HomeMy WebLinkAbout1728 CALAVO CT; ; CB051813; Permit05-20-2005
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No: CB051813
Job Address:
Permit Type: PLUM Status: ISSUED Parcel No: 2073602300 Lot #: 0 Applied: 05/20/2005
Reference #: Plan Approved: 05/20/2005 Issued: 05/20/2005
1728 CAIAVO CT CBAD
Construction Type: NEW Entered By: LSM
COBSON RES- GAS LINE TO Inspect Area:
Owner:
GERO DANIEL J&PATRICIA L
1728 CALAVO CT CARLSBAD CA 92008
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
$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
r
FINAL APPROVAL
Inspector: Date: fa- 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 'Yeedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section -(a), and tile the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Co& 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.
PERMIT APPLlCATlON
CITY OF'CARLSBAD BUlLDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
'PLAN CHECK NO. a 0 5- %'I 3
1 EST. VAL. ' Plan Ck. Deposit
' Validated By
c Date 5/30 /oh
Address (include BldglSuite #) Business Name (at this address)
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repeir any structure, prior to Ita issuance, also raquires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[ChaDter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he ia exempt therefrom, and the besir for the allqad
Name Addreas City SteteRip felephone 1
State License 6 3Y 3 y 7 Likense class C- 8 City Business License # /a 6 9 86. 1
Designer Name Address City Statenip Telephone
State License #
0 of the work for which this permit is Issued.
0 issued.
Insurance Company -?+G -f e fia1~4
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lblOOl OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for whlch this permit is issued, I shell not employ any person in eny manner so as
to become subtect to the Workers' Compensation Laws Of California.
WARNING: Fob to y-e wwletr' componsaibn coverage Is unlawful. and shall aubJecl an employer to criminal penaltlas and civil fines up to ofla hundred
thousand dole
I have end 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 msintdn workera' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
My worker's compensation insurance carrier and policy number ere: 64/.t/- t-
Pollcy No. @zz2 7-Or /7 94v Expiration Date /o -?o-os'
mation, damages aa provided for In Sectlon 3706 of the Labor code, Interest and attorney's fees.
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 Low 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(s1 licensed
pursuant to the Contractor's License Law).
0
1.
2.
3.
4. number I contractors license number):
5.
of work):
I am exempt under Section
1 personally plan to provide the mejor labor and materials for construction of the proposed property improvement. a YES ON0
I (have I have not) signed an application for e building permit for the proposed work.
I hsve'contracted with the following person (firm) to provide the proposed construction (include name I address I phone number / contractors license number):
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (include name / address / 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 / type
Business and Professions Code for this reason:
program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act7 0 YES 0 NO
Is the applicant or future building occupant required to obtain s permit from the air pollution control district or air quality management district7 .a YES
Is the facility to be constructed within 1,000 feet of the outer boundary of s school sits7 0 YES 0 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.
a NO
LENDERS NAME LENDER'S ADDRESS
I certify thst I have read the spplicetion and state that the above information is correct and that the information on the plans is eccurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property tor inspection purposes. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAINST 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 vdd If the building or work
authorized by such permit Is not commenced wlthin 180 days from the date of such pemit 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 cHM-a-
I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE ClW OF CARLSBAD AGAINST ALL LlABlLlTIā¬S,\
Ion 106 4.4 Uniform Building Code).
WHITE: File YELLOW: Applicsnt PINK: Finence
City of Carlsbad Bldg Inspection Request
For: 06/10/2005
Permit# CB051813 Inspector Assignment:
Title: JACOBSON RES- GAS LINE TO
Description: FUTURE BBQ
Type: PLUM Sub Type:
Job Address: 1728 CALAVO CT
Suite: Lot 0
Location:
OWNER GERO DANIEL J&PATRICIA L
Owner: GERO DANIEL J&PATRICIA L
Remarks:
Phone: 7607201 640
Inspector: B
Total Time: Requested By: MARK
Entered By: CHRISTINE
CD Description Act Comment
23 Gas/Test/Repairs w
Associated PCRs/CVs
Date Description Act lnsp Comments
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