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HomeMy WebLinkAbout2709 VIA FESTIVO; ; CB041588; Permit, \ ~::fl'( City of Carlsbad ~ ) / 1635 Faraday Av Carlsbad, CA 92008 \ 05-1 Y-2004 ' Plumbing Permit Permit No: CB041588 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Pa rcel No: Reference #: Project Title: Applicant: 2709 VIA FESTIVO CBAD PLUM 1673005300 Lot #: 0 Construction Type: NEW MCHENRY RESIDENCE WATER HEATER REPLACEMENT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/11 /2004 MDP 05/11 /2 004 05/11/2004 A&J FOSTER, INC . STE B MCHENRY KATHERINE 8 SEPARATE PROPERTY TRUST 03-0 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Rep air 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: $27.00 Inspector: PO BOX 3504 RANCHO SANT A FE CA 92067 0 0 0 0 1 0 0 Total Payments To Date: $0.00 $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 Balance Due: $27.00 ?ER,~rr,. • RED IN ACCORDANCE WITH u.a-.c f SECT10N I U<J.'l.4 FINAL APPROVAL Date: IGN/lTURf .A --- 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 lees/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 I i n f w i h I n iv n N Tl i ·1 r hi w i h h f Ii • I h rwi !PERMIT APPLICt\ T!ON \ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NoC/!>OL/1..'i/? EST. VAL. ___________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date ______________ _ Address (include Bldg/Suite //) Business Name lat this address) Unit No. Phase No. Total # of units Proposed Use # of Bedrooms II of Bathrooms 12 • • • • • ·• • • • • • •• • • • • • • • • • • • • • • • ir§!'.il:!;ifii~L~nilfil\1!r'I \~i ~.½-£.,' -• • • •• •• • •• , •• ·-• # ' :?~ii:~ N i4 (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 w ith Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, and the basis for the alleged violat'on of Section 703 1.5 by any applican for permit subject the applicant to a cjvil penalty of not more an five hundre.d dollars l 5Q0 ). __.__._~-L-.!"""'="""-. ~---=~l.:._:_. _._..~·~'--LLl'--X-,. ___,._· ---I. ;,.t..J<.1-<'-', '-""""'.._.,_,-=-+=:::..L, ~""""· '-±--,~=,'---'--"'-._.__· ~·~_,__, TJ \ 0 State/ZiP. Telephone # State License II ~(Jj='~o)=~~--·-i:____ License Class --="'--'"""-.3"'""----City Business License # \ '2. \()8:i.,p Designer Name Address City State/Zip Telephone State License II ___________ _ r.611·•,:i~i~?W.OJiI{~Ji·s~i<{O Mf!tN~~riflijr.-tii'.lti~rn'.MlmiMtUltI{f~t~~~-fik~i~itrn~1~~mr~~~~1ill~~:rn:~~1~r~ill~]JJiiliiti~~f~~t~i1rt~~~rnt1uii1iJij~[1~i;r[tul~1;rn~tij~~l~f~~~1~rwi&.(m:1~i~~~t1~411~i{~~rt~iH;~J;j;!iJr:~t~i~:~;~;1:1:~1)mt:1)ir)~;i;:,:~;~:?::i1 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 ~o~e work for which this permit is issued. ~ I have and will maintain workers' compensation, issued. My worker' as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is policy number are: Policy No. ].J ';)~ 7(o-~ Expiration Date_i. 4,/ (.J5 _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) D CERTIFICATE OF ElCEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in eny manner so as to become subject to the Workers' Compensation Laws of California. unlawful, end shall subject an employer to criminal penalties and civil fines up to one hundred 1 ~ '.~.~~ ~.~.~:, ··1 · u····"·······1"· ,... ~,.,. , ... , .. ,, ·· .. ·1······"'·,·· .. ··· .. ,, ,,•'J""'' ···~· ,..,,.,,~,i~°--:.: .. ,::: .. ~::.~ ... :~11:::.::~:::°.:.:,~.,:.:::.:.:,:;~ 6:,;~;.1~1~~!,!J.'.QS:.~:. :.t.::.r,~~~;~ .. 1.~~:.: .. ,, ... , .... 7~:t~i'.:~}Q:',N~;R~.~~' IIJPl;RL .. ,. ,. t~R~:fl~N:1~:!1i!~i:~t~!;~im:~;~~;t~~~~~~!~~::u_.,i~li~i~~1~:f:1mm~~JJ~~Hl~i!!~~.[ilitJ~f~f.~1t~~'.ffiij!~~1BffiiJf~~~~;;f~mfii~lin~"~~j'.f£fa:'.[~,.4*i:f!~J~r~~w.il!~~liit1i,'.R~~:~illHfiri[l!Jiillint!!ilM\tlr.ii1i~l~!i~l}~!:1i;:rt;~:~f~iltl'!1:l~~;::rH;i\l!!i~rI~~f.~il:i!!Ui!!m I hereby affirm that I am exempt from the Contractor' 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 worl< 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). O I, as owner of the property, am el<clusively 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). O 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 numberl: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, super.vise 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 I include name / address / phone number / type of worl<): __________________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ DATE _________ _ I c·o wr~~l;~r,ij!~]f.i I sus~e[i(!J.~t~~ Rt~Qt4~iiE.STPENitiA1.~Q]li~P.J.Ntl1ill~ij_Ml;fi~f:!!NllXJJ1[i!{lfil~\tJJ[~l~~~~,~frt~i~fJlliS~Ji!l~]~To~~~~tJJ1~t!M~~llill::llii~i~l[~1il~·~]lfi~li~~j£J1i~~~l~~J;~::11Fn1i~31~jW,;l;,~i~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention program under Sections 25505, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act7 0 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? 0 YES O NO Is the facility to be constructed w ithin 1,000 feet of the outer boundary of a school site? 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. 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 _________________________ _ .·g ~ ,1:i::::f.A~F!1:.~,~~Nt,~:Ji.ERffi"jf,(C"AJf~O.Njromm~i~~·mrJ\'.[i~~:~~tJ;m~:~mm,~rn~:~ill~l~[trtmuJ~j~:H[i!&fi~~~im;m~~l"~P~r~m:rfilliti~tMf~_~t~~~qJr~!ll'~i~lW~&11Wiilll1Jt~~lli!t~~]if@}~~[~ID~iil~i~l~~Jl~~J~µQ~~m1~Ji~iqtHUi~f~~i8g~~iji[;U1iH~j;~;;i;H 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. ElCPIRATION: 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 comme • ~80 ~~ the such permit or if the building or work authorized by such permit Is suspended or abandoned al any lime alter the work is co~me od T }at! (Sect' • orm Building Code). ~ j' / • , l'">J I APPLICANT'S SIGNATURE --------------,,--~~~~~~~==~---------DATE ~ ~ L/'-1 ______ _ PINk: finance