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HomeMy WebLinkAbout2800 RANCHO COSTERO; ; CB004123; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11/07/2000 Plumbing Permit Permit No:CB004123 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2800 RANCHO COSTERO CBAD PLUM 2218110900 Lot#: 0 Construction Type: NEW ANGUS RESIDENCE GAS LINE FOR FIRE PIT & BARB QUE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/07/2000 MDP 11/07/2000 11/07/2000 BLUE HORIZON LANDSCAPE ANGUS GORDON W&SANDRA K PO 2361 RANCHO SANTA FE CA 92067 760 756-4553 Total Fees: $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 TOTAL PERMIT FEES 3505 .1..1/ 0 7. 00 2800 RANCHO COSTERO CARLSBAD CA 92009 Total Payments To Date: 0 0 0 0 0 1 0 $0.00 FINA$P7V/L Date: c.30 O Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 '.)002 }.' .. ~~~~·ir .· $27.00 NOTICE: Please take NO E 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 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 reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherNise ex ired. • FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 6c' ~ \ '2,3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ 1. PROJECT INFORMATION =2 8 o O 12-A-tJG µ.c, Address (include Bldg/Suite #) Business Name (at this address) Legal Description lot No. Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (H different from appllc■nt) Name 3"":) APPLICANT ..D( ,UL Address City J2 Contractor O Agen~ for Contractor O Owner D Agent for Owner rt-CltZ.[20<0 !J!; :z Q Vt /J-D o t.., d>-S State/Zip Telephone # Z,'"7~ n.-o .c. •"::> °I 2-0 G:, r Fax# Name Address City State/Zip Telephone# 4. PROPER~ c....ae Af-JC:rif;> Name d)t)oo Address ~f' 9i.ao·, ""'1~9 6. CONTRACTOR • COMPANY NAME State/Zip Telephone # -:e,,s..' (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 appli nt to a civil penalty of not more than five hundred dollars 1$5001. · <Jc H-oe<-z.otA.J ~Os.c l'H': <;;.F 1-CCot '7<,(o Name State License # __ SJ~"9Z~-3~-~~f~-Address license Class ___ C.,.=~~-a:~-7~---City State/Zip Telephone # City Business license II I 2 O 7 >"''17 Designer Name Address City State/Zip Telephone State License # _________ _ &. WORKERS' COMPENSATION 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. ~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 'rfsued. My worker's compens~tion insurance carrier and policy number are: / ~ /_ / Insurance Company 'F-1,>"2,_r,.A.£-/L~ Policy No. A :;;?D07 73-OCo O 7' Expiration Date /t_2 S--LP/ (THIS SECTION NEED NOT BE COMPLETED 17THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) / / D CERTIFICATE OF EXEMPTION: 1 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. Htion coverage is unlawful, and shan subject an employer to crlmlnal penalties end civil fines up to one hundred cost of comp■nHtion, damages as provided for In Section 3706 of the La , Interest and attorney's fees. SIGNATURE'-+/...-1-~-==:::::;;:::tJ,f==========--------------DATE (.)· 7. OWNER- I hereby affir ntractor's License Law for the following reason: D I, as o of the property r my ployees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Profess ode: 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. lf, 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(sl 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. 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 / 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 __________ _ COMPLETE THIS SECTION FOR NON-RESIDENT1AL 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 Act? 0 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 15 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY 1 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 ________________________ _ 9. APl'I.ICANT CERTIFICI!. TION 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 ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE GAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excav s over 5'0" deep and dem ition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued b the uildin Official under the provisio s of this Code shall expire by limitalion and become null and void if the building or work authorized by such permit is not comm n d with· 180 days from the date of uc it or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commen for a p riod of 180 days (Section 1 6 .4 Un orm Building Code). APPLICANT'S SIGNATURE DATE __ l~l~-_,7'---"'-0-=c)'--- WHITE: File PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/29/2001 Permit# CB004123 Title: ANGUS RESIDENCE Description: GAS LINE FOR FIRE PIT & BAR B QUE Type:PLUM Sub Type: Job Address: Suite: Location: 2800 RANCHO COSTERO Lot 0 APPLICANT BLUE HORIZON LANDSCAPE Owner: TOLL LAND XXIII LTD PARTNERSHIP Remarks: Total Time: CD Description Act Comments Inspector Assignment: PY --- Phone: 8587564553 Inspector: ---- Requested By: DAVE Entered By: CHRISTINE 23 Gas/Test/Repairs J:sf_ ______ _ 29 Final Plumbing ~------ Associated PCRs Inspection History Date Description 11/08/2000 23 Gas/Test/Repairs 11/08/2000 31 Underground/Conduit-Wiring Act lnsp Comments AP PY WC PY