HomeMy WebLinkAbout2721 TIBURON AVE; ; CB081332; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-10-2008 Plumbing Permit Permit No: CB081332
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2721 TIBURON AV CBAD
PLUM Status:
Parcel No: 1675124600 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Apr,roved:
PC#: Issued:
Project Title: MARSHALL RES COPPER RE-PIPE Inspect Area:
Applicant:
MASTERSERV
560 LIBRARY STREET
91340
818-408-4100
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
1
0
0
0
Owner:
MARSHALL GARY F&SAMAMTHA
2721 TIBURON AVE
CARLSBAD CA 92010
ISSUED
07/10/2008
KG
07/10/2008
07/10/2008
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$33.00
$0.00
$0.00
$0.00
$60.00
Total Fees: $60.00 Total Payments To Date: $60.00 Balance Due:
Inspector:
FINAL AP ·..-, Date: Clearc;nce:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmpositio "of fees, dedications, reservations, Oi 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. Jf 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 ond sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this proji:,ct. NOR DOES IT APPLY to any
f xinfih havrvil ivnNTIEimilarh' whi flimiin· lhrwi
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719 Est. Value
Fax: '160-602-8558 Plan Ck. Deposit ,,,,.--
0-o-f--~-j_,_,tJ_. -Building Permit Application
SUITE# /SPACE# /UNIT#
I EXISTING USE 1 PROPOSED USE 1 GARAGE (SF) PATIOS (SF} [DECKS (SF) [FIREPLACE [AIR CONDITIONING [FIRE SPRINKLERS
YES □ #~-NO O YES D NOD YES O NO 0
I PROPERTY OWNER NAME c..:,. _ • --. . --.. -..ll.ll'lQ.4'1 h.c,.__
I
'l.DDRESS
f1o csboJI ----c_o_•TR-ACTO_._._"_··_•A_M_E~&~-S~kr:-~s~e~r~v~_:G ..... .µ._ ... ('_,,. ________ _
ADDRESS
2721 1iburL£r1 _Av£.__ _ _ ._ S-~o L.,bmov
ZIP CITY " S+-STATE ZIP
I CITCa.rl~o.d STATE -
lr7;o 72</ 2LJ.J.(. f1=._ ··--__cuoll)_ ~ $-..., funo ndo PHONE -------e~__,__ __ 9_,_,_,~34o___
l~I" ___ -··-~~ _L./0'8 ~/DO _Q_ u 40& "'-/IO(o
EMAIL EMAIL
I ARC>/DES'GNES NAME,; ,ooRESS --STATE LIC #
51?00/7
/Sec 7031.'i 81111nm and Pr~J~rnonl (ode: Any City, or _County which rEQ!llres a permit !O <0~1truct _alter/ 11J!prove,. ~~mo!1sh or reP.air_ any structure1 pri,or to its issuance, afs~ requires the applicant for such permit to file a signed st_atement t~at ~e rs icen_ied Jlllf!IJant to the prov1s1om of 1he Contractors License Law {Chapter 9, commending with Section D00 of D1v1s1on 3 of the Business and Pro1ernons Code} or that he II exempt therefrom, and the bam for the allegtd exemption. Any v1o!at1on of Section 703 U by any applicant for a permit subjects the applicant to a civil penalty of not more than ftve hundred dollars {S500}).
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 provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is ·issued. p 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 workers' compensation ·nsur nee carrier and policy
number are: Insurance Co~~ (A . .-~---~~-Policy No. () i DK,/211)200 A (3' 79 Expiration Date ~:Z.'"'J'--'-"'1--'"'---f---~-
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D Certificate of Exemption: I certify that in performance th 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 ork s' compens/atio cov ge is unlawful, and shall subject an employer to criminal penalties and civil fines up to on.e hund~ousand dollars {&100,000), in
addition to the cost of compensation, da S c on 3706 of the Labor code, interest and attorney's fees. L I\
DATE /lJ J-U
I hereby affirm /hat I am exempt from Contract ' ·
n 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 Contraclor"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)
[1 I, as owner of the property, am exclusively contracting with licensed contractors lo conslruct the proIect (Sec. 7044, Business and Professions Code: The Contractor's License L;iw does not apply lo ;in owner of
property who builds or improves thereon, ;ind contracts for such projects with contr;ictor(s) licensed pursuant to the Contractor's LIr,ense Law)
□ 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 properly improvement D Yes D No
2. I (have I have not) signed an application for a building permit for the proposed work
3 I have con1racted with the following person (firm) to provide lhe proposed construction (include name address I phone/ conlractors' 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 I phone I contractors· license number)
5 I will provide some of the work but I have rnntracted (hired) the following persons to provide the work indicated (incl11de name I address I phone /type of work)
DATE
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 lhe
Presley-Tanner H.:izardous Substance Account Act? n Yes □ No
Is the applicant or future building occupant required to obta·in a permit from the a·1r pollution control distr'1ct or air quality management district? D Yes D No
Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? D Yes □ 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.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Address
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 com~with all Cityordinances and State laws relating to building construction.
l)'iereby authorize representative of Ille City of Carlsbad to enter upon Ille above mentioned property for inspecfion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE C!TY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA pennIt IS reqwred for excavations over 5 0 deep and demoltion or construclron of structures over 3 stones In height ~ •
EXPIRATION Every pennI! ISSUed by the Bu riding Official under the pro;s:ns ofthrs Code shall exprre by hm1tat1on and become null and vocd if the bu1ldrng or work authonzed by such pennIt Is not commenced within
180 days from Ille date of such permit or~ the~ng or work a nz/ • such penn~ IS suspended or abandoned al any time after Ille work rs commenced for a period of 180 \?f (Section 106 4 4 Uniform Bu1ldIng Code)
_gAPPLICANT'SSIGNATURE --f~ _____ DATE ;uJ~~ 0 ~-~-~---~--
City of Carlsbad Bldg Inspection Request
For 07/11/2008
Permit# CB081332
Title: MARSHALL RES COPPER RE-PIPE
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
2721 TIBURON AV
Lot: 0
Location:
OWNER MARSHALL GARY F&SAMANTHA
Owner: MARSHALL GARY F&SAMANTHA
Remarks:
Total Time:
CD Description
24 Rough/Topout
f~omments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 8184084100
Inspector:~
Requested By: COLLIN
Entered By: CHRISTINE