HomeMy WebLinkAbout2409 LA COSTA AVE; D; CB010504; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02/06/2001. Plumbing Permit Permit No:CB010504
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2409 LA COSTA AV CBAD
PLUM
2162405540 Lot#: 0
Construction Type: NEW
FABIAN RES-NEW WATER HEATER
REPLACE FAU
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/06/2001
RMA
02/06/2001
02/06/2001
TORREY PINES PLUMBING
STE 101
MARSHALL ANTHONY&FEIW4(/J[e~06/01 0002 01.
6121 NANCY RIDGE DR
SAN DIEGO CA 92121
619 677-5445
Total Fees: $51.00
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
2409 LA COSTA AVE #D
CARLSBAD CA 92009
Total Payments To Date: $0.00
0
0
0
0
1
0
0
Balance Due:
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$24.00
$0.00
$0.00
$51.00
FINAL APPZVAL
Dat,.-2 · / 0 f Clearance:
CGP
$51.00
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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
02
51,00
PERMIT APPLICATION
FOR OFFICE USE O~~
PLAN cHecK No. \--Dv'/O Solf
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. _________ _
Plan Ck. Deposit ------1"'9....,,.---
Business N■me C■t this eddress)
legal Description Unit No. Phase No. Total I of units
I of Bathrooms
St■te/ZJp Telephone I Fax I
~~ -, ........... ..,,..,._.r..,_.. ... , .. ...,,,.,.~"°"~™=. ,,,~=~~-__;~==!;_,~,:~~~~~~~-W'=·~JQL i,I ..... ,1:0tW.tnAl.ilUn••'-"""UMPAn.-.:IUUIIJ:Pl· ., , .,;~~~~~~~.~~~-'~~'M~M"·~,n .. ,.&. 111, .. 1,, a:~ ... l! 1 .•• ?,.,
(Sec. 7031.5 Bu1ineu ■nd ProfH■ions Code: Any City or County which requires I permit to construct, alter, improve, demolish or repair any structure, prior to Its
issuance, 1110 requires the applicant for such permit to file • ■igned 1t1tement that he Is lic-•d puniu■nt to the provisions of the Contractor's license l■w
(Chapter 9, commending with Section 7000 of Division 3 of the Business ■nd Professions Code! or that he ta e,cempt therefrom, end the basis for the alleged
uemptlon. Any violation of Section 7031.5 by ■nv epplicent for a permit subjects the applicant to• civil penalty of not more than five hundred dollars 1$5001).
ARS/DBA COAST/MAIO/TORREY PINES PLUMBING 6121 NANCY RIDGE DR #100 SD.CA 92121
Name
State License , 7 4 2 0 3 9
Address
license c1es.B / C -3 6 / C -2 0
City State/Zip Telephone f 61 9 ) 6 7 7 _ S 4 4 S
City Bulin■-■ lie-• I 1 0 3 0 7 0 0 ,
Designer N•rr• Addres■ City State/Zip Telephone
State license I _________ _
•e:•c;:,-woli1tEiiS':cOMPENMTIONi']f3Vr'M,'W'i~~'W~~~~~~~l,,~~~('®W~~;~2',';",:;~~;,-::!'i-"i'i;~;'.:J~'.:J;~.~:~~'!f'Z:'if ''
Workers' Compensation Oecl■retlon: I h111eby affirm under penalty of perjury one of the following declarations:
0 I have end will maintain a certificate of consent to Hlf-inaure for workers' compena■tlon as provided by Section 3700 of the labor Code, for the performance
of the work for which this permit 11 l■aued.
~ 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
i11ued. My worker's compenaation insurance carrier lnd policY. number ■re: '10 8 3Bb q O I -0 1 -C '2..
Insurance Company -·-iDs:OH I n~tt.Z: ancsrntt'"l~'vr~ Policy N6. 7 Q 8 ;a 9 7 3 E,cpir■tion O■tE Q 4 01 0 f
CTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS!
0 'CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thi1 permit is issued, I ah1II not employ ■nv person I~ any manner ao ••
to become subject to the Workers' Compenaetlon lews of Celifomia.
WARNING: Fallunt to ■-wOltl .. ' compenalltion coverage la wlle , encl ■hell IUbject an employer to crtmlnal penahlea and clvft flnH up to -hundred
thousand dollar■ 100,0001, In llddltlon o co of • , de · ,Section 3708 of the labor code Interest and attorney's fN1.
DATE_ .... ""'-4-.,,.,..c...L.-f-'~4----
0 I, as owner of the property or my employees with wages H their sole compenaation, will do the work and the structure is not intended or offered fo, Hie
(Sec. 7044, BualneH ■nd Prof■Hions Code: The Contractor's llcenH Lew does not apply to ■n owner of property who builds or improves thereon, ■nd who doea
such work himself or through his own employees, provided that auch improvement■ ■re not intended or offered fo, sate. If, however, the building or improvement ia
sold within one veer of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale).
0 I, 11 owner of the property, 1m e,ccluaively contracting with llcenaed contractors to construct the project ISec. 7044, Bualness and Professions Code: The
Contractor's Licenae law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorCal licensed
pursuant to the Contrector'a License Law).
0 I am e,cempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and matari■ls for construction of th• proposed property improvement. 0 YES ONO
2. I (have / have not) signed an application for I building permit for the propoHd work.
3. I hive contracted with the following person lfirm) to provide the propoHd construction llnclude nama / address / phone number / contractors license number):
4. I plen to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work linclude n1me / 1ddre11 / phone number / contractors license number): _______________________________________________ _
5. I will provide some of the w• ,rk, but I hive contracted I hired) the following persons to provide the work indicated linclude name / eddress / phone number / type of work): _________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________ ....,.._______ DATE
COM ..... ..-Ji,JIJ: "E ........... , ....... --... -... ..-,u-1· :O-•lli(Kiuft™W1t._..'U< ____ i,;.~~""-rn-,::.n-,,~-.. -.l,.,-::E.1-' ,-,,-.. r---v.-.,,,.-.-.,.-•• """ .. _ ••.• ,rn"h'"l'!1"'r·· ,~a.:=;~,r,11~·· \,i,..IIU .. ,run;n~,;n.)J.~' ,u,...,nv:n.nnq,a~--' V , j • ·, ~.ot~.:~,:..:..;...;:}:/1~ .... ~J .. -:.,:~,.::·· • •✓.i~~tt.1}r:::-,~-:, .:.. ... zf::.!i ••
Is the! app!i~1nt or. f,uture building occupant required to aubmit a bu8lneas plan, acutely haz~rdoua materials reg;atration form or risk management end prevention
program ~ro•r .~itetion• 25505, 2!5!533 or 2!5534 of the PrHley-Tanner H■zardoua Substance Account Act?-Q ¥&&; Q NO . '
Is the applicant or future building occupant required to obtain I permit from the air pollution control district or air quality management district? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of • school site 7 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.
:a:...:-:,'CQNm,Q'cnt)Jf~1Neif~•~PA~~If~.m1~~im.r~~};J~~5.F~.J-:il!~~-::r'':~:.;-::.m~':--?~. ,1·,/:.-;;;:,.•· ~;·
I hereby 1ffirm that there is• construction lending agency for the performance of the work for which this permit is issued ISec. 3097CI) Civil Code).
LENDER'S NAME_______________ LENDER'S ADDRESS
~~c~Flf:AttoN:t.m~~··Mti;:;;."':""":i:;~~:'!·i~i~~m·· ~-ijm,~-~. ~-~-=~~. i~m~#~5iiii,iiwii.~ii~ii.ii·i . i .. i. :i. ii-~-~·i.~ff'f~:fb"'~/~t!~rL~:,..,~,,~~:.~·L~;.:~:,~.,I=.-::--. ,:;;?~:-:·-~,:~t--~·-:-;:-· ·:.:~ .. -:: ... ~::::.:.7-··:'.">: .. :~;:~•:::::.-
' ~•rtify _that I have read the application end state that the above information la correct and that the Information on the plans is accurate. I agree to comply with all
City ordinances and State l1ws relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned
property for ihspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES,
JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE' GRANTING OF THIS PERMIT.
OSHA: f"n OSHA permit Is required for ucav■tions over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRA TIO~: Every permit issued by the Building O~i~lal under the provision• of this Code shall e,cpira by limitation and become null and void if the building or
work authorized by such permtt Is not co_mmenced wtth1n 365 divs from the date of such permit or If the building or work authorized by such permit is suspended
or abandoned at any time 1ft r work II commenced fo ·od f 180 days Section 108.4.4 Uniform Building Code). :1JQ \ \
0
J.
APPLICANT'S SIGNATURE ...lo,l=:::l~~~7"-<lt-J.-l.ll,,,L.¥,4-+,l-A:::..'...L.L.LIUL.Jf:!.:::....._______ DATE ,-1 __ "
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 02/13/2001
Permit# CB010504
Title: FABIAN RES-NEW WATER HEATER
Description: REPLACE FAU
Type:PLUM Sub Type:
Job Address: 2409 LACOSTAAV
Suite: Lot 0
Location:
OWNER MARSHALL ANTHONY&FERNANDA
Owner: JARVIS H RAY&ANNA M
Remarks:
Total Time:
Act Comments
Inspector Assignment: PD ---
Phone: 8586775455 EX 204
lnspector:tflL
Requested By: TIFFANY
Entered By: CHRISTINE
CD
25
43
Description
Water HeaterNents
AirCond/Furnace Set
'f_ __ fi_lll_/G(\._ _____ _
Associated PCRs
lns11ection Histo01
Date Description Act lnsp Comments
02/08/2001 25 Water HeaterNents co PD NOT FINAL
02/08/2001 34 Rough Electric AP PD
02/0812001 43 AirCond/Furnace Set AP PD