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HomeMy WebLinkAbout2342 LONGFELLOW RD; ; CB071734; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-26-2007 Plumbing Permit Permit No: CB071734 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2342 LONGFELLOW RD CBAD PLUM Status: Parcel No: 2121424200 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: ROSELL RES REPLACE WTR HTR Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 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: ROSELL JAMES R&DEANA V 2342 LONGFELLOW RD CARLSBAD CA 92008 ISSUED 06/26/2007 KG 06/26/2007 06/26/2007 $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: Inspector: 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 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 wm 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 waler 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 f I i ns I whi h h r vi I 'v n N T iml! r o hi r h vi I h ir PERMIT APPLICATION fOH Uft=ICE Utit: ONLY PLAN CHECK No®7 n :t-( EST. VAL. -------,----CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units G1 ;?t7 Prbposed Use A~sor's 1 . Parcel # {? C( cg__ Description of Work I /~X~Sti\¥}_:0: w {/d::g_/\ d ~~_I , l so. FT. I 0fMIY1«f 2 ca tM #of Stories II of Biidrooms II of Bathrooms ···.,:•·c'·•faf,•1,:t\il:.~Ai1il;:\;,i;':;,~~:1.JiirJilfai,s1f;;Ji.;~tiii~,1.~t~ilri.~ii (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 . Any iolati n f Secti n 7 31. b an appr nt for rmit sub' cts the applicant to a civil nalty of ruu,..more than five hun red do I 500)), , 1 • ( V\ () .f\Je.uJhtlt State/Zip Telephone # City Business License II _,L) _.'Z--=../ _,]c.;2-c..._]...,__.,I,_ a,---vl t32...) Designer Name Address City State/Zip Telephone State License # _________ _ [6?;-/1:1-:WQRKERSPC'.'oMP~NSATJ.PN~;.\,:tJJ;: ,j: • '"' ..... , ,, , ,h ., •, I• L,/'.• [:fa;;c,~·- 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. '0° I have and will maintain worker,s' compensation, as required by Section 3700 of the Labor Code, (or the performance of the work for 'which this permit is ~ed. My worker's compe sation i ranee car er and policy number are: . ? fl\/~ r'") a ()\ (/1 0 I . . I ,,:..... I ,_..A (J Insurance Company __ ...\......L~~'-'i......1:.:::~~<.1...L~~-------Pohcy No .. _~.,_,.:::,,,:.,.o<....._l_..__D_....._:=J_.. _ _Q.:,,__...1...::::~.-Exp1rat1on Date _ _,_ __ ·_ U __ -"' 7) _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Work ensation Laws of California. WARNING: Failure to • or ra' compensation coverage la unlawful, and ahall aubjact an employer to criminal penalties and civil finea up to one hundred thousand dollar• ($ 100, 0 a i n to the coat of compensation, damages ea provided for in Section 3706 of the abo t rHt nd attorney's feea. SIGNATURE. ___ --jl/-f----!l'c-1------------------------DATE -~11<-J...1,.-L-1...L..:~L-- l~l)Y)IJmliJIYJilP.tii:l. -~ ', irll:fNl\~~~-ii·~~~ill'}Y.1s1~::;;;ililJ~J,I~il}~~i~l1f.:~~~;;~~ji;;i.i~~~BZ1•~~t~\i;1(~,li~??:Jt'.~~1JlbtJ I heieby affirm that I am e 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 (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). O 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 wi~ contractor(s) licensed pursuant to the Contractor's License Law). 1 D 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 eppllcatlon for a building permit for the propoHd work. 3. I have contracted .with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. 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 I phone number I 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 I address I phone number I type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ r.r;o1w!~1:T1;Ir1:11sf_s1:c;t.ioNI11op.•rJ91Vjlf.Efitf!Pwif.~tay1Lo1N_C!il'ER~lTs·QN1;yJiQt'fai~:I1,·i~~:mru~witiihld.~~li'.~~..it~.i:1.1;1ti14.iJ:ij~it.-.tf,:Lr$J\;,i~lliii~,~ 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, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Aot7 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~nstructed 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. . flt~~:Cg..NJftB..~ qtuiN.f(~ri PJN~QlA~J;_NJ~Yr'.t~~t¾jtt::.12~~~~ 1:. :~i'.tI l.~i'-~J:t~i~i'!~t~1'.f{~;;~;:~!),~i}:::r\:~:::;;'.;l~;~1,1:f~! 'J~~:'.":~2~'.~f irfJt;~;_"lt:;~:f :j1::"~'.,:1:~~:J?\;j\~l~~:rl~~:1Jt_~· ~1~~ :~i~~~\~'.;~jili.~;~J'.~~j, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(11 Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS. ________________________ _ ti:t~IAR.eU.cAN~::~t8:t1.fi~lf0NJ.Jf{i~;1:~~(J~f\~~M;;.; 'I .,:~),/f, -~ ·;. !,:·r.~~~ :~~-J;'.; u(i-J(l,11r-:i~t<i.~. ,.,,~ ;~\:~~il~,?(~~t~:;;-:~-friU~~Jt~w:;·:~~1;.J~&lm'.WfJ!JJii:f~~iKJ 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 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 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 nee ilhin 180 days from the date of such permll or if the building or work authorized by such perm t Is suspended or abandoned at any time after the work is com ed o of 180 days (Section 106.4.4 Uniform Building Code). DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/17/2007 Permit# CB071734 Title: ROSELL RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2342 LONGFELLOW RD Lot: 0 OWNER ROSELL JAMES R&DEANA V Owner: ROSELL JAMES R&DEANA V Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7609186929 Inspector: Requested By: DEANA Entered By: CHRISTINE 25 Water HeaterNents a_ __ __:_N---=---<>_C_lt______!pO---=----""N~-=s___.__.(Te"'--"'<-- ----------------·----- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments