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HomeMy WebLinkAbout2310 VIA FRANCISCA; ; CB000005; PermitCity of Carlsbad Plumbing Permit Permit No:CB000005 Job Address: Permit Type : Parcel No: Reference #: Building Inspection Request Line (760) 438-3101 2310 VIA FRANCISCA CBAD St: M PLUM I ~1 JS"b l/-4 oo Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: INSTALL FOR WASHER/DRYER Inspect Area: ISSUED 01 /03/2000 GMF 01 /03/2000 01 /03/2000 Project Title: W/ ELECTRICAL/ DRYWALL REPAIR/VENTING INSTALLATION7645 01/03/00 0001 01 C-PRMT Applicant: R & R ELECTRICAL AND GENERAL 559 W GRANADA CT ONTARIO CA 91762 909 983-7173 Total Fees: $96.00 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: VA Owner: Total Payments To Date: $0.00 FINAL APPROVAL Date: ) --l \.\-OD Balance Due: Clearance: $20.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $69.00 $0.00 $0.00 $96.00 $96.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 96-00 PERMIT APPLICATION FOR OFFICE USE ONL V PLAN CHECK NO. Cr«t'Xl'.i':i CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ Plan Ck. Deposit ________ _ (760) 438-1161 Validated By _ _;...-.j:..:::..:':/'"---______ _ Date 1 / 3 /cr4 Address (include Bldg/ Business Name tat this addrus) 4,(. J Lot No. Subdivision Name/Number Unit No. PhHe No. Total II ot units Existing UH pti/t.o...,..,-C-- PropoHd Use SQ. FT. #of Stories , of Bedrooms , of Bathrooms Name Add1'eu City State/Zip Telephone I Fax II ;13•~1'Ptf'c°A1«l -· • ..,. -• ... ~ • cl ! qa:, ic.. uv f c,.J z State License I __,$',:;;..,:.1_'3,;;;,,..,,Y;'"-J"--'f+--- Address ,J License CIHs _e,_T __ c.._-_,_'D __ _ City Business License I _______ _ Designer Neme Address City State/Zip Telephone State License I :€...:.;,.wo11tcm'::~1c;;;:;_o;:M:-;:.:MN:::--~l'A'n:. ;;;::o:res;:;_:;_ ;;:;;::;:a;;.·~~a~1:~:;;;.~-~-t.:tl!':l~=?"~"?="~"::1:~:!.:":4~~-~~ ~: '· -~ • • ~rkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ I have and will maintain a certificate of consent to Hit-insure for workers' compensetion H provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is iuuad. fiD I have and will maintain workers' compensation, ■a required by Section 3700 of the Lebor Code, for the performance of the work for which this permit is ls;ued, My worker's compens■t~n insurance carrier and policy number are: . / . . _ _ Insurance Company v S r Policy No. S tf () f O Id-) Expiration Date .S /;).. G'€) (THIS SECTION PJEED NOT IIE COMPLETED IF THE PERMIT 19 FOR. ONE HUNDRED D(JLLARS lt100J OR !.ESSI D CERTIFICATE OF EXEMPTION: I certify th■t in the performance of the work for which thia permit i1 iuued, I shall not employ any person in any manner ao as. to become subject to the Workers' Compensation Llwa of Callfomia. WARNING: Failure to Hcure worllen' compenutton coverage la unlawful, and lhal eubject an amployer to criminal penaltia and cMI fines up to ona hundred thousand dollers 1$100,0001, In addition to tha coat of compensation, damagea u provided for In Section 3708 of the labor code, Interest and attomay's fNs. SIGNATURE~;:::;:::;::::;::::::;:::::;;:;:;.:;::===;:::;;;:;::::;;;;;:;:::;:;:::;;:=::::::::::::;;;;:;;,;;:;:;;;:;;;;.:::::;;;:;:: DATE ________ _ ; ... -:r·!OWNERZ'iUitoEJaJEeoo1Al1ofl~~~~;~!:,~$,rl,~,-.;.,.·r-~~~~J,.~·f;F!'"r~~=.~~~:;/S.~~,~~:t~·~:7_~~~f:"':7 -:::,~::;:-, ••• ·-·-... : .. ,·~. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, es owner of the propeny or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for aale (Sec. 7044, Business ■nd Proteuions Code: Th• Contractor's UcenN Law doaa not apply to an owner of propeny who builds or improves thereon, ■nd who does such work himself or through his own employus, provided that such improvements are not intended or offered for 111a. If, however, the building or improvement is sold within one yaar of completion, the owner-builder will have the burden of proving th■t he dld not build or Improve for th• purpoH of 11lel. D I, as owner of the propeny, am exclusively comracting with licensed contractors to construct the project (Sec. 7044, Business end Profeuions 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 contractorls) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ BusineH and Professions Code for this reason: 1 . I personally plan to provide th• major labor and materials for construction of the propoHd property improvement. 0 YES ONO 2. I I have / have not) signed an ■pplic■tion for ■ building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the propo■ed 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):. _______________________________________________ _ 5. I will provide ■ome of the work, but I have contracted lhired) the following persons to provide the work indicated !include nema / address / phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE________________________ DATE _________ _ COMPLa'E:THIS.'SECTION:"FOR'N~'Q;""~"§S;,rn!~~..::::it:;.t';:'·;:::,:·,·,-~·.:.-:,~~~-·::--·' Is the applicant or future building occup■m required to submit • business plan, acutely hazardous meteri■ls registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pruley-T■nner Hazardous S~at■nc• Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain • perrnit from the air pollution control district or air qu■litv management district? D YES O NO Is the facility to be constructed within 1,000 fut of the outer boundary of a echool ■It• 7 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 AND THE AIR POLLUTION CONTROL DISTRICT. •· .a,::"'co·NsTRUCTION7iamtN'G'~~~~~':~~&Z:.,;7.~~~~;:~~_;;.:_~,;-:.;t.:.Jr.i~~~~~-.... ,:; • I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS ________________________ _ ~~::;:~A'PPl.iCANT~CER:rlRCATio~~~~~1!~f'~~~-'il~&~~r~,i~,;•:f:;:,··-··•.-·· I certify that I have read the application and state that the above lnform■tion 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 represematives of the Citt of Carlsbad to enter upon the above menuoned propeny 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" dup and demolition or conatruction of structuru ovar 3 stories in height. EXPIRATION: Every permit inued by the Building Official under the provi1ion1 af this Code 1h1II expire by limitation and become null and void it the building 0, work authorized by such permit is not commenced within 365 days from the date of such permit or If the building or work authorized by such permit ,s suspended or abandoned et any time after is commenced for • perio of (Section 106.4.4 Uniform Building Code I. DATE PINK: Finance City of Carlsbad Bldg Inspection Request For: 1/13/2000 Permit# CB000005 Title: INSTALL FOR WASHER/DRYER Description: W/ ELECTRICAL/ DRYWALL REPAIRNENTING INSTALLATION Type: PLUM Sub Type: Job Address: 2310 VIA FRANCISCA Suite: M Lot 0 Location: APPLICANT R & R ELECTRICAL AND GENERAL Owner: Remarks: WASHER AND DRYER FINAL Total Time: CD Description Act Comments Inspector Assignment: DM --- Phone: Inspector: "S)k Requested By: NA Entered By: CHRISTINE 29 Final Plumbing 39 Final Electrical W----- Associated PCRs lnsgection Histoey Date Description Act lnsp Comments 1/7/2000 17 Interior Lath/Drywall AP DM 1/7/2000 24 Roughrropout AP DM 1/7/2000 34 Rough Electric AP DM