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HomeMy WebLinkAbout210 ACACIA AVE; C; CB091036; Permit06-25-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB091036 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 210 ACACIA AVCBADSt:C PLUM 2041503000 Lot#: 0 Construction Type: NEW REPLACE WATER HEATER & REPLACE WATER LINE FROM WATER HEATER TO THE BATHROOM Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: CARLSBAD QUADRANGLE C/O LOUIS F TORIO 454 SEA LN LA JOLLA CA 92037 Owner: CARLSBAD QUADRANGLE C/O LOUIS F TORIO 454 SEA LN LA JOLLA CA 92037 ISSUED 06/23/2009 JMA 06/23/2009 06/23/2009 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 1 1 0 0 $20.00 $0.00 $0.00 $0.00 $7.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $34.00 Total Fees:$34.00 Total Payments To Date:$34.00 Balance Due:$0.00 Inspector:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" if 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. 06-23-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB091036 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 210 ACACIA AV CBAD St: C PLUM 2041503000 Lot#: 0 Construction Type: NEW REPLACE WATER HEATER Status: ISSUED Applied: 06/23/2009 Entered By: JMA Plan Approved: 06/23/2009 Issued: 06/23/2009 Inspect Area: Applicant: CARLSBAD QUADRANGLE C/O LOUIS F TORIO 454 SEA LN LA JOLLA CA 92037 Owner: CARLSBAD QUADRANGLE C/O LOUIS F TORIO 454 SEA LN LA JOLLA CA 92037 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:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute ot limitations has previously otherwise expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717'/ 2718/2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application Plan Check No. QfrO^i I O Est. Value Plan Ck. Deposit Date JOB ADflRESS . . £i 1 O ft (Ltt/CA, r# /f- vr^r CT/PROJEC" # LOT # PHASE # # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) (V -£- lO I <£ C- <£~ (/O 0-^t '•£• {-" Y^-* £*--*T ^f ( (i EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME _ . -- . i— O\AA$ r- "T^tpir-io ADDRESS ^ CITY a I 1 STATE Q ZIP PHONE. FAX EMAIL / y ^ &&. ^ (yr\. bfa*f7 d? & tff • c-^y^- ARCH/DESI'JNER NAME & ADDRESS STATE LIC. # SUITE#/SPACE#/UNIT# APN<i- ^^*Y " /yr<5 " ^^ ~ Q& ((BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP / * 'N «^*J // / PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES a # NO a YES a NO a YES a NO a APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC.# CLASS CITY BUS. LIC.# p'lieee. 70)I.S 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 lor such permit to file a signed statement that he iscensed pursua.it 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 h" : — """" — ~~J *L~ L~"'~ '" 'L' -"---J -:— "— '-'—'•-- • Section 7031.F t> any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).t he is exempt there from, and the basis for the alleged exemption. Any violation of Workers Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: I have snd 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 havB 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 workers' compensation insurance carrier and policy nunner are: Insurance Co. _ Policy No. _ ___ Expiration Date _ This section need not be completed if the permit is for one hundred dollars ($100) or less. Ceriificate.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 (&1 00,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE DATE / hereby affirm that I am exempt from Contractor's License Law for the following reason: !jlr 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). !, as own^r 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(s) licensed pursuant to the Contractor's License Law). 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. CJ Yes d 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. i will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): xsZfpROPF-RTY OWNER SIGNATURE s, 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 "•reslsy ""a.ir.er Hazardous Substance Account Act? O Yes O No s the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? n Yes d No is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O No IF ANY CF THE ANSWERS ARE YES, I EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 I'.ame Lender's Address tfn ^ "^ <*&." ' ' * !*-t * ^<* x 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. hereby authorize representative of the City 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 80 days from 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). --f f S\ /I £$ APPLICANT'S SIGNATURE A d~7/?A>^ rf ~JJ-fi-^-^ DATE / City of Carlsbad Bldg Inspection Request For: 06/30/2009 Permit* CB091036 Title: REPLACE WATER HEATER & REPLACE Description. WATER LINE FROM WATER HEATER TO THE BATHROOM Inspector Assignment: 210 ACACIA AV C Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER CARLSBAD QUADRANGLE Owner: CARLSBAD QUADRANGLE Remarks: Phone: 8582206332 Inspector: Total Time: CD Description 22 Sewer/Water Service 25 Water Heater/Vents Act Comments CTVFTT Comments/Nottcea Holds Requested By. LOU TORIO Entered By: CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments