HomeMy WebLinkAbout2320 VIA CLEMENTE; 22 | 23; CB090243; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
d2-12-2009 Plumbing Permit Permit No: CB090243
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2320 VIA CLEMENTE CBAD
PLUM Status:
Parcel No: 1672504400 Lot#: 0
NEW
Applied:
Construction Type: Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: WATERSTONE--REPLACE 2 WTR HTR Inspect Area:
Applicant:
DRAIN PATROL
P.O.BOX 81621
SAN DIEGO, CA 92138
866-657-3534
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
2
0
0
Owner:
P P C CASCADE L L C
C/O PACIFIC PROPERTY COMPANY
777 CALIFORNIA AVE
PALO AL TO CA 94304
ISSUED
02/12/2009
KG
02/12/2009
02/12/2009
$20.00
$0.00
$0.00
$0.00
$0.00
$14.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$34.00
Total Fees: $34.00 Total Payments To Date: $34.00 Balance Due: $0.00
EXPIRED PERMrr
Inspector:
PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C.
SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030
DATE~~ SIGN~.TvRE_.r:
FINAL APPROVAL
Date: Clearance:
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 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 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
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
Plan Check Nrf!,&;f j_
Est. Value
Plan Ck. Deposit
Date 2-( '2 -o
SUITE#/SPACE#/UNIT# APN
# OF UNITS # BEDROOMS # BATHROOMS
TENANTBUi/EJ~/iri,-I CONSTR. TYPE I occ. GROUP
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □ # --NO □ YES O NO 0 YES □ NO □
APPLICANT NAME
ADDRESS
\'1-t CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP STATE ZIP
PHONE FAX FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CLASS Cl
fl,c. 70) I.I Business and Professions Code: Any City or Coun1x which requim a permit 10 construct. alter, imprOY!, demolish or rtP.air y 11ruc1uro, prior to its issuance. also roquim the applicant for such permit 10 file a signed 11a1,men1 1ha1 he is ficensed pursuant 10 1h, provisions of the Contractor's license law (Chapter 9. commending with Section 7000 of D,vision J of 1h, Businm and Prormions Code) or 1ha1 h, is mmp1 1hero from, and the basis for the all,g,d mmption. Any violation of
l,ction 703 I.I by any applicant for a permit subj,cu the applicant to a civil penalty of not moro than five hundrod dollan {SIOO)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one ol lhe following declarations:
0 I have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 ol the Labor Code, lor the performance of the work for which this permit is issued.
~have and will maintain workl' compensation, as required by Section 3700 of the Labor Code, for the performance of the work fqr whi_9h ~h~rmit is issu~ My workers' compensation insur ce carrier and policy
number are: Insurance Co. (~tlty ,:1\.vnJ4 '-Policy No. wC.Z.l(p I (:><.q "SI o '101 Y Expiration Date-'-"°-1-"~c...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 secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dam as rovided for In Section 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE DATE
I hereby affirm that tam exempt from Contractor's License Law for the following reason:
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 wnl have the burden of proving that he did not build or improve for 1he 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 lo 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 O No
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) lo provide the proposed construction (include name address / phone f contractors' license number):
4. I plan to provide portions ot the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name f address f phone f 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 I address f phone f type of work):
~ PROPERTY OWNER SIGNATURE DATE
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 lo obtain a permit lrom the air pollution control district or air quality management district? D Yes O 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Address
I certify that I have read the application and state that the above infonmation 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 representative of the City 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 permrt is required for excavations over 5'0' deep and deroottion or construction of structures over 3 stories in height.
EXPIRATION: Every permrt issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void tt the building or work authorized by such permit is not commenced within
180days from the date of such permtt orif the i • g or work authorized by such permtt is suspended or abandoned at any time atterlhe work is commenced for a period of 180 days (Section 106.4.4 Unttorm Building Code).
~ APPLICANT'S SIGNATURE DATE '2_..-\ ~ ~ C9 a-r