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HomeMy WebLinkAbout2735 TIBURON AVE; ; CB011506; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-30-2006 Plumbing Permit Permit No: CB061506 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2735 TIBURON AV CBAD PLUM 1675623500 Lot#: 0 Construction Type: NEW ZONFRILLI RES-COPPER REPIPE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/30/2006 LSM 05/30/2006 05/30/2006 ARS STE 100 ZONFRILLI FRED&BARBARA AB LIVING TRUST 08-29-03 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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: $60.00 0 0 0 1 0 0 0 2735 TIBURON AVE CARLSBAD CA 92010 $20.00 $0.00 $0.00 $0.00 $TOO $0.00 $0.00 $0.00 $33.00 $0.00 $0.00 $0.00 $60.00 Total Payments To Date: $60.00 Balance Due: IAA~ Inspector: f~ FINAL AP.PRO:-./AL Date: b :4 Z,. O '-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 permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth 1n 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 ire . FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. C£0" ~ EST. VAL.---------~ Plan Ck. Deposit -----,~f--"----'-· --".---- Validated By ____ ~:.=-,-,.--::::--1 Y"'-=-- Date ____ ._5_/ _3~D_,_/rcY~f;,_ Add,ess (include Bldg/Suite il'I Business Name (at this address) Legal Description Unit No. Phase No. Total ff of units Existing Use Proposed Use SQ. FT. llof Stories # of Bedrooms # of Bathrooms 2, cblilTACT l'ERS0N'Ufd1Uhrei1Ur'om 'pplicifritt Name Address City Stele/Zip Telephone # Fax II •~~~~:;_•·□~~gk~~~~:rit=1E;wrt~~~)e:1~,-•, State/Zip Telephone# 4. . . PilOPEJh'v oWNER · . :2,t.;o fed_ k\..-c cb1~t2:&g 100 /434 ~ ztsc;- Name Address City State/Zip Telephone # 6. CONTRACTOR l 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 strvcture, 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 Codel or that he is exempt therefrom, and the basis for the alleged axe p ,. 6Any violation of tctb 2031 .5 by any applic nt for a per~ects the \~cant to a civil penalCko more than live h~z~ollar5500JI, Name Addr City State/Zip Telephone II State License# 701 ~LO License Class _________ City Business License II l'0-007Q') Des·1gner Name State License # ------~~--- 6. . WORKERS' COMPENS'ATION Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, ta, the performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: _ / {~ Insurance Company~ ~ Policy No. ~ Expiration Oate __ f~-·~-~-1-- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) □ CERTIFICATE OF EXEMPTION: I certify that In the performance □f the work for which this permit is issued, I shall not employ any person in any manner so as Workers' Compensation Laws of California. WARNING: Failur c arag& Is unlawful, and ahall subject an employer to criminal penaltlH and civil fines up to one hundred :~:~•:;: ::_11a_r_s_(~c,,'l;~J.,L~_J1,L~:,.-:::::'.'.......:__J~!..____J.~lf::'.a~t:::lo~n~,=-d~a.._m_a_g_e_•_a_s_p_•_o_vl_d_e_d_f_□_r _,n_s_e_c_t_lon 3 ~:6T :' the 'g°J)qei~kst and attorney's f m. 7. OllvNi:RcBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for tho following reason: D l, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is not intended a, 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 ha 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 Contracto,'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 Cont<actor'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. D YES ONO 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 lfifml to provide the proposed construction !include name I address I phone number / contractors license numberl: 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 numberl: ________________________________________________ _ 5. I will provide some of the work, but 1 have contracted (hired) the following persons to provide the work Indicated (include name I address / phone number / type of work): ___________________________________________________________ _ 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 Act7 D YES D NO Is the applicant or future building occupant required to obtain a permit from the ai, pollution control district or air quality management distric17 D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school sito7 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 DR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, iJ; I 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 ______________ _ 9. · APPi..lC:A.Nt C:ERTIFicAt10N!ii:' I certify that I have read the application and state that the above information is correct end 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILIT1ES. JUDGMENTS, COSTS ANO 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 end demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued lhe uilding Official under the provisions of this Code shall expire by limitalion and become null and void if the building or work authorized by such permit is nol ence within 180 days from the of uch permit or if the building or work aulhorlzed by suer permit is suspended or abandoned at any time afler the work is corn ce or a perio al 180 days (Se n 1 6 4. nfrorm Building Code). 15" Ill"! l LJi/ APPLICANT'S SIGNATURE -~=l::,,14,~l,L.l.J::.1-.~~..,:::=--1--f-_.L~,.Ll..£.~~~------DATE -/ _ ~ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 06/08/2006 Permit# CB061506 Title: ZONFRILLI RES-COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2735 TIBURON AV Lot APPLICANT ARS 0 Inspector Assignment: Phone: 8586775455 EX 205 Inspector: ~l.- Owner: ZONFRILLI FRED&BARBARA A B LIVING TRUST 08-29-03 Remarks: Total Time: CD Description Act Comment 24 Rough/Topout Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Requested By: VERONICA Entered By: CHRISTINE