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HomeMy WebLinkAbout1590 MARITIME DR; ; CB993626; Permit~\u. ~~30/1999 City of Carlsbad Plumbing Permit Permit No:CB993626 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: 1590 MARITIME DR CBAD PLUM 2150713400 Lot#: 0 Construction Type: NEW GAS LINE TO BARBECUE MICHAEL TEDESCO 1590 MARITIME DR CARLSBAD, CA 92009 804-3739 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/30/1999 GMF 09/30/1999 09/30/1999 4536 09/:30/99 0001 01. C····PRMT Total Fees: $27.00 ; 11:,~f Payments To Datei' •. $0.00 . '· 'l;lalence Due: $27.00 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 TOTAL PERMIT FEES Inspector: ..:S,.....,\\_., ___ _ 0 0 0 0 0 1 0 FINAL APPROVAL Date· /0//6/93 ¥ ' ¥~0.00 » ,,$0.00 '; '$0.00 Clearance: · $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 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 feesfexactions. 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 processing or service fees in connection with this project NOR DOES 1T APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise ex□ired. CITY OF CARLSBAD 2075 Las Palmas Dr,, Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 ,. FOR OFFICE USE ONLY ? / ;;2 b PLAN CHECK NOqcr _)0 . EST. VAL. _________ _ Plan Ck. Deposit -----7.t-tr-- Validated By•---,,,.-+.--+-.P::,4-C::.- Date, ____ ,q.,1-,,,~'../-+-'4----- Address (include Bldg/Suite #) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel # 6',,¢.s ,t_,>vc ~ /be ?Z> Description of Work Existing Use '.6iS'4' SQ. FT. Proposed Use #of Stories # of Bedrooms # of Bathrooms 2. COl4!J\fl' PERSON llf ~ lnlm --/__, II /"7,·~ ,.,,.,,,./ ~co .,, :,, / (7t,,j ,"'4,.v'JJ?¢~ t'/f ?..2ooi Pov<l771 Name Address 3. A!1.lJCANT 1J Contractor O Agent for Contnlctor ~#-1£/ ~--~" Name Address 4. Name Address 5. CONTRACTOR ' COMPANY NAME pc-· ,Ir /r City State/Zip Telephone # Fax # OA9ont for Owner City State/Zip Telephone# City State/Zip Telephone# (Sec, 7031.5 Business and Professions Code: Any City or County which requires• permit to construct, atter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed stetement thet 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 ($5001). ft,,,, :.v t,✓,.,.,, r Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION 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, tor the performance of the work for which this permit is issued. · D t 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 and policy number are: Insurance Company______________________ Policy No. __ ~---------- {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1.$1001 OR LESS! Expiration Date _______ _ 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' CompenSation Laws of California. WARNING: Failure to aecure workers' compensation coverage ia unlawful, and ahflll aubt■ct an employer to criminal panaltiH and civil fines up to one hundred thousand dollars ($100,0001, in addition to the coat of compenaation, damages as provided for in Section' 3706 of the Labor code, intereat and attomey'a feea. SIGNATUl:IE______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 l, as owner of the propeny 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 propenv 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. 1f, 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 tor the purpose of sale). · VI, as owner of the propeny, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The ,fio1ttractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorts) licenaed pursuant to the Contractor's License Law). , D I am exempt under Section ______ Business and Professions Code for this reason: I p~natly plan to provide the major labor and materials tor construction of the proposed property improvement. D YES 'Vo° ~/ have not) signed an application tor a building permit for the proposed work. 7· .....-1. 2. 1 have contracted with the following person (firm) to provide the proposed construction !include name / address / phone number I contractors license number): 3. .A'?:V"/,v t,// A/'r' ,41/,f5o ,v ;e' y' ~ ?e>-,J C-/2~'Tc 4. I plan to provide portions of the work, but I have hired the 1"011owing 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 lhi ed) the following persons to provide the work indicated (include name / address / phone number / type of work): ___________ _.,i'7"9-:::,.,,.,![,.-,f~t---------------------~~------------- DATE ---'-/_-""3--'o_--'--1~7'--PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR N Is the applicant or future building occupant required to submit a business plan, acutely hazardous materia!s registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district o~ air quality management district? 0 YES O NO Is the facility 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971il Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, _______________________ _ 9. APPLICANT CERTIFICAnON 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 Crtt 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 demolrtion or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under t e provisions of this Code shall expire by limitation and become null and void if the building or work authorized by s~ch permit is not co_mmenc d within 365 de om tr date of such permit or if the building or work authorized by such permit is suspended or abandoned at any t,me aher the work I c enced r a p od o 1 days (Section 106.4.4 Uniform Building Code). JI'.. f APPLICANT'S SIGNATURE s:: DATE -SltJ " 'j City of Carlsbad Inspection Request For: 10/13/99 Permit# CB993626 Title: GAS LINE TO BARBECUE Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1590 MARITIME DR Lot APPLICANT MICHAEL TEDESCO Owner: Remarks: Total Time: 0 CD Description Act Comments Inspector Assignment: SR --- Phone: 8586771303 Inspector: ~ ' Requested By: MICHAEL Entered By: BARBARA 23 GasfTest/Repairs ~------- Inspection History Date Description 10/4/99 21 Underground/Under Floor 10/4/99 23 GasfT esVRepairs 10/4/99 31 Underground/Conduit-Wiring Act WC lnsp SR Comments CO SR NEEDS TO BE AT 18IN AND EXPOSED CO SR NEED TO SEE LINE EXPOSED