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Home My WebLink About2682 PEPPERTREE WAY; ; CB072761; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-01-2007 Plumbing Permit Permit No: CB072761 Building Inspection Request Line (760) 602-2725 Job Address: 2682 PEPPERTREE WY CBAD PLUM Status: Permit Type Parcel No 2131502800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #· Project Title: GIRALDO RES-GAS TO FIRE PIT OK PER CHRIS SEXTON-PLANNING Applicant: GIRALDO JOSE E&ROSSANA L 2682 PEPPERTREE WAY 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 Plan Approved: Issued: Inspect Area: Owner: GIRALDO JOSE E&ROSSANA L 2682 PEPPERTREE WAY CARLSBAD CA 92009 ISSUED 11/01/2007 RMA 11/01/2007 11/01/2007 $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 Total Fees $27.00 Total Payments To Date: $27.00 Balance Due: I Inspector: FINAL APPROVAL0 Date Z -ly -bo Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "lees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipa1 Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactin fwhih v rvio I ben iv NT l ilr whihh fli ii I City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS CT/PROJECT# PHASE# DESCRIPTION OF WORK: Plan Check No. Est. Value Plan Ck. De Date SUITE#/$PACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE CCC.GR UP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPlACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □ NOD YES D NOD CONTACT NAME (ff Different Fom Appl/cant) APPLICTT NAME ::__ os.E 'D ADDRESS ADDRESS Ve:-WA ;1_~$ 2. Pol. Dz._e~ CITY STATE ZIP CITY STATE ZIP CA-12-LS/3 C..A---'1Z Oc91 PHONE FAX PHONE 7°30-<(30-cf'/22-FAX EMAIL EMAIL e xv--eri fttca r. Jo.se Wm CONTRACTOR BUS. NAME ADDRESS STATE ZIP CITY STATE ZIP C---4--Zot>7 FAX PHONE FAX EMAIi_ EMAIL ose ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.# (M!c. 7011.5 Business and Profmions Code: Any City or County: which requires a permit to con1truct, alter improve, demolish or rtP,air any structure prior to its issuance, also rtlluim the a,pliant for such permit to file a signed natement that he is ricensed _P._Unuant to the provi1ions of the Contractor's License law {Chapter 9, c~mmending with Section 1000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the bam for the aOegtd exemption. Any violation of Secrion 7031.5 by any applicant for a pemiit sub~cu the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKliRS' COMPENSATION Workers' Compensation Declaration: / 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 perlormance 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 workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) 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 secure workers' compensation coverage is unlawful, and shall subject an employer to crlmlnal 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. JI:! CONTRACTOR SIGNATURE DATE □ □ I, as owner of the property or my employees with wages as !her 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 no! 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 sue, projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ Business and Professions Code for this reason: _,.,,,,,,-- 1. I personally plan to provide the major labor and material!, for construction of the proposed property improvement. ~es □ No 2. 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 I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired I ollowin erson to coordinate, supervise and provide the major work (include name/ address I phone/ contractors' license number): 5. I will provide some of the work, but I have contracted ired) t persons to provide the work indicated (include name/ address I phone I 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 Act? □ Yes □ No Is the applicant or future building occupant required to 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 application and state tflat the above Information is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State I~ relating to buHdlng construction. lllereby au~onze representative of ~e City of Carlsbad to enter upoo ~e above mentioned property for •spection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA peimlt is required for excavations r:J,Jer 5' deep Md demolioon or coostruction of structures c,..,er 3 stones in h&ght EXPIRATION: Every pennlt issued by the Building Officia nd p · ions of Ulis Cooe shall expire by Nmitation Md become nuR Md void W Ule building orwat authorized by such pem,it is not corrrnenced wiUlin 180 days frOOl Ule date of such permit or W the buildRlQ1Jt•10r1tJM111!)1lea by such permit is suspended or abandoned at anytime after the work is commenced for a ricxl 180 days (Section 106.4.4 Uniform Building Cooe). / 6$ APPLICANT'S SIGNATURE DATE (/ Inspection List Permit#: CB072761 Type: PLUM Date Inspection Item 02/26/2008 23 Gas/Test/Repairs 02/19/2008 23 Gas/Test/Repairs Wednesday, February 27, 2008 Inspector Act PD AP PD PA GIRALDO RES-GAS TO FIRE PIT OK PER CHRIS SEXTON-PLANNING Comments FINAL -SURFACE MTD • CONCELED TEST OK -NOT FINAL Page 1 of 1