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HomeMy WebLinkAbout2244 IVORY PL; ; CB091702; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-13-2009 Plumbing Permit Permit No: CB091702 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2244 IVORY PL CBAD PLUM 2132022100 Lot#: 0 Construction Type: NEW BURKART RES-REPAIR GAS LINE FOR SDG&E LOCKOUT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/13/2009 RMA 10/13/2009 10/13/2009 ANDERSON PLUMBING INC.WALTER BURKART TIMOTHY T&LISA R 2007 TRUST 06-13-07 1150N MARSHALL EL CAJON, CA 92020 619-449-3852 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 0 0 0 0 0 1 0 2244 IVORY PL CARLSBAD CA 92009 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27. 00 Balance Due: Inspector: Jt,1, ~ FINAL APPROVAL ~ Date: 0 Clearance: $0.00 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 fo!low 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/ex.actions 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 f hi h h v vi I T imil r hi r whi hthe ta t oflimi in h I h rwi «~~> Building Permit Application Plan Check No. rAn0 f?o -"" 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718 / 2719 Plan Ck. Deposit Fax 760-602-8558 CARLSBAD www.ca~sbadca.gov Date//)//?/ ;Jq IL.Jd JOB ADDRESS :;UITE#/:;PAt;E#/UN11 # IAPN , V 2244 Ivory Pl --- CT/PROJECT# I LOT# I PHA.SE # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) r~klo/~ gas lockout EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I I FIRE SPRINKLERS YES0, NcCJ YES □No □ YES□No□ CONTACT NAME (It Different Fom Applicant) APPLICANT NAME Adrienne Anderson ADDRESS ADDRESS 1150 N. Marshall CITY STATE ZIP CITY STATE ZIP El Caion Ca 92020 PHONE I"" PHONE I FAX 619-449-7646 619-449-0312 EMAIL EMAIL Reception@lwalterandersonplumbin11.com PROPERTY OWNER NAME CONTRACl"OR BUS. NAME Tim Burkart Anderson's Plumbin11 Heatina and Air ADDRESS ADDRESS 2244 lvorv Pl 1150 N. Marshall CITY STATE ZIP CITY STATE ZIP La Costa Ca 92009 El Caion ca 92020 PHONE PHONE 760-809-3379 I FAX 619-449-7646 I"" 619-449-0312 EMAIL EMAIL reception[@.walterandersonplumbing.com ARCH/DESIGNER NAME & ADDRESS ISTATEUC.# STATE UC.# I CLASS I CITY BUS. LIC.1074400 493163 C36 (Sec. 7031.5 Business and Professions Code: Any City or Coun.ty which requires a permit to.c9nstruct, alter, improve, £!emol1sh or repair any structure, P,nort9 its ISS\jance, also re.quires the applicant for such permit to file a sl!i!.ned statement tliat he Is hcensed pursuant to the provIsIons of the Contractor's License Law JChapter 9, commending with Section 7000 of DIvIsIon 3 of the Business and Professions Code} or [hat he is exem11t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under pena/t'f of per}Ul'f one of the following declarations: D I have and will maintain a certificate of consent to self•lnsure for mrkers' 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 wHI maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work !Or which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Zelltlh lnsur,ne, Policy No. ?089891601 Expiration Date o1t0112C10 1bi1section need not be completed jf the pennit Is !Or one hundred dollars ($100) or less. LJ Certificate of Exemption: I certjfy that In !he pelformance of the work for which this permit Is Issued, I shall not employ any per..on in any manner so as to become Sllbject to !he Worker..' 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), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney"s fees. Jt5 CONTRACTORSJGNATURE DATE OWNER-BUILDER DECLARATION I hel8by affinn that I an exempt from Conttactol's Ucense Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work ancl the structure is r.ot Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an ownet of property whO builds or improves thereon, and who does such work himself or through his own employees, provided that su:::h Improvements are not intended or offered for sale. If, ho'M:lver, the building or Improvement is sold within one year of compleHon, the owner-builder will have the burden of proving that he did not build or improve for the purpose ol sale). □ □ I, as owner of the property, am exclusively controc~ng with licensed controctors 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 controcts for such projects with contractor(s) licensed pursuant to the Contractor's License Law), I am exempt under Section, ____ Business and Professlons Code for this reason· 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves Oo 2, I (have I have not) s.;lned an application for a bullding permit for the proposed work, 3. I have contracted with the following person (flm1) lo provide the proposed construcbon (include name address/ phone/ 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/ phone/ contractors' license number): 5, I will provide some of the work, but I have contracted (hired) the folklwlng persons to provide the work indicated (Include name I address/ phOne I type of work): 8$ PROPERTY OWNER SIGNATURE DATE ' I C9MPLETE THIS SECTION FOR NON-RESIDENTIAL BVHl>ING PERMITS ON-~\I Is the applicant or future building occupant required to submit a buslness.12!§!l, acutety hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes LJNo Is the applicant or future bulldlng occupant required to obtain a permit from the air pollution control district or aiLlll!ality management district? Dves 0No Is the fa::Jlity to be constructed within 1,000 feet of the outer bourxlary of a school s~e? Oves LJNo 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. I certify that I haYe read the appllcatlon and state that the above lnfonnatlon Is conect and that the infonnation on the plans is accurate. I agree to comply with all City onlinances and State laws relating to building construction. ! hereby authaize rer,resentative of the Qty of Carlsbad to enter UJXX'I the above mentioned property for insJ)3Clion purposes. I ALSO AGREE TO SA VE, 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 permt is ra:iuil'OO for excavatbns 0\/8r 5'0' deep and demoilk:>n or oonstruction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Offi:::ial under the JXO',-iSKlllS of this Cooe shall exl)re by limitation cn:l become null cV1d void if the building or work authorized by such permit is rot commenced within 180 days from the date of such permt or if the i.-Jing or work orized by such pennit is suspended cr ctia:ldoned at anytme after the work is commenced for a P.eriod of 100days (Seclbn 106.4.4 Uniform Building Code). _gAPPLICANT'SSIGNATURE DATE /0, '/2 0 °) UNSCHEDULED BUILDING INSPECTION DATE ,a-'':\ INSPECTOR _____ _ PERMIT# O'\ ,·:1 O> . PLAN CHECK# ____ _ JOB ADDRESS 2-~1-44 '" or-~),\ DESCRIPTION ___________________ _ CODE DESCRIPTION ACT COMMENTS . ~ .A1"" E ~ · :t:lZAt:4,-stttC). t-o /aAW. flf'Ww? 'l!le-.!L..::(