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HomeMy WebLinkAbout2828 CEBU CT; ; CB102272; Permit11-29-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB102272 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2828 CEBU CT CBAD PLUM 0000000000 Lot#:0 Construction Type: NEW HARTMUSS RES- GAS LINE REPAIR Status: ISSUED Applied: 11/29/2010 Entered By: RMA Plan Approved: 11/29/2010 Issued: 11/29/2010 Inspect Area: Applicant: COASTAL PLUMBING 4882 HILLSIDE DR CARLSBAD CA 92008 760 720-2991 Owner: 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 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector: FINAL APPROVE Date:Clearance: NOTICE: Please take NOTICE thafepproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Yoif 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. Building Permit Applii %^5^ 1635 Faraday Ave., Carlsbad, CA ^7 CITY OF 760-602-2717 / 2718 / 27 f~*ARI ^RAD Fax:760-602-8558V-/"\l\L.«jD/"\Lx www.carlsbadca.gov JOB ADDRESS _, / CT/PROJECT* '"' LOT# PHASE* #OFUNITS #BEDROOMS r««nn Pla" Ch6Ck N°' W?//D £^^ 72cation Fwr' >— •' v>'fc" ( ^rr-'- 92008 Est. Value 19 A] ( Plan Ck. Deposit ^/^ — Date Ji j^q fffo SWPP SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CONSTO.TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) - 1 EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME . Iv\ r^\ v\ K\^ JT& Y~ K^u-t/ f ADDRESS ! £-^o & P CL^L U u Cfi> K V\ CITY 1-1 ^ * — , STATE ZIP l^fb^W^^?/? FAX EMAIL -^ ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YCSd # NOD YES D NOD YES d NO D APPLICANT NAME I/ f vj / ADDRESS 0h i?L v (-9 r?r^t/. is ^ ^v i ' j 4 CITY I <] / .^STATE x^zlp ,-> CAKu^^fi C C. / 1^& 10 RHONE •>. . /l/t / ^ "~7Ll)}^^&°~'^'(^ I EMAIL ' CONTRACTOR BUS. NAME > /); / . ADDRE8S. x, ' • 3jj Q f\ nk /~~~) r~/i CITY j *1 *v ^?TATE xi ZIP f^cOTzo-^a^/ FAX £WAIL STATE Ug,*. ^^_ , CLASS CITY BUS. UC.# ^ — - civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: thereby affirm under penalty of perjury one of the following declarations: O 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 perm it is issued. [TI 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 workers' compensation insurance caitier and policy number are: Insurance Co. Jl/flr^^A/-^ Policy No. £0 UX£-/J3 ^ 7/f Expiration Date &*l Q I t?jJ > f This section need not be completed if the permit is for one hundred dollars ($100) or less. G 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 (4100,000), in addition to the cost of compensation, datpage^j^provided for in Section#06 of the Labor code, interest and attorney's fees. J&Z CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). d 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 contractors) licensed pursuant to the Contractor's License Law). O I am exempt under Section..Business and Professions Code for this reason: O No1 . 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes 2. 1 (have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address /phone / contractors' license number): 5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE OAGENT DATE Il^t Hazardous Substance Account Act? n a permit from the air pollution control district or air quality management district? d Yes Q No boundary of a school site? a Yes D No EMERGENCY SERVICES AND THE A^KS I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address =^^^ 180 days from foe date of such permit or if foe building^ work authorized by such permit is suspended or abandoned at any time after the work is commenced for a >efAPPLICANrSS.GNATURE /%£> ft fr^//S> DATE /( /?Jj / commenced within of 180 days (Section 106.4.4 Uniform Building Code). Inspection List Permit*: CB102272 Type: PLUM HARTMUSS RES-GAS LINE REPAIR Date Inspection Item Inspector Act Comments 11/29/201023 Gas/Test/Repairs PY AP LEAK REPAIR Monday, November 29, 2010 Page 1 of 1 • ^ -A•^r c , T Y CA pi CD DATE: 1 1 lf\\\ PERMITS \r>K JOB ADDRESS: UNSCHEDULED Development Services BUILDING Building Division ° F IKIQDPr*TIOM 1635 Faraday Avenue Carlsbad CA 92008 B-44 760-602-2700 / JL> /1 2xs (° INSPECTOR: '"V // ^ CCi- CONTACT: PHONE #: ;>s^rvA^ OV DESCRIPTION: CODE DESCRIPTION ACT COMMENTSf\ f± £&^ ^-\ f^TY ^ /jn|^ — W Bldg Inspection Form Page 1 of 1 Rev. 06/09 Check a License - Contractors State License Board Page 1 of 1 of Contractors License Board Contractor's License Detail - License # 756151 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. •* CSLB complaint disclosure is restricted by law (B&P7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. ">» Per B&PJBZ1JI, 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 onto the Board's license database. License Number 756151 Extract Date: 11/29/2010 " ~~ ~ __^^^__ ; PO BOX 1758 Business Information CARLSBAD, CA 92018-1758 §HMO§§§JGS^§,IM!^5!Z?0lI2Ct299L „ _Enfjty: _ _ __ Cgrooratkm __ _ JssueDate_ _ _JJ,,(!?/i?9§. _.,_ ,„ _Reissue_Date ,JM§/2.OOp_ , .Expire pate"'"~ ™'10/31/2<M2 ZZ HZ..." ZZ I " License status This license is current and active. All information below should be reviewed. J^jtIonjM,Statusj__ _ _ _ ,„ _ CLASS DESCRIPTION Classifications: C36 __ PLUMBING _ CONTRACTOR'S BOND This license filed Contractor's Bond number SC8001208 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 03/02/2009 CoMracterls£.Qndina..History. Bonding: "BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) BENDER KIP LAWRENCE certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 10/16/2000 BQI's Bonding History This license has workers compensation insurance with the NORGUARD INSURANCE COMPANY Policy Number:COWC134788 Workers' Compensation:Effective Date: 09/01/2010 Expire Date: 09/01/2011 WQrkerelCQmpensatjgn_.Histo.ry. DATE DESCRIPTION Miscellaneous Information:10/16/2000 LICENSE REISSUED TO ANOTHER ENTITY Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=7... 11/29/2010