HomeMy WebLinkAbout2626 HALF DOME PL; ; CB021496; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-16-2002 Plumbing Permit Permit No: CB021496
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
ARS
STE 100
Building Inspection Request Line (760) 602-2725
2626 HALF DOME PL CBAD
PLUM
1675117600 Lot#: 0
Construction Type: NEW
STROPLE-COPPER REPIPE W/DLL
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
STROPLE MATTHEW J&MARIA L
ISSUED
05/16/2002
JM
05/16/2002
05/16/2002
6162 NANCY RIDGE DR
SAN DIEGO CA 92121
358-677-5455
2626 HALF DOME PL
CARLSBAD CA 92008 7283 05/16/02 0002 01.
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
$87.00
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
Inspector:
Total Payments To Date:
0
0
0
1
0
0
0
FINAL
Date:
$0.00 Balance Due:
Clearance:
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$60.00
$0.00
$0.00
$0.00
$87.00
CGP
$87.00
NOTICE: Please take NOTICE that approval of your project includes the ~Imposition~ of fees, dedications, reservations, or other exactions hereafter collectively
referred to as ~,ees/exactions.tt You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. 11 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
hi . . hi f Ii h .
02
87,00
PERMIT APPLICATION
FOR OFFICE USE O)IJi?
PLAN CHECK No(._JljtJzjt;j/2
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit._,,,,r<--,----,-----,---
Validated By, --{;,UC::....\r-+_rf--,---
Date, ________ 4;W'H;L,1,-''---
1. PROJECT INFORMAJ:Jll~ 2/:ibfo
Address (include Bldg/Suite #) Business Name (at this address)
legal Description ubdivision Name/Number Unit No. Phase No. Total# of units
Proposed Use
SQ. FT. #of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON ;Uf dlfflr8nn(0fu'8t,pi'!-C8htf'
Name Address
~'A9ent'for ·contr'&~hk': r,;, b2.
Address
State/Zip Telephone # Fax#
z.
D?X>-3-2
Telephone#
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
e~ion. Al'!V violatinn of~tion 70. 31.f hy an'( ap~licant t.or a per[l1it subjects the applicant to a civil penal of not more than five hundred dollars I$ 500]). :::r ~VYtxi can Kc.G-1 c:J.cm-, tt-1 v, 02-· r-"" q :i. z.,
Name Address City S e/Zip Telephone# ~j b17
Stateliconse# Jqi~.20 LicenseClass:P,'J [.,~ (.,2-(J CityBusinasslicense# f03C)7a:) '::4SS
Designer Name Address City State/Zip Telephone
State license # _________ _
6. WORKERS' COMPENSATIOrl.
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
e 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
ed. My worker•~ CO!fJPBnsation insurance carrie! am! nnli_CY number are: . _ . _ / / -,
Insurance Company_~ l.L'St\-,nc:;.. -----Policy No._l.'13~B,-CX) Expiration Date I t t,~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: t 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 W Compensation Laws of California.
WARNING: Failure to II c r
thousand dollars ($100,
SIGNATURE
cost of compensation, damages as provided for In Section 3706 of th b e 'J,t't,rejt and attorney's fees.
mpensatlon coverage Is unlawful, and shall subject an employer to crlml~~lt II d civil fines up to one hundred
DATE ----'-'-,,_U __ ,c_ __
7. OWNER-BUILDER DECLARATION
I hei-eby 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 en 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 safe!.
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{sl 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 arid materials for construction of the proposed property improvement. 0 YES ONO
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------------------------
COMPLETE THIS SECTION FOR NON~RESIDENTiAL' BUilDING· PERM1tS'ONtY>'! DATE _c--------
ls 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 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? 0 YES D NO
ts 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.
8, CONSTRUCTION LEND.ING 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 ______________ _
9. APPLICANT CERTIFICATION
J certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. t 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 f
EXPIRATION: Every permit issu d y the
authorized by such permit fs not
at any lime after the work is com
d demolition or construction of structures over 3 stories in height.
ovis!ons of this Code shall expire by limitation and become null and void if the building or work
ch ermit or If the bulldlng or work authorized by such rmlt s suspended or abandoned
niform Buildlng Code). DATE C::f/4 D 1 APPLICANT'S SIGNATURE --"l-"'"-..111.£_!._..'-<C..:::::... __ _,:c.__..:___________ ::__/J"/ ~
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 11/14/2002
Permit# CB021496
Title: STROPLE-COPPER REPIPE W/DLL
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2626 HALF DOME PL
Lot
APPLICANT ARS
0
Owner: STROPLE MATTHEW J&MARIA L
Remarks: pm please
Total Time:
CD Description
19 Final Structural
Associated PCRs/CVs
lnsgection Histoiy
Date Description Act lnsp
06/26/2002 19 Final Structural CA RC
06/26/2002 29 Final Plumbing CA RC
06/25/2002 19 Final Structural NR RF
06/21/2002 24 Rough/Topout AP RC
06/07/2002 24 Rough/T opout NR RC
Inspector Assignment: RCB
Phone: 7607303249
Inspector:
Requested By: NA
Entered By: CHRISTINE
Comments
NO TAPE HAS BEEN DONE.
ARRIVED AT 10:20 -NOBODY HOME -LEFT NOTICE