HomeMy WebLinkAbout1480 TARA CT; ; CB022456; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 'Arv\D
08-23-2002 Plumbing Permit Permit No: CB022456
Job Address:
Permit Type:
Parcel No:
Reference#:
Project Title:
Building Inspection Request Line (760) 602-2725
1480 TARA CT CBAD
PLUM
2074400300 Lot#: 0
Construction Type: NEW
PITTIT RES/ GAS LINE TO BBQ
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/23/2002
CB
08/23/2002
08/23/2002
Applicant: Owner: . .. . .·. _ .. . ..
PETTIT DALE D&CAROL A REVt\CABLE TRUST 04:27 .94 ANDERSON'S LA COSTA NURSERY
400 LA COSTA AV
ENCINITAS CA 92054
760-753-3153
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
$27.00
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
1480TARA CT
CARLSBAD CA 92008
Total Payments To Date: $0.00
0
0
0
0
0
1
0
Date:
Balance Due:
arance:
$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
$27.00
NOTICE: Please ta I of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fee ctions." Y ave 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
f i n f whi h v r v· I n iv n N I E imil r h' whi h h f limi r vi I h i
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN c~;l:CK NO. . tf;;(rJ-:).t::f<f/)
CITY OF C,i\RLE'.BAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By__,_{J_.'/12. .. 2'---------
Date 6:.:z 3·0&
1. PROJECT INFORMATION Uffe-> cf-
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units
Assessor's Parcel # Existing Use Proposed Use
' '-:ll>i'.Si Lu~e:
Description of Work SQ, FT. #of Stories # of Bedrooms # of Bathrooms
2, CONTACT'PERSON {If different hom applicant)
Name
3. APPLICAN'I'
Name
4. PROPERTY OWNER,
Name Address City State/Zip Telephone#
5. CONTRACTOR· COMPANY NAME
(Sec. 7031,5 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. ation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of £ more than five hundred dollars [$500]~
City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMP£NSA TION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Y' 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
futhe work for which this permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whic this ermit is
issued. My worker's compensation insurance carrier and policy number are: (J(jtJ /'7 / J -"7i. _,, ~
Insurance Company ,SQ'/c, ~ Policy No.~ .,__.,,,. ,,,l&i,N 't'I e;,,, Expiration Date ,a/ / <I
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$1001 OR LESS}
O 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 W rkers' Compensation Laws of California.
WARNING: Failure to sec e workers' compensation e la unlawful, and shall subject an employer to criminal penalties and 'vii fines up to one hundred
thousand dollars 1$100,00 }, In addition to the o nsatlon, damages es provided for in Section 3706 of the Labo code, Int est and attomey's fees.
SIGNATURE. _______ _:=-----#---1----------------DATE ,
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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).
O 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 n6t 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/ 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 BUILDING PERMITS ONLV
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
ts 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
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 ________________________ _
.9. APPLICANT CERTIFICATION
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 alt
City ordinances and State laws relating to building construction. l 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,
,IUDGMENTS, 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 the building Officfal under the provisi ns of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not com enced w1th1n 180 days from t date such permit or 1f the bu1ldmg or work authorized by such permit 1s suspended or abandoned
at any time after the work is comma ed for a period of 180 days ect1 06 4 4 Uniform Building Code) /. /
APPLICANT"S SIGNATURE _ _J~::::a,,--~-~r/:.'f=.:'......f.,..__________ DATE 1/2-,(J · )..,.-, 7 WHITE: File YELLOW. Applicant PINK. Fmance
//et:-.~ C:
City of Carlsbad Bldg Inspection Request
For: 03/31/2003
Permit# CB022456
Title: PITTIT RES/ GAS LINE TO BBQ
Description:
Type: PLUM Sub Type:
Job Address: 1480 TARA CT
Suite: Lot 0
Location:
APPLICANT ANDERSON'S LA COSTA NURSERY
Inspector Assignment: JE ---
Phone: 7608450404
Inspector: ,1W
Owner: PETTIT DALE D&CAROL A REVOCABLE TRUST 04-27-94
Remarks:
Total Time:
CD Description
23 Gas/Test/Repairs
34 Rough Electric
Act Comment
_i±f_,=-~
/Ir r--,,~
Requested By: CAROL
Entered By: CHRISTINE
Associated PCRs/CVs
Inspection History
Date Description
03/1212003 29 Final Plumbing
09/10/2002 21 Underground/Under Floor
09/10/2002 23 Gas/Tes1/Repairs
•
Act lnsp Comments
NR JE WORK NOT COMPLETED -LEFT NOTE TO COMPLETE WORK OR
RENEW PERMIT
AP JE
AP JE