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HomeMy WebLinkAbout1409 TOPAZ CT; ; CB991704; Permit\.~ I ti~\v' 05/04/1999 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: MESA WILLIAM City of Carlsbad Plumbing Permit Permit No:CB991704 Building Inspection Request Line (760) 438-3101 1409 TOPAZ WY CBAD PLUM 2121915500 Lot#: 0 Construction Type: NEW SCHUSTER RESIDENCE GAS LINE FOR BBQ Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/04/1999 DT 05/04/1999 05/04/1999 9302 05/04/99 0001 01 02 \ SCHUSTER FRED 1409 TOPAZ WAY CARLSBAD CA C-PRHT 27 • 00 927 BRASS WY ENCINITAS CA 92024 760-942-7891 Total Fees: $27.00 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 TOTAL PERMIT FEES 92009 Total Payments To Date: / 0 0 0 0 0 1 0 $0.00 Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 NOTICE: Please take NOTI at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth ln Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your r~ht to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No$ CfCZI 7o4- CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 esr. VAL _________ _ Plan Ck. Deposit~~------- Validated By ~ (760) 438-1161 Date -=~1.q1cz1 1. PRo.iECT INFORMATION /L/<J9 To C\. Address (include Bldg/Suite #) Business Name (at this address) fa1c,r ifr i 5A I Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # , C,iS i-,.ve Existing Use 130 L;~. rr: Proposed Use Description of Work SQ. FT. #of Stories II of Bedrooms # of Bathrooms 2. Name Address City tate/Zip Telephone# Fax# 3. APPLICANT J2:l.contractor f;, // /Yl .,;5t{ 0 Agent for Contractor -□·owner OAgenttorOwner •• °t 2 l f?rc,$'5,v,, <{ LNC;,,,,fc,5 Address 7 City I cA920Z{ Name State/Zip Telephone# 4. ':'!llPERTY OWNER . r 1Z e () s.-,< ,/;t'er Name Address City Telephone II 6. CONTRACTOR ~ COMPANY NAME /Sec. 7031.5 Bus'iness 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 ot the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exempti n. Any_ viola,tion of Secti~q31.5 by any'.lapplicant1.9r a permit subjects the applicant t~ a ,civil penalty f not more th~n f e hundred dollars IS5001J.-7,g--<) I' t~;;l,o= /1/1~ i27 t5r<X , 1c,, F,vc,.v;'/4 C 2 7, .. 9 7 State License , ·rfi3 ':i I I f,J1 II, c, ,,,,,,_ Designer Name ~£:< C// State License # __ ;_, r· /:_..,~,_-/<_:. ____ _ 6. WORKERS' COMPENSATION License Class -;:..--o-cc------ <'), z 7 Address • I City Business licen;1e J /Vc/v1 f-c-7 C'/,L 9CJ City State/Zip Workers' Compensation Declaration: I hereby affirm under penaltY of perjury one of the following declarations: 2' 78?1 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, tor the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required .by Section 3700 of the Labor Code, tor the performance of the work tor which this permit 1s issued. My worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No. ____________ _ Expiration Date. _______ _ {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) ,:iis1_ 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 penattles and civil fines up to one hundred thousand dollars f$100,000I. i ddlttOn to the cost of compensation, damages as provided for In Section 3706 of the Labor c~e. lnterut and attorney's fees. SIGNATURE ' DATE r;i /:;;: /7C/ ' 7. OWNER-BUILDER DECLARATION ! hereby affirm that l am exempt from the Contractor's License Law for the following reason: 0 I, as owner ct 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 tor sala. 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 tor 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 Contractor's license law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl 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 proposad property improvement. 0 YES ONO 2. l (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 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"ONLY 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 D 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 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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 9, APPLICANT CERTIFICATION I certify that I hav& read the application and state that the above information is correct and that the information on the plans is accurate. t 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 AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, 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 demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorizedAby such permit is suspended or abandoned at any time after the work is com~ for a eriod of 180 days (Section 106.4.4 Uniform Building Code). I APPLICANT'S SIGNATURE ,?Z, -· DATE 7 ~:;;, 9/ } / WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 5/10/99 Permit# CB991704 Title: SCHUSTER RESIDENCE Description: GAS LINE FOR BBQ Type:PLUM Sub Type: Job Address: Suite: Location: 1409 TOPAZ WY Lot 11.PPLICANT : MESA WILLIAM Owner: SCHUSTER FRED Remarks: Total Time: CD Description 0 Act Comments Inspector Assignment: Phone: Inspector: ---- Requested By: NA Entered By: CHRISTINE 23 GasfTest/Repairs kf -------------- Inspection History Date Description Act lnsp Comments j