HomeMy WebLinkAbout1304 VERBENA CT; ; CB082050; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-07-2008 Plumbing Permit Permit No: CB082050
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1304 VERBENA CT CBAD
PLUM
2145700200 Lot #: 0
Construction Type: NEW
LOMBARDO RES REPLACE WTR HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/07/2008
KG
11/07/2008
11/07/2008
AFFORDABLE WATER HEATER LOMBARDO BASIL&DOROTHY A TRUST 09-27-07
24707 SAN FRANANDO RD
SANTA CLARITA, CA 91321
661 259-7131
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:
$27.00
0
0
0
0
1
0
0
1304 VERBENA CT
CARLSBAD CA 92011
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Payments To Date: $27.00 Balance Due:
FINAL APPROVAL
Date: ~ Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, er 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 i~forrnation with the City Manager for
processing in accordance with Cartsbad 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
CiJy of Carlsbad Plan Check Noe! 00 ~ :2_0 <sl)
1635 Farad~y Ave., carlsbad, CA 92008
760-602-2717 / 2718/ 2719 Est. Value
Fax: 760-602-8558 Plan Ck. Deposit
Building Permit Application
JOB ADDRESS SUITE#/SPACE#/UNIT# APN
TENANT BU IN S NAME
DESCRIPTION OF WORK:
i P oee. so ~5 WA+e.r He. t..r . .. &;..re.. e..
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING FIRE SPRINKLERS
YES O NO O YES O NO 0
CONTACT NAME (If Different Fom App/leant) APPLICANT NAME L. ,
.S C.f>tt I
ADDRESS ADDRESS w CITY STATE ZIP CITY STATE ZIP
PHONE FAX
EMAIL EMAIL Sc.t>tt @ AW/.11,P. (Ott\
PROPERlY OWNER NAME L
ADDRESS
CITY STATE ZIP STATE tA•
PHONE FAX FAX
0
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
STATE LI~~; ~ C:it CLASS eJ, CITY BUS. LIC.#
/). I 7 e)..., I
(ltc. 7031.5 Businm and Proltuioni Code: Any Cir, o, County which requim a ptrmiI 10 construcL alter improve, demolish or rtP.air any structure prior to in issuance, also requim the applicant for such permit to file a signed uatement rt,ar he is ricensed J)ursuanI to the provisions of the Contractor's License law {Chaplet' 9. commending with lection looo of 0i,ision J of Ihe Busineis and Professions Code} or that he is mmpt thm~om, and Ih, bim for rt,, alltg!d mmption. Ally ,iolation of lection 70)1.5 by any applicant fo, a permit sub~cn the applicant to a civl penally of not mort man five hundred dollars {SIOO}).
Worl<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain I certlflcate of content to 1elf-ln1ure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ have and will maintain workers' compe~satlpn, as required by Section 3700 of the Labor Code, for the performance of the work• j,hlch lhi.f8rmil is Issued. My workers' compensation insurance ~rrier and policy
number are: Insurance Co. ! e." i:t•~ Policy No. '!.0 l,1f'1r'70 ![__ Expiration Date / • / -(27.
This section need not be completed if the permil is for one hundred dollars ($100) 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 any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure wortcera' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil flnes up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, da ges as pr?J'lded for In Section 3706 of the Labor code, Interest and attorney's fees.
J!5 CONTRACTOR SIGNATURE L
I hereby affirm that I am exempt from 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, lhe 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 properly, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
properly 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 lo provide the major labor and materials for construction of the proposed property improvement. D Yes D 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 lo provide portions of the work, but I have hired the following person lo coordinale, supervise and provide the major work (include name/ address / phone / contractors' license number):
5. I will provide some of the work, but I have contracted (hired) !he following persons to provide the work indicated (include name I address I phone/ type of work):
J!5 PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan, aculely hazardous materials registration form or risk management and prevenlion 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 lo obtain a permit from the air pollution control district or air quality management district? D Yes D No
ls the facility lo be constructed wilhin 1,000 feet of the outer boundary ol 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.
I oertify that I have read the application and state that the above Information Is correct and that the Information on the plans Is aOC1Jrate. I agree to comptywlth all Cltyordlnanoes and State laws relating to bulldlng constructfon.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'NHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA perm~ is required for excavations over 5'0' 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 nun and void ij the building or work authonzed by such permit is not commenced within
180 days from the date of such pennit or ijth~ building or work authorized by such perm~ is suspended or abandoned at any time after the work is commenced for a period of 180 days {Section 106.4.4 Unifoon Building Code) .
..l!5 APPLICANT'S SIGNATURE ~l&::1-t DATE ' I .... t/ -O!;
/ I ~7
City of Carlsbad Bldg Inspection Request
For: 12/04/2008
Permit# CB082050
Title: LOMBARDO RES REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
1304 VERBENA CT
Lot: 0
APPLICANT AFFORDABLE WATER HEATER
Inspector Assignment: ~
Phone: 7606028420
Inspector:
Owner: LOMBARDO BASIL&DOROTHY A TRUST 09-27-07
Remarks: AM PLEASE 10 -12
Total Time:
CD Description Act Comments
Requested By: DOROTHY
Entered By: CHRISTINE
25 Water HeaterNents It f ____________ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments