The URL can be used to link to this page

Home My WebLink About1911 ESTRELLA DE MAR CT; H; CB053015; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-22-2005 Plumbing Permit Permit No: CB053015 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1911 ESTRELLA DE MAR CT CBAD St: H PLUM Parcel No: Reference #: 21517002W I'+ Lot#: 0 Construction Type: NEW KAUFMAN RES-RELOCATE KITCHEN SINK 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: $34.00 Inspector: 1 0 0 1 0 0 0 Owner: Total Payments To Date: FINAL APPROVAL Date: / ,J • /. 7 • (?r Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/22/2005 AMA 08/22/2005 08/22/2005 $20.00 $7.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.00 $0.00 Balance Due: $34.00 5.116 )8/22./05 0002 ·:Ji '.Jt. CGF·· Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmpositionn of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any in fwhi h h v r vi I n iv n N T hi r h fli i in 3~." 00 FOR OFFICE USE ONL V PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK Noflja CJ?? Lr- esr. vAL ~~~~~~~--- Plan Ck. Deposit _____ ___,,.,......,.....- Business Name (at this addtesa) Legal Ducrlption Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units s Fr1._ Aaseaaor'1 Parcel I Existing Use Proposed U11e Deacription of Work Name . Address ·-~a~lilMN:tiNAM"~M~l~:ilJ.i~~-~~..1.i~;'.:!.-*:::t:kil,11:'r.J.~;.>.il"'.!Ut·t'.!:Hl,1\~[ t~.~:'!hl'~ii't~t,~tLJ.11>,t\Jj't{,ti>.Jltli:l'ilil'.t~~·,l1'f.:iil~!l.~'t!$.;1£~:\,,.!.1,1fc.L,1•ei :~}: .. 1 (Sec. 7031 .6 Bu1ineaa and Professions Code: Any City or County which requirH a permit to construct, alter, improve, demolish or repair any structure, prior to its iuuance, 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, commanding with Section 7000 of Division 3 of the Busin11Ss and Profassiona Code) or that he is exempt therefrom, and the basis for the alleged exemmon. Any violatio of Section 7031.6 by any ap\!!jcent for a pernJii subj,cts the applicant to a civil~enalty of not more than fi e hundred dollars 1~001) PVG"w CP,-/7 <r 29c. t/fc.J..,e:., "-(:-, S:11. f, ·')·;;) 7--.rol Nama Address ?? City State/Z.ip V:,i,ephone I License Cl111 Q_ City.BuaineH LicenH I / dt, \ ~ Z ) Designer Name Address City State/Zip Telephone State License I---------- i :i-ff«illiiflifdifllilUlimiilf(ili~~~:.~~~)j~~~'ltffl1~l'Mt'>At,t~!.flli11..'\~,~l\l:l~M.i~~~l:\-!,1i~;~,r$1~\~il;ii'1:,..i.'·~~,:;~ .··, .. ,. . ., Workers' Compensation Daclaretion: I hereby affirm under penalty of perjury Dr\l of the following declarations: 0 I have and will maintain • certificate of conHnt to 1alf-inaure for workers' compensation H provided by Section 3700 of the Labor Code, for th• performance o! t~ork for which this parmit is iHued. . ~ I have and will maintain workers' compensation, u required by Section 3700 of tha Labor Coda, for tha performance of tha work for which thia permit i1 i11u.d. My worker'• compensation insurance carri1 and policy number are: CJ!, ~ Insurance Company -f'6 --v.,,-, Polley No. ('A y·z._z 3 Expiration Date z' ~ 0 (THIS SECTION NEED NOT BE COMPLETED If THE PERMIT IS FOR ONE HUNDRED DOLLARS (UOOI OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of tha work for which this permit la iHu.d, I shall not employ any person in any manner so 111 to become subject to the Worker•' Compensation Laws of California. WARNING: Fallwe to HGUII workef1' compeNatlon c:owe,aee la unlnwful, w llhllll aulljec:t en .mpioye, to crlmln.a penaltiN end dvll fines up to one '-'dred thouwld dollwa ~· In addlUQ(I to tha coat of ~. ~ u provided for In Section 3708 of tha Labor code, lntereat and attornay'• feaa. SIGNATURE ~ L__, DATE _________ _ R ~Ht '.I: ,~~'&Jt:tlt-liiifl:~¥.'1Jf.ifiMV.~1,~~,b'fMit,~:r.r~;,;i~i~,/l ,:i)(}, . · .~ 1 , • .1 •• ,' I heieby affirm that I am exempt from the Contractor's Ucenae Law for tha foUowing raHon: · 0 I, u owner of tha property or my employ-with wages H their IOI• compenaa~on. will do the work and tha structure ii not intended or. offered for sale (Sec. 7044, Bualneu and Profusions Code: Tha Contractor'• Uc_, Law doH not apply to an owner of property who builds or improvu thereon, and who dou such work hlrneelf or through his own employ-. provided that such lmp,ovemenu ere not intended or offered for Hie. If, however, tha building or improvemant i1 sold w ithin one year of completion, tha owner-builder will have the burden of proving that he did not build or Improve for the purpoH of sale). 0 I, •• owner of the property, am exclusively contracting with licenNd contractOll to CO/lltruct the project (Sec. 7044, Buaineu and Profusions Code: Tha Contractor'• Ucenaa Law doH not apply to an owner of property who builds or improvu thereon, and contractl for such projacts with contractor(s) licansed pursuant to tha Contractor's Ucense Law). 0 I am exempt under Section ------~ and Profualona Coda f« this rauon: 1. I personally plan to provide tha major labor and materials for COllltruction of the proposed property lmprovarnant. 0 YES ONO 2. I (have I have not) signed an application for a building permit for tha proposed work. 3. I have contracted.with the following person lllrm) to provide th• proposed construction (include name I addreu I phone number I contractors Ucense numbaf): 4. I plan to provide portions of tha work, but I have hired the following person to coordinate, supervise and provide tha major work (include name I addreaa I phone number I contractor, llcenae number):. _____________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persona to provide th• work Indicated (include name / addteaa I phone number / type of work):·---------'-----------------------------------~------------~ PROPERTY OWNER SIGNATURE DATE Wilii.!mili11JIGiiom~ ~-,-.-.-~------~--... -,-,~-, .. -.W~-, ~~:.ii".::.:· ;,;;;i.,11., la the applicant or future building occupant requirad to aubmlt • business pl1n, •cutely hazardous m1teriala registration form or risk management and prevention program und,r Sactlona 26606, 26633 or 26634 of the PrHlt1y·T•Mer Hnardoua Subatence Account Act? O YES O NO 11 the applicant or future building occupant requirad to obtain • permit from the air pollution control district or air quality managament district? O YES O NO 11 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 11.~~:ui;it1n10:rt!t.INDJNWAf.ii.tte.,Yllt~~iJ.11Mil!i.:i:..%'~:\,1.t.!m;1 .. \:if.!fi.iri.~1.t1,1,\~iiiJa!J!..1ll,,;1. ,,,~11,~~·, .,.J >.,i 1:-&i::~·~: 1, i ;1. • .,( t ·:, ·/\.i.!'r : , ••.. I hereby affirm that there is a construction lending agency for the performance of tho work for which this permit is issued (Sec. 3097lil Civil Code). ,,, .:~ I LENDER'S NAME LENDER'S ADDRESS ---------------------------IMlliifii'Mt t'iiti1fliitll ititiii'd ~ • .lft ~' t-'l • .t, '< w. > • -:O, .. , I !ji, "4? \\•. ""'"'~.,r,-.,...,.,.,..,..,.,i,~. ·•·~ ""'"'-~·,"i-l'·,i,·,"'"rt-·~1-i,.-• .,,.~-~~x~,t·'t!!: , ·'" ,,.,.,, ,..~~~~w.1 .. ~~~~.,.1~¥.tlf~~--m .~Mn~-i\'L,~~1t.il,1.::J11 ... J,,~1 I certify _that I have rHd the applicati?" and at~t~ that the abo_v• information 11 correct and that the Information on tha plans is accurate." I egrff to comply with all City ordinanc~ and State law• relating to budding conatrucuon. I hereby authorize reprHantativu of tha Citt of Carlsbad to enter upon tha above mentioned property for inspection purposes. I ~o 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 SAJD 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 1tructures over 3 stories in height. · EXPIRATION: Every pe~mit issued by the bul(dl?g Official under the provisions of this Code shall expire by limitation and become null and void II the building or wOfk authori~ed by such permit !snot commenced within 1B0 days from the date of such permit or if the building or work authorized by such permil is suspended or abandoned at any lime after Ille work IS commence 180 days (Section~niform Building Cede). e,,,.fz J" ~ APPLICANT'S SIGNATURE DATE (j7 ; ~ ..) ----=t. ___ .....,. ______ _ WHITE: File YELLOW: Applicant PINK: Finance Inspection List Permit#: CB053015 _ Date -~_ lnse.ection Item 08/2512005 24 Rough/T opout 08/2412005 24 Rough/Topout Tuesday, December 27, 2005 Type: PLUM Inspector Act BN AP BN CO KAUFMAN RES-RELOCATE KITCHEN SINK Comments NO TEST Page 1 of 1