HomeMy WebLinkAbout2642 PEPPERTREE WAY; ; CB071795; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-03-2007 Plumbing Permit Permit No: CB071795
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2642 PEPPERTREE WY CBAD
PLUM Status:
Parcel No: 2131503700 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant:
ZARATE: GAS TO FIRERING/BBQ,
ELEC. TO FOUNTAIN
KEONI LANDSCAPES
1052 KNOWLES AV
CARLSBAD CA 92008
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:
ZARATE RICHARD M&MARSHA A
2642 PEPPERTREE WAY
CARLSBAD CA 92009
ISSUED
07/03/2007
JMA
07/03/2007
07/03/2007
$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: $4 7. DO Balance Due:
Inspect
FINAL APf ROVAL
Date ( • · () K' 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 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 x i n f hi h h r i I n iv n N Tl E imil r I !hi r o h. f i i h h i
City of Carlsbad
1635 Faraday Ave .. Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 1so:so2-8558
Building Permit Application
Plan Check No. C
Est. Value
Plan Ck. Deposit
Date 73
SUITE#/SPACE#/UNtT# APN
#BATHROOMS TENANT BUSINESS NAME
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □#_ NO □ YES □ NO □ YES D NO □
CONTACT NAME (tr DM'erent Fom Applfcant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
ADDRESS
CITY ZIP CITY
PHONE s a.,,1f1A.<2.._
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. UC.# e,-d.-1
(Sec. 7031.5 811Sinen and Proleuions Code: Any City or County: which requires a permit to contruct, alter/ improve, demolish or rtP,air any structure, prior IQ ill imrance, also requires the a_pplicanl for such ptnnil IO lilt a signed statement that he is ficensed 1_ursuan1 to the provisions of 1he Contractor's license Law {Chapter 9, commending with Section 000 of Oi,ision ) of the Busiflm and Pnnmiom Code} or tbal he is exempt thereli'om, and lhe basis lor the aAe~d exemption. Any ,iolation of Section 70) 1.5 by any applicant for a pmnit subjects the applicant to a ciY~ penalty of not mort than liYt hundred doll an {SSOO}).
WORKERS' COMPENSATION
~ork_.!J>'Compensatlon Declaration: I hereby affinn under penalty of perjury one of the following declarations:
llr'i have and wtll 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 wtll maintain workers' uii:fl by Secti 3700 of the labor , for the pefforman~of the work for which this permit Is iss~ed. My workers' compensatio insu nee carrier and policy
numberare: Insurance Co. C S$ Polley No. j 0 00 ,;;pV t 1/b () I Ex~ration Date i l ll 0
This section need not be completed if
D Certificate of Exemption: I c hall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
Califomia. WARNING: Fal , •• -«..... ect an employer to criminal penaltlea and c u to one hundred thousand dollar, (&100,000), In
addition to the cost of com s;;;::::.::::j~:j''J' ~H~~~~C'.,<~::j' est and attorney's fees.
I, as owner of the property r 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 lo the Contracto~s license law).
□ I am exempt under Section ____ ,Business and Professions Code for this reason:
1. I personally plan lo provide the major labor and materials for construcfon of the proposed property improvement. □ Yes □ 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/ phone/ contractors' license number):
4. I plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number):
5. I will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
.Ji!5 PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS $1!CTION FOR NON-l'IESIOENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Subslance Account Act? □ Yes □ No
Is !he applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the appllcatlon and state that the aboYe lnfonnatlon Is correct and !hat the infonnatlon on the plans Is acnirate. I agree ID comply with all City ordinances and State 18M refattng ID building construelfon.
I heral)y aulhorize represenlalire of lhe Cfy of Carlsbad to enter upon~• alxwe mentioned prupeilj for r,specion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARf.LESS THE CITY OF CARLSBAD
AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH W\Y IN Ar.Y WAY ACCRUE AGAINST SAID CnY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit Is requied for excavations ewer 50' deep and derrob or construction of slruclures Mr 3 srooies • heiihl
EXPIRATION: Eve1y permit ilsued by ~. lltJ~"I! Official prcMSKlllS of ~is Code shan expre by lmllation and beoome nul and void I lhe bul~ilg or-aulhonz,d by such pemit Is not commenced 1Wh'1
180daysfromlhe dale of such pemit idi1gor Ollzed such permit ls suspended orabandonedatany&neafterlhe-is corrmencedforapellod of 180 days(Sedion 106.4.4 lklifonn aJi~ilg Code).
6$ APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 07/10/2007
Permit# CB071795
Tille: ZARATE: GAS TO FIRERING/BBQ,
Description: ELEC. TO FOUNTAIN
Type:PLUM Sub Type:
Job Address: 2642 PEPPERTREE WY
Suite: Lot: 0
Location:
APPLICANT KEONI LANDSCAPES
Owner: ZARATE RICHARD M&MARSHA A
Remarks:
Total Time:
CD Description Act Comments
23 Gas/Test/Repairs
Inspector Assignment: PD ---
Phone: 7608075845
lnspecto~
Requested By: JOHN
Entered By: CHRISTINE
~ -.......... ·= . ~'¥9-
Comments/Notices/Ho ds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
07/06/2007 23 Gasrrest/Repairs CO PD NO TEST
07/06/2007 31 Underground/Conduit-Wiring AP PD