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Home My WebLink About2778 ARLAND RD; ; CB020859; PermitAb - 03-22-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB020859 Job Address: Permit Type: PLUM Status: Parcel No: 1561424400 Lot# 0 Applied: Construction Type: NEW Entered By: Reference # Plan Approved: Issued: Project Title: DENTINO - REPLACE SEPTIC & Inspect Area: 2778 ARLAND RD CBAD CONNECT TO CITY SEWER Applicant: DENTINO ROBERT D 2776 ARLAND RD CARLSBAD CA 92008 Owner: DENTINO ROBERT D ISSUED 03/22/2002 JM 03/22/2002 03/22/2002 2778 ARLAND RD 3593 93/22/02 0002 03. 02 CARLSBAD CA 92008 CGP 2054 - 00 Total Fees: $2.054.00 Total Payments To Date: $0.00 Balance Due: $2,054.00 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 Additional Fees $20.00 $0.00 $15.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,019.00 $0.00 ' TOTAL PERMIT FEES $2,054.00 / FINAL APPR VAL Inspector: Date: ,t+42L Clearance: NOTICE: Please take NOTCEhat approval of your project includes the'lmposition' of fees, dedications, reseruations, or other exactions hereafter mllectively refamed to as 'feesiexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexadions. If yw protest them. you mWt follow the protest pdures set forth in Government Code Section 66020(a), and file the protest and any other required infomation with the City Manager for mmsina in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal adion to attack, &w, seiaside, void, or annul their imposition. laming, zaning, grading or other similar applicatian pmsing or sewice fe FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address (include BldgISuite XI Legal 0 scription Lot No. Subdivision NamelNumber As&ssor's Parcel I Business Name iat this address) Phase NO. Total # of units 9-8 Unit No. 2 778 LA-^ &Ad , G9h'L5&9a. 4 85 /CL / OF PrS, /8V Proposed SB #of Stories # of Bedrooms Existin Use . /56- /Vi'- YL/ jE5/A!Nr/Bz /$s,L7zAJr1A # Of Bathrooms Name Address City StatelZip Telephone X 1Sec. 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 ISJUB~CB. 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 ProfwSSiOns 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 more than five hundred dollars 1$50011. Name Address City StatelZip Telephone X State License # License Class City Business License X Designer Name Address City StatelZip Telephone State License X Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fallowing declarations: of the work for Which this permit is issued. 0 issued. My Worker's compensation insurance Carrier and policy 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) 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 IO as to become subject to the Workers' compensation Laws of California. WARNING: Failure to secure works"' compensation coverage is unlawful. and shall subject an 0m~lover to criminal penalties and civil finer up to one hundred thousand dollars ($100,000~. in addltlon to the Cost of compensation. damages as provided for in Section 3706 of the Labor code, interest and attomev's fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the pmperty or my employees with wager 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 doer 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 salel. 0 I, as owner of the property. am exclusively contracting with licensed contractors to COnStrUCt the Project ISec. 1044, Business and Professions Code: The Contractor's License Law doer not apply to an owner of property who builds or improves thereon, and Contracts for such projects with Contractorlsl licensed pursuant to the Contractor's License Law). 0 1. 2. 3. .. . . ,i ., , 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 I have and will maintain workers' Compensation, as required by Section 3700 of the Labor Code. for the pertormance of the Work for which this permit is '7. ':OWNER.EUKWRIDEGLAR~~TION ,. . id I em exempt under Section I personally plan to provide the major labor and materials for construction Of the proposed pmpertv improvement. I lhaue I have not) signed an application tor B building permit for the proposed work. I have Contmtd with the following person (firm) to provide the proposed COnStrUCtiOn (include name 1 addrnes I phone number I contractors license number): Business and Professions Code for this reason: YES UNO 4. number I contractors license number): 5. of Workl: / I plan to provide portions Of the work, but I have hired the following person to coordinate, supervise and provide the major work iinclude name I address I phone I will provide some of the work. but I have conti ctsd (hired) the g perrons to provide the work indicated linciude name I address I phone number I type ., . .,,. ,,, PROPERTY OWNER SIGNATURE .-PYA DATE 3/'-+k ,,.. ,. ,, ,, . ,,,, ,wMrtu;re:*usEcnoN ~o~~~o~~r;Bul~b~up~~M~~~~ IE the applicant or future building OCcupmt 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 Prssley-Tanner Hazardous Substance Account Act? YES 0 NO Is the applicant or future building occupant requirsd to obtain a permit from the ail PDliUtion control district or air quality management district7 YES 0 NO Is the facility to be constructed within 1,000 feet Of the outer boundary of a School lite7 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 8,; ~CdNS7RU~ONLUVDINGAGE~CY. ', . I hereby affirm th YES NO N CONTROL DISTRICT. 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 consrumion. 1 hereby autholile lepresentaiivBs of the Citt of Carlsbad to enter upon the above mentioned property for inspection purp0585. I ALSO AGREE TO SAVE, INDEMNIFY AN0 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 owl 3 stories in height. EXPIRATION: Every permil issue aulhorized by such permit is not at any time afler the Work is Com APPLICANT'S SIGNATURE DATE Code shall expire by limitation and become null and void if the building or work r if the building or work authorized by such permit is suspended or abandoned . .., I ,,., ',&*p., ,< ,,7A,!,, ~ WHITE File YELLOW Applicant PINK: Finance __ ._ '.._ City of Carlsbad Bldg Inspection Request For 05/14/2002 Permit# CB020859 Inspector Assignment: PY Title: DENTINO - REPLACE SEPTIC & Description: CONNECT TO CITY SEWER Type: PLUM Sub Type: Job Address: 2778 ARLAND RD Suite: Lot 0 Location: APPLICANT DENTINO ROBERT D Owner: DENTINO ROBERT D Remarks: Phone: 7607458118 Inspector: Total Time: CD Description 22 Sewerwater Service 29 Final Plumbing Requested By: ROBERT Entered By: CHRISTINE Act Comments Associated PCRs InsDection History Dale Description Act lnsp Comments 04/18/2002 22 SewerNValer Service AP PY OKTOCOVER CITY OF CARLSBAD PLA T FOR PLUMBING PERMIT SCOPE Of WORK : INSTALL 4” SEER LATERAL APPLICANT : ROBERT D. DENTIN0 ADDRESS : 2778 ARLAND ROAD CARL SBAD, CA 92008 LEGAL D€scwnoN : PCL 7 OF PM 18485 WA ER SERMCE - SCALE : 7- = 30’ @ EMST SEPTIC TANK: TO BE EMP77€D, CLEANED AND CRUSHED OR BACKFILLED INERCEPT €XIS% 3” LINE TO TANK I1 7.25’ CONERT ro 4” LINE BEGIN LATERAL @ CONSTRUCT APPROX 740 LK 4” P VC LA ERAL AT 2% MIN SLOPE To CLNOU