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Home My WebLink About1726 FOREST AVE; ; CB100611; Permit... t I City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-08-2010 Plumbing Permit Permit No: CB100611 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1726 FOREST AV CBAD PLUM 1562704300 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: TOBIA RES-GAS LINE TO FUTURE FIRE PIT Applicant: TOBIA MIKE&BROOKE 1726 FOREST AVE CARLSBAD CA 92008 818 425 7362 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 0 0 0 0 0 1 0 Owner: TOBIA MIKE&BROOKE 1726 FOREST AVE CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 04/08/2010 LSM 04/08/2010 04/08/2010 $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: $27.00 Balance Due: FINAL APPRO_~ (0 Date k·Z £ Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of lees, 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 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 ex ci n fwhi hv h v revi usl n iv n N Tl E imil r hi r whi h h staut flimitati n h I otherwi ex ir d. -~ Plan Check No. G.8 (00(a l I ' «,,,.~ Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718 / 2719 Plan Ck. Deposit Fax: 760-602-8558 . CARLSBAD www.~~,1~t2aQgs;1.gQ~ Date "f( 8'/10 -1.1::'.),..., •• I Vl JOB ADDRESS ,,')-: "'+ore,e\-~ SUlTE#/SPACE#/UNIT# IAPN --- 11,,1/PffOJc.,.., # LOT# I PHASE# # OF UNIT:S l # BEOR........,., # HATHROOMS I TENANT BUSINESS NAME I CON~ I R. I ft'k 1 """""' GnvvP DESCRIPTION OF WORK: Include Square Feet of Aw.cted Al'H(s) \ "'<:..L.\\ C'A ~kV\ o.C.. ~ D~.01\.. \'·-\c,rNz.,\t-._vo..,{:/t ~ &rs I { I Je_ EXtlllNQ USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) 'DECKS (SF) FIREPLACE I AIR CONDITIONING l FIRE SPRINKLERS YESO #_ NOD YES O NOD YES O NOD CONTACT NAME (If Ollfffllnt Fom Applicant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX EMAIL EMAIL PROPERTY OWNER NAME ~1\(,.. \""c-b\o... CONTRACTOR BUS. NAME ADDRESS \ ,'1.,G ~t A,..,_,. ADDRESS CITY/~-~l..>h ,A ~ q,oo'P CITY STATE ZIP PHONE 4).~ l~l. 'I 'FAX PHONE IFAX "¥\~ EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# I CLASS I CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair any: structure, pnor to its issuance. also r~u1res the applk:ant for such permit to file a signed statement that he is licensed pursuant to the pr011islons of the Contractor's License Law /Chapter 9, commending with SecUon 7000 of OMslon 3 of the Business and Professions Code} or that he is exem.r;,t therefrom, and the basiS for the alleged exemption. Any violation of Section 7031.5 by any applieant for a permit sub)ects the appHcant to a civil penalty of not more than five hundred dollars {$500}). WORKERS COMPENSATION Worbn' Compenlltion D.clntlon: I hel8by alFttm under ptl(IBlty of perjury ooe otfhe folowing det:11,slioos: r:J I h1v1 Ind wil rnlintlln I ctrtlffCll:1 of connnt to 11ff-insur1 for wori(ers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of Iha wor1t for whicn this permit Is Issued. r:J I have 1nd wil ffllintlln worlcen' cornptnutfon, as required by Seclion 3700 of Iha Labor Code, for lhe pefformance ol lhe wor1t for which this pennit is issued. My workers' compensalion insurance caf1ier and policy number era: Insurance Co. Policy No. Expiration Dale---------- This secllon need not be com~ if Iha permit is for one hundred dollars ($100) CM' less. !j c.rtfflcate of Exempdon: I certify lhat In the perlormance of the WM for which this permit is issuad, I shall not employ any person In any manner so as to become subject to Iha Workers' Cornpe11$8tlon Lawe of Calibmia. WARNING: Failure to IKUre workers' compensation coverage Is unllwful, and shall subflcl an employer to criminal p,naffiff and civil tints up to on, hundr9d thousand dol111 (&100,000), In adc:111:lon to dtl cost of compen11tlon, d1m19N u provided for In Slctlon 3706 of thl Labor code, lnttrest and altomey's fees. A5 CONTRACTOR SIGNATIJRE 0AGEHT DATE OWNER·BUILOER DECLARATION I hBl'8t1/ elfrm that I am exempt from Contractor's License Law for the folkM,jng reason: D I, as owner of lhe proparty CM' my employees 'Mlh wages as their &Ole compensation, will do the work and lhe slructure Is not inlended or offered for sale {Sec. 7044, Business and Professions Code: The Contract«'• License Law does not apply lo an owner of property 'MIO builds or improves lheraoo, and who does such work himself or through his own employees, provided Iha! such improvements are not intended or offered for sale. If, howaver, the building CM' hnprovemeri is sold within one year of completion, the owner-builder wil have the burden of proving Iha! he did not build or improve for lhe purpose of sale). JK I, as owner of the property, am exdusivety contracting 'Ml:h licensed conlractors to conslruct the project (Sec. 7044, Business and Professions Code: The Contractor's Licensa Law does not apply lo an owner of property who builds CM' improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Uc:ense Law). }:(" 1 am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials fa conslruclion of lhe proposed i:rope,ty Improvement. D Yes Cl No 2. I (have I have oot) signed an application for a building PIJrTlil for the proposed work. 3. I have contracted wilh the following person (firm) lo provide Iha proposad construction {include nama address I phone I contractors' license number): (J)I plan to provide po,tions of the work, but I have hired lhe following person lo coordinate, supervise and provide lhe majCN' work (indude name I address I phooe I conlracm' license number): 5. I wiN provide some d the worti:, but I have contracted (hired) the following p&f'SOnS to provide the WOik indicated (include name I address I phone I type of work); A5 PROPERTY OWNER SIGNATIJRE CIAGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or future build"!J occupanl required to submit a business plan, acutely hazardous matellals registration form or risk management and preventioo Jlr0!18ffl undw Sections 25505, 25533 or 25534 al lhl Presley-Tanner Hazardous Substance Account Ad! Cl Yes ['] No Is Ille applicant or future building occupant required to obtain a permit from lhe air polulion control dlswict or air quality management district? 0 Yes Cl No Is the facility to be construcled within 1,000 feet al the outer boundary d a school site? I] Yes O No FAMY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUREIIENTS Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR Pot.LUTION CONTROL DISTRICT. I ce,t1y 1N1t I !MM read the appllcatlon and ltlDthatthe above Information Is conectand that the ilformatlon oothe plam Is 8C(l.llllt8. I ac,at to comptf wllh al OIJ odnancesand Stam lawa fllallnC to buldill: conslrucllDn. ll-...byllllllori2e""'""""tileolteCilyol~t>enterL1J011teaboYemri:roedplq*tyb'n,pedk,n-.lAI.SOAGREETOSAVE,NOEMNIFYANDKEEPHAAMUaSS11£CITYCFCN1.SBAD AGANST AU. LIABLJTIES, JLOOMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCR\JE AGAINST SAD CITY IN CONSEQUENCE CF 11£ GRANTING CF THIS PERMIT. OSHA; lvl QSHA pennl is reqond b'exaivalons""1t5U' deep and-.-arowc1ono1-..,°"' 3-;, ""9'- EXl'w.TMJN: E""'f pennl-byte Buili1g Dllclo LRlor lhe · · of tis Code shal e,cpio by lin_, am booome"" am void rte buildl'!I .---by IUdl pemil is no1w1na1G11d- 1eodajs tom h dalool!Udl pemil .-f te l>.idi'ig oc · · isa_....i.--,. '"ll'lire afterte vm isCOIM&'Qld u a period o11eo dajs(Seclir, 1116.4.4 Ubn aiklng Code). AS°APPLICANT'SSIGNATURE ~ DATE City of Carlsbad Bldg Inspection Request For: 06/21/2010 Permit# CB100611 Title: TOBIA RES-GAS LINE TO FUTURE Description: FIREPIT Type:PLUM Sub Type: Job Address: Suite: Location: 1726 FOREST AV Lot: OWNER TOBIA MIKE&BROOKE Owner: TOBIA MIKE&BROOKE Remarks: AM PLEASE Total Time: CD Description 0 Act Comments Inspector Assignment: PD --- Phone:5a.7- lnspect/;//L ~---- Requested By: MIKE Entered By: JANEAN 29 Final Plumbing 4---- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 06/14/2010 23 Gas/TesVRepairs PA PD NEED VALVE@ UNION