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Home My WebLink About2874 RANCHO RIO CHICO; ; CB992678; PermitCity of Carlsbad 07/16/1999 Plumbing Permit Permit No:CB992678 Building Inspection Request Line (760) 438-3101 ;J.'il7'f Job Address: ~ RANCHO RIO CHICO CBAD Permit Type: PLUM Parcel No: Lot#: 0 ..J:i.::i."" 10 1qo0 Construction Type: NEW Reference #: Project Title: GAS & ELEC TO FIREPIT Applicant: ALLSCAPE INC 905 LILAC CT SAN MARCOS CA 92069 760-480-0441 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 ,J ' .., .. "+• ... , ,: 0..... f " * + Inspector: --- ~::AL$2:L Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ' ,,_,. -P ®S > ••ft, ,1f04S Clearance: ISSUED 07/16/1999 JM 07/16/1999 07/16/1999 $47.00 v ~ NOTICE: Please take NOTICE that approval of your project includes the "Imposition• of fees, dedications, reseNations, 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 oreviouslu been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslu otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 47-00 ·-PERMIT APPLICATION FOR OFFICE USE O~,, PLAN CHECK NO. Jfila7B CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposi,t~..,.,.,-.------,- Validated By, -=:1--111,1+,---,..-,-,<,~-,l",½9. Date. _____ c..... __ .....,1-+¼!J-f-;--'-;,__ 1. -f.ROJECT INFORMATION 2al'±f Rancho Rio Chim, Carlsbad, California Address (include Bldg/Suite #) NIA Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use 1 gas line for fire pit and 4 lights (110) hooked up to 2 Proposed Use existing switches Description of Work SQ. FT, #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant} Name Address City State/Zip Telephone# Fax# 3. APPLICANT 1XJ Contractor O Agent for Contractor D Owner · -□ Agent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER Name Address City State/Zip Telephone# 5. 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 tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001). Mark A, Smith. AJJscape Landscape & Design. Inc., 905 Lilac Court, San Marcos, CA 92069 Name Address City State/Zip Telephone #760-480-4041 State License# 714004 License Class C-27 City Business License# 1203114 Designer Name 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: D I have and wi!I maintam 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 . .K] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Ea;i;n::ier:c; Ir:ismr:at1ce Policy No. N20087965 Expiration Date Continuous (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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. ' compensation coverage i• unlawful, end shall subject en employer to criminal penaldea end civil fines up to one hundred o th cost of compensation, damages aa provided for in Section 3708 of the Labor code, Interest end attorney's fees. SIGNATURE __ 4--"'::...;c.c_/':rc."'~-Z-_-_-_-:___________________ DATE ________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). 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(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code tor this reason: 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, supervise and provide the major work (include name I address I 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 ______________________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY DATE ________ _ 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? D 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 ______________ _ 9. APPLICANT CERTIFICATION LENDER"S ADDRESS. _______________________ _ 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 Citv 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, INOEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO 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 duilding 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after th ork is com me ed for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT"S SIGNATURE -~~~1'.~C....,~~:::::::=--______________ DATE ?/Ii/ft WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 7 /20/99 Permit# CB992678 Title: GAS & ELEC TO FIREPIT Description: Type:PLUM Sub Type: Job Address: ~ RANCHO RIO CHICO 8);7 4 Lot 0 Suite: Location: APPLICANT ALLSCAPE INC Owner: TEMPORARY POWER POLE Remarks: Total Time: CD Description 21 31 ill_ Underground/Under Floor Underground/Conduit-Wiring ~)~ Inspection History Act Comments Date Description Act lnsp Comments Inspector Assignment: 3~ Phone: 7604804041 Inspector: SR Requested By: MARK Entered By: BARBARA