HomeMy WebLinkAbout2598 STATE ST; ; CB053930; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11~10-[005 Plumbing Permit Permit No: CB053930
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2598 STATE ST CBAD
PLUM
Parcel No: 0000000000 Lot #: 0
Construction Type: NEW
Reference #:
Project Title: CBAD COLLISION-GAS METER TEST
Applicant:
ENRICO PINAMONTE
760 727-4804
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
0
0
0
0
0
1
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/10/2005
RMA
11/10/2005
11/10/2005
$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
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector:
EXPIRED PERMIT
PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C.
SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030
DATE s\,P l~w s1GNATURe_.0,"""'Cw=------
FINAL APPROVAL
Date: Clearance:
$0.00
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 pem1it was issued to protest imposition of theie 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 service fees in connection with this project. NOR DOES IT APPLY to any
fw. . n"iv---~''"'T'""'-j . ----· hi,.hth-. -fl'mi'"''i .. i·-..,_
PERMIT APPLICATION
FOR OFFICE USE O~ Y
PLAN CHECK NO. G/20 5., 59J 0
QITY F CARLSBAD BUILDING DEPARTMENT
1635 P.araday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ___ ____,_,..,.... __ _
Validated By ,, !'{<f;
Date II (I O l o .. E
Legal Description Subdivision Name/Number Unit No. Phase No. Total II of units
Assessor's Parcel II Existing Use Proposed Use
#of Stories II of Bedrooms II of Bathrooms
Name Address City State/Zip Telephone II Fax II
nt to Contractor• □howne
Name Address City State/Zip
City S.tate/Zip
(Sec. 7031 .6 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 .6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($600)).
Name Address City State/Zip Telephone II
State License II _________ _ License Class _________ _ City Business License II _______ _
Designer Name
State License II
~M.__110,
Address City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
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. _______ _
ITHIS 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 to the Workers' Compensation Laws of California.
WARNING: Failure to aecura workers' compenaation coverage la unlawful, and ahan aubject an employer to criminal penalties and clvll finea up to on■ hundred :,
thouund doft■ra ($100,000), In addition to tha coat of comp■ns■tlon, damagH •• provided for In Section 3706 of the Labor code, Interest and ettomey'a fees.
DATE ~~:-::::
f~~~jlll~E~ N • • · 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).
'M I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and P;ofessions Code: The
.lc::'ntractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1.
2.
3.
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ~NO
~ have not) signed an application for a building permit for the proposed work.
I have contract with the follo ing persoq (firm) to provid,µtui proposea construction (include name / address / phone number / contractors license number): ~ , '-"VV'\::::.,v1 ~-c v,c.. --'c...
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):. ______________________________________________ _
6. 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 ,,,,o "'° ~
(®MPi:ETiffi1uicJfota0e.i'~..fl't!W~ltlQJ!~RM1Ts om,.--. ....... ......ii----·~"" .... ;._=_= ... ;;;; .... ;;;:: ... =:,.;;;"";;;;i.a;:; ...... :.:_~_=:_,;;;:_~;:;:.--....... _.-.
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 26606, 26633 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 7 O YES O NO
Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site 7 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.
~cnotli:ENDl~Q/AL~ Y,.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(11 Civil Code).
LENDER'S NAME
~c:Ai1'~.
I certify that I have read tha 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 n mmenced within 180 days from the d e of such permit or i e building or work authorized by suc/ermlt is su ended or abandoned
at any time after the work Is c me ed for a peri f 1 ys ( n 106.4.4 Uniform u ding Code).
+PPLICANT'S SIGNATURE -l..--~--"-~_ .... _~_ ---~--l'I-..!---~--=...::~~~~~:::=--+-----DATE -0 Z& O
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 11/30/2005
Permit# CB053930
Title: CBAD COLLISION-GAS METER TEST
Description:
Type: PLUM Sub Type:
Job Address: 2598 STATE ST
Suite: Lot 0
Location:
APPLICANT ENRICO PINAMONTE
Owner:
Remarks:
Total Time:
Act Comment
Inspector Assignment: JI\I'--
Phone: 7607297732
Inspector: ----
Requested By: NANCY
Entered By: CHRISTINE
CD
23
Description
Gas/Test/Repairs {:o 1?..vv m: f I
Comments/Notices/Hold
Associated PCRs/CVs
Inspection History
Date Description Act 1nsp Comments