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HomeMy WebLinkAbout1828 HIGH RIDGE AVE; ; CB051302; PermitJ ~<jub'b City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' . ' 04-07-2005 Plumbing Permit Permit No: CB051302 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1828 HIGH RIDGE AV CBAD PLUM 2073840300 Lot #: 0 Construction Type: NEW INFERRERA RES· COPPER REPIPE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/07/2005 LSM 04/07/2005 04/07/2005 A plicant: Pl ES PLU INFERRERA SALVATORE&CATHERINE G TRS 1145 LAW ST 92069 434-3067 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 Total Fees: $60.00 0 0 0 0 0 1 0 1828 HIGH RIDGE AVE CARLSBAD CA 92008 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $33.00 $0.00 $0.00 $0.00 $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 5541 04/07 /05 0002 01 CGP Inspector: /!,. LJtJl.,0,(,0 FINAL APPROVAL Date: t-{-1(-0~ 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 '1ees/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 Garlsbad 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 f in fwhi h h v r vi I iv n N Tl E i . r hi r i h h fl'mi in h I h rwi 02 60-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.Ck:)Q.? /30d CITY OP CARt.SBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Depos~i, Validated By_..,.~'--~r--.::----,-=---- Date . 7 ~ Address {include Bldg/Suite #) · Business Name (at this address) <f>hv,r ~ £,tn,t/~ y Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Description of Work Existing Use .J"' Proposed Use w~~ /Zd7'3/~ #o,-~~ - SQ. FT. #of Stories ,-# of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # ~~\ltt~i~~~J,f,,, · :: •• bli'.~'iil~l't~~lfil'i~iieMI8~~8.ii~r.~itil~kt,O r.0:w,ne1:;; ;g :6;g"ii·t,t1>:ii1<::>.~jt_/· (,· ·,\/ • ,.'\:/::, -;.· ": :, it~'. il 1.:i;,~t;· 1.>,•~'· :, ·· ;.:-'{ > · ..i·;.::., 1:--( .;:~ V'~cr: 6c!"'l<./r~c-rr /(L,I..S '-AW~ .:5tftll,fHl«D$ --J-4~, 1'-0 -lf3ff-3(}(;7 Name Address lii$:J:.~firtiff'#Jit1,1~11J;ijMJiij~WA.K1111t1.~i'ft~:M'.1Wi' 1·,:: J.~ J:\c"·• ;:,. : °'~" ;:,,,s,..,1: 5 -, ,, :. i • ,;· ;,,, .,, •,r; Ns:::;Jt1(:~i.::.~• :i{~,:1~•,1i::'.i,l.\ft~.;..1,ti':r11 it:1~~'!-s~)~:,;j1t-;r,i1;,il\~tr,1:T"~ :i/"t!).r:l);t;~ {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any atructure, prior to Its Issuance, alao requlrea the applicant for auch permit to file a signed atatement that he Is licensed purauant to the provlalons of the Contractor' a License Law (Chapter 9, commending with Section 7000 of Division 3 .of the Buslneaa and Profession• Code) or that ha la exempt therefrom, and the ba■la for the alleged exemption, Any violation of Section 7031.5 by anv applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001), p,Pc:;=s J:kl)l.y.c3yJ6 ~(":(S UA--w ~T(L~ ~Mdl(Ct)S @ ?tt;69 7~a .o/..Jt./-'3f¥,7 Name / A dress ~ . City State/Zip Telephone I State License# ~Y'/~8 License Class C,-~ L &c,.f, City Business License# // 'zB ({$3 I Designer Name Address City State/Zip Telephone State License II _________ _ Ce,:nt&\!lQR)lERB'ttmtM_F.'l8)iJT,Jtirl1~~1~~fi~,~,&~.:~J~t:r.;~;·;~i:~2s;;~;r:~t: _)( :{i;:;~:ti,; :' f~~:\f~);f J}/ti: i>:? ;:~}:P~:•i~:;·i➔:\::~:;G~~~ ~1 ::.::t:Fr, ~'._()// .li!'~ ,t:.;~ !·.<~;: .. 1, :,:·rn;:~r: '.' ,-~~;~tf?\/U:· ~:0:i:-::~. !i,;~~-:~~:ilt\V~ Workera' 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 thla 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 worker's compensation .lnaurance carrier and policy number are: Insurance Company 2E'.AllrH-Polley No."ZO C-112.S 330::Z,. Expiration Data 'lflLµS (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is Issued, I ahall not employ any person In any manner so as to become aubject to the Workers' Compensation Laws of California, WARNING: Fenure. to -.ecure worller■' com en■atlon coverage I■ unlawful, and ■hen ■ubject an employer to criminal penaltlea and civil flnea up to one hundred thou■and donar■ ($100,0001, In ad Ion to ost of compensation, damagea as provided for In Section 3706 of the Le r c e, lntereat and attorney's feea. SIGNATURE, _ _Jt.~d!:c...J.:!~~~2t~~~=====:::::::._______ DATE . I () 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 Profeaslons Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does auch 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 aold 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, a'(l exclusively contracting with licensed contractors to construct the project ·1sec. 7044, Business and Professions Code: The Contractor's License Law doea 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's License Law). 0 I am exempt under Section ------Business and Professions Code for 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 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)=------------------~---------------------------- 5. I will provide soma 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 _________ _ 1:¢$!i~illi't't.l!}.ta,Jtieeiioill:Ji'iohtit<)iv~{s1oiN.bt,1t:.et1.1to1~01~El!M1;r$;: oNuv:::,:.\;: ... -:, :.• r,:;,]/}.:j:,I,:;··· .·•(it J'r:,,.;;,r.,:,,., '. : : , SA rr:;/.,•,;,,:i7";i;;•.,;r·:' , , Ji\:••.,;:.,: ;: , .: ,. ; • : ,::,,, ,~·, Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant reQulred to obtain a permit from the air pollution control district or air quality manage;,,ent district7 {] YES O NO Is the facility to be constructed within· 1,000 feet of the outer boundary of a school site7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. !l!i!i~1r.~i'ffl~jjffjJ;tijfj.'$,!'liP.J~g~~~!1U~~il:,J;r.z,ti\?)ff~J~t?;;;;~::'\\[S;/!/ : :,:: >: , 1 ';i',;.:,: 'c '. / I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097fi) Civil Codel. LENDER'S NAME ---:-------------LENDER'S ADDRESS:-----:---------------------- .IJ~~j ·(~~.f:]!8ffl;~f;£ft'Jil.a:(;J}Jj,Qfl;~:~~;,j~!~;:J~~~{f.'~'.t~:·fo:Li:~;t,i -~-\\::'";;~>~\ '..1: r~:}.::::rr} ,f0,{, ; : .. '.:,}!,; :j:~.(fft 'i!'~'. .. ::,1i.~1-<"\:; .-::;•);.:;);!; f/,:~-::;':~f°{ .' '. .J.::;j ~, ... .i :1:;;/~:~.:!:, . ,.· :t~: !,::/ •. :' •:~r~-~-~~f _;: }t i'.: ':ifi·;.:f.~t1,s~~,~~~z;; 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 ANO 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 la 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 limltallon 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 worl< authorized by such permit Is suspended or abandoned at any time alter the worl< Is commenced a period of 1 ays (S 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ELLOW: Applicant PINK: Finance DATE -1;,-,-,-~~~--,.~-()_$" ___ _ City of Carlsbad Bldg Inspection Request For: 04/11/2005 Permit# CB051302 Title: INFERRERA RES-COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1828 HIGH RIDGE AV Lot 0 l/fJ6 11-6 OWNER INFERRERA SALVATORE&CATHERINE G TRS Owner: INFERRERA SALVATORE&CATHERINE G TRS Remarks: AM PLEASE Total Time: CD Description Act Comment 24 Rough/Topout ~ Inspector Assignment: Phone: 7604343067 Inspector: _.L,$<.:.IV=..._ Requested By: RUTH Entered By: CHRISTINE dEL---------~--1--------------------~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments