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HomeMy WebLinkAbout1761 VERDIN CT; ; CB081022; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-02-2008 Plumbing Permit Permit No: CB081022 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1761 VERDIN CT CBAD PLUM 2158800613 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: Applicant: KENDALL RES-GAS LINE TO FIREPIT KENDALL WILLIAM M 1761 VERDIN CT CARLSBAD CA 92011 858 755 8685 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 0 0 1 0 Owner: KENDALL WILLIAM M 1761 VERDIN CT CARLSBAD CA 9201 1 Issued: Inspect Area: ISSUED 06/02/2008 LSM 06/02/2008 06/02/2008 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: f'V'. ~ FINAL APPROVAL Date: '5 ° 3 Cleami1ce: $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 in Government Code Section 66020(a), and file the protest and any other required •~formation 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 proje~I. NOR DOES IT APPLY to any f x i n f wh. h h I Tl imil r hi whi h h f limi i n h· I h rwi City of Carlsbad Plan Check No. G-6 Ot" l0&-d 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 11& T/PR JECT # LOT# DESCRIPTION OF WORK: Include Square Feet of Affected Area(5) (1,q s 'g '7 EXISTING USE PROPOSED USE CONTACT NAME (If Different Fom Appl/cant) ADDRESS CITY STATE GARAGE (SF) ZIP SUITE#/SPACE#/UNIT# # BATHROOMS PATIOS (SF) DECKS (SF) Est. Value Plan Ck. Deposit Date APN FIREPLACE YES □#_ NO □ AIR CONDITIONING YES □ NO □ APPLICANT NAME rrli e), e I I e E,,-, en ADDRESS /7~/ CITY STATE ZIP FIRE SPRINKLERS YES □ NOD (} A /Zl-S t3A D CA q Z..D I I PHONE FAX PHDNE FAX ( 1/eD) ct3{)-C/343 EMAIL EMAIL miehe I/ e ~_,.., er1 @ roodrvnrtei"'. con? PROPERTY OWNER NAME LC.. AM CONTRACTOR BUS. NAME (Y). Kc"' oA LL ADDRESS 1 "'1 Ve~o, "1 &-. ADDRESS P. o . ~)( \ 5 2. \ CITY /1 STATE /IA LA/2l.S BA D c ZIP q2.011 CITY CcEAf'\S,nE STATE CA ZIP 9?.0S PHONE FAX (1lc0 722.-~t\:OL EM~i kek..e~d.t:4.11@ sbc lobo.J. t1ef EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# CLASS CITY BUS. UC.# 4'1401 \2-09 53(p (Ste. 7031.S Busintss and Proftuions Codt: Any Oty or County wllich requim a pmnit to construct. alter improve, demolish or r!P,air any SD'IKture p!'iOf to iu issuina, also requim the appliwt for sU<h permit to file a ~p!d statement that he is ric,ns!d _p_uriuant to the provisions of the Contractors license law {Chapter 9, commending with Section 1000 of f)jyision 3 of the Busin11s and Prol11sion1 Code) or that he is mmpt thmfi'om, and the ba111 for the aHegtd mmption. Any violation of S!crion 7031.S by any applicint for a ptrmit subjects !ht appliwt to a civi penalty of not more than five hundred dollars {$!00)). WORKERS ' COMPENSATION Workers' Compen11Uon Declaratlon: I hereby affirm under penalty of perju,y one of the following declarations: □ I have and wfll 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. □ I have and will maintain workeni' compensation, as required by Section 3700 of the Labor Code, for the perfoonance of the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Insurance Co. J Polley No.______________ Expiration Date _________ _ 11!!,section need not be completed if the permit is for one hundred dollars ($100) or less. ISIJ Certlffcate 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 Galifornia. WARNING: Failure to secure workeni' compenaaUon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), fn addition to the coat of compensation, damages as provided for In Section 3706 of the L e, Interest and attorney's fees. _LS CONTRACTOR SIGNATURE '-',/ ~ I hereby affirm that I am exempt from Contrac/or's 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 Lleense 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). 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(s) licensed pursuant to the Contracto(s License 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 property improvement. □ Yes □ No 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 n~me 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/ address / phone/ 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 I phone / type of work): Is the applicant or future building occupant required to submit a business plan, acutely hazard01Js materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the 01Jter boundary of a school site? □ 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 certify that I have read the application and state 1hat the above Information Is correct and 1hat the Information on the pf ans Is accurate. I agree to comply with all City ordinances and State laws retatlng to building construction. I hereby autholize representative of the Cify of Cansbad to enter upon the above mentioned properfy for inspedion purposes. I ALSO AGREE TO SA VE. INDEM'JIFY AND KEEP HARM.ESS 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 pem,~ is required for excavations <:Ner 5'0' deep en! demolition or construction of structures r:Ner 3 stories in height. EXPIRATION: Every pem,it issued by the Building Official under the provisoos of this Code shan expre by limitation and become nul a1d void W the building or work authorized by such pennit is not conmenced ~in 180 days from the date of such pem,it or W the building or authorized by such pem,n is suspended or abandoned at any time after the Y,00( is commenced for a period of 180 days (Section 105.4.4 Unifoon Build119 Code). ,es' APPLICANT'S SIGNATURE DATE 6 -2 -0i • City of Carlsbad Bldg Inspection Request For: 12/15/2008 l/--z-.1 1;:;,4 Permit# CB081022 Title: KENDALL RES-GAS LINE TO Description: FIREPIT Type: PLUM Sub Type: Job Address: Suite: Location: 1761 VERDIN CT Lot: OWNER KENDALL WILLIAM M Owner: KENDALL WILLIAM M 0 Remarks: No response to Exp Letter. Can you final Total Time: CD Description Act Comments Inspector Assignment: Phone: Inspector: 1"\ 0 Requested By: CHRISTINE Entered By: CHRISTINE 'Fl> t,J. t..::--r'\ tA / CA'-S ,A 29 Final Plumbing _fl_ ~'4--S ~(-~ :fv y~CZ.f:.."Ptr OiL- NO ~(2,<.uAJ:---"f'S2KL-~ Comments/Notices/Holds Associated PCRs/CVs Original PC# lnsQection History Date Description Act lnsp Comments 06/12/2008 23 Gasrrest/Repairs AP PY 06/09/2008 21 Underground/Under Floor co MC NOTICE, GATE CODE 7746 06/09/2008 23 Gasrrest/Repairs co MC