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HomeMy WebLinkAbout2783 PALMETTO DR; ; CB070110; PermitCity of Carlsbad ._ . 1635 Faraday Av Carlsbad, CA 92008 01-16-2007 Plumbing Permit Permit No: CB07011 o Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2783 PALMETTO DR CBAD PLUM Status: Parcel No: 2131802400 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: SNAVELY RES-GAS LINE TO BBQ & FIRE PIT Applicant: SNAVELY TAB&ORALYNN 2783 PALMETTO DR CARLSBAD CA 92009 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 Plan Approved: Issued: Inspect Area: Owner: SNAVELY TAB&ORALYNN 2783 PALMETTO DR CARLSBAD CA 92009 ISSUED 01/16/2007 RMA 01/16/2007 01/16/2007 $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: Date: Clearance: $0.00 NOTICE: P!ease take N approval of your project includes the "lmpos1 ion" of fee , dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." ou 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 Sectlon 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 Ix inf lh I n ivn N Tl similar hi whihh llimiain h I h i FOR OFFICE USE ~L V PLAN CHECK No .t)f!;o 70 [l D PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL _________ _ Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total I of units Existing Use Proposed Use I of Bedrooms I of Bathrooms State/Zip (Sac. 7031.15 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 [Chapt~r 9, comm_endlng 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 7031.15 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). Name Address City State/Zip Telephone I State License I _________ _ License Class _________ _ City Business License I _______ _ Designer Name State License I Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 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. 0 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 _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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 Workers' Compensetlon Laws of California. WARNING: Failure to HCURt workara' compensation coverage la unlawful, and ahall aubjact an employer to criminal panaltlaa and dvll flnea up to one hundred thouaand dollar• ($100,000), In addition to the coat of compensation, damagea as provided for in Section 3708 of the Labor coda, intereat and attorney's fus. SIGNATURE DATE I! I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 doe■ 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 n(!t build or improve for the purpose of H ie). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The tractor'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. l~lly plan to provide the major labor and materials for construction of the proposed property improvement. 0 YE~ 2. ~ have not) signed an application for a building permit for the proposed work. 3. I hav co2£Pith a~wi g ers irm) 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):. ______________________________________________ _ 15. 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)::-------=-=------=--:=:-------::::;;:~~~--~7"' ~e._ ===- 5 _ :::::-?::t :.:::-=-s-y-~'7:~75""" 2:,,,----==-=-==--...::...J-/\ PROPERTY OWNER SIGNATURE ~UE™Jiii:Njj Is the applicant or future building occupant o submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 2151505, 251533 or 2151534 of the Presley-Tanner Hazardous Substance Account Act? D 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? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 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. STfiltQ.TIQNJ,fflQJ I hereby affirm that there is e construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(i) Civil Codet. 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 Cltt 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 withl ~ 80 da s from the date of such permit or If the building or w~orl< authorized by such permit Is suspended or abandoned " / at any time after the work Is c~ · 06.4.4 Uniform Building Code). ~ / ~ /} --7 );( APPLICANT'S SIGNAT~ DATE ---iC'--.--'--1---'-j~--,t1/ _ _,_I" ____ _ LLOW: Applicant PINK: Finance m City of Carlsbad Bldg Inspection Request . For: 06/04/2007 . Permit# CB070110 Title: SNAVELY RES-GAS LINE TO BBQ & Description: FIRE PIT Type:PLUM Sub Type: Job Address: Suite: 2783 PALMETTO DR Lot: 0 Inspector Assignment: PY --- Phone: 7609293900 Location: Inspector: ----- APPLICANT SNAVELY TAB&ORALYNN Owner: SNAVELY TAB&ORALYNN Remarks: Total Time: CD Description Act Comments Requested By: CHAD SNAVELY Entered By: CHRISTINE 23 29 Gas/Test/Repairs Final Plumbing \;\/ e-________________ _ /¥f ----------------------------------- ----------··---- Comments/Notices/Holds Associated PCRs/CVs Original PC# lns12ection Histo[¥ Date Description Act lnsp Comments 01/18/2007 23 Gasrr esURepairs AP PY 01/18/2007 31 Underground/Conduit•Wiring AP PY CONDUIT 01/17/2007 23 Gas/Test/Repairs co PY