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HomeMy WebLinkAbout2009 PERIDOT CT; ; CB090735; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-04-2009 Plumbing Permit Permit No: CB090735 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2009 PERI DOT CT CBAD PLUM Status: Parcel No: 2132911300 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: PC#: Project Title: SHAFRAN RES-GAS TO BBQ & FIRE PIT, ELECT TO BBQ & FUTURE SPA Applicant: CEG 344 MAIN STREET VISTA CA 92084 726-3360 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: SHAFRAN CHRISTINA M 2009 PERIDOT CT CARLSBAD CA 92009 ISSUED 05/04/2009 RMA 05/04/2009 05/04/2009 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due: Inspector:&-/:;;? Clearance: ------ $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these lees/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 Ci1y Manager for processing in accordance wHh 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 1hat 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 profect. NOR DOES IT APPLY to any Cjty of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 · Fax: 760-602-8558 www.car,lsbadca.gov Building Permit Application SUITE#/SPACE#/UNIT# · Plan Check No. Est. Value Plan Ck. Deposit Date 5 APN CT/PROJECT# LOT# PHASE# # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR, TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) G ~ _.J__ ~'"tYLl~ . 1t_ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom App/leant) ADDRESS PATIOS (SF) . DECKS (SF) APPLICANT NAME -:jo,,(_ NOD AIR CONDITIONING YES D NOD 6vlt~z ADDRESS 3L/Y /t!A-JA/J sr FIRE SPRINKLERS YES D NO □ CITY STATE ZIP CITY VI 51/:l STATtA ZIP YZ.CJf PHONE FAX PHONE?t,tJ <[JCJ/-o'f7 7 FAX 7 ~CJ '1-0 .-60 z._ 5 EMAIL EMAIL /kehJv ~LA-IJOS', ~o~ PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY ZIP 't2__do<=( CITY STATE ///5/)4 l.4 ZIP Cj2.__,oJ--y PHONE FAX PHONE 7 (,,,6 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# 7 fr 1 3 1 2-_ CLASS C-Z-7 flee. 7031.5 Buiinm and Professioni Code: Any City or Coun11 which requires a permit 10 conmucl, al1er1 improve, dtmoliih or rtP.air any nructure1 prior 10 ill issuance, also requires the applicant for iuch Rermit o filt a iigntd natement that ht is ricensed _pursuant 10 1ht proviiions of the Contractor'i lictnst law {Chapter 9, commending with lwion 000 of Division 3 of tht Business and Prormions Codt} or that he ii mmpt thtrt from, and tht ba1i1 for the alltgtd mmption. Any violation of lection 7031.5 by any applicant for a permit subj!Cls the applicant to a civil penalty of not more than five hundred dollari {SSOO}). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code. for the performance ;1~the work for w ic this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. :"';, ~ fV "--t O Policy No. lS" l 5 "3 I Expiration Date / 2 ~ 09' This section need nol be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shal mploy 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 su 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,P~ Se e Labor , Interest and attorney's fees. 25 CONTRACTOR SIGNATURE .,_____ DATE '5 ----c;'-{ r-O°/. I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ · I. as owner of the property or my employees with wages as lheir 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). □ 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 tor 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. I personally plan to provide the major labor and malerials for construction of the proposed property improvement. □ Yes □ No 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 / 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 / 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 I type of work): 25 PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regislration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No · Is the applicant or future building occupant required 10 obtain a permit from the air pollution control district or air quality management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above information is correct and thatthe information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby au1holize representative of the City of Ca~sbad to enter upon the above mentioned property for inspection purpo"""'"'L,,u-><·GREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG SAi 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 struct ver 3 EXPIRATION: Every permit issued by the Building Official unde · · of this Code shall · by limit and become null and void if the building or work authorized by such pem,~ is not commenced within 180 days from the date of such peiiz~r if the building orw orized by such pe nded or ndoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). 25 APPLICANT'S SIGNATURE :\::: DATE 5 -tf .----o 1 City of Carlsbad Bldg Inspection Request For: 05/03/2010 Permit# CB090735 Inspector Assignment: TP --- Title: SHAFRAN RES-GAS TO BBQ & FIRE Description: PIT, ELECT TO BBQ & FUTURE SPA Type: PLUM Sub Type: Job Address: Suite: Location: 2009 PERIDOT CT Lot: OWNER SHAFRAN CHRISTINA M Owner: SHAFRAN CHRISTINA M Remarks: Total Time: 0 Phone: 7608010477 Inspector: g Requested By : HECTOR Entered By: CHRISTINE CD Description Act Comments 29 J, Final Plumbing Af l Comments/Notices/Holds Associated PCRs/CVs Original PC# lns12ection Histo[Y Date Description Act lnsp Comments 04/30/2010 23 Gas/TesURepairs AP TP 04/30/2010 29 Final Plumbing co TP 04/30/2010 31 Underground/Conduit-Wiring AP TP FUT. SPA & 110 @ SIDE OF HOUSE 04/30/2010 39 Final Electrical co TP 11/16/2009 29 Final Plumbing NR TP NEED GATES COMPLETED 11/12/2009 29 Final Plumbing NR TP NO ONE HOME, NO ACCESS 07/29/2009 39 Final Electrical PA MC WORK ON GOING, SPA ON SITE 05/05/2009 23 Gas/TesURepairs AP TP 05/05/2009 31 Underground/Conduit-Wiring AP TP U/G CONDUIT ONLY