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HomeMy WebLinkAbout1191 MARIPOSA RD; ; CB020440; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB020440 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1191 MARIPOSA RD CBAD PLUM Status: ISSUED 02/12/2002 JM 02/12/2002 02/12/2002 Parcel No: Reference #: Project Title: Applicant: 2122213400 Lot#: 0 Construction Type: NEW GERAGHTY· ELEC & GAS LINE TO FUTURE FIREPIT Owner: Applied: Entered By: Plan Approved: Issued: Inspect Area: PACIFIC VIEW LANDSCAPE GERAGHTY MICHAEL E&KIMBERL YA 0735 02/12/02 Xl02 Ol )2 906 SANT A FLORENCIA SOLANA BEACH CA 92075 ~58 793-3590 Total Fees: $47.00 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 1191 MARIPOSA RD CARLSBAD CA 92009 Total Payments To Date: $0.00 0 0 0 0 0 1 0 Balance Due: $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 CGP \7.)G $47.00 FINA7APPROVAL Date: ~-;_{, -0?.--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. You are hereby FURTHER NOTIFIED that your right 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 processil')'J or seivice 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. FOR OFFICE USE ONLY ,./ PERMIT APPLICATION PLAN CHECK No.C/3-c>Z-ff() CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL _________ _ Plan Ck. Deposit -4'=------- Validated By--:::-r'-:':::"'9""'7------ Date ___ ...t.:.7-;f-+.'f-l.-'-"'------- Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Oos~?!>ofW If (,,\,S£.to(_ f<X_ ~ JZ;:•:D:i;ot,l;f~Til!l/~N'!ifi,dliW.iif1,oiri.;ppllillin\f,,:, iit ;,,,,.r:I:. i],, Name Address City Unit No. Phase No. Total II ot units Proposed Use # of Bedrooms II of Bathrooms State/Zip Telephone II Fax# ' li!!l!¢.!llilt,:'~llll"idri, ':i.lj!i;~i\J!!~iim!iiiitti,'ifll~\illl.i,ii i''liiUlit!it'lli•·~rulf" :, . . '>fj.,, ' ''·' ,,,.,~'1#t~r,b Name Telephone# c+,git!~~Q,e~y···1,n;:,••''Mtij)t:· Name -t Address ··,~•:,.,""''··,~··, .... :~, .. ,.,cz;:/s·~·5& Citv State/Zip Telephone II (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 ex tion. An zation of Section 7031.5 by an applicant for permit subjects the applic t to a civil penalty of t ore an five hundred dol rt~/ 001). Name State License # _ _.G...._'-f~l/-'-'¥,~_,_,I~ License Class --~C-~4--+~--Citv State/Zip Teqhone fl City Business license fl / c;\ / {)() 0 Designer Name Address City State/Zip Telephone State License # _________ _ .• ,, :-,wdlOOilisrWMPEN$l\ noN : .· Workers' Compensation Declaration: 0 I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. [Jt-"""1 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 worker's ~mfensation insurance carrier and policy number are: ., 0 ,.. _ t) /( j L lnsu,anco Company wff'L::.S C lli;{)D L,)f',l.,.. ~ Policy No. -= ooco I d-S5 Expiration Dato .3~ 2.. _ O 2 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D 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' Compensa · n Laws of California. WARNING: Failure to Hcure work p satlon coverage Is unlawful. and shall subject an amployer to criminal penalties end civil fines up to one hundred ~~~~;;~::llano 1$100~1. In ad o e cost of compenoetlon, demagas u provided for In Section 3~~T:f ala[l tr o•L.and ettomoy"a fees. :'l',,'::;ll:!wNl!R';llt;i1tpll!\:1l~Cl/,ll · ··· : : : ,: : :., .. ·. "' :,:;;5: ,.:,,:;t:.: '"" '"'' I hereby affirm that I am exempt from the 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 (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). D 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(&) 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 proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit tor the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / 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 I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): __________________________________________________________ _ 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 O NO Is the applicant or future building occupant requlred to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facilitv 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~-': '.-C.QNSTRU.etrp·,..vttNQJN:~GWI.CY:tir'. li&i< 1'.;>ii!' '."{:ft{}ii2~J0fr I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S ADDRESS J 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 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 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 ay from the date of such permit or if the building or work authOrized by such permit is suspended or abandoned at any time after the work is commenc for ape 1 ays (S ·on 106.4.4 Uniform Building Code). I l APPLICANT"S SIGNATURE ----F=--->,-t::::::::;:::;.-L--aa==---------------DATE .,;) l (..,. Q '2 l WHITE: File YELLOW: Applicant PINK: Finance 0 • City of Carlsbad Bldg Inspection Request For: 02/13/2002 Permit# CB020440 Inspector Assignment: Title: GERAGHTY· ELEC & GAS LINE TO Description: FUTURE FIREPIT Type:PLUM Sub Type: Job Address: Suite: Location: 1191 MARIPOSA RD Lot 0 APPLICANT PACIFIC VIEW LANDSCAPE Owner: Remarks: Total Time: CD 21 31 Description Underground/Under Floor Underground/Conduit-Wiring Associated PCRs Inspection History .t'lc.( Phone: 6198137123 ,,, 'Jj.¢ ,,7., r, {lL_ ,,. ft'I /I Inspector cfl Requested By: MICHAEL Entered By: CHRISTINE Date Description Act lnsp Comments -----------