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HomeMy WebLinkAbout2450 MARK CIR; ; CB040969; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-24-2004 Plumbing Permit Permit No: CB040969 Job Address: Permit Type: Parcel No: Reference #: Project Title: BuildinCJ Inspection Request Line (760) 602-2725 2450 MARK CR CBAD PLUM 1671604500 Lot#: Construction Type: 0 NEW CULLEN RESIDENCE WATER HEATER REPLACEMUT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/24/2004 MDP 03/24/2004 03/24/2004 Applicant: A&J FOSTER, INC. STE B CULLEN-CONDON FAMILY TRUST 05-12-99 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 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 Additional Fees TOTAL PERMIT FEES Total Fees: $27.00 0 0 0 0 1 0 0 2450 MARK CIR CARLSBAD CA 92008 Total Payments To Date: $0.00 $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 Balance Due: $27.00 9252 03/24/04 0002 01 CGP Inspect : Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest tile specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or se1Vice fees in connection with this project. NOA DOES IT APPLY to any x h v vi u I n iven N TICE simil r I thi or as to whi h h r i I '.'.)2 2? ,,i)O PERMIT APPLICATION CITY OF CAFlLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. _____ _ EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. _______________ _ Business Nama (at this address) L,il Description 07 -100 · L\'5-00 lot No. Subdivision Name/Number Unlt No. Phase No. Total # of units As~sor's Parcel # Proposed Use ~)C!s:". scriptioof Work #of Stories # of Bedrooms # of Bathrooms Designer Name Address CiW State/Zip Telephone State license # __________ _ i'6i';1!i '11::WIJJf1(eRS.t'L¢Ql~lii~N$'A!ri&N11!1ii•1m~ir,ii1!r.:t1il[!i[:)!f!M!i]!imi:lilil!l:[~1iiru~ii:J;m:ii:iu1ri~::n~:(\i!i{~li~;tITTr~~1iJ~;:1:irt1r~~i(!lit1:Jlj'l~!~~~~™liimJ~~jj~{if~~(ill~i~i~ii11111llfl~~{~f;i11:r:1111:)fii!jii!\i!!l(:f~ir1t,r: Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 .. ~e work for which this permit is issued. Jg_ 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~ £'.ens tion insura e carrier a pol!cy number are: .• ~ . _ . \ , )~'i I Insurance Company , Policy No.LH.oJ-Ol(l ::en 713 Expiration Date.~_~O~,-.~~~--1---- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) I 0 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage s unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ,;:;~i;~:::::::~:::oo:~~~ffiiqijli!!!:!:ii::i:lb,i'!ii\;,::,.•:i!i:,,;;,:i;,,,,;:::,::~:,:i:;;~l:;[:;;:!:::~:i,::i:~::;,:i;:l~~~~;;ij:1::z~;::;;i,~:,;i,:;,;,::::;!:!;,,,::;::;i,!ii!!! License Law for the following reason: D 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 wilt 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 contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section _______ Business and Professions Code 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 I address I phone number/ contractors license number): 4. 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 / address / phone number/ contractors license number):. ____________________________________________________ _ 5. 1 will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated {include name/ address/ phone number/ type of work).,_----------------------------------------------------------- PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ :·coMra,~tr:~mJtfli$ii~~Cl'i'ONJif.Qll~NQi,ir~.E~iD.E}(:if)ftii.QQj~i))N,ij[R~B1!ihJ:gQN~m~-~!il1ffi!t~,~~lffiI1l[i1j~(~E[~~~,,~1tt1i~t;(~~lil~lilt~mlll~~,ttll~imi~fi;ii(i~iii]!r!:i~l~i1\~!i:fi:~\\i(~;ti:1 ,;'f;i;![Jit;ir,4 ts 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 26505, 25533 or 25534 of the Presley-Tanner HazardoUs Substance Account Act? 0 YES D NO ls the applicant or future bullding occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facllity to be constructed within 1,000 feet of the outer boundary of a school site? O 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 15 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT • . Ef;:}:t;:!t:GQ:ij~lffij,bl1P'.Ni!t~._-~-,.19lii1i:i;r,t8l~!:![~~i!~i~,~ili~!,i~~IJ!iUl~il~ii!:ilmt~:!;!t~1;~mll1NaiHirm:1;~~■!l~;!!~i!i;!r!tl~lm~ll:!~1;fi:l~fiii~~r~i~~ii!~:H~!H,\i:1:~:::,11::\!iil~;1:J:i'l1:,1r~!it{1i' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(1) Civil Code). LENDER"S NAME ________________ _ 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 end demolition or construction of structures over 3 stories in height. EXPIRATrON: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit ls not commence · n 180 da;r.:s fro the d uch permit or if the building or work authorized by suph per~it Is sus.pended or abandoned atanytlmeanertheworkiscommenc ra of18 s(Sect1 06.4 Uniform Building Code). 3. )J<.-,/ ;,, ·J APPLICANT'S SIGNATURE • DATE ~ • \...I'-""~'------ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/14/2004 Permit# CB040969 Title: CULLEN RESIDENCE Description: WATER HEATER REPLACEMENT Type: PLUM Sub Type: Job Address: 2450 MARK CR Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: CULLEN-CONDON FAMILY TRUST 05-12-99 Remarks: will be home waiting for insp all day Inspector Assignment: PD --- Phone: 7607 91042 Inspect U:: "-\"'~ ¾o J\9.-~ \.,.v.,-\:-""" ~-~ Total Time: Requested By: KATHY CULLEN Entered By: CHRISTINE CD 25 Description Act Comment -W-at_e_r_H_e_at_e_rN-en_t_s ____ ~ _ __,f--+(.LN-'--Acrl---'----------------- Associated PCRs/CVs Inspection History Date Description 04/06/2004 25 Water HeaterNents 04/01/2004 25 Water HeaterNents Act lnsp Comments CO PD NO ACCESS @ 9AM CO PD NO ONE HOME 8:25