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Home My WebLink About2852 RANCHO GANADERO; ; CB003752; PermitCity of Carlsbad • 10/06/2000 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB003752 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2852 RANCHO GANADERO CBAD PLUM Status: ISSUED 10/06/2000 RMA 10/06/2000 10/06/2000 Parcel No: 2225910500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: ARMENTROUT RES-GAS & ELECT-BBQ Inspect AFJ.YJ.:: .1.0/J,::;/:)0 .ji.JIJ.!. VJ.. Applicant: THE PALM CO 395 SUNSET DR ENCINITAS CA 92024 760 942-2796 Total Fees: $47.00 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 Inspector: Owner: ARMENTROUTJOHN&MELISSA 2852 RANCHO GANADERO CARLSBAD CA 92009 Total Payments To Date: $0.00 Balance Due: 0 0 0 0 0 1 0 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $47.00 $47.00 FINAL APDRQVAL Date: L/ JI I ft 7 7 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 "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 vou have oreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exnired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 - FOR OFFICE USE ONLY PLAN CHECK NO. av() fl>:;_ EST. VAL. __________ _ Plan Ck. Deposit-----'------ Business Name (at this address) Legal Description Lot No. 2. CONTACT PERSON (If different from applicant) Name Address 3. APPLICANT '1"Contractor 0 Agent for Contractor Name Address 4. PRO;JE ow~J1/(dl Name 7 ¾ zr= Address 5. CONTRACTOR -COMPANY NAME Subdivision Name/Number City 0 Owner O Agent for Owner City City Unit No. State/Zip State/Zip State/Zip Phase No. Total # of units # of Bathrooms Telephone# Fax# Telephone# 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 ~e:x:e:mrp:t:ioln~.¼A::::::in~y;v;io_1_a_ti_o_n_o_f_S~~·~n/l!ri7~0l3c1l.5~bty~a~n~y.1.a~pp£1Jic~a-n_t_flo~r~a1p~ej~!_it_s;u~b~j~ec~t~stt~h~e,r1p=p~lilc2a~nt;:::..to....Sa'-.ciki<~i~l~R~enl~~l~ty'.L.olf ~nlo~t Jm~r=e=tjh~~f~iv2eJZ~hu~n~d~r~e-d_d_oJl!la~rs~[$~520_0=-~~~~~-Z!tf;, Nam Address City State/Zip Te ephone # State License # C 2 7 bTD7Z Y License Class (2 -7 7 City Business License # J?_,,,o f£~t/ Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: rill: 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 dt tt e 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 d. My worker's c~pensation insjance carrier and policy number are· , / ~ Insurance Company (af)(,/¼I{ "{,A(d,( ////~, ~diicy No. ~(!/?~29'M"'-O~xpiration Date /LJ/JJ::-/ ~b (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) ~/ 7 0 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' c ensa coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 o he ost f compensation, damages aa provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE._+W-~4---'<--++--fM,.4,l~..:.u!::::....(........,::::_________ DATE /u -la -xnn:J 7. OWNER-BUILDER DECLARATI 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 intend!ld 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). 0 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(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 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-RES/DEN71AL 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 City of Carlsbad Bldg Inspection Request For: 04/06/2001 Permit# CB003752 Inspector Assignment: GG Title: ARMENTROUT RES-GAS & ELECT-BBQ Description: Type:PLUM Sub Type: Job Address: 2852 RANCHO GANADERO Suite: Lot 0 Location: APPLICANT THE PALM CO Owner: ARMENTROUT JOHN&MELISSA Remarks: AM EARLY PLEASE Total Time: Phone: Inspector: Requested By: JOHN Entered By: ROBIN --- CD 29 Description Act Comments Final Plumbing ..il,f_ ______________________ _ As•oc••a ,ca,; t----------------------- lnsiiection HistoD! Date Description Act 1nsp Comments 03/23/2001 29 Final Plumbing co GG NO ONE HOME-DOGS IN YARD 03/21/2001 29 Final Plumbing NR GG NO ONE HOME, DOG IN BACK YARD 10/11/2000 21 Underground/Under Floor CA TL APPD 10/10/00 10/11/2000 31 Underground/Conduit-Wiring CA TL 10/10/2000 21 Underground/Under Floor AP TL 10/10/2000 31 Underground/Conduit-Wiring AP TL