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HomeMy WebLinkAbout2825 CARRILLO WAY; ; CB021650; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-18-2002 Plumbing Permit Permit No: CB021650 Building Inspection Request Line (760) 602-2725 Job Address: 2825 CARRILLO WY CBAD Permit Type: PLUM Status: ISSUED Parcel No: 2226620800 Lot#: 0 Applied: 05/30/2002 Construction Type: NEW Entered By: JM Reference #: Plan Approved: 05/30/2002 Issued: 05/30/2002 Project Title: ITTERMAN - GAS LINE TO FIREPIT Inspect Area: PD Applicant: Owner: A J CRISS ITTERMAN WAYNE A 2825 CARRILLO WAY P O 460265 92046 CARLSBAD CA 92009 760489-5120 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 0 $0.00 Gas Piping System 1 $7.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00 FINAL APPROVAL Inspector:^-^ ~ Date: i*~~ ~~(( ^.2-- Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 IT APPLY to any fees/exactions of which you have previously been given 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 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Depo: Validated Date teposjfrr . Bv jfi/T Address (include Bldg/Suite #(«><, C.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 C 2. ' SQ. FT.#of Stories vapplicami ff of Bedrooms # of Bathrooms Name 0 Contractor Address City State/Zip Telephone #Fax* Name Address City State/Zip Telephone # ER -7ST0 Name ' ' Address l City State/Zip Telephone tt -6. '^NTBAtfrdR^COWl^MVIrfAiK '--'»'-"" .",.•..-„" , t , -..'-, ,;, , 4; 0 > (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 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 ($5001). Name State License tt lj Address & *><£> *>G License Class City State/Zip City Business License tt Telephone tt Designer Name State License tt Address viinini^AVInLi* i« v* " City State/Zip Telephone >»-• - -• " , - -* '» I Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: l~l 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. Q 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 Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I? 100] OR LESS) l~l 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' 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), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE '" ' ' *•-•-' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). l~l 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). l~l 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. D 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 plen 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 SIGNATURE 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 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? l~1 YES Q NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q 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. a,, 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 (Sec. 3097(i) Civil Code). LENDER'S NAME _ LENDER'S ADDRESS _ •ti" AWWANTCEflTJFieATlON "P" *"' . ..-.-,;, , ....«.- - ,,_-_- ,3^ 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 within 1 80 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of ISCdays^Mction 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE ^ __ /0$ / )6 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/17/2002 Permit* CB021650 Title: ITTERMAN - GAS LINE TO FIREPIT Description: Inspector Assignment: PD 2825 CARRILLOWY Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT AJCRISS Owner: ITTERMAN WAYNE A&JAYNE Remarks: Phone: Inspecto Total Time: CD Description 23 Gas/Test/Repairs 29 Final Plumbing Jfs. Requested By: JANIS Entered By: CHRISTINE Act Comment Associated PCRs/CVs Inspection History Date Description 12/09/2002 23 Gas/Test/Repairs 12/09/2002 29 Final Plumbing 06/07/2002 21 Underground/Under Floor 06/06/2002 21 Underground/Under Floor 06/04/2002 21 Underground/Under Floor Act Insp Comments CO RB NO ACCESS CO RB PA PD CO PD NOT INSTALLED CO PD PIPE NOT INSTALLED City of Carlsbad Bldg Inspection Request For: 12/09/2002 Permit# CB021650 Title: ITTERMAN - GAS LINE TO FIREPIT Description: Inspector Assignment: PD Type: PLUM Sub Type: Job Address: 2825 CARRILLO WY Suite: Lot 0 Location: APPLICANT AJCRISS Owner: ITTERMAN WAYNE A&JAYNE Remarks: Phone: Inspector: Total Time: CD Description 23 Gas/Test/Repairs 29 Final Plumbing Act Comments Requested By: JAN IS Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 06/07/2002 21 Underground/Under Floor PA PD 06/06/2002 21 Underground/Under Floor CO PD NOT INSTALLED 06/04/2002 21 Underground/Under Floor CO PD PIPE NOT INSTALLED NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE > - = TIME 'fLOCATION PERMIT NO. FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? I I YES FOR FURTHER INFORMATION, CONTACT ___. PHONE BUILDING innrrnTW-^ CODE ENFORCEMENT OFFICER License Detail Page 1 of2 California Home Thursday, May 30, 2002 California License Detail Contractor License # 695830 CALIFORNIA CONTRACTORS STATE LICENSE BOARD DISCLAIMER A license status check provides information taken from the CSLB license data base. Before relying on this information, you should be aware of the following limitations: • CSLB is prohibited by law from disclosing complaints until they are referred for legal action. • Per B&P7071.17. only construction related civil judgments known 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 onto the Board's license data base. Extract Date: 05/30/2002 * * * Business Information * * * A J CRISS INDUSTRIES P O BOX 460265 ESCONDIDO, CA 92046 Business Phone Number (760) 489-5120 Entity: Sole Ownership Issue Date: 09/12/1994 Expire Date: 09/30/2002 * * * License Status This license is current and active. All information below should be reviewed. * * *Additional Status Information * * * A recommendation for an accusation against this license has been referred to the Office of the Attorney General for review. For further information, please call the Case Management Office in your area: (916) 255-4041 Northern California or (562) 466-6021 Southern California. * * *Classifications * * * Class Description C27 LANDSCAPING http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 05/30/2002 License Detail Page 2 of 2 ' • " *• * * * Certifications * * * |Cert HIC Description HOME IMPROVEMENT CERTIFICATION * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number SA5138792 in the amount of $7,500 with the bonding company STAR INSURANCE COMPANY. Effective Date: 08/24/1995 Contractor's Bonding History * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 290-0001589 Effective Date: 12/15/2001 Expire Date: 04/01/2003 Workers Compensation History Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request ©2001 State of California. Gray Davis, Governor. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 05/30/2002