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Home My WebLink About2321 MARCA PL; ; CB013017; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-18-2001 Plumbing Permit Permit No:CB013017 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2321 MARCA PL CBAD PLUM 2163523500 Lot #: 0 Construction Type: NEW STOLBERG RES-NEW WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/18/2001 RMA 09/18/2001 09/18/2001 Applicant: TORREY PINES PLUMBING STE 101 STOLBERG ROGER B&MAR>l51i 09/18/01 0002 01 02 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619 677-5445 Total Fees: $27.00 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 Inspector: PO BOX 9472 SAN DIEGO CA 92169 Total Payments To Date: $0.00 0 0 0 0 1 0 0 FINAL APPROVAL Date: 9/4.r--/41 Balance Due: Clearance: $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 CGP 27-00 $27.00 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 Ca~sbad 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limttations has nreviousl" otherwise exnired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECTINFORMATION 2321 MarcaPI-carlsoaa C'A 92009 <Suite> <Name> FOR OFFICE USE ONLY PLAN CHECK NO. CYJot Jcr EST. VAL. ________ _ Plan Ck. Deposit -----<+-=-- Va I idated By --,---+------,~~- Date __ =1,~-1-..ir.-~-1-,,L-.,~-- Address (include Bldg/Suite #) <L egal Descr> Business Name (at this address) <Lot> <Subdivision Name/No> <Unit> <Phase> <Total> Legal Description <Assessor No> Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units SFR <Proposed Use> Assessor's Parcel # replace water heater Existing Use <SQ FT> <Stories> Proposed Use <Bedroom s> <Bathroom> Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms CONTACT PERSON (If different from applicant) <N am e> <Address> Name Address S T <Zip> <Phone> <Fax> Telephone# Fax# a. APPLICANT C Contractor Ne tCterK"°lnc 88833017{7 Name Address City State/Zip Telephone# 4. PROPERTY OWNER Roger Stolberg 2321 Marca Pl Name Address San Marcos Ca 92009 7607533236 City State/Zip Telephone# 5. CONTRACTOR -COMPANY NAME (Sec. 7031.5 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). ARS o f California Inc. 6162 Nancy Ridge Dr. #100 San Diego CA 92121 8586775455204 Name Address City State/Zip Telephone# State License# _7_4_2_0_3~9 ____ _ License Class <Address> B C 16 C20 C36 HIC City Business License # 1030700 <City> ST <Zio> <Phone> <Name> Designer Name Address City State/Zip Telephone State Licence# _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. liZI 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 Issued. My worker's compensation insurance carrier and policy number are: Insurance company American Residentia l Policy No. WC7083869 Expiration Date 01/01/2002 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 an employer to criminal penalties and civil fines up to one hundred thousand doll-~"1), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE _____________________ DATE_0::..:9::.:./...:.1..:..7:..::/2:..::0:..::0c..:1 ____ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License 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 and the structure is not intended or offered for sale (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 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). D 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 threreon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES ONO I (have / have not) signed an applicant for a building permit for the proposed work. I hay\l contracted with the following person (firm) to grqvide the~roposed construction (include name ( ~~drflsV phone number/ contractors license number): <Name> <Aaaress <WorK Phone> <State License> 1 4. I plan to provide portions of the ~rk, but I have hired the following person u, cqaordinate, supervise and provide the m!3jqr work {include name I address / P.h.one number I contractors license number):<Na m e> <Aaaress> <work Phon e> <Sta te License> 5. I will P[QVide some of the work, but I have contracted (bir(ld) the following person to provide the work indicated (include name I address I Rti.o.ne flUJllber / type of work): <N am e> <Aaaress> <Work Phone> <WorK I ype> PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL: BUIC:DING PERMITS ONLY 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES 0NO Is the facility to be constructed within 1,000 feet of the outer boundary of 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. ii. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3087(1) Civil Code). LENDER'S NAME;;;;;;;;;;;;;;_-;.;;-,~-------_-_-_-_-_-_-_-,:_-_-_-_-,;;.-LENDER"'_::S_:A::D;,:D;,:R_:;E:,:S;_:S~:;::;;;:;;;:;;;:;;;:::;;;;;;;;;:;;;;;;;;;;;;;;;;;;;;;:;;;:;;;;;;;;;;;:::::::;:;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;:;;;;;;;;;;;;;;;;;;;;;; 9. APPLICANT CERTIFICATION • 1 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 City of 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, JUDGEMENTS, 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 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 permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~-------------------DATE -'0'-"9"'-/-'-1-'-7"'/2'-'0'-"0;....1;__ _____ _ City of Carlsbad Bldg Inspection Request For: 09/24/2001 Permit# CB013017 Title: STOLBERG RES-NEW WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2321 MARCA PL Suite: Lot 0 Location: APPLICANT TORREY PINES PLUMBING Owner: STOLBERG ROGER B&MARY A Remarks: Total Time: ~ Description 4v AirCond/Furnace Set 4!Jfi._ --· 'j}_P_omments Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 0000000000 Inspector: Requested By: TIFFANY Entered By: KAREN