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HomeMy WebLinkAbout2310 VIA VILLEGAS; ; CB061794; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-22-2006 Plumbing Permit Permit No: CB061794 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2310 VIA VILLEGAS CBAD PLUM 2155833900 Lot #: Construction Type: 0 NEW Status: Applied: Entered By: Reference#: Plan Approved: Project Title: FEATHERSTONE RES-REPLACE WTR HTR Applicant: CALIFORNIA DEL TA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 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 1 0 0 Owner: COMLEY ALICE T 2310 VIA VILLEGAS CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 06/22/2006 LSM 06/22/2006 06/22/2006 $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 Fees: $27.00 Total Payments To Date: $27.00 Balance Due: EXPIRED PERMIT $0 .00 PERMIT HAS l:Xf>lf<ED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DA~....i.l~ SIGNATURE k: FINAL APPROVAL Inspector: 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 Ca~sbad 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 fe s/exa PERMIT APPLICATION cn'y OF.CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. (i,,Bob/7q<..f EST. VAL. _________ _ Plan Ck. Deposit -4'--.....,...----.,----- Validated By __ ~~.,£-......,::::&..:a...;:'---- Date, ___ ___,,{"""~~o::;,.w,:=+-=lQ-6:....>..<. __ Business Name tat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use K.De7u~°JJaltot? IJ'm 2~ ,CQ~~-1,,,i-fllQN (If dlff!M11f!~from ~c~tl # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # f-___ 3. APPLJCANT' O i:;ontra~or ttl Agent'for ContrJictor O Owner O Agem for Owner "'7'6"° ·-N--.,,-,.-~..,.,..-,---..,....-...,... ___ ...,,.. _____ """'"=----r-r.es----ir--:::---::-:n-::----;:::-:--,7;;-::--=-J'---;;::::-::-;:;::--n7.rt-:~±':';:-:o::n::e=;;;;::.;::;;;:;;-:;::;;:;;:;:_-.;,:--:: ~ ·. ~- ,N (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 7031.5 by any applicant for a permit subjec~s the applicant to a civil penalty JJf not more than five hundred d~lars [$~~ 0 CiJievw~11:JxJ,1A !LIPCII-, J.500S:.Pou ,el2 pcf. $u'ra-J?io Jll£w., #Z.-d;J:1,[f): fffi?·.j)v~ -c.,Ut.-'a Name Address City State/Zip Telephone # State License # 8 ////~ License Class C • ,:2 l::, City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 8~ Wj)fl~RS' (:QMPQISA.TlQN . . ff ~ ~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 ·, 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 ~ork for which this permit is issued. llJ 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 co pen tion ins ranee carri rand policy number are: Policy No. / 6 973,:J,.:) (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Expiration Date 7 /tJ/ /OG I 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 i" any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failura to secure workers' compansation coverage la unlawful, end shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 100 0), in a itlon to the coat of compensation, damage• u provided for in Section 3706 of the Labor co e, Interest and attorney's faaa. ~ DATE -, ·O , SIGNATURE 1.·. OW~•.IL ., I hereby affirm that I am exempt from the Contractor's License Law for the following reason: .. : t ..,_, 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 (pee. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does SIJFh 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 Licensa 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 notl 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 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 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): _________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ DATE _________ _ •COMPLUI; '{tll~ Sl;CTJOtiJ'QR ·N..Qll..«$1PEN1141 111-!U..Dlt,IO PJ:Rtdlili. Otjl,;Y , ,,' : ..J L.,.. .. ~. -.; .. ., . '"' 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, 25533 or 25534 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? O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ,!J,......, CQ_NiJ'.!ll!~ON ~.PING M~CY .· 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 ______________ _ ~-.-....~CM! Cllillf'lO.ArlOf( :c LENDER'S ADDRESS _________________________ _ ··-.. 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. 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO 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 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 commenced within 180 days from the date of such permil or if the building or work authorized by such permit Is suspended or abandoned N at any time after the work is co menced for a eriod of 180 days (Section 106.4.4 Uniform Building Code). V\ APPLICANT'S SIGNATURE / DATE c;. JI-DG WHITE: File YELLOW: Applicant PINK: Finance