HomeMy WebLinkAbout2735 PALMETTO DR; ; CB060377; Permit•
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-15-2006 Plumbing Permit Permit No: CB060377
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2735 PALMETTO DR CBAD
PLUM Status:
Parcel No: 2131800700 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant:
DEVINCENT FARMS
CLOAKLEY RESIDENCE
GAS LINE FOR BBQ
3702 MT AZAD/A BLVD 92111
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
Plan Approved:
Issued:
Inspect Area:
Owner:
CLOAKEY FAMILY TRUST 02-04-97
2735 PALMETTO DR
CARLSBAD CA 92009
ISSUED
02/15/2006
MDP
02/15/2006
02/15/2006
$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:
Inspector: 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 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 Car1sbad 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 inf rvi I nivn NTI ·1 hi r whihh vi I
FOR OFFICE USE ONLY
Pl:RMIT APPLICATION PLAN CHECK NO. ____ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date ______________ _
Business Name {at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
SO. FT. #of Stories # of Bedrooms # of Bathrooms
State/Zip Telephone# Fax#
Name · Address City S.tate/Zip Telephone#
Designer Name Address City State/Zip Telephone
State License #
8, ;.y.t.Q_RKE.1\$' !.,OMP~SAJJ9fi
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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
of the work for which this permit is issued.
0 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:
Policy No .. ____________ _ Expiration Date. _______ _
SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
CERTIFICATE OF EXEMPTION: I certify that · the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
ecome subject to the Workers' Compensati aws of California.
WARNING: Fail nsatlon coverage la unlawful, and shall subject an employer to criminal pe
.,..,...,,~v,-,,wcost of compensation, damages es provided for In Section 3706 of tha Labo
SIGNATUR DATE ;;;;;;;;;,';=f::::;;;:!:;:f:;:~-:=:;;-
lt OW.fill ; .U!l,P.lft..DE.c.J.AMTIOH ~
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 w ith 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. 0 YES ONO
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 _______________________ _
COMl!Lffi !HI.$ SEC"IJQM.fOR tJOl!:M§!PEl!.JML BUIIJ)IN(l~RM!ll.Qr,IL
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 O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED 1,JNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
ff,_ CONST~ll~TIQN Ll:J'4DIN_Q ~-G~Cy
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
Cl:8.TlFICAJ'ION
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 hereby authorize representatives of the Gitt 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 A CRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
nd demolition or construction of structures over 3 stories in height.
e revisions of this Code shall expire by limitation and become II and v id if the bulldlng or work
t date of such permit or if the building or work authorized by such ermit is uspended or abandoned
action 106.4.4 Uniform Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
Permit# CB060377
Title: CLOAKLEY RESIDENCE
Description: GAS LINE FOR BBQ
For 02/17/2006
Type: PLUM Sub Type:
Job Address: 2735 PALMETTO DR
Suite: Lot 0
Location:
APPLICANT DEVINCENT FARMS
Owner: CLOAKEY FAMILY TRUST 02-04-97
Remarks: GAS FOR FUTURE USE
Total Time:
Inspector Assignment:
Phone:
Inspector: ----
Requested By: CHRISTOPHER
Entered By: CHRISTINE
CD Description
23 Gas/Test/Repairs
~ /, Comm:1:/ 6 ~ ~ /krm'/1
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments