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