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Home My WebLink About2409 LA COSTA AVE; D; CB092224; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-31-2009 Plumbing Permit Permit No: CB092224 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2409 LA COSTA AV CBAD St: D PLUM Status: Parcel No: 2162405540 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: PERSSON: INSTALL NEW WTR.HTR Inspect Area: Applicant: COASTAL DESIGNS 2936 GRAND PL CARLSBAD CA 92009 760-960-3977 Plumbing Issue Fee Fix1ure 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: PERSSON LINDA M 2409 LA COSTA AVE #D CARLSBAD CA 92009 ISSUED 12/31/2009 JMA 12/31/2009 12/31/2009 $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: jlll\ ~~~ Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reseivations, 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 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 inf 'h h rvi I Tl E imilr hi r hihh flimitain h «~~> Plan Check No. rB, 1/"f z,z_Z-t.f Building Permit Application 4 ' /, 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date 12--/ 3( lo"l l~wv-r JOBADDR~ h-Co"'\,__ A..,._~ SUITE~S\Jl#~ IAPN ,; , ~ CC---\. --- CT/PROJECT# rOT # I PHASE# # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK'. r.:d• ~ua,e Feet of Affected Area(s) ,-. l :'.,... ._ \ \Ac.....) V-.'.) .__ .\ C / .U,,__~ \,, -- -- EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NOD YES O NOD YES □ NO □ CONTACT NAME (H Different Fom Appl/cant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL PROPERTY OW~A~,..O. ') ,.. ·-v~-,,.,,,._, _ .... ~NTRACTo:,-;s. NA~E_\ \ -.,..,. \},~ \ ""; l A<:,- ADDRESS ~ C..,-.:,\~ A->-%\J ADDRESS ~JV"'-~ ~\;c ~I..\.OC\. ~ ......, c.. <"" CITY G.,-~\. _)( STATE ZIP CITY<__;_-,.,_, \.,__~l. L(,.) STATE 11 ZIP CA.. ..-,; -• C, =w,::ia'°'\ PHONE IFAX PHONE I FAX 7C:G -9C:.o -::F(n ,::C. o-cr,3/ -..:::;,S-""$ .:2_ EMAIL EMAIL I~ ~0~'-l ~ \ J✓c_-21 '----. -... ,.__ ' ~ ARCH/DESIGNER NAME & ADDRESS STATE LIC. # ""'cq9. q v IC~ tlTY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve. demohsh or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a sil!,ned statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 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 exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). · WORKERS' COMPENSATION Workers' Compensation Declarallon: I hfJreby affirm under penalty of perjury one of the following declarations: □ 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. □ 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 workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ t ·s section need not be completed if the permit is for one hundred dollars ($100) or less. rtlficate of Exemption: I certify that in lhe pelformance of the work for which this permit is issued, I shall not employ any persoo in any manner so as to become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand do Hara (&100,000), In addition to the cost of compensation, da n 3706 of the Labor coda, interest and attorney's fee&. ~ CONTRACTOR SIGNAT~R □AGENT oAre /,;;} • .3 I-a I hereby affirm that I am exempt from Contractor's Ucense Law for tha following reason: □ 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). □ 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 lo an owner of property who builds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _____ .Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for coostruc~on of the proposed property improvement. □ Yes □ No 2. I (have f 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 I phone I contractors· license number): 4. I plan to provide portions of the wo,I(, but I have hired the following J)efSOn to coordinate, supeNise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I will provide some of the work, bu! I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work): ,IS PROPERTY OWNER SIGNATURE □AG.ENT DATE COIIIIPl.ETI! THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registratioo form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pre~-Tanner Hazardous Substance Account Act? □ Yes □ No 1s lhe applicant or lull.Ira building occupant required to obtain a permit from the air pol!ubon control district or air quality management district? □ Yes □ No Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. I t:ertify that I haYe read the application and state that the above lnfunnation is c:on-ect:and that the lnfonnatlon on the plans Is acct1rate. I agiee to comply with all City ordinances and State laws relating to building construction. I hel8by aulhorize rep,esenlalile of lhe Crty of Carlsbad benler upon lhe above rronooned property for •specooo 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 AG.AJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requi'ed br excavations over 5'0' deep and demolioon or a>nslruclion of structures over 3 sbries in height. EXPIRATION: Every permit issued by lhe Buikling Official under lhe provisK>ns ol lhis Code shall expire by li'nitalk>n arxl become null arxl void ii the build rig or work authorized by such pemil is not ccmnenced 'Mtlin { 180 days from the date of such pemit a if the buidi"tg or Y.Ol'k authorized by such pennit is suspended or abandooed at any line after ttie work is commenced for a period ol 180 days(Secoon 106.4.4 lklibrm Buikli"tg Code). AS APPLICANT'S s10NATURE DATE / _) , ) / -0 = . ~=-==~~~=-------=----~~:___J_______________________j City of Carlsbad Bldg Inspection Request For: 01/04/2010 Permit# CB092224 Title: PERSSON: INSTALL NEW WTR.HTR Description: Type:PLUM Sub Type: Job Address: 2409 LA COSTA AV Suite: D Lot: 0 Location: APPLICANT COASTAL DESIGNS Owner: Remarks: Total Time: CD 25 Description Water HeaterNents Act Comments __ F\ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7609603977 Inspector: ---- Requested By: DREW Entered By: CHRISTINE