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