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HomeMy WebLinkAbout2829 CARRILLO WAY; ; CB021649; Permit05-30-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB021649 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A J CRISS P O 460265 92046 760 489-5120 2829 CARRILLO WY CBAD PLUM 2226620700 Lot #: 0 Construction Type: NEW GRAVATT RESIDENCE GAS LINE TO FIRE PIT Status: ISSUED Applied: 05/30/2002 Entered By: MDP Plan Approved: 05/30/2002 Issued: 05/30/2002 Inspect Area: Owner: GRAVATT JORDAN PAULA 2829 CARRILLO WAY 92009 8243 05/30/02 0002 01 02 CGP 27-00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$27.00 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 Inspector^ FINAL APPROVAL Date: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 vou 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 NO. ftj?* I G> ^ V EST. VAL Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) cuj ' Legal Description Lot No. ' Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work 4t> SO. FT.#of Stories # of Bedrooms # of Bathrooms - i , - -f - „•' •3rtv, ,,Cv r I ^V*'^.: Name 3,CLCertnafcot Address onMtto* City State/Zip Telephone # Fax # Name Address City Cit4»iI»U5 ^ State/Zip Telephone # Name Address City State/Zip Telephone # (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 # l^ • ^ » ^>" Designer Name State License # Address License Class ^1^2-7 Address City State/Zip City Business License # ftoA City O State/Zip Telephone #-A-c X--. ^ ( j o ^ / Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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 Sftcfc? *5>->2**t r^&J*l ^ —^n«- - £»vW/ Policy No. 'Z^ff " CQOf 5T? Expiration Date {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [4100] OR LESS) Q 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 penaltlea 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). G 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^ licensed pursuant to the Contractor's License Law). D 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. Q 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 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): 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? 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? Q YES L~D 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. 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 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 CitV 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 comrnerje^d within 180 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 180 davs (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 11/13/2002 Permit* CB021649 Title: GRAVATT RESIDENCE Description: GAS LINE TO FIRE PIT Inspector Assignment: PD 2829 CARRILLO WY Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT AJCRISS Owner: SHAHABI DONNA Remarks: Phone: 7604895120 Inspector Total Time: CD Description 29 Final Plumbing Requested By: SUSAN Entered By: CHRISTINE Comments flo Associated PCRs/CVs Inspection History Date Description Act Insp Comments 06/11/2002 21 Underground/Under Floor AP PD PREVIOUSLY 06/11/2002 23 GasHest/Repairs AP PD 06/07/2002 21 Underground/Under Floor PA PD 06/04/2002 21 Underground/Under Floor CO PD ON CARD License Detail Page 1 of 2 California Home Thursday, May 30, 2002 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 JCRISS INDUSTRIES PO 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 C27 Description LANDSCAPING http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 05/30/2002 License Detail Page 2 of 2 * - • * * * Certifications * * * Cert HIC HOME Description 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 Ust License Number Request Contractor Name Request Personnel Name Request Salesperson Reguest 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