HomeMy WebLinkAbout1911 ESTRELLA DE MAR CT; D; CB020770; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-14-2002 Plumbing Permit Permit No: CB020770
Building Inspection Request Line (760) 602-2725
Job Address: 1911 ESTRELLA DE MAR CT CBAD St: D
Permit Type:
Parcel No:
Reference #:
PLUM
21517002'( 10 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
ISSUED
03/14/2002
JM
03/14/2002
03/14/2002
Project Title: GAUNET-REPLACE WATER EHATER Inspect Area:
Applicant:
ARS
STE 100
6162 NANCY RIDGE DR
SAN DIEGO CA 92121
358-677-5455
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
$27.00
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
Inspector: 'J:" c_,
Owner:
THOMAS LAURA
2832 03/14./02 'JOO:! )i.
[::f:Ji.F'"·
1911 ESTRELLA DE MAR CT #A
CARLSBAD CA 92009
Total Payments To Date: $0.00 Balance Due: $27.00
0
0
0
0
1
0
0
Clearance:
$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
NOTICE: Please take NOTICE that approval of your project includes the ~lmpositionn or 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
; nf ,.,h;,.h ""'' h"'"' , ht>nn ,.;1,nn "' ~lf\Tll"'t:: • ' "r "" f" ,.,h;,.h ihn ,,.+,,+, ,f"l rn ' , ho" , "'h""";.,,. "'"n;r,,,I
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.{.f3a2---Z7o
CITY OF CA RLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST.VAL._~~~~~~~~~-
Plan Ck . Deposi, ....... _________ _
Validated By_~i:..:.....J1,.-. __ -+--:+--
Date~~~~~~~~--"--¥-,~7ff:....1.<~::::..
' .i:t D
Business Name lat this address)
n Name/Number Unit No. Phase No. Total # of units
Proposed Use
Description of Work SO. FT. #of Stories II of Bedrooms II of Bathrooms
2. CONTACT PERSON'llf different from'11ppllc11nt1
Name City State/Zip Telephone II Fax#
4:
5. CONTRACTOR -COMPANY. NAME'° ,,,,, .. , hi
(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
e~,wY'lf'K~i<;.>,t~'t1rcan1 f1Jr a v;r;nit subjects the~2.ant to a civil penal of not more t~;J've hundred dollarsqz.01)2-1
Name , . Address . City te;:,::;foJ t::,17
State License II 7'4 l jp.2.0, License Class B J C, 'c!,c,/ C, 2Q City Business License # 64-'::>S
Designer Name Address City State/Zip Telephone
State License # ----------
6. WORKERS' COMPENSATION
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.
~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 insurance carrier anrl nnlicy number are: I / I
'ltV\lLl7L.,\ , .. --i '7/.i2,.r,i1i.:> '"'' f f'-...~ Insurance Company . '1 lt'T~::zry V....ill ,n~. Policy No._L .... 1-;.J~~\JV Expiration Date \J ~ I
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 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), I addition to e ost of compensation, damages as provided for In Section 3706 of the Labi r code/nterest and attorney's fees.
SIGNATURE DATE ~ _ l d\t Q ~
7. OWNER-BUil ER DECLARATION I
I hereby affirm that I am exempt from the Contractor's License Lew 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 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(sl 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 I 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 f address I phone number I 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 I address I phone
number I contractors license numberl=-------------------------------------------------
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (Include name I address f phone number I type of work):. ___________________________________________________________ _
PROPERTY OWNER SIGNATURE-----------------------
COMPLETE THIS SECTION FOR NON-RESIOENnAl. BUILDING PEFiMITS''OllitY ''
DATE _~~~~~~~~-
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 required to obtain a permit from the air pollution control district or air quality management district 7 0 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.
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(1) Civil CodeJ.
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 MA Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 6'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permil issued by the building Ofllclal under the provisions of this Code shall expire by !imitation 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 work authorized by such permit is suspended or ebandoned
at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE --------------------------DATE-------------~
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 04/12/2002
Permit# CB020770
Title: GAUNET • REPLACE WATER EHATER
Description:
Type:PLUM Sub Type:
Job Address: 1911 ESTRELLA DE MAR CT
Suite: D Lot 0
Location:
APPLICANT ARS
Owner:
Remarks:
Total Time:
Description A~: Aomments
Inspector Assignment: JC ---
Phone: 7608450707
Inspector:
Requested By: MARY BETH
Entered B : ROBIN
CD
25 Water HeaterNents .j!£/::: ___ '---,---c-':h-+---'---------
Date Description
Associ""d PCRs f--+-+----1-'----'---,,"-----------
lnspection History
Act lnsp Comments
03/29/2002 25 Water HeaterNents CO JC ELEC NOT INSTALLED CORRECTLY