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HomeMy WebLinkAbout1710 BLACKBIRD CIR; ; CB013444; Permit1 1-06-2001 Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No:CBO13444 171 0 BLACKBIRD CR CBAD PLUM Status: ISSUED 21 56026600 Lot #: 0 Applied: 1 1/06/2001 Construction Type: NEW Entered By: JM LYLE - GAS & ELEC TO BBQ Applicant: PIONEER LANDSCAPE STE 203 641 5 TOBRIA TERRACE CARLSBAD CA 92009 760 431 -9886 Plan Appro Iss Inspect Area: GF Owner: LYLE JENNY 1710 BLACKBIRD CIR CARLSBAD CA 92009 47 = 00 Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain ' InstalVRepair Water Line Water Heater andlor Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $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 FINAL APPROVAL Date: a 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 "feedexactions." 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 Cmely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, of annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified feedexactions 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 IT APPLY to any feedexactions of which you have Dreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv othelwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 I FOR OFFICE USE ONLY this address) Legal Description Lot No. Subdivision NameINumber Unit No. Phase No. Total # of units Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # (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 Codel or that he is exempt therefrom, and the basis for the alleged exemwn. Any violationpf Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001). Address City Statelzip Telephone # Yf(rv\eQf lahdsca Name State License 7 39 74 8 License Class C- 2 7 City Business ~icense t /'//I3 j Designer Name Address City StateKip Telephone State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: of the work for which this permit is issued. 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's c Insurance Company yL%z kina Policy NO. It9 739v Expiration Date 7 z en ation 'nsurance carrier and policy number are: -I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to thousand dollars ($j,&OO), in adpi09 thd of coppysation, damages as provided for in Section 3706 of the Laborpode, igterest and attorney's fees. 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 cure workers' compensa ion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 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). 1. 2. 3. 4. number I contractors license number): 5. of work): I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type Business and Professions Code for this reason: PROPERTY OWNER SIGNATURE DATE HIS SECflON,FOR NO OILDIN 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 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 0 NO Is the facility to be construaed within 1,000 feet of the outer boundary of a school site? 0 YES 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. NDlNG AGEN 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 ERTI 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 heteby authorize representatives of the Citv 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 days 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 APPLICANT'S SIGNATURE DATE /I/G/'/ City of Carlsbad Bldg Inspection Request For: 1 2/10/200 1 Permit# CB013444 Inspector Assignment: GG Title: LYLE - GAS & ELEC TO BBQ Description: Type: PLUM Sub Type: Job Address: 1710 BLACKBIRD CR Suite: Lot 0 Location: APPLICANT PIONEER LANDSCAPE Owner: LYLE MICHAEL Remarks: RING FRONT DOOR FOR OWNER TO SECURE DOGS Phone: 0000000000 Inspector: Total Time: Requested By: NA Entered By: KAREN CD Description Act Comments 29 Final Plumbing le Associated PCRs InsDection Historv Date Description Act lnsp Comments 11/13/2001 21 UndergroundlUnder Floor AP GG 11/13/2001 23 Gas/TesVRepairs AP GG 1111 3/2001 31 UndergroundlConduit-Wiring AP GG