HomeMy WebLinkAbout1351 PINE AVE; ; CB033143; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-18-2003 Plumbing Permit Permit No: CB033143
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1351 PINE AV CBAD
PLUM Status:
Parcel No: 2050523200 Lot #: 0 Applied:
ISSUED
11/18/2003
SB
11/18/2003
11/18/2003
Construction Type: NEW Entered By:
Reference #:
Project Title: TAYLOR RES NEW H20 HEATER
Applicant:
ALL STAR WATER HEATERS & PLUMBING
17886 LAKESHORE DR 92530
1-800-727-0977
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
TOT AL PERMIT FEES
0
0
0
0
1
0
0
Plan Approved:
Issued:
Inspect Area:
Owner:
TAYLOR PETER R&JANANN G
1351 PINE AVE
CARLSBAD CA 92008
$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: $0.00 Balance Due: $27.00
8972 11/18/03 0002 01. 02
C GP 27.00
EXPI E PE ~~iT
PER~',r( 1' '"' • ) IN ACCORDANCE WITH U.9.C.
SEC"11J 1 ,v • "'
Of\TE :s,\ \•\tr::\ SIGNATIJRJ: M. __
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No.
Assessor's Parcel# Existing Use
Description of Worll SQ.FT. # of Slories
Name Address City State/Zip
Name Address City Stale/Zip
FOR OFFICE USE ONLY
PLAN CHECK NO. 6 5 > f t/]
EST.VAL. ____ ~~~---~
Plan Ck. Deposit_-==--------
Validated B __ .;:;_...1.73"""--------
Date -1-.J...+-H...,i.i'-"';;,..;,.._ ______ ~
Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
Telephone # Fax#
Telephone#
Name Address City State/Zip Telephone #
@r:lffltntlelfKfm,fM(jJ!t~!!t]PJ¥Wl/M@:tf!.1J3~P{1{?'3BM.§1JtvJJW!S}J:;,QtJ:;u?ff7E£}11%l3tt&:::t:~;~~:r::~:Jft:'.:2tff:~t?:t:J.t2tt~;:~·'.t:~'.:::;
(Sec. 7031.5 Business and Professions Coda: Any City or County which requires a permit to construct. alter. improve. demolish or repair any structure, prior to Its Issuance,
also requires tho applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of lhe Conlracto(s License Law [Chapter 9, commending with
Sectlon 7000 of Division 3 of the Business and Professions Coda] 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).
A '-L-Si A ll..w,ty§'l f:I EAT§rz.S: ,,as, LA~t-4oeC-l. K w ,...,o"-f: C"'9 c:::J'z:J:?c., &cr727-c,97,
Name I', Address ? City State/Zip Telephone#
State License # Z> /7-r. 9y' License Class C ll City Business License# I z / Q vt Z
Designer Name
Slate License #
Address City
Workers' Compensation Declaration. I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone#
D I have and will maintain a certificate of consent to self-Insure for worllers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work
for which this permit is Issued.
"SK, I have and will maintain woriler's compensation. as required by Section 3700 of the labor Code, for the performance of the worll for which this permit is Issued. My
wori<er's compensation insurance carrier and policy number are:
Insurance Company S'TA-rE Fe.> ""_Q Polley No.htJ 7Z-:'1_-"J _____ Expiration Date_ ?,-Z -c;,-/
(THIS SECTION NEED NOT BE COMP ED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
D ance of tho work for which this permit Is issued, I shall not employ any person in any manner so as lo
Is unlawful, and ahall subject an employer to criminal penalties and civil fines up to one hundred thousand
, damages are provided for In Section 3706 of the uobor Code, interest and atto,ry's fy,s.
-,,.--+-,=t----·~~--=:,---.;:::-:-----DATE_!_/-r /~c ':L_ ____ _
loyees with wages as their sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044,
: 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
s. 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 own • ildor 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 irnproves thereon, and contracts for such projects with contractor(s) licensed pursuanl to the Conlractor's
License Law).
D I am exempl 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. D YES D NO
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 I phone number I contractors license number)·
4. I plan lo provide portions of the work. but I have hired the following person to coordinate, supervise and provide the major worll (Include name I address I phone number I
/on1tactors license number); ---------------------------------------------------
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the worll indicated C,ndude name I address I phone number I type of work):
PROPERTY OWNER SIGNATURE----------------------------DATE ____________ _
WHITE: Fife YELLOW: Applicant PINK: Finance
~ ~
City of Carlsbad Bldg Inspection Request
Fo, 7irl 15/2003 _)~
Permit# CB033143' 'o Inspector Assignment:
Title: TAYLOR RES NEW H20 HEATER
Description:
Type: PLUM Sub Type:
Job Address: 1351 PINE AV
Suite: Lot 0
Location:
APPLICANT ALL STAR WATER HEATERS & PLUMBING
Owner: TAYLOR PETER R&JANANN G
Remarks:
Total Time:
Act Comment
Phone: 7604344230
Inspector: ~
Requested By: PETER TAYLOR
Entered By: KAREN
CD Description
25 Water HeaterNents UL AicJ a,µ fui~,
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments