HomeMy WebLinkAbout1359 CASSINS ST; ; CB061683; Permit06-14-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB061683
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
1359CASSINSSTCBAD
PLUM
2156914000 Lot#: 0
Construction Type: NEW
PRUETT RES REPLACE H20 HEATER
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/12/2006
KG
06/12/2006
06/12/2006
Applicant:
A&J FOSTER, INC.
STEB
13706HWY8BUS
EL CAJON CA 92021
619-390-4477
Owner:
PRUETT MICHAEL G&ANN F
1359 CASSINS ST
CARLSBAD CA 92011
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
0
0
0
0
1
0
0
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $27.00
Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00
Inspector:
FINAL APPROVAL
Date: V tL/e <*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 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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL. •
Plan Ck. Deposit
Validated By
Date
Address (include Bldg/Suita //)Business Name (at this address!
L«aal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
AssessorXParcel #?k<^Existing Use Proposed Use
Description of Work SO.. FT.#of Stories # of Bedrooms tf of Bathrooms
Name
isiiiiiicaMRliiilli^lHffllHilii
(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 is exempt therefrom, and the basis for the alleged
exemption. Anvviolation of Section 7031.5 by any applicant for a permit subjects rtie,applicant to> civil penalty of not more than five hundred dollars IS5001).
Name
State License #
Address
License Class
J
C^- 3 £7
City State/Zip
City Business License # 1
Telephone #
Designer Name
State License #
Address City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
1~1 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. \
Q 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 Policy No. Expiration Date
ITHIS5E'
l2rcEF
:CTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [*100J OR LESS)
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 shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($10Q^)40Orjpldition tajhf cost qfcCQfl-pensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees.
SIGNATURE ^^^f ^X,-. J ^\ f -^ DATE • . " ' '
7,,, 'QWNEflreUICDEfl|DECEftWlOr«^
I hereby affirm that I am exempt from the Confrector's License Law for the following reason:
[3 I, as owner of the property or my employees with wages as their sola 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).
l~l 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 contractors) licensed
pursuant to the Contractor's License Law).
[~l 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. l~) YES C]NO
2. I (have / have not) signed an application for a building permit for the proposed work:
3. I hava 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
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? Q YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [~1 YES l~] 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 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. : __ LENDER'S ADDRESS_
9,i
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. 1 hereby authorize representatives of the CitV 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 forjexcavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATfON: 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 commenceg^tMiM 80 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 commenca_Mf?rj p%«jra 1JO daAi^.ectiorfltte£.4 Uniform Building Code).
APPLICANT'S SIGNATURE
WHITE:,
DATE
YELLOW: Applicant PINK: Finance
• City of Carlsbad Bldg Inspection Request
For: 08/11/2006
Permit* CB061683
Title: PRUETT RES REPLACE H2O HEATER
Description:
1359 CASSINS ST
Lot
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
OWNER PRUETT MICHAEL G&ANN F
Owner: PRUETT MICHAEL G&ANN F
Remarks: DID NOT SAY WHAT WAS NEEDED
Total Time:
CD Description
21 Underground/Under Floor
Act Comment
Inspector Assignment:
Phone: 7604384313
Inspector:
Requested By: PRUETT RESIDENCE
Entered By: CHRISTINE
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments