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HomeMy WebLinkAbout2260 NOB HILL DR; ; CB091939; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-18-2009 Plumbing Permit Permit No: CB091939 Building Inspection Request Line (760) 602-2725 Job Address: 2260 NOB HILL DR CBAD Permit-Type: PLUM Status: ISSUED Parcel No: 1671122400 Lot #: 0 Applied: 11/18/2009 Construction Type: NEW Entered By: LSM Reference #: Plan Approved: 11/18/2009 PC #: Issued: 11/18/2009 Project Title: ROBERTS RES-REPLACE WTR HTR Inspect Area: Applicant: .Owner:— AFFORDABLE WATER HEATER ROBERTS JANICE A TRUST 04-29-99 24707 SAN FRANANDO RD 2260 NOB HILLDR-s" SANTA CLARITA, CA 91321 ,/ \ CARLSBAD CA 92008 /) 661259-7131 / / ( \ Plumbing Issue Fee , Fixture or Trap i Building Sewer / i• - 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\ $20.00 / 0 \ ---' <\s000 0 0 \\ X $0.00 0 \ . $0.00\ 1 \, -'ggg \ /' f\ s000 $0.00 \ $0.00 y I $0.00 $27.00/ N INCORPORATED N 1.052 Total Fees: $27.00 TótalFayments To Date: ;, $27.00/Balance Due: / $0.00 \ '2 / N ' -f \ \ / / -S . FINAL APPROVAL Insoector: Date: /2. 7 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.5 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 City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 /2718/2719 Fax: 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS not, I'+II Or' SUITE#/SPACE#,'UNITN 7-(oO - N BATHROOMS TENANT BUSINESS NAME CON'fWf1PE OCC. 5f/ffir N LOT N = PHASE N 1OTURffS N BEDROOMS DESCRIPTION OF WORK: 9sPIaee 5o UoA 9c.r U)&fer L-kftr Same Ioed-iov EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES 0 #_ NOD AIR CONDITIONING YES 0 NO 0 IFIRESPRINKLERS YES 0 NOD CONTACT NAME (if Different Fom Applicant) APPLICANT NAME 5e..rt L.#t!tFith( ADDRESS ADDRESS Sttoui CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE 661-04-7131 FAX EMAIL EMAIL SLoft_@_tiII44P.corn PROPERTY OWNER ME .,j c R o ho r 4- CONTRACTOR BUS. NAME A PFo rctaI I e L*)ci.f€ r $4 ADDRESS CITY STATE ZIP 441 WkAI! q 13.4 ADDRESS CITY STATE ZIP PHONE Tx 1(00 130 3777 I PHONE t-sg-oso FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. N STATE LIC.N CLASS CITY U BUS. LICe (Sec. 1031.5 Business and Prqssioni Code: Any City or County which reqnirej a permit in constrncL all improve 4emolish or repair any structure prior to its issuance, alsp requires he applicant for such permit to file a signed statement that e is licensed jonnane to the prqvisions of the Cqnt,actor's License I,aw (Chapte•r n, commending with Section 1000 of Division 3 of the Business and Prnfessioos Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 70)1.5 by any applicant for a permit nubjects the applicant to A cod penalty 01 not more than live hundred dollars ($500)). 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 E2f''have and will maintain workers' compens tl n, as required by Section 3700 of the Labor Code, for the performance of the work f r ich this milt is Issued. My workers' compensation insurance carrier and policy number are: Insurance Co._ . 1v 4'4 Policy No. Expiration Date • /0 This section need not be completed if the permit Is for one hundred dollars ($100) or less. O 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 in employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000), in addition to the cost of compensation, damageas provljied for In Section 3706 of the Labor code, Interest and attorney's fees. CONTRACTOR SIGNATURE DATE It t 13 I hereby affirm that I em exempt from Contractor's License Law for the following reason: Cl 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 Contracto(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(s) licensed pursuant to the Contractor's License Law). 0 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. DYes 0 No I (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address! phone/contractors' license number): 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! address! phone! contractors' license number): 5.1 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): PROPERTY OWNER SIGNATURE 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 Act? Cl Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes Cl No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes 0 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. I 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 Name Lender's Address I cerufythati have read the appllcalion and state thattheabove Information Iscormctand thatthelnlormationon the plans lseomnate. lagreetocomplywlthall Clfyordinanans and State laws ielatingto building construction. I hereby authorize representative of the City, o(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 80' deep and demolition or construction ofsucbires 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 pemdt is not commenced wthui 180 days from the date of such perndtorif the buM' or work authorized by such permit is suspended! or abandoned any time after the work is oonimenced for a period of l8odays(Section 106.4.4 Unifonn Building Code). SIGNATURE /l(3at* DATE