Loading...
HomeMy WebLinkAbout2081 TRUESDELL LN; ; CB071260; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 05-07-2007 Plumbing Permit Permit No: CB071260 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2081 TRUESDELL LN CBAD PLUM 1671802100 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: TRACY RES COPPER RE-PIPE, REPLACE WTR HTR,NEW MAIN LINE Applicant: MASTERS ERV 560 LIBRARY STREET 91 340 818-408-4100 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 1 0 1 0 Owner: TRACY MARK J 2081 TRUESDELL LN CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 05/07/2007 KG 05/07/2007 05/07/2007 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $7.00 $0.00 $33.00 $0.00 $0.00 $0.00 $67.00 Total Fees: $67.00 Total Payments To Date: $67.00 Balance Due: Inspector: M ~ FINAL APPROVAL Date: if) 0 .:::., 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 ·tees/exactions." You have 90 days from the date this pelTTlit 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 infolTTlation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to limely follow that procedure will bar any subsequenl 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 I i n f whi h h v r vi I N E imil r hi hi h h I h rwi FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK Nd:)26 1 I 2& 0 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit -1,......_.,_,__ _____ _ Validated By __ ...,...._,..._:---=----,.::::;:,i~ Date ________ ~-~---- •. PftQJECT INF.OJIM~ 20'.? I Tr u~ e II Lv, .. Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No . Phase No. Total I of units . ALJssessor's Parcel I c~ '/'U-;;.ff-DiOP , 1/11 Oes~tfon of wJk r ) #of Stories ~ Proposed Use I of Bedrooms I of Bathrooms (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 bv anv R<>ollcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]1. State License I 6BQQ 17 Designer Name /;/.. State License I ~ e WORKERiT~~vo~oii't-P-~-N-S_A_T_IO_N __ _ • r ,. ro~ State/Zip Telephone I License Class C -:3 (o City Business License I J '6 I ¥33 0 Address City State/Zip Telephone 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. 'l:i!l.,_ 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 5iri tJ $ :Atneck:a, Th S , Co . Polley No. 0 1 Dk RAf / l o0Q 7 <z/ Expiration Date 2 J 13 /o ? -=L/-I (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. WARNING: Failure to Hcura workara' compenaatlon coverage la unlawful, and ahall aubjact an employer to criminal penaltiaa end civil flnaa up to one hundred thouaand dollar• ($100,0001, In addltlo the co of compena on, damagaa as provided for In Section 3706 of the Labor code. Inter~ attorney's fees. GNATURE <.L....<-«--..r DATE ~ z-_L_ .];· 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 Coda: 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(sl li~ensed 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): ______________________________________________ _ 6. 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-:::---:--~==--:-----------------DATE _________ _ (90.M.!!l,llJ! 'Tl:IIJ> SECTIPfi F.Ofl.f!J!rl.:!1/SlflEl{[ML 81,!J!.PJN~!LS ONj, ,_ ___ ___._,_......,_,......:.i..i..-.. ..... -...... ..,... 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 26606, 26633 or 26534 ol the Presley-Tanner Hazardous Substance Account Act? O 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 district7 O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary ol a school site7 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. [§. .~0.lt~ fUJrnQ!'![~.QltlcrA.Ci=Cc,.Y _____ ,_ ...... ..-_......., ______ .__~.....,-•...__._ ....... -.... __ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(11 Civil Code). ., 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 ANO 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 6'0" 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 fr m the date of such permit or if the building or work authorized by such permit Is suspended or abandoned ~ any time after the work Is commenced for a pe of 8 ays • .4.4 Uniform Building Code). L"-:::: '> _ :-7": PLICANT'S SIGNATURE ------,-1,"":::::.....l.--..,..::.;_J,'-.....:::--~-------------DATE _ ___,'/'---.--'-/-__,1,._L_ ____ _ WHITE: Fila YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/09/2007 Permit# CB071260 Title: TRACY RES COPPER RE-PIPE, Description: REPLACE WTR HTR,NEW MAIN LINE Type: PLUM Sub Type: Job Address: Suite: Location: 2081 TRUESDELL LN Lot APPLICANT MASTERSERV Owner: TRACY MARK J Remarks: Total Time: CD Descrip_tion 0 Act Comment Inspector Assignment: MC --- Phone: Inspector: _...,}A'---_l--__ Requested By: NA Entered By: JANEAN 17 Interior Lath/Drywall _k_ ____________________ _ ~~ ~_L.A_D-l___:_ ___ ..J-------------~~ __ fl ~l Comments/Notices/Holds Associated PCRs/CVs Orig\nal PC# lns[2ection Histor:t Date Description Act lnsp Comments 05/09/2007 18 Exterior Lath/Drywall PA MC COMPLETE ALL LATH & MOISTURE BARRIER 05/09/2007 24 Rough/Topout AP MC CWBOK 05/09/2007 25 Water HeaterNents AP MC 05/08/2007 24 Rough/Topout co MC COMPLETE ALL WORK INCLUDING WATER HEATER INSTALLATION