HomeMy WebLinkAbout2669 SUTTER ST; ; CB111079; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-23-2011 Plumbing Permit Permit No: CB111079
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2669 SUTTER ST CBAD
PLUM
1675120400 Lot#: 0
Construction Type: NEW
KLEIN: GAS TO FIRE PIT
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/23/2011
JMA
05/23/2011
05/23/2011
JOHN D. HEBERT KLEIN FAMILY REVOCABLE TRUST 06-04-99
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:
Inspector:
$27.00
0
0
0
0
0
1
0
2669 SUTTER ST
CARLSBAD CA 92010
$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 Payments To Date: $27 .00 Balance Due:
FINAL AP,.0/J-L
Date: v'z k) I/ I 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 '1eeslexactions." Ym1 have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
!allow the protest procedures set forth in Government Code Section 66020(a), and hie 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 irrposition.
You are hereby FURTHER NOTI F1ED that your right to protest the specified fees/exactions DOES NOT APPLY to water ancl sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service tees in connection with this project. NOR DOES IT APPLY to any
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760·602-2717 / 2718 / 2719
Fax: 760602-8558
www.carlslladca.gov
Plan Check No,
Est. Value
Plan Ck, Deposit
I Date s / z,f;; Tn\ SWPP
EXISTING USE I PROPOSED USE l GARAGE (SF) PATIOS tSF) !DECKS (SF) !FIREPLACE IAIR CONDITIONING IFIRE SPRINKLERS ]I I YES □ #~ NO D YES □ NO D 'YES □ NO □
ADDRESk_t Iv , fr-::.-l D-
\ CITY STATE ZIP
,,. ~NTRAC~B~~E
ADDRESS
I
CITY STATE ZIP CIT'i STATE . -ZIP -
~-~c-_Cf __ r_l_ !:::::. __ ~~J---~~~C_cr_L__,_1__.__-F_~ct'----?o~-z:-,_v...._________.____~~-~-~~--~-~------~---_J
PHDNE I FAX PHONE I FAX I
EMAIL
ARCH) DESIGNER NAME & ADDRESS IS1ATE UC #
EMAIL
S1,:f i"IC.# ")
r<,J,' =---"'"'
I
3s-(-.c~ ltrt5 c )-~llrz 'fl &,c./l
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve, demolish or repair any structure, pno, 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 D1v1sim1 3 of tM Business and Professions Code] or that he is e~empt 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 pen~lty of not mo<e than five hundred dollars ($500)).
I have and will maintain a certificate of consent to self-insure for w0!1<ers· compensation as provided by Section 3700 of the Labor Code, for lhe pertormance of Ir,, work for which !his permit is issued
have and will maintain workJl.s' ~ompensation, as r uired by Sectlon}700 of the Labor Code, for ltle performance of lhe work for which this perl"il ~issued.My workers' compensation insurance carrier and policy
number are: Insurance Co._f:i!~U &l.y' vJ .'.::, \JrCr. __, C Poicy No. JDl,.__J L \ ~ \ P 9_ E~pira\ion Dale I )._.-c-,_J::-;2Q___U,___
This section need not b€ completed i11he permi1 is for one hundred dollars ($100) or less.
D Certificate of [)<emption: I certify that in the performance of the work for which this permit is issued, I snail not employ any person in any manner so as to become subIecI lo !he Workers' Compensation Laws of
Caifomia. WARNING: Failure to secure worl<ers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation,t,mages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
_,E$ CONTRACTOR SIGNATURE o'~b, ~~ □AGENT DATE S--) ~-\ \
! hereby affirm I hat I em exempt from Contractors License Law for the fo//owfng reason:
□ I, as owner of lhe property O! my employees with wages as their sole compensation, will do the wor'K and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code; Tne Con\ractor's
license Law does not apply to an owner of property who builds or improves thereon, and who does such woTI\ himself or through his own empbyees, provided \tiat such improvements are not intended or offered for
sale, If, however. the building or improvemenl is sold w~hin one year of comp le fan, 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 exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License uw does not apply lo an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's License Law).
::J 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. □ Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed woTI\.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I 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 J phone I 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 I address I phone I type of work):
.J!5 PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required lo submit a business plan, acutely hazardous matwials registration form or Tisi, mznagemen\ and prevention program under Seclions 25505, 25533 nr 25534 ol lhe
Presley-Tanner Hazardous Substance Account Act? CJ Yes O No
Is the applicant OT iuture building occupant required to obtain a permit from the air pollution contcol district or air quality mar,agemenl disirict? □ Yes □ No
Is the facilily lo be constructed within \ ,000 feel of lhe outer boundary of a school site? □ Yes □ No
If P>NY OF THE ANSWERS ARE YES, A FINAL CERTlFICATE 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 certifythatl have read the application and state that the above information ls correct and thatthe information on the pLans is accurate. I agree to comply with all City ordinances and State laws relating ta building construction. I
I hereby authorize representative of the City of Car1sbad to enter upon the above mentioned property for inspectiJn purposes. I ALSO AGREE 10 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 OFTHIS PERMIT. I
OSHA: AA OSHA perm~ is required for excavations over 50' de;;p and demolfon or construction of structures over 3 sfori€s in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by hmilalion and become null and void if the building or woi1< authorized by such pemiit is not commenced v.ilhin __J\I
160 days from the date of such pem1it oc if the buiding or wor1< authorized by such perm~ is suspended or abandoned at any lime after lhe wor\( is commenced for a period of \ 80 days (Section 106 4 4 Unifonm Bu1ld1ng Code).
,£5 APPLICANT'S SIGNATURE ____ DATE
~---~-~~-----~--------~-------------
City of Carlsbad Bldg Inspection Request
For: 06/09/2011
Permit# CB111079
Title: KLEIN: GAS TO FIRE PIT TO
Descriptfon: FUTURE BBQ
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2669 SUTTER ST
Lot: 0
OWNER KLEIN FAMILY REVOCABLE TRUST 06-04-99
Owner: KLEIN FAMILY REVOCABLE TRUST 06-04-99
Remarks:
Total Time:
CD Description Act Comments
29 Final Plumbing /f
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment MC ---
Phone: 7608894692
Inspector~
Requested By: JOJN
Entered By: CHRISTINE
05/24/2011 23 GasrTest/Repairs AP MC 1106 J5, METER TO FIREPIT & (FUTURE BBQ?)
•