HomeMy WebLinkAbout2707 PALMETTO DR; ; CB061739; PermitCity of Carlsbad
\ 1635 Faraday Av Carlsbad, CA 92008
06-15-2006 Plumbing Permit Permit No: CB061739
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2707 PALMETTO DR CBAD
PLUM
2131801300 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
Project Title: TYLMAN RES: GAS & ELE TO BBQ &
FIREPIT
Applicant:
AMERISCAPE INC
PO BOX 2181 92079
760 613-5335
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
Owner:
TYLMAN MICHAEL A
2707 PALMETTO DR
CARLSBAD CA 92009
Issued:
Inspect Area:
ISSUED
06/15/2006
JMA
06/15/2006
06/15/2006
$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: $47.00 Balance Due:
FINAL APPROVAL
Inspector:~~ Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f ex i n f whi h h v r vi I iv n N Tl E imil r hi r whi f limi i n h
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No ()o6h \731
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ________ _
1, PROJg¢J INFORMATION
'1.. 'l-o 7' /JA V"\ <: m. 0,<.1 IAf"'
Validated By ~w«
Date &z [ I SJ_ Q_Q_
Business Name (at this address)
8tttf'tS,£ ~,.,. /11t1M/1.0Jf" l'o;,.JI I Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
cJC~cc.A. s«, n;;~A,-Jc..-,J ,A-$ -..,~
2. CONTACT PEl'ISON (If different from ·applic;ent)
~-~ 7b 4U&. ~ f!-tM"/11 T l},.,ro ~S\,")Uo,( ~<-Mc c.A-<.. uN'0"1'1 r Kl...
Ass,F TA,c.1
Name Address City
3. APPLl<;:ANT. ~ Contractor D A.9ent for Contractor D Owner O Agent for Owner
A~sc,,,.Pc 'LS'( v,~ :tr }l\i'. ~-~c.b>JOt~l> ,CA 91.o l.~
Name ' Addresi r City
4. PROPERl'.Y OWNER
~,~~ ?:a<-~
Name 1
,5. CONTJV<CTOR • COMPANY fiAMI;
9,o o9
Address
State/Zip Telephone # Fax #
State/Zip Telephone#
S.tate/Zip Telephone#
(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
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 ($5001).
A~tSe,~I F" . '1.S( Vit,A"),foQJ) sr_. s: :,re ~, GSr-irWO '" o, cA 9°"\..<) 4l..'1 2,0 _, ,,3-.) :JJS:::
Name ' Addresl ' • City State/Zip Telephone #
State License # 8' ,f' '::( * ':( o License Class C. City Business License # I 1.:t.o [ ~ 2..
Designer Name Address City State/Zip Telephone
State License # _________ _
,6. WQRKl;RS' COMPl;NSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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
of the work for which this permit is issued.
D 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 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 ($1001 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 W rkers' Compensation Laws of California.
WARNING: Failure to ure workers' compensation coverage ia unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
,000), In addition to the cost of compensation, damages aa provided for in Section 3706 of the Labor coda, interest and attorney's fees.
• • DATE tf1S-/ 06
~--:;;:--'--:--~:;:;::::::;:=;:;..._"',..,-::--·
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 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).
D 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 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 and materials for construction of the proposed property improvement. D 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 _______________________ _
CQM~~TE THIS SECTl,9N FOR NON-ll§SIDENPAL BUILDll'tQ PERMITS ONLY
DATE _________ _
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, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 O 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.
1s. _ 1;;9f,ISTRUCTl9N Lt;NQ!NG ~~ENCY
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 ______________ _
rs... AeJ'IJC~.I\IT C!;RTIFICATION
LENDER'S ADDRESS ________________________ _
I certify that I have read the application and state that the 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 Citt 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 ilding 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 comme e within 180 days from the 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 commenc or a period of 180 days (Section 106.4.4 Uniform Building Code).
DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 07/24/2006
Permit# CB061739
Title: TYLMAN RES: GAS & ELE TO BBQ &
Description: FIREPIT
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
2707 PALMETTO DR
Lot
APPLICANT AMERISCAPE INC
Owner: TYLMAN MICHAEL A
Remarks:
Total Time:
0
CD Description Act Comment
-Z.'7:I Gas/Test/Repairs &
24 Rough/Topout W,G
'1,,~ Rough Electric fl_
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
lns(lection Histo!Y
Date Description Act lnsp Comments
06/16/2006 23 GasfT est/Repairs AP PC
06/16/2006 31 Underground/Conduit-Wiring AP PC
Inspector Assignment: PC ---
Phone: 7606135335
Inspector: H, l,
Requested By: KIM
Entered By: JANEAN