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Home My WebLink About2732 LA COSTA AVE; ; CB100941; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-26-2010 Plumbing Permit Permit No: CB100941 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2732 LA COSTA AV CBAD PLUM Status: Parcel No: 2162801700 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: SHAHBAZ RES-GAS LINE TO BBQ Inspect Area: Applicant: SHAHBAZSHAHAB&FARAH 2732 LA COSTA AVE CARLSBAD CA 92009 760 632 0432 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: SHAHBAZ SHAHAB&FARAH 2732 LA COSTA AVE CARLSBAD CA 92009 ISSUED 05/26/2010 LSM 05/26/2010 05/26/2010 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE thai approval of your project includes the ~imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES tT APPLY to any f e xa ti n f hl h o have r vi I n iven N Tl E similar to thi r whi h h statu f imi i n ha reviousl otherwi e x ired. I «~ Building Permit Application Plan Check No. M \D CJC-74 I 1635 Faraday Ave., Garlsbad, CA 92008 Est Value ~ CITY OF 760-602-2717 / 2718 / 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.Q§rl~!2!;!dca.gov Date S/oER( JO l~J\I\. JOB ADDRESS ( w. SUITE#/SPACE#/UNIT# 1'"21<.-zeo-· z-1~ Lo.. r r-F'-1n. b.,J, . .,_ o1\$ G:.i... o.1 _ _.. -\7 -00 -- - I CT/PROJECT# ·-" PHASE# # OF U\ITS I# BED~MS #BATHROOMS I TENANT BUSINESS NAME 11.A.JNSTR. TYPE I DCC. GROUP 3,$ DES~PTION OF W~RK: lncludtl Square Feet of Affected A,ea(•~ .. "'---""-V\..'ir a.. t;t0,.5 \ ,-.1\.L-"'"""--\k_ ~,(.A.I i I\~ f'--•"" "\ S.1' d..'-Ot "T~ Y\.o"'-X.. ~ \.u.-._,,i\'h. Ct a.'bo...._ '"t So ~-t -to o.. e,&«t_ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES □#_ NOD YES O NOD YES □ NOD CONTACT NAME (ff Different Fom App/leant) APPLICANT NAME ADDRESS ADDRESS . CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE I FAX EMAIL EMAIL PROPERTY OWNER NAME $ ¼~ \, ~ fu\lCA..¼.. c,. _ \ -\ol..?... CONTRACTOR BUS. NAME ADDRES2. 7 2,z. lA C.Osta. >-. .Je.-ADDRESS CITY Cov-ls\,u STATE~ ai.ocfl CITY STATE ZIP PHONE 160 -63Z-o43L l'16o. b83-3111 PHONE l"" EMAIL S S "'-"'-"'-\, o...L e -=., '«:,.f lo~\ · V\.L -t EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# l"ASS I CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 !Cha'fter 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 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensstlon Oec:laratlon: I hereby affirm under penalty of perjury one of the following declarations: □ 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 lhis pennil is issued. □ I have and will maintain workers' compensation, as required by Section 3700 of lhe Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expiration Dale _________ _ This section need not be completed if the pennit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit Is issued, I shalt not emp'°y any person in any manner so as lo become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doNars (&100,000), In addition to the cost of compensation, damages as prorided for In Section 3706 of the Labor code, tnterest and attorney's fees . .A$ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: }(. I, as owner of the property or my employees with wages as their sole compensation, will do the worll 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 en owner of property who builds or improves thereon, and who does such worll himself or through his own employaes, 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 puipose of sale). ~ I, es owner of the property, em 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 conlraclor(s) licensed pursuant to the Contractor's license Lew). □ I em exempt under Section Business end Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of lhe proposed property improvement. □ Yes □ No 2. I (have I have not) signed an application for a building permit for the proposed worll. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person rdi rvise and provide the major work {include name I address/ phone/ contractors' license number): red followi the work indicated (Include name I address/ phone/ type of work): j ..@S' PROPERTY OWNER SIGNATURE □AGENT DATE t;1OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLV l!'j the 'appl~nt 01-full.Ke building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ml □ Yes □ No Is lhe applicant or Mure building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed Ynlhin 1,000 feet of the outer boundary of a school sile? □ 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 OFFICI: OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCV I hereby affirm that there 1s a coostruct10n lenchng agency for the performance of the work this perrrnt 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certffythat I have read the application and state that the above information is correct and that the Information oo the plans Is accurate. I agree to cOl'llptf 'illith all Chy ordinances and State laws relating to bulldlng construction. I hereby aulhorize -nlaiMl ol lhe City ol Callsbad ~ en~r upon Ille above mentioned property for nspecfun purposes. I ALSO AGREE TO SAVE, INDEMNIFY />J'lO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSE ICH MA N NNWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. / OSHA: All OSI-+\ pennlt is ™'1i'ed for excavations over 5' · over 3 smes i1 heitJhl. EXPIRATION: Every pennlt issued by the Build' . by li'nilatk:ln and become nul and -.00 W Ile buidhg or work authoozed by such pe!Tm is not conmenced 'Mltlin 180 days from Ille dale of such pemit er fffle nded er abandoned at any li1'o after Ille ..,,I(• commenced for a period ol 180 days (Sediln 106.4.4 Urmm &llld'1Q Code). r ..«S' APPLICANT'S SIGNATURE DATE S" 2.c, / { 0 «1~ ¥ CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www.carlsbadca.i;tov I am applying to the City of Carlsbad for the following type(s) of construction permit: □ Building Permit □ Right-of-Way Permit Electrical Patio/Oeck Fire Additional Re-Roofing Fire Alarm Sign Fixed Systems Spa-Factory Mechanical Sprinkler ~y project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: M~ Water Discharge ~ Project Storm Water Threat Assessment Criteria No Threat Assessment Criteria □ My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the ~no threar assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 -Low Threat Assessment Criteria D My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type {See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities {such as roofing, saw cutting, equipment washing, material stockpUing, vehicle fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria □ My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 -Significant Threat Assessment Criteria □ My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or □ My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, □ My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction actMUes for the permit type(s) check above comply with the storm water best management practices pursuant to TiUe 15 of the Carlsbad Municipal Code and to Cltv Standards. *The City Engineer may authorize minor variances from the Stonn Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. 8-24 Page 1 of 1 Assessor Parcel No. 2...1 6 -21' o -rr-o TIiie: Date: s--zh-lD c,;, ,o7lr'--f ! Rev.03/09 City of Carlsbad Bldg Inspection Request For: 08/19/2011 Permit# CB100941 Title: SHAHBAZ RES-GAS LINE TO BBQ Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2732 LA COSTA AV Lot: 0 OWNER SHAHBAZ SHAHAB&FARAH Owner: SHAHBAZ SHAHAB&FARAH Remarks: IT IS NOW HOOKED UP Total Time: CD Description Act Comments Inspector Assignment: TP --- Requested By: SHAHAB, HOMEOWNER Entered By: CHRISTINE 29 Final Plumbing £_ ____________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 09/03/2010 23 Gas/TesVRepairs Act lnsp Comments AP TP 5HA'r'\A0_ 5'r\f\n8 f\~ 27 3~ L 01 (JJs 'to>\ ~ve Uy ls ~ P\ cl ~ V) 2 QO ~ 1--J-------___,_-; ··c,rAC~~ ~J Ov\llc.Wtt Y) Wt1 I kW1.1)' ti /<r? t 10 Au~ ----O~~\