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HomeMy WebLinkAbout2418 BYRON PL; ; CB040274; PermitCity of Carlsbad b' 1 1635 Faraday Av Carlsbad, CA 92008 01 -27-2004 Plumbing Permit Permit No: CB040274 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2121433000 Lot#: 0 Applied: 01/27/2004 Reference # Plan Approved: Issued: Project Title: SACKIN RES-REPLACE WATER HTR Inspect Area: 2418 BYRON PL CBAD Construction Type: NEW Entered By: KMT Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-4477 Owner: SACKIN DANIEL P&GREEN DAWN R 2418 BYRON PL CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalURepair 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 Inspector: Clearance: " NOTICE: Please take NOTICE that approval of your project indudes the 'ImpGition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 pming in accordance with Cadsbad 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 $.I A FOR OFFICE USE ONLY PLAN CHECK NO. 4 DL(aL7 EST. VAL. Plan Ck. Deposit Validated By Date &$@bE@~. 2418 Byron PI. Address (include BldgISuite I) Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total t of units Assessor's Parcel X Existing Use Business Name (at this address) . SFR Proposed Use 212-143-30-00 i- Description of Work SQ. FT. #of Stories t of Bedrooms t of Bathrooms Fax P Name Address city State/Zip Telephone t Name Address City StateEip Telephone t Citv Teleohone t " -- (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prlor to its issuance, also requires the applicant for such permit to file e signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codal or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001). State License # 70 License class C-36 City Business License # 1210836 Designer Name Address City State/Zip Telephone 0 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. f i have and will maintain workers' compensation, asrequired by Section 3700 of the Labor Code, for the Performance of the work for which this permit is sued. My worker's eompensation insurance carrier and policy number are: insurance Company policy ~0.467-n-1 nnnn7i 3 Expiration Date 04 -01-04 0 to become subject to the Workers' Compensation Laws of California. thousand dollan ( (THIS SECTION NEESE%S%%HE PERMIT is FOR ONE HUNDRED DOLLARS [$io01 ussi CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ompensation. damages aa provided for in Section 3706 of tho t and attorney's fees. (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 heve the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, em excluslvely 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 contractor(s) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license number): 5. I am exempt under Section I personaliy plan to provide the major labor and materials for construction of the proposed property improvement. YES I (have I have not) signed an application for a building permit for the proposed work; I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 Business and Professions Code for this reason: UNO of work): PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant requirad to submit a business pian, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO is the applicant 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 constructed within 1,000 feet of the outer boundary of e school site? 0 YES 0 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 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 til 1\m 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 Cit). of Cadsbad to enter upon the above mentioned property for inspection purposes. I 6LSO 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 foriexcavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 1 EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limltation and become null and void if the building or work authorized by such permit is no at any time after the work is co APPLICANT'S SiGNATURE DATE r if the building or work I I City of Carlsbad Bldg Inspection Request For: 02/20/2004 4 Permit# CB040274 Inspector Assignment: 3hAx Title: SACKIN RES-REPLACE WATER HTR Description: Type: PLUM Sub Type: Job Address: 2418 BYRON PL Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: SACKIN DANIEL P&GREEN DAWN R Remarks: Total Time: Phone: 7604380995 Inspector: & Requested By: BECKY Entered By: CHRISTINE CD Description Act Comment 25 Water HeaterNents Associated PCRs/CVs Inspection History Date Description Act lnsp Comments