HomeMy WebLinkAbout2273 MASTERS RD; ; CB053451; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-30-2005 Plumbing Permit Permit No: CB053451
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2273 MASTERS RD CBAD
PLUM Status:
Parcel No: 2121401100 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: BLADEN RES NEW H2O HEATER Inspect Area:
Applicant:
HANNA PLUMBING
643 S. SANTA FE
VISTA CA 92083
760-726-2002
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
1
0
0
Owner:
BLADEN JAMES B&BARBARA A
2273 MASTERS RD
CARLSBAD CA 92008
ISSUED
09/30/2005
SB
09/30/2005
09/30/2005
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Ins ector: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the imposition" of fees, dedicatioos, reservations, or other exactions ~reafter collectively
referred to as "fees/exactions." You have 90 days from the date this pennit 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 . . . . . . . h
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No~.5~ C/S"/
CITY OF CARLSBAD BUILDING DEPARTMENT
16. 35 Faraday Ave., Carlsbad, C~ 9200S _
EST. VAL ______ _;_ __
Plan Ck. Dapo':!s:!!itc.-.._..-------
Valldate~By·_~.,.::.-=.t3,:e_ _____ _ . ,. ' . ~ -: .... .
Date';'/3,.,. ,,,--~L 7
Addleu (Include Bldg/Suite I) Bu,,lnea, Nam, (et this 1ddr111I
Legal Duetlpdon Lot No, Subdivlalon Name/Number Unit No. Phase No. Total # of UNta
Existing u .. Propqsed Use
SQ. FT. . IOt Storie, # of Bedroorna I of Battvoorna
Name Addreu City State/Zip Telephone I Fax I bit'.!!61:!:@;t711"ttff*6,~tft
Adc;tresa-. City fM.@dM Tut p
91aO ]2,la 2c;a2 Telephone I
t2A@J
City ( '11 4%8§ · Slate/Zip
Joo-&B-iji§j
ama ·
Stall Ucons,, 1 ()S]t\o
Dulgnar N~m•
State UcenH I
Addrea1 City
Worker•' Compenaatlon DecJaratlon: I hereby affirm under penalty of perj~ry .~n• of the '°'lowing declarations:
Telephone I
State/Zip Telephone
0 I hive and wlU malntaln a certificate of consent to 1&lf-lnsur1 for w01ker1' compenaatlon 11· provided by Section 3700 of th• Labor Code, f0r the performance
of the work fo, which th11 permit l■.luued, ,
'd'. I have and wiU _maintain workera' compenlltlon, 11 requlred by Section 3700 of the Labor Code, for the performance of the work for which thl1 iermlt Is
, ~d. My worker'• ans tlon urance .carrier and policy number are: . . C \
lnouronco Compony • Polley No. 0'.)\ 2.\ c71-2Q) ..:, Expiration Doto ()\ 2(j)O IQ·
!THIS SECTION NEED NOT BE COMPLETED IF HE PERMIT JS FOR ONE HUNDRED DOLLAR9 lt100J OR LESS) .
□ CERJIFICAjl! Of EXEMAQPN: I certify that In the performance of the work·for which this permJt lt luued, I 1hall not employ eny peraon In eny meooer eo ..
to·become,1ubJect.to the Workeira' Compensation Laws of Callfotnla.
WARNING: · Failure to Meu,e worker•' mpenaatlon cc:iverage la unlawful, and 'ahall 1ubJect an employer to criminal penaltlH and clvU fine• up to ona hundred
~and do"'"' ll\li'O, 01, In · to anaatlon, damagN n providad for In Section 3708 of the bof~•ti,>,'1f')l"~-,d attorn~y•• feN.
SIGNATURE iimi iiiiiii■■ DATE
.◄ hei'eby afflrnl th1i I am exempt from the Con
0 I, H.owner of the PfOperty or my employeN•with wagN u their sole compenaatlon, Wm do the work 1nd the structure la not Intended or offered for ·u1e
(Sec. 7044, B1.11lnea and Profuliona Code: The Contractor's Ucenae Law doN not apply to an owner of property who build• or lmprov&1 thereon, and who dON
such work hlrn11lf or through tu, own employee•, provided thait •uch Improvement■ are not Intended or offered for 'aale. If, however, the building· Or Improvement Is ■old ~lthll\ _one year of col'llpletlon, the owner-builder will have the butdan of proving that h• did riot build or Improve for: the purpoae of sa_le).
0 I, u owner of the property, em exclusively contracting with llcanaad contractor, to corwtruct the proJect !Sec. 7044, Business and Profaaalona Coda: Tha
Contractor'• Ucana1 Law doH not apply to an owner of property who buJld. or lmprova, thereon, and contracts for •uch proJect• with contractor(1) licensed
pursuant-to the Contractor'• Ucanae Law).
□ I am exempt under Section ______ Bu1lnH1 and Profanlonl Coda for thl• raHon:
1, I p■r•onally plan to provide the major labor and materlal1 for conatructJon of tha propoHd property lm_provemant. 0 YES ONO
2, I (have / have not) ligned an ·application for • building permit for tha propoaad work,
3, I hive contracted.with the foUowlng parson (firm~ to provide the propo,ad conatructlon (Include name/ addreH / phone number/ contractor, license.number):
4. I plan to proVlde portions of th• work, but I have hired the following per1on to coordln11ta, supervise and provide the major work (Include name / 1ddru1 / phone
number/ 'cont1actor1 IIC4'nle nUmber):, ____ · ____ :---------~-----------------------'--'----
6,. I will provide 10ma of th• work, but I have contracted ·(hired) the following paraona to provide the work Indicated Unciude name / addresu / phone number / type of work):
. PROPERTY OWNER SIGNATURE DATE
MMffiiitWUl&iHMMIMMIW!i/&IMMUHhldiNtiMRMIM&i
_. la th• applicant or futurt building occupant required tO aubmlt a bualneu plan, acut8'y hazardous materiala reQlatratlon form or risk management tnd pravantlon
program under Sections 26606, 26633 or 26634 of ~e PrNley-Taooer Huardou■ Subatanca Account Act1 0 YES O NO
II the applicant or-future building occupant required to obtain.a permit ·from th• air pollution conti"ol dlltilct or air. quality management dlatrlct7 O YES O NO
:1 the facility to bt co.utr.,ct1d V,1lthin 1,000 feet oi trio outer boundary of e ■chool'lita? D YES D NO • IF ANY Of THE ANSWERS ARE YES, A FINAL CERTJFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS Of THE OFFICE Of EMERGENCY SERVICES AND T .. E AIR POUUTION CONTROL DISTRICT.
I hereby affirm that there I• • conati-uotlon lending aganey for tho porfOJmanco of the ~ork for which thla permit 11 laaued (Sac, 3097{1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS .. MUlilNMRBIPilE!BWN ,,
I cartJfy that I hive read the application alid 1tata that .the above lntOfmatlon 11 correct and that the Information on the plans la accurate, I egree to comply with all
City ordinance, and St:att law a relating to building construction. I hereby authorize representative_, of the Cltt of_ Carlsbad to enter upon the above mentioned
,property for Inspection purpo1ea, I ALS.Q AGREE . TO SAVE, INDEMNlfY ANO KEEP HAF\MLESS THE CITY OF CARLSBAD AGAINST A.LL LJ,OJllU,TJES,
JUDG.MENTS, COSTS AND ~l!NSES WHI_CH MAY IN ANY·WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE Gf'ANTINO OF THIS PERMIT.
OSHA: An OSHA permit la required for excavatlona ova, 6'0• daap and d•molltlon or ccmatructlon of structurea over 3 ·stories In _height.
~IRATION: Every permit issued by lhe bulldlng Offlclal ullqer the provlsJons of thla Code ahall expire by um·ltatlon and become null and void If the building or work
authorized by-auch pennlt la not commenced within 180 days from the date of •~di pennll or If the bulldlng or work authorized by such permit Is suspended or abandoned
atanytlO!-aftertheworkla enc9df(?l'aperlo f180d .•( , \ 108.4.~UnlformBuUdlngCo~e). . 0 j _ .. ~nc_
APPLICA, ·s SIGNATURE . · DATE ::::\ I ?-£ ,.I _\,,J-L . --'-~.~""'-'-'-""'--'-------
. YELLOW: Applicant PINK: Flnanc·e
City of Carlsbad Bldg Inspection Request
For: 1 0/05/2005
Permit# CB053451
Title: BLADEN RES NEW H2O HEATER
Description:
Type: PLUM Sub Type:
Job Address: 2273 MASTERS RD
Suite: Lot 0
Location:
APPLICANT HANNA PLUMBING
Owner: BLADEN JAMES B&BARBARA A
Remarks:
Total Time:
Act Comment
Inspector Assignment:
Phone: 7606039287
Inspector: ----
Requested By: BLADEN
Entered By: CHRISTINE
CD Description
25 Water HeaterNents 0;_ ______ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments