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HomeMy WebLinkAbout2727 ASCOT AVE; ; CB070035; Permit01-04-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB070035 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2727 ASCOT AV CBAD PLUM 2131812000 Lot# Construction Type 0 NEW CHAMBERS GAS TO BBQ Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/04/2007 JMA 01/04/2007 01/04/2007 Applicant THE CONCRETE GROUP INC 1481 GLENCRESTDR 760-798-9082 Owner CHAMBERS MARTIN J REVOCABLE TRUST 01-15-04 2727 ASCOT AVE CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees $2000 $000 $000 $000 $000 $000 -•$700 $000 $000 $000 $000 $000 TOTAL PERMIT FEES'$2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 ATTACHED Inspector FINAj^AR Date _Clearance NOTICE Please take NOTICE lhat approval of your project includes the "Imposition" of fees, dedications, reservations or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this pro|ect NOR DOES IT APPLY to any tees/exactions of whichyou have oreviouslv been qiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY Of CARLSBAD BUILDING DEPARTMENT 1635'Faraday Ave , Carlsbad, CA 92008 EST VAL Plan Ck Deposit Validated EJy_ LJtYVt. Date * Address (include Bldg/Suite it)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use ^Description of Work * /. SQ FT\ &#$,,. htt^ ^.J?:&c£,#of Stones # of Bedrooms # of Bathrooms State/Zip TelephoneNameAddressCity ~~~ Fax # (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 ha is exempt therefrom, and the basis for the alleged Anv-yiolation of Section 703V5 by any applicant for a permit subjects the applicant to a civil penalty of noLmore than jive hundred dollars 1$500 Name Address State License # 3f^~r ~5 ) 3^. ^^ License Class ^^ City ' State/Zip J~ejj3phone # ^®' C~ * city Business License # /2-Z-O->/ / Designer Name Address State License # . City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 ofythe work for which this permit is issued fB" 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 Podcy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 151001 OR LESS) n CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, 1 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 criminal penalties and civil fines up to one hundred thousand dollars ($100,000), livaddltion to the coakpf eqrnpgnsation damages as provided for in Section 3706 of the Laoor code, interest and attorney s fees SIGNATURE ^--^Ufc^^C- "—^ £~J J-—-— DATE /_/ *•/ / «* Ci 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason n 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) Q 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) 0 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 O YES QNO 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 S/GNATURE 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, 25533 or 25534 of the Presley- Tanner Hazardous Substance Account Act? Q YES O 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 n MO 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 DISTRICTTTBSOT*^^ 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 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 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 witryrfTeo^lays from the date of such permit or if the building or work authorized by such permits suspended or abandoned , at any time after the work is commence^Ol^ parjod-fJT 180 days (Sec/bolOS 4>M*oifprm Building Code) | • " I J ^*****~*f^ ^™~ 9 V APPLICANT'S SIGNATURE DATE / A WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 05/14/2007 Permit# CB070035 Inspector Assignment PC Title CHAMBERS GAS TO BBQ Description Type PLUM Sub Type Phone Job Address 2727 ASCOT AV Suite Lot 0 Location ' Inspector OWNER CHAMBERS MARTIN J REVOCABLE TRUST 01-15-04 Owner CHAMBERS MARTIN J REVOCABLE TRUST 01-15-04 Remarks CAN YOU FINAL? Total Time Requested By NA Entered By CHRISTINE CD Description Act ^Comment 29 Final Plumbing Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 01/08/2007 23 Gas/Test/Repairs AP PC License Detail Page 1 of2 Califo Thursday, Janu License Detail Contractor License # 843129 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations , « CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the lin button to obtain complaint and/or legal action information • Per B&P 7071 17. only construction related civil judgments reported to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 01/04/2007 Business Information * * * THE CONCRETE GROUP INC PO BOX 1808 SAN MARCOS, CA 92079-1808 Business Phone Number (760) 798-9082 Entity Corporation Issue Date 07/21/2004 Reissue Date 10/07/2004 Expire Date 10/31/2008 License Status * * * This license is current and active All information below should be reviewed. * * * Additional Status Information * * * The license may be suspended at a future date for failure to resolve an outstanding final liat the Franchise Tax Board, Department of Industrial Relations, Employment Development Department, or the Contractors State License Board Classifications * * * Class Description http //www2.cslb,ca gov/CSLB_LIBRARY/License+Detail.asp 01/04/2007 License Detail Page 2 of2 C-8 CONCRETE * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 1038327 in the arr $10,000 with the bonding company SURETY COMPANY OF THE PACIFIC. Effective Date 10/07/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) SA DORIS ZALDANA certified that he/she owns 10 percent or more of the voting stock/equit\ corporation A bond of qualifying individual is not required Effective Date 10/07/2004 BQI's Bonding History Workers Compensation Information* * * This license has workers compensation insurance with the ENDURANCE WORKERS COMPENSATION INSURANCE COMPANY Policy Number WEN000245201 Effective Date 08/01/2006 Expire Date 08/01/200 Workers Compensation History * * * Miscellaneous Information * * * Date 10/07/2004 Description LICENSE REISSUED TO ANOTHER ENTITY Personnel listed on this license (current or disassociated) are listed on other licei [Personnel List .Other Licenses 1 LicenseNumber Request 1 Contractor Name Request | Personnel Name Request • Salesperson Request • Salesperson Name Request © 2006 State of California ConditjpnsjMJJse Pnvacy_PoJicy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 01/04/2007 O CO O>"Dm CO m 1 I o — n, -r 9 I I • ^ S g ? 8 ? 1 s S S ? Delto Revision Date 2727 ASCOT AVENUE CARLSBAD, CALIFORNIA LANSCAPE SITE PLAN