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HomeMy WebLinkAbout1019 LANDS END CT; ; CB044513; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB044513 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1019 LANDS END CT CBAD PLUM 2145310600 Lot#: 0 Construction Type: IIN DOURADO RESIDENCE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: GAS FOR FIREPIT, ELEC FOR FUTURE SPA ------------------------· -------........._ Appli.coant:·-. " ) -·· SELLE TERRE LANDSCAPES ________ / E110B ...... ----"·· ~TERDR SAN DIEGO CA 92128 619 487-8639 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: DOURADO GLENN&VARSHA 12533 EL CAMINO REAL #C SAN DIEGO CA 92130 ISSUED 12/15/2004 MOP 12/15/2004 12/15/2004 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 0002 01 02 CGP 47.QO Inspector: Clearance: 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 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. PERMIT APPLICATION FOR OFFICE USE ONLY , ') PLAN CHECK No.6'-l ~ '-'\{' L.....::) CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ r+ Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Name 3.• . • APPLICANT Name ·4,. f_x:\\f,, ~ontraotor. j-t'.--\"[{ Address 0 Agent for Contraotor LArv~~~ ddress '6;. ' , •CONTRACTOR•• COMPANY NAM!: . 0 Owner City D Agent for Owner City State/Zip Telephone# Fax# State/Zip Telephone# (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, commending 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 civil penalty of n.21 more than five hundred dollars I$ 500]1. ~rr ,,s I ,,-, Jt5o s · ~ f-R tv· Name City State/Zip Telephone # State License # _r-'--"'l,,.2..o=-({__,._,(-,41./c._ __ License Class __ _,[..,...--""'2 .. ~._1_,_. ___ _ City Business License # f 2--1 2-.f' Designer Name Address City State/Zip Telephone State License # _________ _ 8. WQRKE;RS' COMPEI\O!ATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. ~ 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 Jiued. My worker's co~ns~tion insurance_ carrier and policy number are: _ J I . Insurance Company ~t .Jb S,U 00U.,__,. Policy No. ,j 8' QODv'U., 7 / D't Expiration Date r _@ $ (THIS SECTION NEED NOT 8E COMPLETED If THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) / 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work tor 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' compensa on coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {$100,000), In addition tot l_hof compensation, damages as provided for in Section 3706 of the Labor code, interest apd attorney's fees. SIGNATURE. _________ ..,__....___c.,r,...__.-__________ ~~~--DATE / Zt·J.,£:0'±_ ;,; ' OWNER,Buit.DU'PECLARATlbN; ' ' ''''' ''''' ' '' 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 wages as their sole compensation, will do the work and the structure is not intended or offered for sale iSec, 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 personalty plan to provide the major tabor and materials for construction of the proposed property improvement. D 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 name 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 (include name / address / phone number/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but J have contracted (hired! the following persons to provide the work indicated (include name / address / phone number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE ----------- COMPLl;TI: 'THIS SECTION' FOFfN()N-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 15 the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. :s.: '.CQJ!l~TRUctioN;LENDIN<. .AGENCY l hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME--~----------- lil.. ·APPtJCANT Cl;RT!f/CAT.ION · 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 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 CARLS8AD 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 lhe 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 withhl 180 d s from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tin·,· after the work is commenced for a p f ays (Section 106.4.4 Uniform Building Code). DATE _..__f '2-~-,=~~•0~Lf-+----~ YELLOW: Applicant PINK: Finance ------·--·----~~---------------- City of Carlsbad Bldg Inspection Request For: 08/18/2005 Permit# CB044513 Title: DOURADO RESIDENCE Description: GAS FOR FIREPIT, ELEC FOR FUTURE SPA Type: PLUM Sub Type: Job Address: Suite: Location: 1019 LANDS END CT Lot 0 APPLICANT BELLE TERRE LANDSCAPES Owner: DOURADO GLENN&VARSHA Remarks: ELECTRIC INSPECTION REQUESTED ? Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: Inspector: ----- Requested By: NA Entered By: CHRISTINE 34 Rough Electric ~--------- Associated PCRs/CVs lns12ection Histo!)! Date Description Act lnsp Comments 06/29/2005 29 Final Plumbing co JM SAME AS 6/24/2005 06/24/2005 29 Final Plumbing co JM ELEC OUTLET REQUIRED 01/20/2005 23 Gas/Test/Repairs AP JM FIREPIT 01/20/2005 31 Underground/Conduit-Wiring WC JM 01/14/2005 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY 01/06/2005 31 Underground/Conduit-Wiring CA PD --------------------------------··-··-·-,------.. losp~~tion List Permit#: CB044513 Type: PLUM DOURADO RESIDENCE GAS FOR FIREPIT, ELEC FOR FUTURE S Date Inspection Item Inspector Act Comments 08/23/2005 39 Final Electrical RI 110 OUTLET FINAL 08/18/2005 34 Rough Electric RI ELECTRIC INSPECTION REQUESTED? 08/18/2005 34 Rough Electric JM Fl 06/29/2005 29 Final Plumbing JM CO SAME AS 6/24/2005 06/24/2005 29 Final Plumbing JM CO ELEC OUTLET REQUIRED 01/20/2005 23 Gas!resVRepairs JM AP FIREPIT 01/20/2005 31 Underground/Conduit-Wirin JM WC 01/14/2005 31 Underground/Conduit-Wirin JM PA CONDUIT ONLY 01/06/2005 31 Underground/Conduit-Wirin PD CA Monday,August22,2005 Page 1 of 1