Loading...
HomeMy WebLinkAbout2894 RANCHO PANCHO; ; CB041243; PermitC\>J~v City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-12-2004 Plumbing Permit Permit No: CB041243 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2894 RANCHO PANCHO CBAD PLUM Status: Parcel No: 2225904200 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: FULLER RES GAS FOR BBQ AND Inspect Area: FIREPIT/ CONDUIT FOR ELEC TO BBQ & MISC LIGHTING Applicant: ALL SEASONS LANDSCAPE 1143 CYPRESS DRIVE VISTA 92084 760 519-8797 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 Owner: FULLER JOHN C&CARLA J 2894 RANCHO-PANCHO CARLSBAD CA 92009 ISSUED 04/12/2004 SB 04/12/2004 04/12/2004 $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 Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 9768 04/12/0•'t ,J002 01. 02 CGF" 17-,'iO LAPPROVAL PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. C,~ l-(/c.Jf? CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units l:;.x:C q~f ~~ Assessor's Parcel # Existing Use Proposed Use 6 A--S t-{tJ "4 M,I .s N11t-"""'r> p N I °t(:)I # of Bathrooms -~,~c. Telephone# Fax# Telephone# (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 no re than five hundred dollars [$500)). '(.-'Sll.::yJ.5 , I / S 1<:,,0--SI ? 7 Addres City t e/Zip Telephone # License Class c.-z., City Business License , i :t.l 7 '7 oif State License # _7.._.z.::;..C/..:...=S=--_t"_~ __ _ Address City State/Zip Telephone I hereby affirm under penalty of perjury one of the following declarations: ~ 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. ~ 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 ?rz e,. f'ea1et1 emfCP'f'¼::-~ Policy No. W (...,.JI/JD S-9 Z-Expiration Date ~ -£-of' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 0 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. 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). D 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. D 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 I 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) .. ·_--------------------------------------------------------- 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?· D 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. re. OQNll~IlQM.L~~-qmi:;_,w..,_= r1Y ,_,,,..;,._,.,, -·· 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 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 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 demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennlt 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 pennit is not commenced within 180 days from the date of such pennlt or if the building or work authorized by such permit is suspended or abandoned at any time after the work is c menced for a P. iod of 180 days (Section .4.4 Uniform Building Code). DATE lc...oc/ .. PINK: Finance ~ • City of Carlsbad Bldg Inspection Request For: 09/09/2004 Permit# CB041243 Inspector Assignment: JM --- Title: FULLER RES GAS FOR BBQ AND Description: FIREPIT/ CONDUIT FOR ELEC TO BBQ & MISC LIGHTING Type: PLUM Sub Type: Job Address: 2894 RANCHO PANCHO Suite: Lot 0 Location: APPLICANT ALL SEASONS LANDSCAPE Owner: FULLER JOHN C&CARLA J Remarks: ROLLED OVER FROM WEDNES. Total Time: Phone: 7605198797 Inspector: ----- Requested By: TIM Entered By: CHRISTINE CD Description Comment 29 Final Plumbing 39 Final Electrical lnsQection Histo!Y Date Description Act lnsp Comments 04/15/2004 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY 04/13/2004 21 Underground/Under Floor we JM 04/13/2004 23 Gas/Test/Repairs AP JM BBQ & FIREPIT 04/13/2004 31 Underground/Conduit-Wiring NR JM