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HomeMy WebLinkAbout2507 VIA SORBETE; ; CB053571; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-1'4 .. 2005 Plumbing Permit Permit No: CB053571 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2507 VIA SORBETE CBAD PLUM Status: Parcel No: 167 4003000 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: ABRAMOVITZ RES-GAS LINE REPAIR BETWEEN HOUSE & GARAGE Applicant: BROWN PLUMBING CO, ARTHUR A 2697 ST ATE ST CARLSBAD, CA 92008 619-729-4914 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 0 1 0 Plan Approved: Issued: Inspect Area: Owner: ABRAMOVITZ ALBERT&EDITH 2409 CARRIAGE CIR OCEANSIDE CA 92056 ISSUED 10/14/2005 AMA 10/14/2005 10/14/2005 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: FINAL APPROVAL Date: fO -!7-o!,' 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 '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 lees in connection with this project. NOR DOES IT APPLY to any • I • • • • • vi i . PERMIT APPLICATION CIT,Y OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. C!Jo t;_J5 7 / EST. VAL. __________ _ Validated By __ '-L_ Plan Ck. Deposit ~ Date . /Q((L[(D~ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Name .µ,.,rr.µLILL::::.........1=-~!....:::.;~=--.t.....::.:::..,:..;..:..=~~----=:::ll::..!..~'!.£..£!.l. ............ .J.L.....-=-!...!.C:=.~~!:::.,.-J~=~_{_f,!_~!=:L_..£_.L£, V 9. -i 0 ~,:? tie r,1 e /'c r1t<?,1. k: f' Name Address Telephone # (Sec. 7031.6 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 7031.6 b any applica11J for a P?Jmit subjects the applicant to a civil penaJ1y of not more than,.tiye hundred dollars [$500]). . • 0 AJ #1 Jq IIU ef-Co ~ 9 • @ E .6 tf7I !ft!! oUJt! 70-f-'9 I Name Address City • State/Zip Telephone # State License , c/2-V 'if ;;;.__ 9 o License Class t-3 ? City Business License , / 'tf?t)O Designer Name State License # Address City State/Zip Telephone B,, WORitERS!....;;:::, C;,:;;~;:;;M;:;;;:;;;;::;;-ATl;;IQ:;;:;_rf::::i:::__~=::...:~ .............. ,.::_:;,...;.~~:...;:..it,.._..:..__::....:,;~D~;m~~~ 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. J2( 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 5Tft7l: cJ~m I' //(/5 Fu AJ/) Policy No. /Jj'J / ~ai~ ,2t!OS-Expiration Date r2 ~;o IL O &J (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. to ucwe workers' compensation coverage la unlawful, and shall subject an employer to criminal penaltlea end civil fines up to one hundred $ 1 ,000 ltlon to t coat of compensation, damagea •• provided for In Section 3706 of the le coda lntereat and attorney' a feea. SIGNATUR OATE _LP • WNLJ __ QEQ~D 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 doas 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 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). 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 c;onstruction (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): ________________________________________________________ _ 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 25605, 25633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 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 district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 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 . ....... _,.,co!!.L· .,,,srnucnoti~"v! . ....il...._=.....,,._.....,.....,. ..... .u...;:...:....=..u......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(i) Civil Code). LENDER'S NAME 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. EXPIRATION: Every permil 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 co enced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co e e or a peri f 1BO days Section 106.4.4 Uniform Building Code). DATE I(}' II (/,/as-- APPLICANT'S SIGNATURE (-_~~{L.7,&~'.&c!L:.~~,L.~~~~~::_________ / 1 / / ff(_ I I WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/17/2005 Permit# CB053571 Title: ABRAMOVITZ RES-GAS LINE REPAIR Description: BETWEEN HOUSE & GARAGE Type: PLUM Sub Type: Job Address: 2507 VIA SORBETE / /fll, I/~ Suite: Lot 0 Location: APPLICANT BROWN PLUMBING CO, ARTHUR A Owner: ABRAMOVITZ ALBERT &EDITH Remarks: Total Time: CD Description Act Comment Inspector Assignment: Phone: 7607294914 Inspector: /3AJ Requested By: KELLY Entered By: JANEAN 23 Gas/Test/Repairs ~ _ 2/_~f't~(N~/k-~(,. ___ ~---------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments