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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 $27.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otheiwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. Cl3<:)"l<tl-'is~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By _ _,_,,c,T _______ _ Date ,d \ «-\ ""G ( ~t~~: ·i~;:",,;;':;ttd:i:t,;?t.;;~\,;::s .r; ~B1fJ/r<:-,ii?~~l:a~~~~¾\,~t;f"~~;,:~;;:;.;;;x~'.-sitJ.~ .').t/0> /17,_,-fe, L;(Z. Address (include Bldg/Suite #) Business Name tat this address) - Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Existing Use Proposed Use SQ, FT. #of Stories # of Bedrooms # of Bathrooms t"C Name Address Fax# ~""~~~•i$l w ··· ,,. ,..~ ""~-------~ · Cv f'.e-l_ _,-,""'-"Cl..-7 "" '7' ~-cdS-7 Name Address City State/Zip Telephone # --J'r~--~;-.~~J:4!Jd~½iiU¥l4$h,),1~tM-•::~?~~~~-~0et:'n::'!~:-~<z:~·;"··," ,, ;t_, G--l-., -...,, . .e ~--,.,,, I,,.....[ c~ i.,,,,r ,:,, Address City S.tate/Zip elephone # ·1:ii~~~~~~~~;;r-im::0;::::b;:;::;~·::::;\'_;:::;: .. · :i"" (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 # _________ _ it1t+!~RKSiiiHt:'O.Mftf.lfM«'ii;Hi~Sbt~!~~~-t5~'~::t'+jM~F:lfi.:f~\\t'".:'.'i:'"•·~-;:-,;:::9::::?~'-:';· 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