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HomeMy WebLinkAbout2706 EL RASTRO LN; ; CB052804; Permitd7-2>-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB052804 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2706 EL RASTRO LN CBAD PLUM 2551070100 Lot#: Construction Type: DEGREGORIO RES GAS LINE FOR HEATER 0 NEW Applicant: DEGREGORIO FAMILY 1999 TRUST 04-26-99 2706 EL RASTRO LN CARLSBAD CA 92009 Status: ISSUED Applied: 07/27/2005 Entered By: SB Plan Approved: 07/27/2005 Issued: 07/27/2005 Inspect Area: Owner: DEGREGORIO FAMILY 1999 TRUST 04-26-99 2706 EL RASTRO LN 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 0 0 0 0 0 1 0 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$0.00 02eep- Inspector: FINAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" ofttees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. &> EST. VAL. Plan Ck. Deposit Validated Bv <J. O Date X Address (include Bldg/Suite »Bldg/Suite »\ gf Tfl-STfQo Business Name tat this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel *Existing Use Proposed Use Description of Work SO. FT.*of Stories # of Bedrooms * of Bathrooms Name Address City |^|^irfe(op^yr«t--' • : State/Zip Telephone #Fax * Name Address City >MO State/Zip Telephone * i*Z*m&mm$®w /</*? Name Address City State/Zip Telephone * *isi^::^'$^ -fr •:•;;.• •• (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 Corrector's License Law [Chapter 9, commending with Section 7000 of Division 3 of tha 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 [$500]). Name State License * Address License Class City State/Zip City Business License 9 Telephone * Designer Name State License f Address City State/Zip Telephone V.' •• •'•: "- • •. .- Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have end will maintain a certificate of consent to serf-insure for workers' compensation a* provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q I have and will maintain workers' compensation, as required by Section 37OO of the Labor Coda, 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 [MOO] OH LESS) Q 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 Lsws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and ehel subject an employer to criminal penalties and cIvH fine* up to one hundred thousand dollars (* 100.000), In addition to the coat of compensation, damage* as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE _____ DATE I hereby affirm that I em exempt from the Contractor's License Law for the following reason: 7jQ I, as owner of the property or my employees with wages as their sole compensation, will do tha 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). Q I, ea 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 protects with contractor(s) licensed pursuant to the Contractor's License Law). K( I em exempt under Section /O^T Business and Professions Code for this reason: £j/ I personally plan to provide the major labor end materials for construction of the proposed property improvement. (_J YES QNO 2. I (have / have not) signed en application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide tha 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): : ^ ,1 ,~\ .? PROPERTY OWNER SIGNATURE 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 26505, 26533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A RNAL 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»&IB^WM ^^;..-. ..,.-. ,.; -:•:" . ... I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code). LENDER'S NAME _ LENDER'S ADDRESS I certify that I have read the application and state that tha 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 City of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND 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 for excavations over 5'0" 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 wjjhin 180 days fromtfie 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 comm0ficdd for aOterigfl <f 180 day&(Section 106.4.4 Unifam Building Code). 1 APPLICANT'S SIGNATURE DATE YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/07/2005 Permit* CB052804 Title: DEGREGORIO RES GAS LINE FOR Description: HEATER Inspector Assignment: JM 2706 EL RASTRO LN Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT DEGREGORIO FAMILY 1999 TRUST 04-26-99 Owner: DEGREGORIO FAMILY 1999 TRUST 04-26-99 Remarks: Phone: Inspector: Total Time: CD Description 23 Gas/Test/Repairs Requested By: PAUL Entered By: CHRISTINE Act Comment (/ Associated PCRs/CVs Inspection History Date Description Act Irisp Comments 08/19/2005 23 Gas/Test/Repairs CO JM GAS LINE MUST BE 6 " ABOVE GRADE