HomeMy WebLinkAbout2743 TIBURON AVE; ; CB091869; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
' 11-09-2009 Plumbing Permit Permit No: CB091869
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2743 TIBURON AV CBAD
PLUM
1675623300 Lot #: 0
Construction Type: NEW
SOML YO RES-REPAIR SEWER LINE
FROM YARD TO FRONT PROPERTY LINE
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ARS OBA RESCUE ROOTER ALESSI SAMUEL J&ANNA-MARIE
9895 OLSON DR
SAN DIEGO CA 92121
858 457 6502
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
1
0
0
0
0
0
2743 TIBURON AVE
CARLSBAD CA 92010
ISSUED
11/09/2009
RMA
11/09/2009
11/09/2009
$20.00
$0.00
$15.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due:
Inspector: Date:
OVAL
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 "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 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
fee xa i n I hich hav revi sl en iven NOTI E imil r hi or a to which th t f limi a i n has r vi I otherwise x ire .
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-271712718 I 2719
Fax 760-602-8558
www.carlsbadca.gov
SU IT E #/SPACE# /UNIT#
Plan Check No.
Est. Value
Date
PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK:
PROPOSED USE GARAGE (SF)
CONTACT NAME (If Different Fom Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
PATIOS (SF) DECKS (SF)
APPLICANT NAME
ADDRESS
CITY
PHONE
EMAIL
FIREPLACE
YESO,
AIR CONDITIONING
NO□ YES □No □
STATE ZIP
FAX
FIRE SPRINKLERS
YES0N00
(Sec. 7031.5 Bus mess 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 D1v1s1on 3 of the Business and Professions Code) or that he Is exempt therefrom, and the oasis for the alleged exemption. Any vI0IatIon of Section 031.5 by any applicant for a permit subJects the applicant to a cIvII penalty of not more than five hundred dollars {$500]).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarat10ns·
D 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
Gf1 I have and will maintain workers' c mpensa · on, as reauired bv Section 3700 of the Labor Code, for the _performance ol the work for which this permit is issued. My workers' compensation insurance carrier and policy f number are: Insurance Co • ..., Policy No. Ur.,)G":/--G'3 I -5"a8" ~ /:0/'f Exp1rat1on Date I 0-I -I'.()
~section need not be completed if the permit Is r one hundred dollars ($100) or less. LJ 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 secure workers' compensation coverage is 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
£ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractors License Law for the following reason:
□
□
□
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 build mg or improvement Is sold within one year oi 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 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 contracbr(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section___ Business and Proiessions Code for this reason
1. I personally plan to provide the major labor and materials lor construction of the proposed property improvement. 0Yes 0No
2. I (have I 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 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/ 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 {mclude name I address I phone/ type ol work}
,85 PROPERTY OWNER SIGNATURE □AGENT DATE
City of Carlsbad Bldg Inspection Request
For 11/10/2009
Permit# CB091869
Title: SOML YO RES-REPAIR SEWER LINE
Description: FROM YARD TO FRONT PROPERTY LINE
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2743 TIBURON AV
Lot: 0
APPLICANT ARS DBA RESCUE ROOTER
Owner: ALESSI SAMUEL J&ANNA-MARIE
Remarks: a m please
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 6198848491
Inspector::/!--
Requested By: BRIAN
Entered By: CHRISTINE
22 Sewer/Water Service !}f___ ___________ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments