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Home My WebLink About2838 RANCHO RIO CHICO; ; CB010081; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01/08/2001 Plumbing Permit Permit No:CB010081 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: CEG 344 MAIN STREET VISTA CA 92084 726-3360 Building Inspection Request Line (760) 602-2725 2838 RANCHO RIO CHICO CBAD PLUM 2226120800 Lot #: 0 Construction Type: NEW GUTIERREZ RES/ GAS TO FIREPIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: BOECHLER ANDREW J&LORI L 2838 RANCHO RIO CHICO CARLSBAD CA 92009 ISSUED 01/08/2001 CB 01/08/2001 01/08/2001 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 TOTAL PERMIT FEES 0 0 0 0 0 1 0 FINAL APPROVAL Date f-;z r-O z_ 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 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 Carisbad 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 otherwise ex ired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NOLC()./<to91 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ 1. PROJECT INFORMATION ;/ 2-83,Y ;t,/?-µc/rv Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No, Phase No. Total # of units Assessor's Parcel # &-~ L-,, ,,_,, e Existing Use Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2~ CON~~T PERSO_N•Of dtfarent from·■ppJJc■ntJ /feZ--'t7 ,i_ &C-<'·fn-7!-46-Z Name Address 3. APPLICANT ~Contractor O Agenffor·.Contriictor Name Address 4. PROPERTY_ OWNER ,5~.--u' City CJ ·own~f "□ Agent-for Owner City State/Zip Telephone# State/Zip Telephone# Name Address City State/Zip Telephone # 5. CONTRACTOR • COMPANY NAME Fax# (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 1$500)). e_. t?~ 3 </'( ,?1/1/-4' 5 r-///S(?& b..-7-""12,;£'{ 7L-b-5$r,, o Name Address City State/Zip Telephone # State License # 7.f(I 3 I 2-License Class C -;2 7 City Business License II _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WOR~ERS' 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. D 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_____________________ Policy No .. ____________ _ Expiration Date, _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) !SJ, 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 fo-become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure workers' compenea c Is unlawful, and shall subject en employer ta criminal penalties and civil flnea up ta one hundred thousand dollara 1$100,000) campenaatian, damages ea provided for In Section 3706 of the Labo~ ~de, ln;ereat and attorney'• feea. SIGNATURE, __ ➔.,.,~--+~:::::_ _ _..::._ ________________ DATE ol f!:?fr/2-=1 7. .OWNER .·•• · . / 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 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 Coda: 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 I 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 I type of work).,_----------------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _ COMPLETE THIS SECTION FOR NONRES/DEN11AL BUltDING'l>l!RMITS 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualitv management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 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 ________________________ _ 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 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 provisio 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 ch permit or if the building or work authorized by such p rmit is suspended or abandoned at any time after the work is commenced for a ·ob-61100 day ctio 06.4.4 Uniform Building Code). DATE YELLOW: Applicant PINK: Finance Inspection List Permit#: CB010081 Date Inspection Item 09/11/2002 29 Final Plumbing 12/11/2001 29 Final Plumbing Type: PLUM 03/22/2001 23 Gas/TesVRepairs Thursday, September 12, 2002 Inspector Act PD AP PD CO SR AP GUTIERREZ RES/ GAS TO FIREPIT Comments FINAL PER PETE NEED TO VARIFY PLACEMENT OF GAS LINES OK TO COVER PIPE Page 1 of 1