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Home My WebLink About253 CHINQUAPIN AVE; ; CB061582; Permit06-02-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB061582 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 253 CHINQUAPIN AV CBAD PLUM 2060803901 Lot# Construction Type CODY RES GAS TO BBQ&FRPIT ELEC TO BBQ&FUTURE FNTN 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 06/02/2006 KG 06/02/2006 06/02/2006 Applicant NEW HORIZONS LANDSCAPE 810APPLEWILDERDR 92078 760591-4410 Owner COODY REVOCABLE TRUST 09 23-05 253 CHINQUAPIN AVE CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 0 1 0 $2000 $000 $000 $000 $000 $000 $700 $000 $2000 $000 $000 $000 TOTAL PERMIT FEES $4700 Total Fees $47 00 Total Payments To Date $47 00 Balance Due $000 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review set aside void or annul their imposition You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise exoired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATIONj" 2-53 FOR OFFICE USE ONLY PLAN CHECK NO, EST VAL Plan Ck Deposit Validated By r Date /O ~ ~2^~ OO? Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel # -&pt4- Existing Use Proposed Use Description of Work 2 CONTACT PERSON (if different from applicant) SO FT #of Stories # of Bedrooms # of Bathrooms Name Address 3 APPLICANT "C$»Contractor Q Agent for Contractor .a - )1 I . 1 l-^.» City I Owner O Agent for Owner State/Zip Telephone tt Fax tt TY Addr City State/Zip Telephone tt Address*City State/Zip Telephone #Name 5 CONTRACTOR COMPANY NAME ~' „ * ! - (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] 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) Name State License # Address' License Class City * State/Zip City Business License tt Telephone # 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 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 JST 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 carrier and policy number are Insurance Company <~yfaa^. ^./{.f^cl _ Policy No / ?> 7& ~ 2&lb*. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Q 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 Failurfito_secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollaraJ^aOOOSQ^ ipjbddition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATUg£^^aj»<^'^^)jW^> DATE brfyftltZ "I ,, OWNiEFi'BUtt^ER'BECL^ATION S — I hereby affirm tpaf I am exempt from the Contractor s License Law for the following reason D 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) D 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) 0 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 Q YES [UNO 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 some 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 OATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY iST * * | >• 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? __j YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' D YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES Q 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 * * r 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 9 APPLICANT CERTIFICATION l ~ < ~ " " ~ I certify that I have read the application and state that the above information is correct and that the information on the plans ,s accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby 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 T^HIS 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 commenced within 180 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 commprfced for^a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGN;DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 08/09/2006 Permit* CB061582 Title CODY RES GAS TO BBQ&FRPIT Description ELEC TO BBQ&FUTURE FNTN Sub Type 253 CHINQUAPIN AV Lot 0 Type PLUM Job Address Suite Location OWNER GOODY REVOCABLE TRUST 09-23-05 Owner GOODY REVOCABLE TRUST 09-23-05 Remarks Inspector Assignment Phone 7607163497 Inspector Total Time CD Description 29 Final Plumbing 39 Final Electrical Act Comment Requested By TERRY Entered By CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 06/06/2006 23 Gas/Test/Repairs AP MC 06/06/2006 31 Underground/Conduit Wiring AP MC POLICYHOLDER COPY SO COMPENSATION IN SUHANCB FUND PO BOX 420807, SAN FRANCISCO CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-01-2008 GROUP 000048 POLICY NUMBER 0013789-2006 CERTIFICATE ID 2 CERTIFICATE EXPIRES 01-O1-2007 01-01-2008/01-01-2007 CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT P 0 BOX 2SOOO SACRAMENTO CA 98828 SO LICENSE NUMBER LIC #384332 INCEPTION DATE 01-01-2006 00 SO This is to certify th«t we have issued a valid Workers Compensation insurance policy in * form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon JQ days advance written notice to the employer We will also give you JQ days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain the insurance afforded by the policy described herein is subject to all the terms exclusions and conditions of such policy AUTHORIZED REPRESENTATIVE EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS PRESIDENT $1,000,000 PER OCCURRENCE EMPLOYER NEW HORIZONS LANDSCAPE 810 APPLEWILDE OH SAN MARCOS CA 82078 SO (REV 2 05)PRINTED 12-17-8008 M0400