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HomeMy WebLinkAbout2816 RANCHO COSTERO; ; CB012880; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-05-2001 Plumbing Permit Permit No:CB012880 Building Inspection Request Line (760) 602-2725 Job Address: 2816 RANCHO COSTERO CBAD Permit Type: Parcel No: Reference #: PLUM 2218111300 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: ISSUED 09/05/2001 MDP 09/05/2001 09/05/2001 Project Title: LEE RESIDENCE Inspect Area: INSTALL OUTDOOR SHOWER W/SLOPING 5'8 FLOOR Applicant: ESP CONSTRUCTION 13616 SOMERSET RD POWAY CA 92064 619 339-8721 Total Fees: $34.00 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 TOTAL PERMIT FEES Inspector: ;TC Owner: WELLINGTON REVOCABLE TRUST 09-12-96 2816 RANCHO COSTERO CARLSBAD CA 92009 Total Payments To Date: $0.00 1 0 0 1 0 0 0 FINAL APPROVAL 9U8 09/05/01 0002 01 02 Balance Due: QQl& 34-00 $20.00 $7.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.00 Date: 0/4~,bL Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the Mlmposition" 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 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 capactiy 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 "OU have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherNise exnired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORM~ON ::l x-[{p ,JC j.,i 0 FOR OFFICE USE ONLY PLAN CHECK No.0 I 2 ,P} G EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Name Address 3. APPLICANT ~ Contractor O Agent for Contractor £ 5 P Cocl s-r R "'--V m·J Subdivision Name/Number City D Owner O Agent for Owner Unit No. Phase No. Total # of units S Y: E3 Proposed Use II of Bedrooms # of Bathrooms CA State/Zip Name Address Citv State/Zip Telephone# 4. PROPERTY OWNER GA1Z-T7:-! Li€ C /); ']IXI::> ? Name Address City State/Zip Telephone I 6. CONTRACTOR • COMPANY NAME (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). &stf' ca,.rsr&vcT1o,-,1 (31,tfu So-nf©er &,I &frc cA: 921?b'"' 6t'r 3 3<J-'f>72 I Name City State/Zip Telephone # State License # _,:Jl.:_:4e.._7:_0=<l::....c'1:_ __ Address License Class-----'-"''----City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 8. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. ~ 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 31lr[t G,,.,,.p 'NJ ~tJ Policy No.U,C,p/ llrltf'" 7q S:Y f Expiration Date /-/-OZ-: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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 ••cure worken' compenaatkm coverage Is unlawful, and ahall aubject an employer to criminal panaltlea and civil fines up to one hundred thouaand dollara 1$100, ), In ad tlon the coat of compensation, damage• u provided for in Section 3706 of tha Labor code, lntereat and attorney'• fHs. SIGNATURE --DATE 'l-5::-c:,/ 7. OWNER-BUI I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 tor 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 contractor(&) licensed pursuant to the Contractor's License Law). D t 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. 0 YES ONO 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 I phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, sup,rvise and provide the major work (include name / address / phone number I 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 I address I phone number I type of work):, __ ~---------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 Act7 0 YES D NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district er air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the cuter boundary of a school site7 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. 8. CONSTRUCTION LENDING AGENCY t hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {Sec. 30971il Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS. ________________________ _ 9. APPLICANT CERTIFICATION 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 Citt 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 AU 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 cf structures over 3 stories in height, EXPIRATION: Every pennit 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 180 days from the date of such pennit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced period of 180 ys action 106.4.4 Uniform Building Code). DATE WHITE: File YELLOW: Applicant PINK: Finance \ · Inspection List Permit#: CB012880 Date Inspection Item 01/29/2002 29 Final Plumbing 09/18/2001 24 Roughffopout 09/17/2001 24 Roughffopout Tuesday, January 29, 2002 Type: PLUM LEE RESIDENCE INSTALL OUTDOOR SHOWER W/SLOPIN Inspector Act Comments JC AP FINAL PER JEFF JC AP JC CO TEST FOR PLUMBING POOL FENCING Page 1 of 1