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HomeMy WebLinkAbout2215 PASEO SAUCEDAL; ; CB991590; Permit\ I Cl_; City of Carlsbad 04/26/1999 Plumbing Permit Permit No:CB991590 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 438-3101 2215 PASEO SAUCEDAL CBAD PLUM 2552603600 Lot#: 0 Construction Type: NEW GAS LINE TO BBQ AND FIRE PIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: HEAVILAND THOMAS&JOANNE ISSUED 04/26/1999 JM 04/26/1999 04/26/1999 HEAVILAND THOMAS&JOANNE 2215 PASEO SAUCEDAL CARLSBAD CA 2215 PASEO SAUCEDAL %OS 04126199 OOOi Ol CARLSBAD CA C-PRHT 92009 Total Fees: $27.00 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 TOTAL PERMIT FEES Inspector: 92009 Total Payments To Date: 0 0 0 0 0 1 0 $0.00 FINAL APPROVAL Date: Lf "21-~ Cf B.atance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 NOTICE: Please take NOTICE th at 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 !heir imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exaciions DOES NOT APPLY to water and sewer connection fees and capactiy 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheJWise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 27-00 • PERMIT APPLICATION FOR OFFICE USE ONL~,<.c:t' . PLAN CHECK NO. ti.LJ...J{) CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit-t;:::.,...-r-------- Validated By _ _;J:....;.. Jl'..:.VV'-___ -r.:::-'7"::>":>:;~ Date L ; ·~··," .·.-C,/f:: ~'J'/'i", .. ;:.,.: L ;<-.:;·. Address (include Bldg/Suite # I Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. lot Stories I of Bedrooms I of Bathrooms 2. CONTACT PERSON Of different from appllant). Name Address City State/Zip Telephone# Fax# APPLICANT □ Contrac::tor D Agent for Contractor;' ..LJ.:.2£'.::L...Z..~~~r~~~V'L.!...f~t.-=~~A.J:::.!..:1L-_-fZ.J:::LLl2-r~.L._~~~::::!1.~s..~!::;...J~W'l<~~~,...=::::.at...:~~==-,L--~c::..__..~"-L.J.✓¥/ Name 4. PROPERTY OWNER· Name Address City State/Zip Telephone I 6. 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, elso 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 ot the Business and Professions Code) or that he is exempt therefrom, and the besis for the elleged e)(emption. ny 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 ($500ll. ~ lh ;) ,..:;_ ,-, ?' '~ p .z_. t r-~ • -"1!:.- Name Address City State/Zip Telephone II s License Class _ _..,C.....-~---~c7~~2~--City Business License fl _______ _ ~-2) C-'4 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: ~· have and will maintain a certificate of consent to self-insur~ for workers' compensation 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 will maintain workers' compensation, as required .by Section 3700 ot the Labor Code, tor the performance of the work tor which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company_____________________ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to the Workers' Compensation Laws of Cal' r ia. .1 WARNING: Failure to secu u,.i thousand dolters 1$1®.W'YI,:><! t· · I, and ahall subject 1111 employer to criminal pen ltles and ch,rll fines up to ona hundred 11m11g■s ■a provided for in S■ctlon 3706 of the la cod■, I erelt and attorney's fns. DATE ::2-C,. 7° ! 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 11s 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, end who does such work hi ms elf or through his own employe■s, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold withm 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). ~· 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 contractorlsl licensed pursuant to the Contractor's license Law). D I am exempt under Section ______ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improv■ment. D YES ONO I (have / have not) signed an application for a building permit for the proposed work. 1. 2. 3. lowing person (fir~vide the proposed construction Unclude name / address I phone number I contractors license number): ..::::,,:_ 4. I plan to prov de portions of the work, but I have hired the following person to coordinate, supervise and provide the major work Onclude name / address / phone number/ contractors license number): ____________________ --:,....t--+-+------------------------ 5. I will provide some of the work, but I have contracted (hired) t work indicated Hnclude name / address / phone numb■r I type of workJ:: _________ -.:\r-~--=,-;l....--7'-~ ,:::::: .. =_=~=}....:c..-"".,-.?,L.,+------~...,.t.:_--,,Jc----------f---1-:......---------- PROPERTY OWNER SIGNATURE -+-+.,,__,t::::~--1.::..::...._+~-P--'-----1-.;.:;.,::-+-- COMPLETE THIS SECTION FOR NON Is the applicant or future building occupant required to submit ■ business plan, ■cutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtein e permit from the air pollution control district or air quality manag11ment district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D 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 . '· ··" .~ · .. ' 1 hereby affirm that there is a construction lending agency for the p■rformence of the work for which this permit is issued (Sec. 30971il Civil CodeJ. LENDER'S NAME _____________ _ 9. APPLICANT CERTIFICATION 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 ell City ordinances and State laws relating to building construction. I hereby authoriZII representatives of the Citt 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 THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolitio or EXPIRATION: Every permit i$SUed by the Buildi of thi Co work authorized by such permif11No!ot comma f uch or abandoned at any time fter the w 0 APPLICANT'S SIGNATURE ion of structur■s over 3 stories in height. shall upire by limitation and become null and void i rmit or if the building or work authorized such per .4.4 Uniform Building Code). DATE PINK: Finance the building or it is suspended City of Carlsbad Inspection Request For: 4/28/99 Permit# CB991590 Title: GAS LINE TO BBQ AND FIRE PIT Description: Type:PLUM Sub Type: Job Address: 2215 PASEO SAUCEDAL Suite: Lot 0 Location: l:\PPUCANT : HEAVILAND THOMAS&JOANNE Owner: HEAVILAND THOMAS&JOANNE Remarks: 635~9144 HOME Total Time: CD Description Act Comments Inspector Assignment: Sr Phone: 7605987065 WORK Inspector: S P Requested By: TOM Entered By: CHRISTINE 21 Underground/Under Floor ..8.f:_ Fr N /tL. lff s /? Ec.-(l tJ ,J Inspection History Date Description Act lnsp Comments