HomeMy WebLinkAbout2612 SOMBROSA ST; ; CB080185; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-24-2008 Plumbing Permit Permit No: CB080185
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2612 SOMBROSA ST CBAD
PLUM Status:
Parcel No: 2551110600 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title: FINIZIO RES REPLACE MSTR BATH
SHOWER PAN.TILE/ HOT MOP
Applicant:
MOST CONSTRUCTION
3537 CORTE LUPE
CARLSBAD, CA 92009
760 729-6671
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
0
0
Plan Approved:
Issued:
Inspect Area:
Owner:
FINIZIO RONALD S&RANDAL YNN M
2612 SOMBROSA ST
CARLSBAD CA 92009
ISSUED
01/24/2008
KG
01/24/2008
01/24/2008
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$45.00
$0.00
$0.00
$0.00
$65.00
Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due:
L
Inspector: Jk Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Im ilion" fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.' You have 90 days from the date this pennit 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 infonnation 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
x i n f hi h h v r vi I n iv n N Tl imif hi r hi h h f limi i n h I h i
City of Carlsbad ~ {j' Plan Check No. C \)Qg(} I~
1':>35 Faraday Ave., Carlsbad, CA 92008 ~--~' Est. Value 760-602-2717 / 2718/ 2719
Fax: 760-602-8558 Plan Ck. Deposit .
Building Permit Application Date I • z._lj -r-J(.
JOB ADDRESS 2 t) ) 2. .So"""VL~ro!.,c..4--S:.--r SUITE#/SPACE#/UNII# rPN ---
11,;T/PROJECT # rOT# I PHASE# I# OF UNITS I# BEDROOMS #BA.THRUOMS l TENANT B~INESS NAME rv,~SlH, llrla I acc. GROUP
DESCRIPTION OF WORK:
1< e,w1d \/ ,e,.. c,k!_ $.ho,ve.---\-:,ce.-0-~ P..,-"'-• Ho+ ""-"' c=> v-,~ Sl,..o,...;et--
c,. v\ J_ Wu-~ 1:::-v-ovil-3n<Jv-> er--VJU<lS,;..
'-1--e... +: l~ C ;:-·-, -i<:Jj 1-1
~JUSTINO USE I PROrvSED USE 'GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES □#_ NO □ YES O NOD YES O NO □
CONTACT NAME (It Dll'l'erent Fom Appllcant) APPLICANT NAME vt \<ri.1.s .z_ f or-+-e,,'\ ADDRESS ADDRESS :3537 C vr -<--e.--LvPce.--
CITY STATE ZIP STATE ZIP CITY ~
{. tA v-I s; IOc«L C fl><. '72cx..>"',
PHONE IFAX PHONE ! FAX L/7 \ -c.,/:2'-/{o 760-"'lo.R -7352-?C,o
EMAIL EMAIL MO>, r-e ""'-o o. Q. \ Mo r--~e 0 @_ -CV\/
PROPERTY OWNER NAME 12,1n F, "'-~; cJ CONTRACTOR BUS. NAME Mo~, ("._;, IA. !>-rr---' G--t-; <--V""\
ADDRESS 2&12. .s, 0 1-,d> r as-"-' ST. ADDRESS ~ g 2 9 F='c>r+vv--e...-~'-' ' ~ __,, ---'Is
CITY CA'2t !:. .sAO STATE c~ ZIP
7 200 /
CITY V, {.. ·t-"'---
STATE 'I {~ ZIP '720..f'I
PHONE ! FAX lolOi-g£'-i-oo92--PHo7C.o -'7uR -73 > 2-. l"x
EMAIL EMAIL Mo.ST -.-e. "'""-<-'d..el Mor-+-e-n. e c__.::,"'""--
ARCH/DESIGNER NAME & ADDRESS ! STATE LIC. # STATE UC.# g Y .3 g 5 .._( ICLASSB I c,l~'c¥J ec q
. 7031.5 8u1inen and ~~ssions Code: An Ci or Coon which fl! uiru a ermit to con1truct, alttr im rove, d~molish or re air snture tD its issuance, als9 uim the icamlorsudl nnitiofiltasi stJtemtlt ~ lit is ~td _1.unuant UI the pm1110n1 of che eonJ.ac.tois Licensetw {Ch'f~ 9, co~mending with Section 1r1:l of i:..n1on 3 of the PBusi.:Z and Pro~ Code} or that ht IS ~mpt there= and lht bJ: for the alegtd C:.ptio•. Any Yiolation of Section 7U31.5 by any applicant for a permit sub~cts the applicant 10 civil penalty or not mol'f than fin hundred dollan {SSOO}). -~ ,,-"'~""'
WORKERS' COMPENSATION
Worul'I' Compensation Dtcl1ratton: f hereby affirm under penalty of P6fillY one d the following declarations:
□ I have and wlll maintain a certfflcatl of consent to self.Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the per1ormance of the work for which this permit Is issued.
'lfi(_ 1 have and wlll maintain workers' compensation, z required by_ Section 3700 of the Labor Code, fa the perfo,maice of the work for which this permit is issued. My workers' compensation insurance carrier and policy
numbera-e:lnsuranceCn St-v.-+<-. CoV\.'-e-\f"\l;:,vl;'~"'LC::e, fv\l\.C.-PolicyNo, 1&'-i'.1&4& ExpiratlonDate \2..../D\ /:2~<-?.B--
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D Certificate of Exemption: l certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to tecure workers' compensation coverage It unlawful, and ,hall tubject an employer to criminal penalties and civil fines up to one hundred thou11nd ctonars (&100,000), In
addition to the cost of compentation, damag--" a~ ~ded ~Section 3706 of the Labor code, lnternt and attorney', fen.
LS CONTRACTOR SIGNATURE . ~' .v~2:!=======·
I hereby affirm that I am exempt from Conlrac!a'"'s license Law fer the following reason:
□ 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business aid Professions Code: The Contr!l:tor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvf$ffl8nls are not intended or offered for
sale. If, however, the building or improvement is sold within one year of complellon, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
□ I, as owner of the property, am exch.lsivety contracting with licensed contr!dors to construct the project (Sec. 7044, Business and Professions Code: The Contr!l:tor'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 lhe Contr!dor's License Law).
□ I am exempt under Section ____ ,Business and Professions Code for this reason:
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have/ have not) signed an applicallon for a building permit for the proposed work.
3. I have contr!ded with the following person (firm) to provide the proposed coostruction (include name address/ phone/ 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/ phone/ 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 I phone I type of work):
,/E! PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
ls the applicant or future building occupant required to submit a business plan, a::utely hazardous materials registratioo form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acrf □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CON"IROL DISTRICT.
I certify that I haw reed the application and state that the abate lnfom1atlon Is oonectancl that the Information on the plans Is aa:urate. I agree to oomply'Mth all City ordinances and State laws relating to bulldlng oonstrul:&ln.
I heleby-n,presentall,ecllhe City cl Calsbod 1:i emer upoo lhe abcM! mentianed p,q,eityfof '1SpeClor1 purposes. I ALSO AGREE TO SAVE, INIJEl.tllFY AND KEEP HARM.ESS THE CITY Of CARLSBAD
AGAINST All LIABILITIES, JUDGIJENTS, COSTS AND EXPENSES VllilCH WIY IN PNI WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THISPERMT.
OSHA: AA OSHA pemit i; ,equiodfof excawilons-5~' deep lllddomollion cr-clslnX:i.n!s-3 sbl!s 11 height
EXPllATION: Every pemil isst.<ld by lhe !uld~ Olllcial lllderlhePf!7,lislcns cllis COdesra, expi"e by lirilalian llld beoome ool llld void llhe buld~ crwak ailhori2ed by such pemitis ,Ja>111el00d ,Olhi1
180 days flan Ile dae olsuch pemilcr ttlhe tudilg crwak aullaiz!d by such pemitis~ or ablr>doned al"'I line all!irllewak Is 00111el00d lor a peliod cl 180 days (Section 106.4.4 UrMam a,tt,g Gode).
15APPLICANT'SSIGNATURE ~d-~ DATE I /2-'--<,/o 6-
City of Carlsbad Bldg Inspection Request
For: 07/10/2008
Permit# CB080185
Title: FINIZIO RES REPLACE MSTR BATH
Description: SHOWER PAN,TILE / HOT MOP
Type:PLUM Sub Type:
Job Address:
Suite:
2612 SOMBROSA ST
Lot: 0
Inspector Assignment: JM ---
Phone: 7609087351
Location: Inspector:
OWNER FINIZIO RONALD S&RANDALYNN M
Owner: FINIZIO RONALD S&RANDAL YNN M
Remarks:
Total Time:
CD Description Act Comments
----
Requested By: STEVE
Entered By: CHRISTINE
29 Final Plumbing ~-------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
01/25/2008 27 Shower Pan/Roman Tubs
Act lnsp Comments
AP 53