HomeMy WebLinkAbout2712 TIBURON AVE; ; CB023581; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-27-2002 Plumbing Permit Permit No: CB023581
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2712 TIBURON AV CBAD
PLUM
1675122300 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
11/27/2002
MOP
11/27/2002
11/27/2002
Project Title:
Applicant:
AAS
STE 100
PARKER RESIDENCE
COPPER REPJPE
6162 NANCY RIDGE DR
SAN DIEGO CA 92121
858-677-5455
Owner:
PARKER GORDON L
2712 TIBURON AVE
CARLSBAD CA 92008
Total Fees: $57.00 Total Payments To Date: $0.00
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
Inspector:
0
0
0
1
0
0
0
Issued:
Inspect Area:
2210 ll/27 /02 0002 ()1 02
Balance Due: ~ 57ff00
Clearance:
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$30.00
$0.00
$0.00
$0.00
$57.00
NOTICE: Please take NOTIC that approval of your project includes the "Imposition" of fees, dedications, reservations, Of other exactions hereafter collectively
referred to as "fees/exaction , Yoo have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If yoo 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 CUy Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedtlre will bar any swsequent legal action to attack,
review, set aside, void, or annul their imposi1ion.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer oonnection fees and capacity
changes, nor planning, zoning, grading or other similar app!ieation processing or service fees in connection with this project. NOR DOES IT APPLY to any . • • i Tl . . . . .
PERMIT APPLICATION V2-7'-l7
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
I ................... , ... , .. , .. 1:. PROJECT INFORMATION__.,,, /2, : _;.:, 1 _
I, 211 2-I ( ~ I
Address Hnc1ude Bldg/Suite #}
I
Business Name (at this address)
Legal Description Lot* Subdivision Name/Number Unit No. Phase No.
Existing Use Proposed Use
Total II of units
50. FT. #of Stories # or Bedrooms II of Bathrooms
i'
21,' CONTACT PERSON !It cilfferiint fiom'-lipplil:el\if'
Name
3.
Name
5. CONTRACTOR -COMPANY NAME··
Address
City ·;, o aw,m ·,o Arleni:forowher
• I CG "S> :-V .
City
City
State/Zip Telephone II Fax II
M qz12. S/017-9+55
State/ ip Telepf1one II
State/Zip Telephone h
!Sec. 7031 .5 Business and Professions Code: Any City or County which requires a pe,mit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also rnquires the applicant for such permit ta file a signed statement that he is licensed pursuant to the provisions or the Contractor's License Law
!Chapter 9, commending with Section 7000 of Division 3 of !he Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged
exe p ·on. Any violation of Section2.031kJMY applicant for a perm1};2:ac~ the f ~cant t~$ ~enalty oCA-m;; _)j,:;ive hun6Vi~ltJ I ~~,5:S'
Narne Addr ---City State/Zip Telepl1one II
State license II '?qJ fSZ,O License Class 820 C-.3f, Cily Business License II JDQD70D
Designer Name
State License II
6. WORKERS' COMPEN!':ATiON' '''
Address City
Wockers' Compensation Declaration: I hereby affirm under penally of perjury one of Iha following declarations:
State/Zip Telephone
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 \119 perf□1mance
of the work for which this permit is issued. fit I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performanca of the work for which this permit is
rssuad. My worket's compensation insurance carrier and policy number are: . / j
Insurance Company rYVw2SH-l<..5,4-f (lC, Policy No. 24,3f/&-J.,,:3 -(J) Expiration Date 01 () ~ 0~
(Tilts SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS !$1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the pe,lormance of the work for which this permit is issued, I shell not employ any person in any ma111ier so as
to become sub1act to t rkers' Compensation Laws of California.
WARNING: Failme • lo coverage Is unlawful, nnd shalt subject an employer to criminal penalt!es and civil fine,; up to one hundred
thousnnd dollms ($1 f mpensntion, damages as provided for In Section 3706 ol the lablr c.o. de,Y,t~st anti atlorney's fees.
SIGNA TURE __ ~L.4.R-,-"""-1"~~:._,,'-.J._J_'J.j.'.!"J:..-::::=:::::::::::_ __ ~ ~-----OA TE 11 10~ u L-/
7. OWNER-BUILDER DECLARATION ' '·' ,•" '. ' • ' •
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wagBS 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 wlio does
such work himself or through his own employees, provided that such Improvements era not intended or offered for sale. If, however, the building or imrrovemer,t i~
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).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project !Sec. 7044, Business and Profession~ Code· Tlie
Contractor's license law does not apply ta an owner of property who builds or Improves thereon, and contracts for such projects with contractorlsl licerisAcl
pursuant to the Contractor's License Law).
D 1 am exempt under Section ______ Business and Professions Coda 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 nan1e I address / phone number 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 liriclLJde name I addre.ss I rhn11e
nun1ber / contractors license number): ----------~-------------------------------
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 I rhone 1111mh~r I tyre
of work):~---------------------------------------'-------------
PROPERTY OWNER SIGNATURE ________________________ _ DATE ----------~
COMPLETE THIS SECTION FOR NQN;RESIDENTiAL BUILDING J;~iUJilts'Ol\ltY''
ts ttie applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and pr~veritirm
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ac!7 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 district7 D YES O ND
Is 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
I hernby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued !Sec. 3097Iil Civil Cadet,
LENDER'S NAME
9. APPLICANT CERT!FiCATION.
I cerfify 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 cornply with all
City ordinances and State laws relating to building construction. ! hereby authorize representatives of the Ci1t 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 ll/\Ell\ ITIES.
JUDGMENTS. 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 demolillon or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by t ing OHicial under the provisions of lhis Code shall expire by limllalion and become null and void ii the b111'1ding or wor!<
mrthoriled hy such permil is not com ced wi in 180 days fr the dale of such perml1 or II the building or work authorized by sucl permit Is suspem1ed or ilb,rndonccl
.:it any lime af!er the work is comme d for a Jiod o!--180 d S tio 106.4.4 Uniform Building Code). I ( uI':i
XAPPLICANT'S SIGNATURE --~t.JoC,L.U..elLJ6 ...L_!_-1....-1.~~~:::::::::::::=::_ ___ ~-----DATE /(.)[./
WHITE, File YELLOW: Applicant PINK, Finance
City of Carlsbad Bldg Inspection Request
Permit# CB023581
Title: PARKER RESIDENCE
Description: COPPER REPIPE
For: 12/23/2002
Inspector Assignment: JE ---
Type: PLUM Sub Type:
Job Address: 2712 TIBURON AV
Lot Suite:
Location:
APPLICANT ARS
Owner: PARKER GORDON L
Remarks:
Total Time:
CD Description
29 Final Plumbing
0
Act Comment
Phone: 8586n5455 E 205
Inspector: ----1'f.-)··~v_,·_·
Requested By: VERONICA
Entered By: CHRISTINE
/¥-------
Associated PCRs/CVs
lns12ection Histo!'.Y
Date Description Act lnsp Comments
12/20/2002 24 Rough/Topout AP PS BONDING INSTALLED
12/18/2002 24 Rough/Topout co JE NOONE HOME
12/09/2002 24 Rough/Topout NA JE NO ONE HOME -NO ACCESS