HomeMy WebLinkAbout2724 ARLAND RD; ; CB010199; PermitL/blO
61/17/2001 Plumbing Permit Permit No:CBOI 01 99
City of Carlsbad
I 1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type: PLUM Status: ISSUED
Parcel No: 15614201 00 Lot #: 0 Applied: 01/17/2001
Reference #: Plan Approved: 0111 7/2001
Issued: 01/17/2001
Project Title: FRY RESIDENCE Inspect Area:
2724 ARLAND RD CBAD
Construction Type: NEW Entered By: JM
NEW METER TO PRIMARY RESIDENCE
Applicant:
FRY PETER
2724 ARLAND RD CARLSBAD CA 92008
Owner:
FRY PETER
2724 ARLAND RD
CARLSBAD CA 92008 9157 01/17/01 0002 01
CGF' 02 27-00
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
InstalllRepair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
$20.00
$0.00
$0.00 $0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $27.00
FINAL APPROVAL
Date: 7 - 1- 3-6 1 Clearance: -1 Inspector: Y d
NOTICE: Please take NOTICE that approval of your project includes the 'ImposiUon' of fees, dedications, reservations, or other exactions hereafter mllectively
referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them. you must
follow the protest pmedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance wth Carisbad Municipal Code Section 3.32.030. Failure to tirneiy follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your ight to protest the specaied feeslexaclions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
FOR OFFICE USE ONLY
PLAN CHECK NO. ~~a(y[fl
EST. VAL.
Plan Ck. Deposit
Validated By
PERMIT APPLICATION
CliY OF CARLSBAD BUILDING DEPARTMENT '
1635 Faraday Ave., Carlsbad, CA 92008
PROJECT INFORMATION e/.strrr- Busmeoi Name (at this addies)
?" 27zcf mfw s no6
Address IIncIude BldglSuhe Wl
Legal Descnpt~on Lot NO Subdivision NamalNumber Unit No Phase No Total X of units
Aso~isor's Parcel X Existing Use Proposed Use
Description Of Work SO FT #Of S101186 X 6f Bedrooms
2.
Name Address CltV St.tslZlp Telephone X Fax X
3. APPLICANT 0 Contractor 0 Agent tor ConV.otfa mwnm Agam in Owrur
Name
&S/ D,€/rL.E
UmL /A4 F&?h #e&= reC7QH w64.64. ///dS/= /me/. 2 . (-7s
X of Bathrooms 4c
CONTACT PERSON U4 dmml born rpplcmtl
Z72Y M LA-> Are-ya &7fw- /&?e 92-d 7~0-~M-@TU$
Address CltV Stsfelzlp Telephone X
RZ-fz /+CY
6. CONTRACTOR - COMPANY NAME .. ,,: ... , . . .. . ... ,, ,.. I,
ISec. 7031.5 Business and Professions Code: Any City or County which requires I permit 10 Construct, alter, improve, demolish 01 repair any 5tRIctUre. prior to its
issuance. ais0 rewires the applicant for such permit to file a signed rtatsmont that he is licensed pursuant to the provisions Of the Contractor's License Law
ICheptir 9, commanding with Section 7000 of Division 3 Of the Business and Roterrions Codel 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 mors than five hundred dollars 185001).
Name Address City StatelZip Telephone X
State License X License Class City Business License X
Designer Name Address City SDtelZip Telephone
State License X
6. WORKERS' COMPENSATION .. 1. , ,,
WoIkwo' Compensation Declaration: I haiaby affirm under pmallv of perjury one d tha lollowing declarations:
0 of the work for Which this permit is irrusd.
0 issued. My Worker's compensation insurance carrier and poiicy number are:
Insurance Company Policy No. Expiration Date
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS)
0 CERTIFICATE OF EXEMPTION I certify that in the performame of thm 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.
WARNINQ Failure to secure work-' 0ornp.nutIon covmge Is unhrrful. d .h.l subbct .n .rnplww to criminal waltles mnd civll tin.' up to on. hundnd
thousand dollan 1$100.0001. in addition to the cost of sompmsmlon. dampas a* provided for In Section 3706 of UU Labor code. Interest and anomey's feu.
,.
I have and will maintain I certificate of consent to raif-insure for worken' compensation as provided by Section 3700 of the Labor Code, for the psrformanctl
I have and will maintain workers' compsnrstion, as required by Section 3700 of the Labor Code, for the performance of the work for Which this permit is
DATE
0 I, as owner at the property or my employees with wages as their sola compsnsation. will do the work and the structure is not intended or offered for sal.
ISec. 7044, Business and Pmfsrsions Code: The Contractor's License Law does not apply to an owner of prop~rtv who builds or improves thereon. md who doer
such work himrelt or through his own employees. provided that such imprwaments are not intended 01 offered for sale. If. hawavsr, 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, LIS owner of the property, am exclusivdy contracting with licensed collactors to construct the project ISsc. 7044, Business and Professions Code: The
Contractor's License Law doer not apply to en owner of Property who builds or improves thereon. and Contracts for such projects with contnactorlsl licensed
pu~sumtt~ the Contractor's License Law).
0
1.
2. I (have I
3.
4.
number I contractors license number):
5.
I am exempt under Section
I personally plan to provide the major labor and materials for Construction of the proposd propsrty improvement. 6YES ON0
I have contracted with the following parson lfirml to provide the proposed co~truction lincluds name I address I phone number I contractors license number):
I pian to provide portions Of the work, but I haw hind the foliowing person 10 Coordinate. supervise and provide the major work lincluda name I address I phone
I will provida some of the work. but I have contracted Ihirsd) the following Perrons to provide the work indicated linclude name I address I phons number I type
Business and Rofessions Code for this reason:
signed an application for a building permit for the proposed work.
, of work):
PROPERTY OWNER SIGNA DATE # /. / 7 d/
COMPLETE THIS SECTION
Is the applicant or future building OCCUpant required t
program under Sections 25505, 25533 or 25534 of the Preslsy-Tanner Hazardous Substance ACCDY~ Act1 0 YES NO
1s the applicant or future building occupant raquirsd to obtain a pimit from the air pOUution c~~trol dirlricl w sir quality managmen1 district1
Is the facility to be Constructed within 1.000 feet of the outer boundary of a school sital YES 0 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
RERUIREMENTS OF THE OFFiCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
sines plan, ecytely hazardous materials registration form or risk management and prevention
YES 0 NO
8. CONSTRUCTION LENDING AGENCY .,, ~
I hereby affirm that there is a Construction lending agency for the performance of the work for which this permit is issued ISec. 3097111 Civil Code).
LENDERS NAME LENDER'S ADDRESS
,. . 9. APPLICANT CERTIFICATION I( . ,, , ,,
I conify that I have read the application and state that the above information is correct and that the intotmation on the plans is ICEUrate. I agree to comply with ail
City ordinances and State laws relating to building Construction. I hereby authorize replasentatives of the City of Carlrbsd 10 enter upon the above mentioned
property for inspecdon putposas. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSERUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over SO" deep and demolition or Construction Of structures over 3 stories in height.
EXPIRATION Evety permit issued by the building Onicial under the provisions of this Code Shall expire by limitation and become null and void B the building or work
authorized by Such permit is not commenced within 180 days fmm the date Of such permit or if the building or work Buthodzed by such permit is suspended or abandoned
at any time after the work is commen ys (Section 106.4.4 Uniform Building Code).
%-APPLICANT'S SIGNATURE
E: File YELLOW Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For 0711 912001
Permit# CBOlO199 Inspector Assignment: NF
Title: FRY RESIDENCE
Description: NEW METER TO PRIMARY RESIDENCE
Type: PLUM Sub Type:
Job Address: 2724 ARLAND RD
Suite: Lot 0
Location:
Phone: 7608053232
Inspector: &'
APPLICANT FRY PETER
Owner: FRY PETER
Remarks: UNSURE IF INSPECTION IS REQUIRED TQPA a=* qg=L'
Total Time:
CD Description Act Comments
Requested By: PETER FRYElCHRlSTlNE
Entered By: CHRISTINE
22 Sewerwater Service
-y
Date Description Act lnsp Comments