercial building · reolacement.
CTI Commercial tenant improvement.
DEMO Demolition permit.
ELEC Electrical nennit, for electrical work only.
HOTEL Hotel or motel (including Managed Living Unit hotel) -new construction.
HOTELR Hotel renovation.
IND UST Industrial structure, new construction.
rn Industrial tenant improvement.
MECH Mechanical permit, for mechanical work only.
MISC Miscellaneous. Use only if proposed work doesn't fit another activity type.
PATIO Patio and/or deck.
PLUM Plumbing oermit, for olumbin~ work onlv.
POOL Gunite pools and spas.
RETAIN Retainin~ wall oennit.
SIGN Sign construction/installation permit.
SOLAR Solar energy system installation permit (specify structure type to b€ served).
SPA Factory-made or Gunite.
List 2 -Structure-Tvpe (Use with Residential Permit Onlv)
From the following list, determine the type of residential structure that best describes the structure on which you will be working.
Please put the code of that structure-tvoe in the annropriate blank at the top of the pa~e on the front of this annlication.
Code Description
SFA Single.family, attached. A one-family house attached to one or more other houses, with one or more common walls
extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse,
row house, half-plex).
SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached
garage, or a business. May be a detached ~granny flat~. May be a mobile home or trailer on an individual lot, but not
in a mobile home park.
MF2-4 Multi-family, 2 to 4 units. A residential structure on a single lot, containing two, three, or four dwelling units. Units
may share master heating, plwnbing, or electrical service (e.g.: duplex, triplex, quad-plex).
MF5+ Multi-family, 5 or more units. Same as MF2-4, except the building has a t least five attached units on the same lot.
MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from
single-family residence, above).
. .
. . m City of Carlsbad Bldg Inspection Request
. For: 11/06/2006
Permit# CB062344
Title: SHARIF: GAS & ELEC TO BBQ
Description:
Type: PLUM Sub Type:
Inspector Assignment: PC ---
Phone: 7608036015
Job Address: 2584 INGLETON AV
Lot Suite: 0
Location:
APPLICANT SHARIF ALFRED G&JANET K
Owner: SHARIF ALFRED G&JANET K
Remarks: card on the gate -no dogs in the yard
Total Time:
Description Act Comment
Inspector:
Requested By: NA
Entered By: CHRISTINE
CD
39 Final Electrical ~~--------------------f~~ ~~-----·tlf --------------------ici
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
lns12ection Histo!Y
Date Description Act lnsp Comments
08/17/2006 23 Gas/TesVRepairs AP PC
08/17/2006 29 Final Plumbing AP PC
08/17/2006 31 Underground/Conduit-Wiring AP PC RECALL ELEC FOR FINAL