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HomeMy WebLinkAbout1015 PINE AVE; MULTI-PERMIT FILE; CB960983; Permit2)t, 4r- V 1.' B U I L 0 I N 0 F E P M I T Permit No 00960903 06/03/96 .15I0 Pro ject No A9601399 Paqe 1 of 1 Deue 1 opment No. Job flddres 1015 FINE AU Sute k Permit 'lvpe PLUMBING 7840 06/03/96 000i. 01 02 Parcel No Lott Val uat ion* . 0 Con s truct jolt Type UN Occunancy Group Refere?nce# StOt1i:SSiiED De;cr i pt ion REPLACE PERMIT #96091. Applied. 06/03/700 flpr/Isue 06/03/96 Ented By MDP App i/Ownr LLOYDS PLUMBING 619 735-9050 301 N ES1 ESC{JND I DO, CA , 92026 2/ © utl lc: 7 00 Fee tion ..................................... Enter 1IU for P1 limb a F i p i riq Sv.tern PLUMBING TOTAL .00 2700 Ext fee Data 700 C) 270() F.AQ APPROVAL INSP.L__ DATE CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department UL N 2075 Las Patinas Or., Carlsbad, CA 92009 (619) 438-1161 vmv From List I (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMA11ON PLAN CHECK NO. - Cf r. AL PLAN CV. DEPOSIT_______________ VAUD. BY FOR OFFICE USE ONLY Addres_ - nuiming - ,n t S orte i-u). ?arest Cross Street ( AJz CHECK BEWW IF SUBMitTED: Cl 2 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. Fr. # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. WN tALL PERSON (ii dillerent irom applicant) NAME (last, name first) A-SI .ADDRESS ') ,iJ (25T t ( CITY /24(' Cv( CS' STATE ZIP CODE 4-7 Q'. (. DAY TELEPHONE -N ç NAME (last nan1irst) o-t >C 91S (ç CITY CZ-5(o C ) STATE c/\ ZIP CODE "j 2' o2.. (,,,. DAY TELEPHONE ç q 2) PROPERTY OWNER NAME (last name first) / ADDRESS CITY STATE ZIP CODE DAY TELEPHONE WNTRACIDR * NAME (last name first) j j >C3> C, ADDRESS o , pJ CITY CcC' STATE (9C ZIP CODE 7,j)j1, DAY TELEPHONE L3 S c) Sci- STATE UC. # LICENSE CLASS CITY BUSINESS LIC. # DESIGNER NAME (last name lit-si) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # WORKERS' WMPENSATION Workers' Compensation Declaration: I hereby allirm that! have a certilicate 01 consent to sell-insure issued by the Director 01 Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY 4-iJ> POLICY NO. TION DATE I Certiticate 01 Exemption: I certify that in the performance 01 the work tol",vhicWthis-permit is issued, I shall not employ any so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARA11ON Uwner-liulicler Declaration: I hereby allirm that 1 am exempt 55-m —Me Contractors License Law [or the 1ollowing reason: 0 1, 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 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.). O 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 Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business 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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? OYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF 111K ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NCYF HE ISSUED AFrER JULY 1, 1989 UNLESS 111K APPLICANT HAS MET OR IS MEETING 111K REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION 00N11tOL DIS11uc17. WNS11(UCHUN LENDING AGENCY I hereby allirm that there is a construction lending agency [or the perlormance ot the work br which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS -- - I certily that I have read the application and state that the above inlormation is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE GUY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, (X)STS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SfiD CiTY IN CONSEQUENCE OF THE GRAN11NG OF TillS PERMIT. 0511k An OSHA permit is required Expiration. Every permit issued by building or work authorized by suc such permit is suspended or,at)and APPucANrS SIGNATURE r excavations over 574ffiep lovisions d demolition or construction of structures over 3 stories in height. Building Official q4dq(the of thisCode shall expire by limitation and become null and void if the rmit is not comm ncI\within 365 days from the date of such permit or if the building or work authorized by I at any time afte th work is commenced for a period of 180 days (Section 303(d) Uniform Buildipg Cod4. ,4 \ DATE: 0 B U I L 0 I N 6 P E R 11 :[ T Perruit Ho CB960691 O/17/96 0E356 Pro ject No: A9601261 P 1 of I D e v e loolfient No J o !--,I Address: i(Yi% PINE AV Suit k t y pe 1. WIG II 6 TWO 05/17/96 0001 01 02 Parcel No Lo t# r-pR1T 27.00 Ua1uation 0 Construction Type: NEW Occupancy Group Referenceii Status ISSUED Descr i pt on REPLACE GAS NAIN TO BLDG UNITA Applied 05/17/96 Apr/Issue: 0/17/96 Entt.red By R III A App!/Ownr PLUIIBING 4-U 6i9--631 1793 4:321. VIA TERCERO OCEANSIDE CA 9206 ** Fees Required %cted & Credits - S SS 2/ - - - Ad ustme n s 00 r. 00 Total Fees: 7t 0 00 Wt 27 00 Fee descr ipt ion .i / s. c\ Ext fee Data Enter or P1 urn!:' iq - \ V 20 00 Y Gas Piping Systerri .- / V 7.00 PluMBING TOTAL IL) 27.00 INCORPORATED 1952 FINAL APPROVAL IN SP. _J2.____DATE ' CLEARANCE —2- —7 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPIJCA11ON ,.-- - City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 From List I (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO. cyf 7/T Mr. VAL PLAN CE MOW- FOR OFFICE USE ONLY iwuress Nearest Cross CHECK BELOW IF SU HMI 1TED: 02 Energy Calcs 02 Structural Calm 02 Soils Report E3 Addressed Envelope DESCRIPTION OF WORK OV *- 7Y1.tzi)'j SQ. FF. # OF STORIES # OF BEDROOMS # OF BATHROOMS NAME (last name first) - - ADDRESS — CITY STATE ZIP CODE DAY TELEPHONE t. ttfI4'.0 I LI %Aill I fljt%.. I ¼/fl Li 1IU&i1 I f'.Jfl '.j.JI' I flIW.. £ ¼/fl LI JYT 111.fl Li flUII I £¼Jfl ¼J VT I I.It NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5. PROPERTY OWNER ( NAME (last name first) O(3 '' ADDRESS 3 )w7 4ii7 4/ CITY STATE ZIP CODE DAY TELEPHONE 7/2/ - 4 6 CONTRACTOR NAME (last name first) C5 'NYAD9DRESS i(/116f 7 10 4006,t00 CITY STATE ZIP CODE 70u?5( DAY TELEPHONE STATE LIC. #(?' 6' LICENSE CLASS C3II CITY BUSINESS LIC. # - \- I1I-'I4:NFR NAMF 1I,i nmp lIMFI AI1IIRF'S CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby allirm that I have a certificate of consent to sell-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. Q. INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certilicate of Exemption: I certify that in the performance ol 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. SIGNATURE DATE -. OWNER-BUILDER DECLARATION Owner-Builder Declaration: 1 hereby allirm that I am exempt from the Contractors license Law br the lollowing reason: 0 1, 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 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.). 0 1, 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 Contractor's License Law). Cl I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business 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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). 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? DYES CI NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES CI NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFrER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISnucr. WNfRUCflON LENDING AGENCY 1 hereby allirm that there is a construction lending agency for the performance 01 the work [or which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPUCANT CERTIFICIVflON I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City 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 UABUIFIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 0511k An OSHA permit is r uired or excavations over eep and demolition or construction of structures over 3 stories in height. Expiration. Every pe u e Buil ial the provisions of this.Code shall expire by limitation and become null and void if the building or work a ii permi n m within 365 days from the date of such permit or if the building or work authorized by such permit is sus d o ned a ny er e work is commenced for a period of 180 days (Section 303(d) Uniform BuildingCode). APPLICANT'S N (??r City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-20-2008 Plumbing Permit Permit No: CB080953 Building Inspection Request Line (760) 602-2725 Job Address: 1015 PINE AV CBAD Permit Type: PLUM Status: ISSUED Parcel No: 0000000000 Lot #: 0 Applied: 05/20/2008 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 05/20/2008 PC #: sued: 05/20/2008 Project Title: WHISPERING PINES-GAS LINE Inspect Area: REPAIR FROM GAS METER TO UNIT B Applicant: Owner: ALEX TOMOYO FOR GRANT SLAWSON 3490 DEL REV ST 92109 858 277-4912 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 0 $0.00 Gas Piping System 1 $7.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees . $0.00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00 FINAL-PPROV Inspector: (.._— Date: ( z'/1' Clearance: NOTICE: Please take NOTICE that approval of your project includes the lmposition" 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 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 fees/exactions of which you have previously been given a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired. City of Carlsbad 1635, Faraday Ave., Carlsbad, CA 92008 760-602-2717 /2718/2719 Fax: 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date g / / 40- I JOB ADDRES. I ' E#/SPACE#/UNIT# All /01 PIW Y ~#BATHROOMS CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: include Snua,eeet of Affctd A,eMa - 1YES0 #_ NOD YES 0 NOD YES 0 NOD CONTACT NAME (if Different Fom Applicant) APPLICANT NAME ADDRESS . ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER..NAME . CONTRACTOR BUS. NAME IR S,)u-oJ ADDRESS . . ADDRESS 34'ô le CITY STATE . ZIP CITY STATE ZIP P- &4. ci- . C I I.- /o? PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC. # STATE LIC.# CLASS CITY BUS. LIC.# (e%7O3I.5 Business and Professions Code: Any City or County which requires a permit no constrnct, alter improve demolish or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that hi is licensed pursuant to the provisions of the Contractor's license Law {Chap ter 9, commending with Section 1000 of Division 3 of the Business and Pro(esuinos Code) or that he a exempt therefrom, and the basis for the alleged exemption. Any violation of tection 10313 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5003), L Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. 11 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 insurance carrier and policy number are: Insurance Co.__________________________________________________________________ Policy No. Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. (J Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any perspu 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 penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE DATE I hereby affirm that lam exempt from Contractor'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 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). 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(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section _____________Business and Professions Code for this reason: 1. I per onally plan to provide the major labor and materials for construction of the proposed property improvement. )y Yes 0 No 2 (have have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/contractors' license number): 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): I will provide some of the work, but I have contracted (hired) the following persons to pro v e the work indicat, include me I address I phone I type of work): A AA 1A_4,6_d91ge4 ,e PROPERTY OWNER SIGNATUR\ , i,.4 DATE'>?' O - 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 0 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 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 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). Lenders Name Lenders Address IN I certify that l have read the application and state thatthe above Infornnation is correct and tbatthe Information on the plans Is accurate. I agree to comply with all City ordinances and State laws tmlatingto building construction. thereby authorize representative of the City 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 ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stones 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 edthin 180 days from the date of such permit oritthe building or work thorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). .APPLICANT'S SIGNATURE )( DATE) Act Comment City of Carlsbad'BIcFg Inspection Request For: 05/21/2008 Perm it# CB080953 Inspector Assignment: Title: WHISPERING PINES-GAS LINE Description: REPAIR FROM GAS METER TO UNIT B Type: PLUM Sub Type: Phone: 7607151137 Job Address: 1015 PINE AV Suite: Lot 0 Location: Inspector: APPLICANT ALEX TOMOYO FOR GRANT SLAWSON Owner: Remarks: Total Time: Requested By: NA Entered By: JANEAN CD Description 24 Rough/Topout C1irøTtr Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments