HomeMy WebLinkAbout1663 HARRIER CT; ; CB052813; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-28-2005 Plumbing Permit Permit No: CB052813
Job Address:
Permit Type:
Parcel No:
Reference #:
Building Inspection Request Line (760) 602-2725
1663 HARRIER CT CBAD
PLUM
2157300607 Lot #: 0
Construction Type: NEW
CAULDFIELD RES-REPLACE H2O HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/28/2005
AMA
07/28/2005
07/28/2005
SPICHER GERARD J&CAULFIELD JUDITH A
43 S. ANTA FE
CA 92083
760-726-2002
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 Pl umbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
Total Fees: $27.00
0
0
0
0
1
0
0
1663 HARRIER CT
CARLSBAD CA 92009
$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 Payments To Date: $0.00 Balance Due: $27.00
3552 07/28/05 0002 01
CGP
Inspector:~
FINAL APPROVAL ,-Date: 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.
02
27 .oo
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.C/Ja $Ji(J
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CJ\ ~2008 .
EST. VAL. _________ _
Plan Ck. Deposit ----....,t./,J--.t---
•' ~ '
~~;;~fflffli'llllfE-::::--.
::: :::ldg/Suite I) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units
Existing Use Propqsed Use
SO. FT. lot Stories II of Bedrooms I of Bathrooms
Name Address City S.tate/Zip Telephone I
(Sec. 7031.6 Busln111 and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any atructure, ·prior to lta
Issuance, also requires the applicant ·tor such permit to' file a signed statement that he Is licensed pursuant to the provisions of the Contractor'• Ucenae 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. "ll!Hl.l....itlon of Section 7031.6 bv. an ap leant for a P.ermlt subje ts the appllcan to civil pena of n t more than five undred dollars 1$6001).
' -:12 ()
Name
State License , 1 OS 7 °' a License Class _(._.;;:;_-_-:S __ ~....;;... ___ _ City State/~ ~hone II
City Business License ,\
Designer Name Address City State/Zip Telephone
State ·Ucenae I _________ _
Workera' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
@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
work for which this permit Is Issued.
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
d. My worker's c~ pe ation Insurance carrier a~ policy number are: '1
1
_ . \ {
Insurance Company .._-n ... _.., \ ~ Polley NoOO\~ 2.--"'"\ -].J:;:,O"{) Expiration Date _ 2-Q()"()
..
S SECTION NEED NOT BE COMPLETED I THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
CERTIFICATE OF EXEMPIQf>N: I certify that In the performance of the work·for which this permit Is Issued, I shall not employ any person In any manner ao H
come subject to the Workers' Compenaatlon Laws of California. ,
WARNING: · Fa lure to .. cure worker•' compenaatlon coverage la unlawful, and ■hall subject an employer to criminal penaltJH and clvll flnH up to one hundred
thou,and doUa 100,00ot, In addition to e co1t atlon, damage• aa provided for In Section 3708 of e, lnterHt and attom~y•• f8H.
SIGNATURE DATE
◄ hereby affirm that I am exempt from the Contractor's License Law for the following reason:
~ 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 doea
such work himself or through his own employees, provided that auch lmprovementa are not Intended or offered for s■le. If, however, the building or Improvement It
sold within one year of completion, the owner-builder will have the burden of proving that ha did not build or Improve for the purpose of sale). l I, 11 owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business a~d Profession, Code: The
Contractor'• Llcanu Law doea not apply to an owner of property who build• or lmprovH thereon, and contracts for auch projects with contractor(s) licensed
01ar~uant to the Contractor's License Law).
I am exempt under Section ______ Business end Professions Code for this reason:
1. I per1onally plan to provide the major labor and material, 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 / 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): _____ · ____________________________________________ _
6. 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
i®RliWltOIWimtidMbwo@RtslD'l@'tJlffiQnmJNRBMitituWii iAM4il#WW4M&fRBiMIII
la the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Section• 25505, 25533 or 26634 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? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school'site7 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.
l!NCDN'ffJWWRMRDINQrA'QJlffif--,i ema:A\iwawrt bittiiriMfNS~
I hereby affirm that there ls a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
•-wmttitliCECMffliON fiiMMiEWM!fiMMP,_iiNWFPiNMI+ ••
I certify that I have read the application and state that the above Information Is correct and that the Information on the plans ls accurate. I agree to comply with all
City ordinances and State lawa relating to building construction. I hereby authorize representatlv~s of the Cit\' of Carlsbad to enter upon the above mentioned
,property for ln1paction purposes. I ALS.Q 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 ls required for excavations over 6'0" deep and demolition or construction of structures over 3 stories In height.
EXPIA_ATION: Every permit Issued by the building OHlclal under the provisions of this Code shall expire by limitation and become null and void If the building or worl<
authonzed by such permit Is nol commenced wllhln 180 days lrom the dale ol sucti permit or II the building or work authorized by such permit ls suspended or abandoned
at any tlm ~fter the work Is mmenced for a perl of 180 days (Section 106.4.4 Uniform Building Code). ( (
APPLICA: 'S SIGNATURE 'L..li,;LJIA,,.f.-]~"::!c~~c~:r:;::t;~~:------------D~TE ~ '}&/ 1QS
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/02/2005
Permit# CB052813
Title: CAULDFIELD RES-REPLACE H2O HTR
Description:
Type: PLUM Sub Type:
Job Address: 1663 HARRIER CT
Suite: Lot 0
Location:
APPLICANT HANNA PLUMBING
Owner: SPICHER GERARD J&CAULFIELD JUDITH A
Remarks:
Total Time:
Act Comment
Inspector Assignment:
04
Inspector: ----
Requested By: JUDITH
Entered By: CHRISTINE
CD Description
25 Water Heater/Vents ,A/J ---------
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments