HomeMy WebLinkAbout1497 REGATTA RD; ; CB031710; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-23-2003 Plumbing Permit Permit No: CB031710
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1497 REGATTA RD CBAD
PLUM
2150742100 Lot#: 0
Construction Type: NEW
THORNTON RES-GAS FOR FUTURE
BBQ & FIREPLACE
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
THORNTON MICHAEL T&MICHELLE L THORNTON MICHAEL T&MICHELLE L
1497 REGATTA RD
ISSUED
06/23/2003
RMA
06/23/2003
06/23/2003
CARLSBAD CA 92009
1497 REGATTA RD
CARLSBAD CA 92009 7980 06/23/03 0002 01
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
Total Fees: $27.00
Inspector:
0
0
0
0
0
1
0
Total Payments To Date: $0.00
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Balance Due:
Clearance:
$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 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 capacity
changes, nor planning, zoning, grading or other similar application processing or seivicefees in connection with this project. NOR DOES IT APPLY to any
x 1 n o hi h h v r I n iven N T i ii r hi hi h h t f imi i n i I th rwi
02
27-00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO.a t} { ) ?! U '
GITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit __ ---i-n--.,0e-----
Valida~te By 1 (!~
Date _ ( 1 2 / t2J t p
2 1) 'jUV°I Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use Proposed Use
Fy,t..,(;ZE
#of Stories # of Bedrooms # of Bathrooms
City State/Zip Telephone # Fax #
,...,.._,-,,,,""""._ ·------------·---·-""""----
Name Address City State/Zip Telephone#
1if4e,c__ -Z: 71(aTZ-dp:J
Name Address City 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
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).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
t"t..:-ll!fflfiBl!soMP£NlmON ~......... ... ........ __ ,.-i_.,,; ..,.....,..;...wu;,:,, rem
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.
0 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 _______ _
(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 ~ecome subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure worker•' compensation coverage la unlawful, and ahall aubject an amployar to crimlnal penalties and civil fines up to ona hundred
Sh.
I
~:=;~:t" ($100,0.00), In addition to the cost of compensation, damagas as provided for In Section 3::sT;f the Labor code, Interest and attorney's fees.
ilt ow~~R:!..B!,!l\,!)£RQ!CJiAM.fioM . • . . .,.· ··:" ·. ~"'.. . ' ,..... . ..,, .• ,....-
ih ·eby affirm that I am exempt from the Contractor's License Law for the following reason:
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
. 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 ha (hired) the following p rsons to provide the work indicated (include name / address / phone number / type
f work):. ____________ _,._~'----H-----,,,H'----~'------------------1----1------------
ROPERTY OWNER SIGNATURE
CO,..Me.l.llUl:!!U~J9~jQ NO
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 25506, 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 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? 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.
I hereby affirm that there is a construction lending agency for the performance of t he work for which this permit is issued (Sec. 3097(i) Civil Code).
L ,
i!!
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 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 permit or if the building or work authorized by such permit is suspended or abandoned
I t any time after the work is commenced lo p riod 180 d y (Section -06.4.4 Uniform Building Code). / /4
APPLICAt s SIGNATURE _ _,,,/,.4,~b~~~~L:::=:~~~==~--------DATE l/f2 z 7 _ 3
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 07/20/2004
Permit# CB031710
Title: THORNTON RES-GAS FOR FUTURE
Description: BBQ & FIREPLACE
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
1497 REGATTA RD
Lot 0
APPLICANT THORNTON MICHAEL T&MICHELLE L
Owner: THORNTON MICHAEL T&MICHELLE L
Remarks:
Total Time:
Act Comment
Inspector Assignment: JM ---
Phone: 7608010497
Inspector: :Jvl'--
Requested By: MICHAEL
Entered By: CHRISTINE
CD
31
Description
Underground/Conduit-Wiring £I _____________ _
Associated PCRs/CVs
Inspection History
Date Description
10/09/2003 34 Rough Electric
08/13/2003 21 Underground/Under Floor
08/13/2003 97 T-24 H-Cap Consultation
Act lnsp Comments
NR JM
WC JM
PA JM