HomeMy WebLinkAbout2646 PEPPERTREE WAY; ; CB071836; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-10-2007 Plumbing Permit Permit No: CB071836
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2646 PEPPERTREE WY CBAD
PLUM
2131503600 Lot#: 0
Construction Type: NEW
WILLIAMS RES GAS/ELEC TO FUTUR
BBQ,ELEC TO 2 OUTDOOR OUTLETS
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/10/2007
KG
07/10/2007
07/10/2007
KEONI LANDSCAPES WILLIAMS VICTORIA L TRUST 06-02-07
1052 KNOWLES AV
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
Total Fees:
Inspector:
$47.00
0
0
0
0
0
1
0
17 VILLE FRANCHE
DANA POINT CA 92629
$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
Total Payments To Date: $47.00 Balance Due:
FINA
Date: Clearance:
$0.00
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 pemiil 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 infonnation 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 Ix in fwhi h h v r i I Tl imil r hi r owhi h h Ii h i
City of Carlsbad
·1635 F~raday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
Building Permit Application
JOBADDRE~ '1 ~
T/PROJECT #
L)
EXISTING USE PROPOSED USE
CONTACT NAME (If Different Fom Appflcant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CITY
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
# BEDROOMS
GARAGE (SF)
Plan CheckN
Est. Value
Date
SUITE#/SPACE#/UNIT#
# BATHROOMS TENANT BUSINESS NAME
PATIOS (SF) DECKS (SF) FIREPLACE
YES □#_ NOD
STATELIC.# Cf 7 ~ 9~
AIR CONDITIONING
YES □ NOD
Fl RE SPRINKLER
YES □ NOD
ZIP CD. ~6-o
/Sec. 703 I .5 B11sine11 and Professions Code: Any City or Count): which requires a permit to construct alte~ improve, demolish or n!P.air any structureLprior to its issuance, also requires the applicant for such pem1it to file a signed 1tattmen1 tllat he is t.censtd _P.unuant to tltt! pmisions Gf the Contractor's Licuse Law {Chapter 9, commending with Section ,000 of Oivision 3 of the Bu1ina1 and Proia1ion1 Code} or that he is exempt therefrom, and the ba111 for the ane~ eiemption Any violation of Section 7031.5 by any applicant for a permit subjMts the applicant to a ciY~ penalty of not more than five hundred dollan {$500}). ·
WORKERS' COMPENSATION
Workers' Compensation Daclaratlon: I hereby affirm under penalty of perjury one of the following declarations:
~ have and will maintain I certificate of consent to self-insure for workers' compensaHon as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued.
D I have and wtll maintain worke 'compen, Ion, ~ required by Section 3700 ot,ttie Labor Code, for the performa_9e1 of the w,a,,.rk for which this permit isjssued. My workers' compensation sura carrier and policy
numberare:lnsuranceCo. ra. ' '<...o, PolicyNo. ctJOCJ50D(e7~0 { ExpirationDate--1-+_u/'/-a,,t...lL);~~
This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of ork 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 secur 'compe n coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compens ---,,.., 706 of the labor code, Interest and attorney's fees.
I, as owner of the property y 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, PfOVided 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).
□ 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).
□ I am exempt under Section, ----~Business and Professions Code for this reason:
1. ! personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have I 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 I phone/ 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 I address/ phone/ 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 I address I phone/ type of work):
Ji5 PROPERTY OWNER SIGNATURE DATE --. -COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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? □ Yes □ No
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? □ Yes O No
Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? □ 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.
I certify that I haw read the application and state that the above infonnatlon Is oorrectand that the Jnfoonatkm on the plans Is accurate. I agree to oomplywith all Cftyo1tHnanoes and State laws relating to bullcllng oonstructlon .
. I hereby au~orize represenlalive of !he Ci~ of Carlsbad to enter upon ~• above mentioned property for inspeclon purposes. I ALSO AGREE TO SA VE, INDEf.l'IIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT.
OSHA: AA OSHA pennit is required for excavations over 5'0' d detnolitm oc construction cA struchlres over 3 stories in hejJht.
EXPIRATION: Every pem,it issued . . Official u provisions of ttiis Cooe shall expire by limitation and become nuU aid void if lhe building or WOO( authorized by such permit is not corrmenced v.flhin
180 days from !he dale of su ;a-_ ,,;, . ch pennl • suspended a abandoned ata,y lime aller ~e ""1< • """""'1C<! for a r'<xl of 180 days (Section 106.4.4 LJnifoon &!1~'11 Code).
DATE
City of Carlsbad Bldg Inspection Request
For: 08/22/2007
Permit# CB071836
Title: WILLIAMS RES GAS/ELEC TO FUTUR
Description: BBQ,ELEC TO 2 OUTDOOR OUTLETS
Type:PLUM Sub Type:
Job Address: 2646 PEPPERTREE WY
Suite: Lot: 0
Location:
APPLICANT KEONI LANDSCAPES
Owner: HIBNER WAYNER TRUST 06-02-07
Remarks:
Total Time:
CD Description
29 Final Plumbing
39 Final Electrical
Inspector Assignment: PC ---
Phone: 7608075845
Inspector:
Requested By: JOHN
Entered By: CHRISTINE
----------------------------------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lns(1ection Histo[Y
Date Description Act lnsp Comments
07/12/2007 23 Gas/TesURepairs AP PC
07/12/2007 31 Underground/Conduit-Wiring AP PC