HomeMy WebLinkAbout2343 ALTISMA WAY; A; CB044153; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No: CB044153 11-1
FINAL APPROVAL
Inspector: Date: Clearance:
7
Job Address:
Permit Type: PLUM Status: ISSUED
Parcel No: 2152402946 Lot #: 0 Applied: 11/15/2004
Reference #: Plan Approved: 11/15/2004
Issued: 11/15/2004
Project Title: RITTENHOUSE RES NEW H20 HEATER Inspect Area:
2343 ALTISMA WY CBAD St: A
Construction Type: NEW Entered By: SB
Applicant:
DRAIN PATROL
4807 MERCURY ST
SAN DIEGO, CA 921 11
61 9-560-1 137
Owner:
RITTENHOUSE DIANA L
2343 ALTISMA WAY #C
CARLSBAD CA 92009
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
InstalllRepair 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
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feesiexactions." You have 90 days from the date this permit was issued to protest imposition of these feeskxactions. 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 feesiexactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or selvice fees in connection with this project. NOR DOES IT APPLY to any
feesiexactions of which vou have Dreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv otherwise exaired.
PWK U?Plt't= USE WNLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK NO.aDq y/s~
Address (include BldgISuite #) Business Name (at this address)
Legal Description Lot No. Subdivision NameINwnber Unit No. Phase No. Total Y of units
Assessor's Parcel # Exjsting Use Proposed Use
W4TPA /ff&Tfi/ 44U4/fAt%bPT/fl~
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
Address
(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 irS
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
IChsDter 9. commending with Sectlon 7000 of bivision 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violati& of Section 7031.6 by a
Name
State Ucense #
applicant for a permit sub&ts the applicant a civil penalty of not more than five hundred dollars 186001). I)EA/N dc Zd! L/!O&Wd 3/ fidW PA Statelzip 95@Z /f666571137
City Address
License Class c3d tf/C C Yz City Business License # / I 9
Designer Nrme Address City State/Zip Telephone
State License #
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued.
I hrvo and will maintain 6 certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
I have and will meintain workers' compensation, as required by Section 3700 of the Labor Code, for-the performance of the work for which this p m is 5 issue . My worker's compensation C h: {lld676# insurance N''uA carrier and HP@ policy number are: Policy No. - /7i%75(- Expiration Date ,pO$- Insurance Company
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 OR LESS)
0 CERTIFICATE OF WMPTION: I certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any menner so as
mhal pendtk and dvR hs up to one hundred th. Labor code, Interest and ettorney'r fnr.
ensattion Laws of California.
0 1, 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, Businens 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 hia own employees, provided thst such improvements are not intended or offered for sale. If, however, the building or improvement is add 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's Ucense Law doer 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
1.
2.
3.
I rm exempt under Section
I perronalfy plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have I have not) signed an applicetion for e building permit for the proposed work.
I have contractd,with the following person (firm] to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Coda for this reeaon:
~ ~ ~~~
4.
number I contractors liceme number):
6. of work):
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 I address I phone
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
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 Seotions 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? - 0 YES
Is the applicent or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO
Is the facility to be COMtNCtOd within 1.000 feet of the outer boundary of a school aite? 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTlFlCATE 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.
0 NO
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
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 a11 City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit) of Carlsbad to enter upon the ebova 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 AOAlNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit la required for excavations over 6'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION Every permit
authorized by such permlt is at any time after the work is
APPLICANT'S SIGNATURE DATE
of this Code shall expire by limitation and become null and void if the building or work
h permit or if the building or work authorized by such permit is suspended or abandoned
.4 Uniform Building Code). -
I
City of Carlsbad Bldg Inspection Request
For: 1 1 /16/2004
Permit# CB044153 Inspector Assignment:
Title: RITTENHOUSE RES NEW H20 HEATER
Description:
Type: PLUM Sub Type:
Job Address: 2343 ALTJSMA WY
Suite: A Lot 0
Location:
APPLICANT DRAIN PATROL
Owner:
Remarks: PM PLEASE
Phone: 7604761 993
Total Time: Requested By: JOE
CD Description Act Comment
Entered By: CHRISTINE
25 Water HeaterNents
Associated PCRs/CVs
Inspection Historv
Date Description Act lnsp Comments
DI+!~PATROL
Amerlcan Allfame Alwsys Available
Drain Patrol 2400 Llndbergh St.
,Auburn CA 95602
Mwam
‘ Certificate Holder is Additional Insured **I
I 1- I I
e ACORD CORPORATN 106s