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HomeMy WebLinkAbout1590 MARITIME DR; ; CB052878; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-'05-2005 Plumbing Permit Permit No: CB052878 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1590 MARITIME DR CBAD PLUM Status: Parcel No: 2150713400 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: TEDESCO RES-TEST GAS LINE TO BBQ IN REAR YARD Applicant: ACCESS PLUMBING 390 STRATFORD CT 92014 858 755-4213 Plumbing Issue Fee Fix1ure 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 Plan Approved: Issued: Inspect Area: Owner: TEDESCO MICHAEL A&KYM A 1590 MARITIME DR CARLSBAD CA 92009 ISSUED 08/05/2005 RMA 08/05/2005 08/05/2005 $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: $0.00 Balance Due: $27.00 4085 08/05/05 0002 01. CGP Inspector: Clearance: NOTICE: Please take NOTICE that approval of your project includes the ulmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as ''fees/exactions.ff 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 f i n f w . h h vi I n iv n N T imil r hi r wh" h f Ii i n h I h rwi 02 27 ~oo FOR OFFICE USE ONLY PERMIT APPLICATION ( to-"0'2-- 2-,DD PLAN CHECK NO. Cf!a;s CITY OF CARLSBAD BUILDING DEPARTMENT 1-695 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ~ ~:::at•d By 14µ;Jdf Address (include Bldg/Suite II :,:,~.:~~ti\tl"'"&··~ ,..: .. /J"'~ · "<;yn__:" ... l.r.irn .. ,Cc;. ~~o < Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel II _ "2...':) c, Proposed Use # of Bathrooms Fax II Name Address City State/Zip Telephone II ~~JiQPcJll'!JY~'9.W.ril!!8~~1~·~11.!)'i-kf~\ft~-J.,~~i~.,.,,:tt:ttl"!.,,,"'l1tto~\.l't~~J.l•~tll/;.J-':\x 1-a.1.,l-l,,;.-;; ,,, ,, .. ,:..-1,:;i-;. ,u:.", ,-",-·' • i,. ,, ,r, .. '••· .,. · ...... ·· . !, •' . M'\l-~ \S-,t:>S...SLQ \~C\O M(:\.(t..\\\M\,. S)(\,.,: C,..,:...n...\5P.,,~n '-:A: Name Address City S.tate/Zip Telephone II f tliii'~~IUMC..TQBimQMRANWNAA'li!~~-"1i6!~~~ t'"~:r.:i-~~l.i: §¥-~m:r ¢'ltn-:,'.:.' "~"11'."''-"'I"' ·. ,'.:';''"'. ~-;i::,:•·.~~ ·; -:t.l 1~!'-~,,,·~:· ••7'.·~1-"', ~ ... ~ ,:t.>i'l!_-::.':>: (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! er that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any iij>plicant for a permit subjects the applicant to a civil penalty of not mo than five hundred dollars ($500)). (_ ~ ~ t>\U r-A (!)\ r.J O CS, Qs>., <:., lY CA . Lo\~ Name C. Address City State/Zip II <c,<;:,~ ,.,, State License II _Q_ \ <:\ '2.....0 ~ License Class C--":> C::, City Business License II ________ _ -,s-s - Designer Name Address City State/Zip State License II _________ _ [ID,~WQ.B!(1;6SW.OMet;t4J~ TI01t~';,1.;;;;,.,:t.£.;'i, ,,,;..,.~,tic<'x..t•:..;_w, ·.::.... ~L ,;~ ·,;:. ', _ ~ .• ,..:, · 1.' t:i.1;<, · d!'; ., · Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Telephone O 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. O 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 ca rier and policy number are: ! Insurance Company Pc-Policy No. 1--J ~ Expiration Date. _______ _ SECTION NEED NOT BE COMPLETED IF HE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 R LESS) 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 ome subject to the Workers' Compensation Laws of California. · WARNING: Fallure to Hcure work.,.' co ge la wful, end ahd aubject an employer to criminal penalties and civil fines up to one hundred thousand doll• 100,0001, in addition to aatio damage• •• provided for in Section 3706 of the Labor code, interest and attomev·• fees. SIGNATURE:'iica~~~~~~~~m~ii~~~~~ii~~~~~~~ DATE ~--'1; -OS-~ijWifflffll . . Jif!A'M"t.lo'N~~D' ~::-·""' · ~.:.t':i~~~t;\,7~ t~l;.:'.ir:.._: ~iil'.;:~;;'.;i..&?f~~'-.ic:t,,:~~ :: ;.: ~-!r;,;\4:i.,~~-~.i½,4 e mpt from the 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). 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 1n owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O 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 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 / phone number/ contractors license number): ______________________________________________ _ 5. I will provide soma of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ lCQMP.1:Ui~Hllf ilic.tiPfilf()R:W<>N?R~PEIY~P\.l.ltQiN,Q.:~R~!l'1Qrill,lY;l:a.liit:i~~;~~-iC.ifl'~:r;.l1!lo!W;d,i¼.l:J •.c.'.)/ii,1~ nil!i; 4:Ji,J,j;;: 1'., f . . .£ -t .. r:C t'..' : • 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 required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the f:cility to be constructed within 1,000 feat of the outer bound,ry of a schc;ol site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A Flr~AL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TH,, AIR .'t'•.LUTION CONTROL DISTRICT. 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 NAME ______________ _ LENDER'S ADDRESS ___________________________ _ ri~PBJ!::~N-~EB:ml1¢'.A'DQM/;'a.~~.:.@',f.....;..!i:~~~;~'-.~~;~1 .. .;.;::!h,1~,~i.'i.r~H t;;.._.:,:,.:., · ;-:,..";,.,.;,. .• :/ .• , ,.,;;., ,: .• ,.,.,,,.,;f.,.., ..... -b,· , 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 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 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 c menced within 180 days from the date of such pe II or ii the building or work authorized by such permit Is suspended or abandoned at any time after the work is comma f period of 180 da~tion 1 6 .. 4 Un rm Bu· ding Code). C: r APPLICANT'S SIGNATURE =~----~l ~ . . DATE .JL ...-~ _.() ~ WHITE: File YELLOW: Applicant PINK: Finance -(i) City of Carlsbad Bldg Inspection Request For: 08/09/2005 . Permit# CB052878 Title: TEDESCO RES-TEST GAS LINE TO Description: BBQ IN REAR YARD Type: PLUM Sub Type: Job Address: Suite: Location: 1590 MARITIME DR Lot APPLICANT ACCESS PLUMBING 0 Owner: TEDESCO FAMILY TRUST 06-26-91 Remarks: Total Time: CD Description Act Comment 23 Gas/Test/Repairs f!f 29 Final Plumbing --·· Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7604682465 Inspector: ---- Requested By: JIM Entered By: CHRISTINE