HomeMy WebLinkAbout1590 MARITIME DR; ; CB071735; PermitCity of Carlsbad
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1635 Faraday Av Carlsbad, CA 92008
06-26-2007 Plumbing Permit Permit No: CB071735
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1590 MARITIME DR CBAD
PLUM
2150713400 Lot#: 0
Construction Type: NEW
TEDESCO RES REPLACE WTR HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/26/2007
KG
06/26/2007
06/26/2007
AFFORDABLE WATER HEATER TEDESCO MICHAEL&KYMBERLY FAMILY 2005 TRUST 06-28
24707 SAN FRANANDO RD
SANTA CLARITA, CA 91321
661 259-7131
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
1590 MARITIME DR
CARLSBAD CA 92011
$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: f\'\ ~ Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivalions, 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. lf 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 light 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
x i n f whi h h v r i I n iv n N Tl imil r hi r . h h t f I imi . n h vi I . .
PERMIT APPLICATION
fOH Of fl CE U~t: ONJL<;. 7 '1.3~
PLAN CHECK NO.~--[=--)J __ _
CITY OF. CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit _______ ...,....,..__
Validated By_.....,.... ______ -1-...£..<:~
Date, ____ ...J..1:::,_--=~::...:..~:....t-...,.....q..-
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
A~sor·~ Parcel # ;pa e.g..
Description of Work # of Bathrooms
Name
.~~:0.N:TM.QJto.R le:Oki~N:.'.iffiM:e.t~/fJ:i~~Jfl::!ii.rd~t:-ri+,~1\fl1-·t;t.~j,kiffil11:,':ill'Gid\\\:i, t'.>1[,:•;:;'{,i:!ii:l'1~~11~Jnitcir~;;f;tfi1i/;;;fll~fr.liEi~fiffffi~~ia'clG.11i~' ·"' · ,'i\U)l!B
(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
p i n. Any iolati n f Secti n 7 31. b an appf nt for rmit sub' cts the applicant to a civil nalty of ~ore than five hun red do I 5001), , _ , .
V\ 0 .f\}f!.l(J VlCLl
State/Zip Telephone #
City Business License # -~J~Z-""-'/_J_,__2-_J~I~ at-C/ l'32.../
Designer Name Address City State/Zip Telephone
State License # _________ _
fli)iiffi:!WQBK_glls'{Q'.QM~B~TlON'.lir.lr~~BJ,)f:l;,!,tirl:~'.i!ll:l:1,!l,,:·1:.,,;.J:kif,;1.;:;:: ,,;;,. :;,;;:/;1J1:1,, .. :1{, · .. it·,:•~11,.,,~l!i.lhit:E1-lti{IJ •a!'.1i•,tt-l1,iLt:~:)2:1.,,;f;J~~'i":!ll@.~~i,;1;://~.U;)lf~r,tt,~~
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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 worker.s' compensation, as required by Section 3700 of the Labor Code, (or the performance of the work for which this permit is
~ed. My worker's co~pe sation i ranee car er and policy number are: -----; ft\!~] Cl ~ OJ O I . I ,__ I ,-../"'"\ 0
Insurance Company __ 4-.i_=1..:.-1....i...::i=a..c.1...J~-:::.....------Polley No.~~ _n :::J _Q_ _ Expiration Date. _ _,__.;....___; U:;_-:D _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I cenlfy 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 aecur compensation coverage la unlawful, and ,hall aubject 1m employer to criminal penaitiaa and civil flnea up to one hundred
thousand dollar, [$100,000) cost of companaatlon, damagea as provided for In Section 3706 of Labor co , int d attorney'• fees.
SIGNATURE _____ ___...::.:~'--~'\'""'---------------------DATE / .
~'flltow~Ia1Ji'.OJE6!1!1f.€cr. ,-i J'o'' . 1 \ !j]\;~iil ~-'.~1ffilM~iiliB~~~lillOO~r~~~~ri~~~~il!fJ~~;W.Ji~~iia, ,~i~ J)Tili1'.tli~ift1liil!\l~I
I heieby affirm that I am exempt f h Contractor's License Law for the following reason:
0 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 propeny 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).
0 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•• License Law),
0 I am exempt under Section ______ Business and Professions Code tor this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have / have not) signed an application tor a building permit tor the proposed work.
3. I have contracted with the following person lflrm) to provide the proposed construction (include name I address/ phone number/ contractors license number):
4. I plan to provJde ponions of the work, but I have hired the following person to coordinate, supervise and provide the major work [include name / address / phone number I 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 _________ _
tg_QMR~~t.~1ttH,~t$~cilP«i:iscfB!1fll()'NJ'n.~§.tat&r1i.4t:ti!j)i:b,ttt111Pt~Mi:1:$:;dN~Yx1!1..li'.llt1)liftnl~t\i'liff2lf~lfnfiJt~J~i~~~ffiil~illilltwi~l~tt~m'1i~H11~.w1~.)r?iilf.ii,t~~
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be'eonstructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec, 3097(i) Civil Code).
LENDER'S NAME _______________ _ LENDER'S ADDRESS _________________________ _
[$)'i'.iJi~ltP~tcAN.rt~tBti.fie~lt1,(tN!f~t~t1~t%S;ar~~-'!;i.Y.~lif.1\;1Ji~~~:;::1'1\';·:;~1;;!if1.'.J}l.JiiJtf.;~Tu;i~{~;:~~~i{l\1,1t~\'.~~{'.~):;·;;'.m:::;:Vr~;~1;i;;~:~\;~(1~.:Mf11~lijf~~~:D:;~~r]~~~l-lift;t;1~L~J~i~A1~i~;i1~;;
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 Citt of Carlsbad to enter upon the above mentioned
propeny for inspection purposes. I ALSO AGREE TD 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 for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the bui ing Otticial 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 co menced t in 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 comn;ie c rlod of 180 days (Section 106.4.4 Uniform Building Code). DATE 0 ,_{Q ~rrJ
APPLICANT S SIGNATURE ---,,s..,:;._--,~Hl-::,,,__________________ l.tz -=_! ~
WHITE: File YELLOW: Applicant PINK: Finance
~ '1:1
City of Carlsbad Bldg Inspection Request
For: 10/02/2007
Permit# CB071735
Title: TEDESCO RES REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address: 1590 MARITIME DR
Suite: Lot 0
Location:
Inspector Assignment:
Phone: 7608043739
Inspector: H,v
OWNER TEDESCO MICHAEL&KYMBERL Y FAMILY 2005 TRUST 06-28
Owner: TEDESCO MICHAEL&KYMBERL Y FAMILY 2005 TRUST 06-28
Remarks:
Total Time: Requested By: NA
Entered By: JANEAN
CD
25
Q
Date
Description Act Comment
Water HeaterNents
Final Plumbing
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Comments/Notices/Holds
Associated PCRs/CVs Origi nal PC#
Inspection History
Description• Act lnsp Comments
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