Loading...
HomeMy WebLinkAbout1825 HIGH RIDGE AVE; ; CB993223; PermitCity of Carlsbad 08/26/1999 Plumbing Permit Permit No:CB993223 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 1825 HIGH RIDGE AV CBAD PLUM Parcel No: 2073841300 Lot #: 0 Construction Type: NEW Reference #: Project Title: ZEIGLER RES-COPPER RE-PIPE 258 JUNIPER ST STE 8B CARLSBAD CA 92008 Total Fees: 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 TOTAL PERMIT FEES Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/26/1999 RMA 08/26/1999 08/26/1999 00()1 01. C-PRMT $52.00 Inspector: /~ Date: --"---- L Clearance: __ _.,/:__ __ _ 7 7 NOTICE: Please take NOTICE that approval of your project includes the· mposition" of fees, dedications, reservations, or other exactions hereafter collectively "-~ .. • Yrni have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must G.{ 1ment Code Section 66020{a), and file the protest and any other required information with the City Manager for ~~ h ::,al Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, -~ ' ~ ~ V 1r right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy \ \ ---/.J ~ Jr similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any een iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 75 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 City of Carlsbad 08/30/1999 Plumbing Permit Permit No:CB993223 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 1825 HIGH RIDGE AV CBAD PLUM Parcel No: 2073841300 Lot #: 0 Construction Type: NEW Reference #: Project Title: ZEIGLER RES-COPPER RE-PIPE WATER HEATER REPLACEMENT Applicant: BENTLEY BUILDERS/PIPES PLUBING 258 JUNIPER ST STE 88 CARLSBAD CA 92008 Total Fees: $59.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Waler Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES Inspector: FINAL APPROVAL Date: Status: Applied: Entered By: Plan Approved: ISSUED 08/26/1999 RMA 08/26/1999 08/26/1999 SR • Issued: Inspect Area: !'.Ice Due: ~>If 'Y@ ftrtjl>+ ? "'' , >,4,y * -+/ """'+:+;, ' 1, f ,.. 00 f •• ix ;#0.00 ::!'$0.00 0$0.00 $0.00 $7.00 $7.00 $0.00 Clearance: $0.00 $25.00 $0.00 $0.00 $59.00 $7.00 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 rig ht 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 7,.()0 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1, PROJECT INFORMATION FOR OFFICE USE O~~. PLAN CHECK NO. '.1::::1 J ~a....J EST. VAL.---'-------- Plan Ck. Deposit -------.,L;h- Validated By_~-,....-+--,--,,-IP-""'-- Date, ____ ..:yc.....f-""=:b..-+-'.,_-fl---- IB z 5 1//,VJ &/¥ff Address (include Bldg/Suite #) Business Name (at this address) >/#f?c:7 ~<¥ Legal Description Subdivision Name/Number Unit No. Phase No. Total # of units ) Assessor's Parcel # /JJ}'T786 W/'1727! /167'/A> Existing ~e 1-/,,z: Coto Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If diffarwrt from applicant) Name Address ~ntraator :-□ Agent' for' Contract0t City State/Zip Telephone # Fax # 3, APPLICANT /h:;ze&'&'" b /,.;, = 8v~ /(/,;:. Name Address 4. Name 1i. CONTRACTOR -COMPANY NAME Oowru1, Z-Z7D D Agent lor Owner (;4-wltNO V/0'4 City t. City State/Zip Telephone# State/Zip (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 n. 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 ($5001). ~t'S.S 'l/11,1,t!/NC.. D IPlt> V/014-t:-,P-,,:J a~ 1/39' 30(; Name 0 City State/Zip Telephone # State License # ~tG~~~~l~.S-~~g=o~_ License Class ?:t,~(i, City Business License # /I ? ~ Cf 5"'3 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one cf the following declarations: O 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. ~ 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: . J _ Insurance Company (!.,?11(2. 0-IVocJ UJ,4r; ZN!:, r Policy No. ()/ /C ll (JO}(, g 5 Cf Expiration Date/ ~Q(l.)c::> (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1,1001 OR LESS) / D 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' Compens'ation Laws of California. WARNING: Failure to secure workers' compensation coverage ia unlawful, and shell subject an employer to criminal penalties end civil fines up to one hundred thousand dollars ($100 0001, in addltl the cost compensation, damages as provided for in Section 3706 of tha La cod intarest and attomey'a fees. SIGNATURE ~ DATE ---'""''.C~=::!::;L..LL __ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the 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 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 sate). · D 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 contractorts) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally ptan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. J 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): ________________________________________________ _ 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 _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 constructed 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. 8, CONSTRUCTION LENDING AGENCY 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. · APPLICANT CERTIFICATION 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 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 for excavations over 5'0" deep and demolition or construction of structures over 3 stories 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 365 days f m 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 commenc for a per·o 180 days (Section 106.4.4 Uniform Building Code). L APPLICANT'S SIGNATURE ...;~~::S.~.ft.~c!_~,§f_Ye__~---------DATE -=.s.:;,,vfc..:::_,,~:.,/1-D_?'c..L? _____ _ ••IUPTt:, t:;le VC:I' 1"'11'1. 0,,...,-,,1;,-.,.~• DJ/',.)V• i;;.,,.,,,..,, City of Carlsbad Inspection Request For: 8/31 /99 Permit# CB993223 Title: ZEIGLER RES-COPPER RE-PIPE Description: WATER HEATER REPLACEMENT Type: PLUM Sub Type: Job Address: Suite: Location: 1825 HIGH RIDGE AV Lot 0 APPLICANT BENTLEY BUILDERS/PIPES PLUBING Owner: ZEIGLER PAUL A&PHYLLIS A Remarks: Total Time: CD Description 19 Final Structural 29 Final Plumbing Inspection History Date Description Act lnsp Comments Inspector Assignment: SR --- Phone: 7604343067 Inspector: S 9,, Requested By: NA Entered By: CHRISTINE 8/27/99 26 Plumbing Repairs/Sprinkler co SR NOT READY FOR INSPECTION