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HomeMy WebLinkAbout2678 SUTTER ST; ; CB043003; Permitvi~i · L0rCo City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-03-2004 Plumbing Permit Permit No: CB043003 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: 2678 SUTTER ST CBAD PLUM 1675121000 Lot#: 0 Construction Type: NEW PORTER RES. -GAS FOR BBO,FIRE PIT,ELEC FOR FOUNT. & CONDUIT 4 FUTURE SPA Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: LORCO PORTER LIVING TRUST 04-11-97 4488 SALISBURY DR CARLSBAD CA 92008 619-434-8945 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 2678 SUTTER ST CARLSBAD CA 92008 ISSUED 08/03/2004 MOP 08/03/2004 08/03/2004 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $000 Balance Due: $47.00 Inspector: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees exacti n f whic ou have r vio I een iven a N Tl E imilar to this or as o which the tatu of limit lion has r viou I oth rwi e x ired. FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK NO. Q'j"' 5 DC:I_.S CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. _____________ _ Address (include Bldg/Suite I) Business Name (at this address) Legel Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Description of Work #of Storie t1,~;J:£P.ON:i'AC,tPER$O.Nt(lmtiff118')i¥fiol'AiePPIJca,ntl0: ~M1,i.:'.t1,UC;:thfi~~k~~:1.;,..,., ,,G_~~~ , ~, ... -, ~ State/Zip Telephone# Fax# Name Address State/Zip Telephone# Name City State/Zip ,~01'JBAQ.T.OR~~MPANWNAMl1H'~rn~·1'1'·~•f~~rttih · · ··rt~ c::~!tr.f-,:·;?.~~--~~t;~-_,-·· · -.. -,,•·"'.\ · -,., Designer Name Address City State/Zip Telephone State License # _________ _ '. __ ht<~WQ.RK!:l:JS!•:COM,~NS'ATIONii':6::. •;'_,,,.:_;,,-·.,;;. · "' . . -. ,_."' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provi,ded by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. O I have and wi 'ntain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is er's compensation insurance carrier and policy number are: Policy No. ____________ _ Expiration Date. _______ _ PLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) : 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 Wor e ' Compensation Laws of California. WARNING: Follu,e to Heu• compen,otlon covo,ego I, unlawful, and .., .. -J•ct on omployo, to crlmlnol pen~~n civil fines up to one hundred thousand dollars 1$100,0001 addition to the coat of compensation, damages u provkted for In Section 3706 of the..,.,, i/!J~ attorney·• fees. SIGNATURE DATE --~-~J----'~- ii'i!iillll!.l!iill!li!lillflilli!~~ · 'X!!i!-lli!illllil1:il!il!rlii;!M'~'i~~~•!o!i!i,,,,~:,~,.;,1,.,,,. ,i. cc,,< ,, , .. ···-, " ,,,.,,,, ~-.,c,.• .. ;:.,,,,c , . · I hei-eby affirm that I am exempt from the Contractor's License Law for the following reason: O I, as owner ct 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 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 I address / phone number / contractors license number): 4. I plan to provide portions ct 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 l have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):, __________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ [l:OM~i:UI/JHIS:sECTIPN' FORWOIV'llfSIDEl{.IJAf'B~Ji;PiNGIPlRMIT"PN~'Gimuii~&i~!,,,,;; "'!;'#.!' "'" , s:c·, "''" ;,,:!.l , •.' . , .-.;~ .. :•:c, • · 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 e school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THC APPLICANT HAS M~T OR IS MEETING THF. REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. [8JT,,li!;ONSTRUCTJPN.'l,l;ND1NG)/\GENCY',""•'1\:i' ii'"• ii• :i · :yp' .,,,,: '''j , ,,,,: ,,.ii• .. · 0 . · •••. 1 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. ________________________ _ ttOOJiA;PPtlC'ANTiCE1:l"Of.ilp',ATI0.11i,."lfi..'.'t:i;,~if"~~~l':~{t~~:,i)!s.-• r-tl,;:~~~-~-k;}j'{~~~~t~-~ ... ~~,,,.· ~I(. ~;~i.~·:-•fi,,, ,· ·:· :'~:,:,,.,. •. :: •.. ,.~:. 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 MA IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavation over 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the building fficiel under the provisions of this Code shell expire by limitation and become nutl and void if the building or work authorized by such pennit is not commenced within 80 days from the date of such pennit or if the building or work authorized by su~ it is spe~d or abandoned at any time after the work is commenced for a peri of 180 d ys (Section 106.4.4 Uniform Building Code). ;!:J,;; O APPLICANT'S SIGNATURE ---------11,"'C:...._________________ DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/30/2004 Permit# CB043003 Inspector Assignment: JM --- Title: PORTER RES. -GAS FOR BBQ,FIRE Description: PIT,ELEC FOR FOUNT. & CONDUIT 4 FUTURE SPA Type: PLUM Sub Type: Job Address: Suite: Location: 2678 SUTTER ST Lot APPLICANT LORCO 0 Owner: PORTER LIVING TRUST 04-11-97 Remarks: Total Time: CD Description Act Comment Phone: 7604200808 Inspector: ----- Requested By: LORCO Entered By: CHRISTINE 29 Final Plumbing ~------ 39 Final Electrical t -----------=--=-==--------- --------- Associated PCRs/C s lns,;,ection Histor~ Date Description Act lnsp Comments 09/29/2004 29 Final Plumbing co JM 09/29/2004 39 Final Electrical co JM ELEC BOXES REQUIRE SUPPORT 08/10/2004 21 Underground/Under Floor WC JM 08/10/2004 23 Gas/TesVRepairs AP JM BBQ/FIREPIT 08/10/2004 31 Underground/Conduit-Wiring PA JM FUTURE SPA