HomeMy WebLinkAbout2303 KIMBERLY CT; ; CB054341; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB054341
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2303 KIMBERLY CT CBAD
PLUM Status:
Parcel No: 1675312600 Lot#: 0 Applied:
Reference #:
Construction Type: NEW Entered By:
Plan Approved:
Issued:
Project Title: RAYMOND RES COPPER RE-PIPE Inspect Area:
Applicant:
ANDERSON PLUMBING INC.WALTER
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
1
0
0
0
Owner:
OBRIEN MARK C&LAURIE A
2303 KIMBERLY CT
CARLSBAD CA 92008
ISSUED
12/29/2005
KG
12/29/2005
12/29/2005
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$33.00
$0.00
$0.00
$0.00
$60.00
Total Fees: $60.00 Total Payments To Date: $60.00 Balance Due:
Inspector:
FINA
Date: 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 dale 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 infonnation 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 impos~ion.
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 JT APPLY to any
hi hv r I h 'n h vi
FOR OFFICE USE ONLY
PLAN CHECK NcfJ!J(}51/3z; I PERMIT APPLICATION
..
CITY OF CARLSBAD BUILDING DEPARTMENT
EST. VAL. _________ _
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit 9-
Validated By,--,::--=---=-----<......:~--
Date j,2-,Ud}s:;
Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use Proposed Use
SQ. FT. #of Stories # of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone # Fax II
~y.,,otor -~e"iit!JWcIDiWoim'ctrl,?im_a~r ~ ;~~i.t"(~~mmi'lrm.~~~
C:..o.-Me.t on 5 ,e,.e. \\-S
Address City State/Zip Telephone #
(Sec. 7031 .6 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 for such permit to file a signed statement that he Is licensed pursuant 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 he Is exempt therefrom, and the basis for the alleged
exemptlc;.;ny violation ~;e;~ 7031.5 by a~y epplican\\to;~r su:~ts the a~pli ant to a cl\pc::lty ~f not more zn five tt>~ollar ($5[-tl 4'1Cl\ ..
Name Addre City Statef7in ,.. Tele50~ # ~, "\'
State w/J: # L\ ~~ \ (> ;:> License Class ca:a ~ City Business License # \ 0 {: 'i y u
Designer Name Address City State/Zip Telephone
State License #
~.~Q . "' ~ • '"" ,,
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. .
\rt' I have 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
~ued. My worker's compensation Insurance carrier and policy number are: ~ a tJ ...,_ / L t
Insurance Company ~C'e.. ~ \ Polley No.\AI S1 ~--\ _ a. :} Expiration Date "I"'_ 1 _ 0 ~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE UNDRED DOLLARS ($100) OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is Issued, I shall not employ any parson In any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to ■at;Ut'a worker■' compen■atlon coverage I• unlawful, and ■hall aubject an employer to crlmlnel peneltlas and civil fines up to one hundred
thou1and doDar■ ($100,000), In addition to the cost of compensation, damage■ u provided for In Section 3708 of the Labor code, lntere■t and attorney'• fees.
SIGNATURE._____________________________ DATE
~ . ~itlm . ·~
I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ·
0 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
(Sac. 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).
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 Lew 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have con~racted. with the following ·person (firm) to provide the proposed construction (Include name / address / phone number / contractors license number):
4. I plan· to provide portions of the work, but I hava hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):. _________________ ...;.,. ____________________________ _
6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / 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 26506, 26633 or 26634 of the Presley-Tanner Hazardous Substance Acee.mt Act? 0 YES O 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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
[fi_,, !'Ui.'fijy'g:mgN:_1,iffi~ .i~ ~~w.:~ · ~, ' ·• ;rt~
I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) Civil Codel.
LENDER'S NAME LENDER'S ADDRESS
I 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. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inapectlon 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 pennlt Issued by the building Ollie al 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 com_JJl8~d :,t~ , 0 ays from the date <1_f such permit or If the building or work authorized by such permit Is suspended or abandoned
at any time after the work is c~mence f F · rl •d 180 days (Secti n-100:4.4 Uniform Building Code). /
APPLICANT'S SIGNATURE("" ) DATE \ ;}-. -)_}./OS
I '
WHITE: File YELLOW: Applicant PINK: Finance
·m····.: . .
·~.\ City of Carlsbad Bldg Inspection Request
For: 01/19/2006
Permit# CB054341
Title: RAYMOND RES COPPER RE-PIPE
Description:
Type: PLUM Sub Type:
Job Address: 2303 KIMBERLY CT
Suite: Lot 0
Location:
APPLICANT ANDERSON PLUMBING INC,WAL TER
Owner: OBRIEN MARK C&LAURIE A
Remarks:
Total Time:
CD Description ~Comment
Inspector Assignment:
Phone: 7607294600
Inspector: L
Requested By: BRANDY
Entered By: JANEAN
24 Rough/Topout ~-~ f='.-\ \D-lfc'Mf-\c-...__,,,~--f+f-----~~dV\Q~ ~po'V)e
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Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments