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Home My WebLink About2613 LA GOLONDRINA ST; ; CB023381; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-06-2002 Plumbing Permit Permit No: CB023381 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2613 LA GOLONDRINA ST CBAD PLUM Status: ISSUED 11/06/2002 SB 11/06/2002 11/06/2002 Parcel No: 2155621800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: FURNBURG RES GAS LINE TO FIRE PIT AND BBQ Inspect Area: Applicant: MULLIGAN LANDSCAPE 2777 WILSON ST CARLSBAD, CA 92008 619-729-1054 Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $27.00 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 Ins ector: 0637 11/06/02 0002 01 Owner: FURN BERG GRANT C&MEGANNE M 2613 LA GOLONDRINA ST CARLSBAD CA 92009 Total Payments To Date: $0.00 0 0 0 0 0 1 0 Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 CGP $27.00 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C. SECTION 106.4.4 Ol>.TE .... S.;;w.\.i.1:::,;ii.\we ..... 2-SIGNATURE __ ,..,J,w __ ..._~ FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Garis bad Municipal Code Section 3.32. 030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any i h h r i l 1 imil r hi w . h h I . n h h i 02 27.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONt._r PLAN CHECK NOC/f oz.3s8/ EST. VAL. _________ _ Plan Ck. Deposit=~------- Validated By_,;~?-~'>~------ Date / ///64z: Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Name Address City ,J!fJ~~ll:Ai\tl:ilc,1'J;¢oli\i~tgtclliiilllll:7;l;gorit:li>~;!i!l;IJt1i4!9\li'.f!fli:l!iibm!l,1ll!ll!!Jliililfi>r,!~~iJ ·'. .. !ll,00,. Name Address City State/Zip Telephone# 4\1'il!J'Ai'iliJ!ii~ciWll.lt$:;\):! Name Telephone# (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 y yiolation of Section 7031 5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars {$6001). Q C, . ~ Name State Ucense # '2, J S 77 ( ~ License Class ~<~,~--2--7+----State/Zip City Business License # -i= 6 2 Telephone# :2-oa Designer Name Address Citv State/Zip Telephone State License # _________ _ : .. ;Y,\~Qlffll5~\;QOM·i;trNQTtol'il~ef: t:~1·;, 1:'.J;J(;<:f ii,:;::.;\P'.>'.l-11:RkA.:tn:,:·iL > >~\;'.J1il!R~M'81h\,-~ ·•.i\\¥41 ,;.,71,v;.: :: Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. ~ 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 num er are: Insurance Company -f--' Policy No.;)"& cr.c::o/2. fb-02 / Expiration Date ~/ (i ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS! .- 0 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 la unlawful, and shall subject an employer to crlmlnal penartlea and civil fines up to one hundred thousand dollars ($100,000), In addltlo to the cost of p satlon, damages as provided for In Section 3706 of the Labor ode, in rest and attorney's feea. SIGNATURE~~~~~!~~~~~~~;~!~~~~~~~~~~~~~; DATE / '7.;;1m:IWl1i!iil!NlfQlll.fflf!li:!l!i •· I hereby affirm that I am exempt from the License Law for 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 wilt have the burden of proving that he did not build or improve for the purpose of sale). 0 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). 0 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. 0 YES ONO 2. J (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 Hnclude 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 I address I phone number I contractors license number): ________________________________________________ _ 5. I will provide some of the work, but J have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type of work): __________________________________________________________ _ 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 Act7 0 YES O NO Is the applicant or future buijdlng occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES O 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. t,,~!/J:ci/l!iTIIUOtiOil'l:lli.C>lNG'A!!EilciY1'.,./• 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 ADDRESS I certify that I have read the application and state that the aboi,,e 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 ANO 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 s•o• 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ;l ~ ~ DATE 01¢;/m WHITE: File YELLOW: Applicant PINK: Finance NOTICE ---CITY Of CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE_/_~_-_7_-_o_'2...-__ _ TIME ________ _ LOCATION ___ 2._b_l_3~~L""-'-A_ ... 6""---'-o_/..~o=-;t/-----'j"-1<.-"_-"'_/_,4 __ ------=;,'-'T'-.'--- PERMIT NO. __ (_, _-.8_0_"2_3---'-3--=-/J_I __________ _ ro FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT 60 c:J d 70 c) ~55/~,/tf H'#",.£1 ,,.,.,,,,i-., [l YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ✓ City of Carlsbad Bldg Inspection Request For: 11/07/2002 Permit# CB023381 Title: FURNBURG RES GAS LINE TO FIRE Description: PIT AND BBQ Type:PLUM Sub Type: Job Address: 2613 LA GOLONDRINA ST • Suite: Lot 0 Location: APPLICANT MULLIGAN LANDSCAPE Owner: FURNBERG GRANT C&MEGANNE M Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7607291054 Inspector: J fl-> Requested By: TOM Entered By: CHRISTINE 21 Underground/Under Floor 23 Gasrrest/Repairs £-------- M_ ~~\. c.. co Associated PCRs/CVs Inspection History Date Description Act lnsp Comments NOV O 6 2002 City of ct,Rl.SS· o BUILDING DEP . i ' ,, -