HomeMy WebLinkAbout2310 BYRON PL; ; CB030409; Permit02-1 1-200'3
Job Address: Permit Type:
Parcel No:
Reference #:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No: CB030409
231 0 BYRON PL CBAD
PLUM Status: ISSUED 2121430900 Lot #: 0 Applied: 02/11/2003
Plan Approved: 02/11/2003
Issued: 02/11/2003
Construction Type: NEW Entered By: RMA
HORNUNG RES-REPLACE H20 HEATER Inspect Area:
Applicant:
ALL STARS WATER HEATERS & PLUMBING
26867 PELHAM PL
HAYWARD CA 94542
51 0-583-1 300
Owner:
HORNUNG WILLIAM C&GENA S
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
InstalVRepair 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 $0.00
$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: $0.00 Balance Due: $27.00
ED PERMIT
I FINAL APPROVAL 1
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.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008
' .-
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Pian Ck. Deposit
Validated B
Date
Address (include BMglSuile #)
Legal Desuiption Lot No Subdivision NamelNurnber Unit No. Phase No. Total f of units
Asss~or3 Par& I Existing Use Proposed Use
Business Name (at this address)
W
SQ. FK t Of stwies t of Bedrooms X of Bathrwms
Name Address Citv StatelZio TeieDhoneX FBX t
6
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit 10 construct alter. improve. demolish or repalr any structure prior to its
issuance also requtres the applicant for such permil to file a signed statement mal he is license0 purouan! Io the provisions of the Contractol's License Law [Chapter 9 commending with SBCtion 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom. and the basis for the alleged exemption. Any violaWn of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penairy of not more than Awe hundred doliars [SSOOl).
Name Addresl, City StateiZip Telephone f
state License c 778156
Designer Name Address City StateEip Telephone
state Licence f
6. WORKERS'COMPENSATION Workers' Compensation Declarabcn
0 of ha work for which this pennit is iuued.
issued. My worker's compensation insurance carrier and poiicy number arc
tnsuranut company State Fund
(THIS SECTION NEE0 NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS RlW] OR LESS) 0 CERTIFICATE OF EXEMPTION: I avtify thfA in the performance of the work for which this permit is issued, I shalt not employ any person in any manner sa as to bme suqect to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' mmpensation coverage is unlawful. and shall subject an employer to criminal penalties and civil Anes up to one hundred
All Star Water Heaters and Plumb 17886 Lakeshore Drive Lake Elsinore CA 92530 8007270977
License Class C36, HIC C~ty Business License f 121 0402
I hereby aMrm under penalty of perjury one of the foliowing declarations:
I have and will maintain a certlflcate at consent to self-insure for workers' compensation as provided by Section 3700 of the Letor Code. for the Performance
I hdve end will mainlain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
poiicy NO. 1591 13900 Expiration Date 08/01/200@3
Ousand dollars (S100.000), in additbn to the cost of campensation, damages as provided for in S
SiGNATuRE
1. 0WER.BUILDER DECLARATION
I hereby aNrm that I am exempt barn the Contracws License Law for the follcwing ream:
0 I, as Owner of the property or my employees with wages as their sole compensation. will do lhe work and the structure is not intended or offered for sak (Sec 7044, BusinBos and Profession8 Code: The Contractor'a License Law does not apply to an owner of property who build8 or improves thereon, and who does such work himself or thrwgh 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 mer-buildw will have the burden d proving that he did not buHd or improve for the purpose of sale). 0 I, as Owner of the properly. 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 properly who builds or improves threrean. and wntracts for such projects with cantractor(s) licensed pursuant to the Contractah License M.
1.
2.
3.
I am exempt under Section
I personally plan to provide me major labor and materials for mmtruetion of the proposed property impmvement.
I (have I have not) signed M applicant for a buildlng permit for the proposed work.
I h&v&c&neyed wlm the follaving person (firm) to provide the proposed consbuction (include name I address I phone number I contractors license number):
Business and Proles~ions Code for this rm:
0 YES 0 NO
4. number I contractors license number):
5.
I plan to provlds portions of the work. but I have hired the following person to cwrdinate. supervise and provide the major work (include name I address I phone
I will Drovide some of the work, but I have contracted (hired1 the follcwng person to provide the work indicated (include name I address / phone number I Lype .. .. of work)
PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous malerials registration form or risk management and prevention program under Se&ns 25505.25533 or 25534 of the Presley-Tanner Hazardous Substance Auxxmnt Act?
Is the applikant or future building occupant required to obtain a permi( from the air pcllution control district or air quality management district?
Is the fadlily to be constructed within 1.000 feet of the outer boundary of schwl sB7 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
YES NO
0 YES NO
UYES NO
REQUIREMENTS OF ME OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTiON CONTROL DISTRICT
I hereby affirm that there is a consbution lenang agency for the performance of the work for whlch thls permit IS issued (Ser. 3087(l) Clvll Code)
LENDERS 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 Cmply with all
City ordinances and State laws relating to building construction. I hereby authorke representatives of the City of Carlsbad lo 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,
JUDGEMENTS,COSTSANDEXPENSESWHlCH MAY INANYWAYACCRUEAGAINSTSND ClTYINCONSEQUENCEOFTHEGRANnNG OFTHIS PERMIT.
€%PIRATION Every permit issued by
authorized by such permit is M) at any time after the work is co
APPLCANTS SIGNATU
ures over 3 stories in height.
nder the provisions of this Code shall expire Ly limitation and become null and void if the building or work from Le date of such permit or if the building or work authorized by such permit is suspended or abandoned
days (Section 106.4.4 Uniform Building Code).
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