HomeMy WebLinkAbout2405 MARK CIR; ; CB994282; Permit~01>1; City of Carlsbad
11/16/1999 Plumbing Permit Permit No:CB994282
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
AIRE CARE
Building Inspection Request Line (760) 438-3101
2405 MARK CR CBAD
PLUM
1671604100 Lot#: 0
Construction Type: NEW
REPLACE EXISTING FURNACE
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
BASHORE BRIAN A&SUSAN
ISSUED
11/16/1999
GMF
11/16/1999
11/16/1999
1401 CORTE LA MANTUA
ESCONDIDO, CA 92026
619-746-7611
2405 MARK CIR
CARLSBAD CA 92008
6275 11/16/99 0001 01 02
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
TOTAL PERMIT FEES
Total Payments To Date:
0
0
0
0
0
1
0
$0.00
Inspector· ~<o/-. FINAL APPROVAL
Date: / 2-G,-'fl
Balance Due:
Clearance:
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$27.00
C-PRHT 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 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 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 oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otheiwise exnired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
FOR OFFICE USE ONLY
PLAN CHECK NO. Cl3<:)"l<tl-'is~
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Pal mas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By _ _,_,,c,T _______ _
Date ,d \ «-\ ""G (
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Address (include Bldg/Suite #) Business Name tat this address) -
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units
Existing Use Proposed Use
SQ, FT. #of Stories # of Bedrooms # of Bathrooms
t"C
Name Address Fax#
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Name Address City State/Zip Telephone #
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Address City S.tate/Zip elephone #
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(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 h~ is licensed pursuant to the provisions of the Contract~r•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 violation of Section 7031.5 by an applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
,:£-,(; ,4,)2 ,..,.{_ /t Cv ,::_ £A' /f~..,._ 9.c_ c..._ 9k-:,... &,-7 /;-,~,;
Name City tate/Zip Telephone #
State license # -~',../;",1_,?,._,t~O~----License Class ~C--~_-_2-<' ______ _ City Business License # _______ _
Designer Name Address City Stete/Zip Telephone
State License # _________ _
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Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maiintain 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.
D 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______________________ Policy No .. ____________ _ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLET£0 IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS)
i5I:'.:_' CERTIFICATE OF EXEMPTION: I certify that in the performance of th8 work for which this permit is issued, I shall not employ any person in any manner so as
I{; b~ome subject to the Workers' Compensation Laws of Califomia. .
WARNING: Failure to HCure workers' compen1■tlon coverage l■ unlawful, and 1hall subject an employer to criminal penalties and civil fines up to one hundred
thousand doUara 1$100, ), In addftio to the cost of compensation, damages H provkled for In Section 3708 of the labor code, Interest and attorney's fees.
DATE //-LG,. -'79 SIGNATURE
'7~~.'110" ~~~«~*rH2Jltwt~1¥1':r"~J!;;~~~::r,:1er~:f¾\-lt\~;i't::S_t::::?'.:,=:.:•1: :-:-1:.-.~~·-
mpt 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 compfation, 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 thereon, and contracts for such projects with conttactor(sl licensed
pursuant to the Contractor's License Law}.
0 I am exempt under Section ______ Business and Professions Coda 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 I have not) signed an application for a building permit for the proposed work.
3. I have contracted 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 have hired the following parson to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors license number); ________________________________________________ _
5, I will provide soma of the work, but I have contracted (hired) the following persons to provide the work indicated Unclude name / address / phone number / type of workl:. ______________________________________________________ _
PROPERTY OWNER SIGNATURE_______________________ DATE====::--:--,--,:---,---
OOlilem@'!tJiJ$'i!E,Cffl!I\IDill/~f~~~lij,!'lj1111!f\;~j,~<'lskS"3,::c,~;;c.(,
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 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 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? D YES D 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.
,~~~~rJfi~~a:D,,,v~~lft,~:ii~t~~~~.t!J~(4~~:!;;..,;;~i:1~;;,s,;:;;;j;;;;,;:_;;;{\%?t',::
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 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 shell expire by limitation and become null and void if the building or
work authorized by such permit is not commenced within 365 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 w is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE
YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 12/1/1999
Permit# CB994282
Title: REPLACE EXISTING FURNACE
Description:
Type:PLUM Sub Type:
Job Address: 2405 MARK CR
Suite: Lot 0
Location:
APPLICANT CALDWELL, JAY F.
Owner: BASHORE BRIAN A&SUSAN
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: ~
Phone: 7604347307
Inspector:~
Requested By: ANDY
Entered By: CHRISTINE
43 AirCond/Furnace Set 112 _____ _ ---+-----
Associated PCRs
Inspection History
Date Description Act lnsp Comments