The URL can be used to link to this page

Home My WebLink About1014 LAGUNA DR; 01; CB021259; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-24-2002 Plumbing Permit Permit No: CB021259 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1014 LAGUNA DR CBAD St: 01 PLUM 155272200:I Lot #: 0 Construction Type: NEW KORNHER RES-REPLACE H2O HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/24/2002 AMA 04/24/2002 04/24/2002 Applicant: Owner: 5778 04/24/02 0002 01 02 AAS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $27.00 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 Inspector: MARINA LAGUNA INVESTORS LTD CGP 27-00 16811 MILLIKAN AVE #B IRVINE CA 92606 Total Payments To Date: $0.00 L 0 0 0 0 1 0 0 FINAL APP.RO AL Date: 6-/"7 <f .__ Balance Due: Clearance: $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 $27.00 NOTICE: Please take NOTICE t at 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 fees in connection with this project. NOR DOES IT APPLY to any FOR OFFICE USE ONLY PE°RMIT 0APPLICATION PLAN CHECK No.c:lbo2 J .i!"J CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ____ ..,.,--.--- Validated By, --../-:.,,.--'!.l;.<'.gll'=:o.....-- Date .? 0('.~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Proposed Use #of Stories # of Bedrooms # of Bathrooms 2. CONT ACT 'PERSON 'Uf dlfitr811urdni'i~'r,iltihtl'•' Name State/Zip Telephone# Fax# 5. CONTRACTOR -COMPANY NAME·: (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 with Section 7000 of Division 3 of the Business and Professions Code] or that he ls exempt therefrom, and the basis for the alleged efion. Arw violation of~tion 7031.f. hy any ap~licant f.or a per(llit subjects the applicant to a civil penal of not more then five hundred dollars [$5001!. :::z:... ~ YYtx I c.aY) Kc.,;;;.1· c:\c.m1 tt.! \/ 1 19 2-. r ~ q :Z.. I 2-l Name • . Address • City S e/Zip Telephone# ~, bT7 State License, 7°' i izo, License Class BJ (, ?J:2/ l, 2.() City Business License II I Q3')7<X) 64-'=>S Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O J 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 f th work for which this permit is issued. ' I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the work for wh.ich this permit is d. My worker'~ co_mpensation insurance carrie; anrl nnli_cy number are: • . . / / -::-. lnsu,.nc, Company. t\1(\"eSI-\ l.L';:;A; \nC:., ____ Polley No._L.'13Wf3,-<..)v Explcatlon Date_l_~ ()~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shaJI subject an employer to criminal penalties and civil fines up to one hundred thousand dollars{$ 00,0001. I addition to the cost of compensation, damages es provided for In Section 3706 of th la or code, SIGNATURE_~~~~:..Jlb_,,{J~J::'.::::!'.'.'.::~"'--,-,-,--c,-,---;-c--;--cc----:-,---:--:c:--DATE _ _._.,_.._,(o"-,f--'"-'""'.,__ 7. OWNER-BUILD I hereby affirm that I am exempt from the Contractor's 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 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). D 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). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor arid 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 I address/ phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise ·end provide the major work (include name I address f 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 I type of world: ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE. ________ _ COMPLETE THIS SECTiON FOR NON-RESIDENtiAt. BLifLb!NO"PERM1tS'ONtV···" 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 Act7 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES D 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. 8. CONSTRUCTION LEND.ING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). 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 au 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 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 6'0" 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 dale of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after the work is comm need for a eriod of 180 days (Se~tion 106.4.4 Uniform Building Code). / J ,I ) I ~f O Q APPLICANT'S SIGNATURE -~:t=~..LA..0:,f/1:.~::::_~~L-------------DATE \ _ _ ~r '-"\. WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/15/2002 Permit# CB021259 Title: KORNHER RES-REPLACE H2O HEATER Description: Type:PLUM Sub Type: Job Address: 1014 LAGUNA DR Suite: Location: APPLICANT ARS Owner: 01 Lot 0 Inspector Assignment: Phone: 7604343611 Inspector: ---- Remarks: INSPECT AFTR 1:30PM• BRING OUT DUPE RECO Total Time: Requested By: CLARA KORNHER Entered By: CHRISTINE CD Description Act Comme~! 25 _w_at_e_r_H_e_at_e_rN-en_t_s ___ M_.__ ,~cl Associated PCRs Inspection History Date Description Act lnsp Comments