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HomeMy WebLinkAbout1667 CORTE ORCHIDIA; ; CB110378; Permit02-18-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB110378 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1667 CORTE ORCHIDIA CBAD PLUM 2159502200 Lot#: 0 Construction Type: NEW CHANG RES REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/18/2011 KG 02/18/2011 02/18/2011 Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner: CHANG GLENN&TAN DAI-NEE 1667 CORTE ORCHIDIA 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 FINAL APPROVAL Inspector: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, 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. ' <& ' ' .'.-••"'••:.-••' Building Permit Application £jy ' 1635 Faraday Ave., Carlsbad, CA 92008 N«7 CITY OF 760-602-2717/2718/2719 /""* A ni C*D A F""\ Fax:760-602-8558 C— X\l\i_ JUA\L/ www.carlsbadca.gov JOB ADDRESS -^ ,. v i , CT/PROJECT* LOT* PHASE* * OF UNITS # BEDROOMS SUITES/SPACES/UNIT* # BATHROOMS TENANT Bl DESCRIPTION OF WORK: Include Square Feet of Affectetl Area(s) ^/ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME .. » - . DA.I LA&Aft ADDRESS - J 3^0^?- CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC. # PATIOS (SF) DECKS (SF) /rKJ//)2i'~7jrPlan Check No. L£>//UZ>/G Est. Value Plan Ck. Deposit i^~ Datv^X<// X^" APN V^*" ISINESSNAME CONSTR.TYPE OCC. GROUP FIREPLACE AIR CONDITIONING RRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME . , Stott LittlefTtlel ADDRESS B«-l6lJ CITY PHONE EMAIL Pert STATE ZIP FAX v\HS @rtu)HAp. Cam CONTRACTOR BUS. NAME ADDRESS CITY IfoevA rtve STATE ZIP PHONE I FAX bb\' AW- 713! 1 bb\- £5V 153"£ EMAIL Permits© STATE UC.# rtWhAP-Com CLASS cnYBus.ua*c.Sfc iam7i (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the Mowing declarations: D 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. Ql I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the workte whjch this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. t€.*^»Tr% ' Policy No. tAVl %^n I ^ (p Expiration Date t ** I " t"5V- This section need not be completed if the permit is for one hundred dollars ($100) or less. uJ 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 (&100.000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ^CONTRACTORSIGNATURE A&O^L . SfAGENT DATE A- /*/—/( / hereby affirm (nar / am exempt from Contractor's License Law for (he following reason: d I, as owner of the property or-my employees with wages asteir 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 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). O 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). d I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes a No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address1/ phone / type of work): ^PROPERTY OWNER SIGNATURE BAGENT DATE Is the applicant or future bgilding 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 Rresley-Tanner Hazardous Substance Account Act? OYes d No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes D No EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state tjiatttie above information is correct and ttiat the infonrafon on the ptens is accurate. I agree to comply with all City ordinance OSHA; An OSHA permit is required for excavafons over 5'0" deep and demolition or construct of stnjctures over 3 stories iiheighL 1&fl toys from Ihetete of surfi permit or if Itebuidro^ APPLICANT'S SIGNATURE fltfL . "ATE £ - ) ^~ ] j City of Carlsbad Bldg Inspection Request For: 03/07/2011 Permit# CB110378 Title: CHANG RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 1667 CORTE ORCHIDIA Suite: Lot: 0 Location: APPLICANT AFFORDABLE WATER HEATER Owner: CHANG GLENN&TAN DAI-NEE Remarks: 8:30 - 3:30 Inspector Assignment: Phone: 760431265 Inspector: Total Time: CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Requested By: MRS CHANG Entered By: JANEAN Com ments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments