HomeMy WebLinkAbout1425 CRESSA CT; ; CB012619; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-07-2001 Plumbing Permit Permit No CB012619
Building Inspection Request Line (760) 602-2725
Job Address 1425 CRESSA CT CBAD
Permit Type PLUM Status ISSUED
Parcel No 2156212900 Lot# 0 Applied 08/07/2001
Construction Type NEW Entered By JM
Reference # Plan Approved 08/07/2001
Issued 08/07/2001
Project Title SCHLADOR - REPLACE WTR HTR Inspect Area
Applicant Owner
TORREY PINES PLUMBING SCHLADOR FRED B&PHYLLIS F
6121 NANCY RIDGE DR 1425 CRESSA WAY 667108/07/01000201 02
SAN DIEGO CA 92121 CARLSBAD CA 92009 CGP 27,
619677-5445
Total Fees $27 00 Total Payments To Date $0 00 Balance Due $27 00
Plumbing Issue Fee $20 00
Fixture or Trap 0 $0 00
Building Sewer 0 $0 00
Roof Dram 0 $0 00
Install/Repair Water Line 0 $0 00
Water Heater and/or Vent 1 $7 00
Gas Piping System 0 $0 00
Vacuum Breaker 0 $0 00
Other Plumbing Fees $0 00
Master Drainage Fee $0 00
Sewer Fee $0 00
Additional Fees $0 00
TOTAL PERMIT FEES $27 00
FINAL APPROVAL
Inspector \/' *— Date vf*2£/&/ Clearance
NOTICE Please take NOTICE that approval of your project includes the Imposition11 of fees dedications reservations or other exactions hereafter collectively
referred to as lees/exactions" You have 90 days fiom 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 othsr required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procecure 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 capactiy
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
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
1 PROJECT INFORMATION ™*I" ~"
1425 CRESSA CT CARLSBAD~CA"920b9"
FOR OFFICE USE ONLY
PLAN CHECK
EST VAL
Plan Ck Deposit
Validated By
Date
<Suite><Name>~
W{^
Address (include Bldg/Suite #)<Legal Descr><Lot>
Business Name (at this address)
<Subdivision Name/No> <Unit><Phase> <Total>
Legal Description
<Assessor No>
Assessor s Parcel #replace water heater
Lot
Sfr
No Subdivision
Existing Use
<SQ FT>
Name/Number
<Stones>
Unit No Phase No
<Proposed Use>
Proposed Use
<Bedrooms>
Total # of units
<Bathroom>
Description of Work SO FT # of Stories # of Bedrooms # of Bathrooms
___
<Name>
C(DNTACT PERSOJSI (if different from applicant).: _
...... ~~ <Address><City>"ST <Zip> <Phone><Fax>
Name Address
3~~~ AP^UCANTT n""conVra"ctor'"0~^emfor"Contractor ~n OwnerNetClerrTlncr" " — 720*Dubuque Ave—
City State/Zip
Agent for Owner "" ;.:..—.^ SoutrrSarrFrCA™
Telephone*Fax*
"94080— 8883301777'
Name
4 PROPERjyQWNiR
FRED B SCHLADOR"
Address
~14?5CressaCt
City State/Zip Telephone #
Carlsbad Ca 92009 7609309865
Name Address City State/Zip Telephone*
(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 Contractors License Law
[Chapter 9 commending with Section 7000 of DIVI ion 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 subjects the applicant to a civil penalty of not more than five hundred dollars [$500])
ARS of California Inc 6162 Nancy Ridge Dr #100 San Diego QA 92121 8586775455204
Name
State License* 742039
<Name>
Address
License Class B C16 C20 C36 HIC<Address>
City State/Zip Telephone*
City Business License # 1030700
<City> ST <Zip> <Phone>
Designer Name Address City State/Zip Telephone
State Licence #
6 WORKERS COMPENSATION
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
CH 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
0 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 workers compensation insurance carrier and policy number are
Insurance Company American Residential Policy No WC7083869 Expiration Date 01/01/2002
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
1 I 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 doll /TT" "">) in addition to the cost of < ompensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees
SIGNATURE *^%f~ DATE 08/03/2001
7 OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following reason
l~~l 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 Contractors 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)
CD 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 threreon and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law)
I I I am exempt under Section Business and Professions Code for this reason
I personally plan to provide the major labor and materials for construction of the proposed property improvement l~l
I (have / have not) signed an applicant for a building permit for the proposed work
YES NO
I have contracted with the following person (firm) to<Name>e the proposed construction (include name / address/ phone number / contractors license number)ress> <work Phone> <State License>
I plan to provide portions of the work but I havp hired the following person to coordinate supervise and provide the major work (include name / address / phone>er / contractors license number) <Name> <Address> <Work Phone> <State Licenumber / contractors license number)'
5 I will provide some of the work but I have contracted (hired) the following person to provide the work indicated (include name / address / phone number / typeof work) <Name> <Adclress> <Work Phone> <Work Type>
icense>
PROPERTY OWNER SIGNATURE
COMPLETE THIS SECTION FOR~NONRESIDENTIAL^^BUlLDlNG PERMITS'OhTLY"""'
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? l~1 YES l~l NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' C~l YES I I NO
Is the facility to be constructed within 1 000 feet of the outer boundary of school site9 l~l YES f~1 NO
IF ANY OF THE ANSWERS ARE YES A FINAL CERTII ICATE 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 DIS1RICT
8"'CONSTRU'CTfON'LENDlNGAGENCY ' ~ " ~ ™ —~7f'— '•' ~ -, v;. • — - - -r~,^
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3087(i) Civil Code)
LENDERS NAME LENDER S ADDRESS
9 "~ ™APPLICANT CERTJFICATION"
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 I hereby authorize representatives of the City 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
OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones 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 permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE DATE 08/03/2001
City of Carlsbad Bldg Inspection Request
For 08/27/2001
Permit# CB012619
Title SCHLADOR - REPLACE WTR HTR
Description
Inspector Assignment
1425 CRESSACT
Lot
Type PLUM Sub Type
Job Address
Suite
Location
APPLICANT TORREY PINES PLUMBING
Owner SCHLADOR FRED B&PHYLLIS F
Remarks AM PLEASE
Total Time
CD Description
25 Water Heater/Vents
Act Comments
Phone 8586775455
Inspector
Requested By TIFFANY
Entered By CHRISTINE
Associated PCRs
Inspection History
Date Description Act Insp Comments
S Pitts ins,, LLC
1670 Unirtn Avenue Extended
200
Memphis, TN 39112
MUAI.II
Mational Insurance Co,
Americati Reeidential Servicea,LLC
860 Ridge Lake Blvd.
I, TK 33120
4**
Ihtt K TO «M*Y TH*T T>* P«We> OF IHSiJJUWOil USTB&
Jun 19.01 12 08 No 014 P 02
TMI3 CGPnttomi B» ISSUED A* A MATTER OF INFORMATION
ONLY AND CaWBta NO RIGHTS UPCN THE CERTUFICATi
, THIS CWmCATi OC£3 HOT AMfcKD, ttTfM} ORewEftAoe MPORDED w THE POLICIES
samiis Aff aroma co«iuoe
^National Union Fire Ins. Co. of Pft,
8American Home
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