HomeMy WebLinkAbout2750 WINDSOR CT; ; CB081910; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-08-2008 Plumbing Permit Permit No: CB081910
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2750 WINDSOR CT CBAD
PLUM
Parcel No: 2081530300 Lot#: 0
Construction Type: NEW
Reference #:
PC#:
Project Title: TAYLORRES-REPLACE WATER HEATER
IN GARAGE
Applicant:
TAYLOR GARY L
185 ROLLING DR
SEDONA AZ 86336
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:
TAYLOR GARY L
185 ROLLING DR
SEDONA AZ 86336
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/08/2008
RMA
10/08/2008
10/08/2008
$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:
Inspector: f1i', ~ FINAL APPROVAL
Date: lo/,_ Lo( 0 2? Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition· of fees, dedications, reservations, er 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 ~ny 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., Garlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-.S02-8558
www.carlsbadca.gov
Building Permit Application
JOBADDRES
T/PROJECT # # BEDROOMS
Plan Check No. D
Est. Value
Plan Ck. Deposit
Date ( ()
SUITE#/SPACE#/UNIT# APN
# BATHROOMS IN S NAME CONSTR. TYPE
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □#_ NOD YES D NOD YES D NOD
CONTACT NAME (If Different Fam Applicant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY CITY STATE ZIP
PH PHONE FAX
EM EMAIL
STATE UC.# STATE LIC.# CLASS CITY BUS. UC.#
7031.S Bmint11 and Proftssiot1s Code: Ally Gty o, Couniy which rtquim a ptnnit to construct. alttrj improv,, dtmoliih or "P.air any structure, P!ior to iu issuance, ab9 r,quim th, applicant for such p,nnit to Iii, a siptd stat.,..nt that ho is K•nstd ..o_unum to th, pr)!Yi1ion1 of th, Contncto?s Li«~ I.aw {Chapt,r 9, comm,nding with ltctiot1 000 of lmiiion 3 of rho Bu1int11 and Prv1tssion1 Cod,} or that ho n mmpt 1hor,from, and th, bisn for th, all,gtd uornption. Any Yiol.ition of lo<tiotl 7031.S by any applicant lo, a ptnnit subjtas th, applicant to a civi penalty of !IOI mott than fin hundro<I dohn {SlOO}~
·--· WORKERS ' COMPENSATION •
Workers' Compensation Declaration: I hereby affirm under penalty ol perjury one ol lhe following declaraffons:
0 I have end will maintain I certificate of consent lo self-Insure for wOl1<ers' compensation as prOYided by Section 3700 ol the Labor Code, for the performance of the wOl1< for which this pennit is issued.
0 I have and will maintain workers' cornpensetlon, as required by Section 3700 of the Labor Code, for the perfonnance of the wor1< for which this pennit is issued. My wOl1<ers' compensation insurance carrier and policy
number are: Insurance Co. ____________________ Policy No. ______________ Expiration Date _________ _
This section need not be completed ii the pennit Is for one hundred dollars ($100) or less.
0 Certificate of Exemption: I certify lhat in lhe perfonnance of the wOl1< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WOl1<ers' Compensation Laws of
California. WARNING: Failure to secure workers' compensetlon coverage Is unlawful, and shall subject an employer to criminal penalties end clYII fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
2$ CONTRACTOR SIGNATURE DATE
hereby affirm that I am exempt from Contractor's License Law /or /he following reason:
rf1 I, as owner of the property or my employees with wages as lhelr sole compensation, will do lhe won< and the structure Is no! Intended or ottered lor sale (Sec. 7044, Business and Prolesslons Code: The Contractor's
License Law does not apply to an owner of property who builds or imprOYes thereon, and who does such won< himself or through his own employees, prOYided that such Improvements are nol intended or offered tor
sale. If, however, the buildng or lmprOYement Is sold within one year of completion, the owner-builder will have the burden of prOYing that he dd nol build or lmprOYe tor the purpose of sale).
0 I, as owner ol the property, am exclusiYefy contracting with licensed contractors lo 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 imprOYes thereon, and contracts for such projects with conlractor(s) licensed pursuanl to lhe Contractor's License Law).
0 I am exempt under Section _____ ,Business and Professions Code for this reason:
1. I personalty plan to prOYlde the major labor and materials for conslruction of the proposed property imprOYement. 0 Yes O No
2. I (have / have not) signed an application for a buildng permll for lhe proposed wOl1<.
3. I have contracted with the following person (firm) lo prOYlde the proposed construction (include name address f phone/ contraclors' license number):
4. I plan to prOYide portions of lhe won<, but I have hired the following rson to coordinate, supervise and prOYide the major wOl1< (include name I address/ phone/ contractors' license number):
5. I will prOYide some of the wor1<, but I have conlracted (hired) the persons to prOYide the won< indicated (include name / address / phone / type of w011<):
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? 0 Yes O No
Is lhe appficanl or future building occupant required to obtain a pennll lrom the air pollution control dislrlct or air quality management district? 0 Yes O No
Is the facility to be constructed within 1,000 feet ol 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 certify that I have read the appllcatlon and state that the above lnfonnatlon Is correct and that the Information on the plans Is accurate. I agree to comply v.1th all City ordinances and State laws relating to building construction.
I hereby authorize representatwe a the City a Car'6bad to enter l4)a'l the aboYe mentiooed property for ilspedal pu!Jl008S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLS8AO
AGAINST ALL LIABILmES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY I y WAY ACCRUE AGAINST SAID crrv IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pem1i is req\Ked for excavations CNer 5'0' deep and demolim or a structures wer 3 stories i1 heiglt.
EXPIRATION: Every pemllt issued IJf the Buildi,g • I lKlder the p • • of shall expire IJf fmitatm and become nul and void I the buikli,g or Y,00( authorized IJf such pemllt is nc( coornenced wlthn
180 days mthe date of such permit or ~the build' ,ulhcru~ 1'i;suspended or abandooed a1anytine afterthev.oo<isNYTim1>1lN'<ifora pe • SO days (Sectm 106.4.4 Unlonn Buikli,gCode).
,,€S APPLICANT'S SIGNATURE
~~CU{~-
' \ q ;)% -2:>D l -q_q_s ~ •
UNSCHEDULED BUILDING INSPECTION
DATE (v{ll (a%:
PERMIT# Oo l q;o • PLAN CHECK# ____ _
JOB ADDRESS --~c2"1~--~.:.=.,.__..t.c,,,,1)'--"'L ....... M..-~~~&..:;...__ ________ _
DESCRJPTION __________________ _
CODE DESCRIPTION ACT COMMENTS
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