Loading...
HomeMy WebLinkAbout135 JUNIPER AVE; ; CB032362; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB032362 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 135 JUNIPER AV CBAD PLUM 2042511700 Lot#: 0 Construction Type: NEW GORMAN RES MISC.ELEC AND PLUMB ADD OUTLET AND REPLACE 1 FIXTURE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/25/2003 SB 08/25/2003 08/25/2003 Applicant: MIRABELLA CONSTRUCTION GORMAN THOMAS J JR&LOIS B REVOCABLE TRUST PO 462696 ESCONDIDO CA 92046 760-738-7 446 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 Total Fees: $47.00 Inspector: ,1vA- 1 0 0 0 0 0 0 3133 E GREENWAY ST MESA AZ 85213 Total Payments To Date: $0.00 $20.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Balance Due: $47.00 2675 JB/·:'.J/03 ·x<:<: )~. :."!2 C~CJF' Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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/exaclons 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 f x i hi h r i l n N Tl h' r . h h i . i n h I h PERMIT APPLICATION . CITY-OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK Nc:L,\S,,-) z._~ foe EST. VAL. _________ _ Plan Ck. Deposit=-~------ Validated By_q'-4-:..r_jr'-',.-l-'------ Date /'::?{7, ~ r;L I Address (include Bldg/Suite #) Business Name (at this address) I Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total I of units .,ct:) -l'f'£5, Assessor's Parcel # ¾ Existing Use / Proposed Use 2 /1115<. G.CEC"T,,'/t."#c._ + f}, ,.., 6. #of Stories # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# c ,,,,_ State/Zip ?<5 d 7 jf? /,Yf,"" Telephone# ~&;;;f~RO'f!J:RD':QW_NEiJrfc ,']{i\sp·;;,f'.i1)t'.>'.J/47i''.\-w.-..... ,. '"-.. ,_ ..... L ,vs 60 /?,;ff,9/V /3 s-.::, 4'-"l;ff;f Name Address City State/Zip Telephone ti !ll,!il!CbilfMCl'Ol!li1!lliMl!ilifl!!lilMll¾&R1un8!1i,11c!£i1 (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 a civil penalty of not more than five hundred dollars {$500]). /?11/1?/J-{Y~ ,1... ,4 Cdk..J'/~ /f/<7 t,.Joo(2/..l/l,?(Jl{lJi'e, <'4 ,P..u-zs ?✓o 7Ji?'.?~7"' Name Address /7 City State/Zip Telephone ti State License ti t{? 9 f-'5= '3 License Class ___ D~-----City Business License ti / Z.d .Z:.. .:1 2. P Address City State/Zip Telephone State License ti _________ _ t•~a•QT~tttti0>0;ii¼1X~~1ifi:J;:,;S::~;t,':_,;:: Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. ~ 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 worker's compensation insurance carrier anUolicy number are: Insurance Company fif';,i~ ~G'.l-/2 ,/4f. Policy No. zoz.J-,,ZooJ Expiration Date /-/-d,....,...... (THIS SECTION NEED NOT BE 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 for which this permit is issued, J shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 000), I the cost of compensation, damages as provided for In Section 3706 of the labor code, interest and attorney's fees. SIGNATURE==="' DATE g,-..z. r-o ::, '~iffl!lllll License Law for the following reason: D I, as owner of the property or my employees with wages as their sola compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Coda: 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(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 proposed property improvement. D YES ONO 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 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 I 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): __________________________________________________________ _ DATE ________ _ 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. ia:~,J~il:fi1TiiuC11"101'1,te,lp1tl<ii~GENCY•.;; .. 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, ________________________ _ I certify that I have reed 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 is the building Official under t prov· o s this Code shall expire by limitation and become null and void if the building or work authorizer! by such permit is not commenc ithi 180 day the e of su permit or if the building or work authorized by such permit is suspended or abandoned at any tir after the work is commenc · for a d of days-(S 9i°" 10 .4 Uniform Building Code). DATE _ ___,Q'c_-::..A>=_C'"-'Jc::,_ __ _;_ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/19/2003 Permit# CB032362 Title: GORMAN RES MISC.ELEC AND PLUMB Description: ADD OUTLET AND REPLACE 1 FIXTURE Type: PLUM Sub Type: Job Address: Suite: Location: 135 JUNIPER AV Lot 0 APPLICANT MIRABELLA CONSTRUCTION Inspector Assignment: JM --- Phone: 6195205015 Inspector: ----- Owner: GORMAN THOMAS J JR&LOIS B REVOCABLE TRUST Remarks: AM PLEASE Total Time: Requested By: NA Entered By: CHRISTINE CD Description Act Comment 29 Final Plumbing a_ ______ _ Associated PCRs/CVs lnsgection Histo!Y Date Description Act lnsp Comments 09/02/2003 17 Interior Lath/Drywall AP JM 08/29/2003 16 Insulation AP JM OK TO DRYWALL 08/29/2003 24 Rough/Topout AP JM 08/29/2003 34 Rough Electric AP JM HALL BATH