The URL can be used to link to this page

Home My WebLink About1289 SHOREBIRD LN; ; CB002513; PermitCity of Carlsbad 07/06/2000 Plumbing Permit Permit No:CB002513 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1289 SHOREBIRD LN CBAD PLUM Status: ISSUED 07/06/2000 RMA 07/06/2000 07/06/2000 Parcel No: Reference #: Project Title: Applicant: RAFAEL & BROS 2157801000 Lot#: 0 Construction Type: NEW SIEGEL RES-GAS & ELECT-FOUNTAI AND FIRE PIT Owner: Applied: Entered By: Plan Approved: Issued: Inspect Area: SI,~, SYI.VJA TRUST 07-14-96 3014 IDLEWILDE ' 12119 SHORliiBIRQ' CN 2066 07/06/00 0001 01 SAN DIEGO CA 92117 619 272-1871 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: r.e • CARLSBAO CA 92009 • ' total Payments To Data: 0 0 0 0 0 1 .0 $0.00. Balance Due: f20.00 ... $0.00 $0.00 · $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $47.00 FINAL APPROVAL Date: l'~ydo Clearance: C-PRMT $47.00 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 oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 0,., ~ 47-00 FOR OFFICE USE ONLY P!:RMIT APPLICATION PLAN CHECK NO. cfxzv 'Z-5/3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VA L. _________ _ Pia~ Ck. Deposit ~')Ht Vahdated=z ,~ -~ Date L_,L • 1. PROjECT INFORMATION \ ;;;:>. %9 ~oc?b10-D I o n:e-CA Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units # of Bathrooms 2. CONTACT PER_SON (If different from,appllcantl Name Address City State/Zip Telephone# Fax# 3. APPLICANT O Contractor O Agent for Contractor• 0. Owner □)~gent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER S>,¥-'.-Se.>-::~ t ~~\') c_Q_ Name Address .£tD~o,~ \ or,e_ City ~~b sd S.tate/Zip Telephone # 6. CONTRA_CTOJJ • OMf""'y NAME .. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit ta 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 t o the provisions of t he 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 far 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 ($50011. ~~::ed 'E., ~J]g;:Y'~ CO · .;x:-A<-...\ ;:(.d\<:U)\lQ :--&::N )41 e~o llCO '::Bl\ JSYW<=t Name Address City State p Telephone # State License # ( Q ·3 E:,Y:>L\: \ License Class C..-'e) City Business License # I d--0 ~ \~ Designer Name Address City State/Zip Telephone State License # __________ _ 6. WORl(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. /r;j I have and will maintain workers' compensation, as required by Section 3700 of the Labo. r Code, for the performance of the work for which this permit is ~d-My worker's compensation insurance carrier and policy number are: _ C\ __ \ Insurance Company =::s-r-e:'tE £) N~ Policy No. \ ~ o7~ °I I Expiration Date_l_O_-_,_-c..AJ __ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 t o the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand doll ·•.J 00,000), in additlo the cost of compensation, damages ea provided for In Section 3706 of tha Labor ~od!'~te~t and attorney's fees. SIGNATUR'\c--'¥A..11..L,;L.JL.A.,,!;.~...Z...µU.U~!...l!~~=~,L___________ DATE _7-'---5=_~_......;::U=-- 7. O 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 Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects w ith 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 O NO 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 / type of work):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILOINQj>J:RMIJS QNL: 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 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. ,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 CERTl!'ICATION 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 Cit\' 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 ANO 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 permil issued by the building Official under the provisions of lhis 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 at any time after the work i enced for a perio of 1 O days (Section 106.4.4 Uniform Building Code). DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/20/2000 Permit# CB002513 Title: SIEGEL RES-GAS & ELECT-FOUNTAI Description: AND FIRE PIT Type:PLUM Sub Type: Job Address: Suite: Location: 1289 SHOREBIRD LN Lot APPLICANT RAFAEL & BROS 0 Owner: SIEGEL SYLVIA TRUST 07-14-96 Remarks: Total Time: CD Description Act Comments 29 Final Plumbing 1-39 Final Electrical Associated PCRs lnsi;iection HistoJY Date Description Act lnsp Comments Inspector Assignment: TL --- Phone: Inspector: -,;--e , Requested By: Entered By: CHRISTINE 7/7/2000 21 Underground/Under Floor AP TL GAS LINE TO FIRE PIT 7/7/2000 23 Gas/Test/Repairs AP TL 7/7/2000 31 Underground/Conduit-Wiring AP TL ELEC TO FOUNTAIN