HomeMy WebLinkAbout2608 CABRILLO PL; ; CB092085; Permit12-10-2009
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB092085
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2608 CABRILLO PL CBAD
PLUM
1552714102 Lot#: 0
Construction Type: NEW
COOK: REPLACE WTR. HTR.
Status: ISSUED
Applied: 12/10/2009
JMA
12/10/2009
12/10/2009
Entered By:
Plan Approved:
Issued:
Inspect Area:
Applicant:
ARS
STEA
9895 OLSON DR
SAN DIEGO CA 92121
858 457 6557
Owner:
COOK GLENN E&REBECCA F
2608 CABRILLO PL
CARLSBAD CA 92008
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
0
0
0
0
0
1
0
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $27.00
Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00
Inspector:
FINAL APPROVAL
Date: Ii* *•*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 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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax:760-602-8558
Building Permit Application
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
JOB ADDRESS
CT/PROJECT*PHASE* I # OF UNITS I # BEDROOMS
SUITE#/SPACE#/UNIT#
DESCRIPTlOJtLjDF WO
# BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE I OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YES D # NO D
AIR CONDITIONING
YES D NOD
FIRE SPRINKLERS
YES D NOD
CONTACT NAME (If Different Fom Applicant)APPLICANT NAME
ADDRESS
CITY STATE ZIP CITY
n..-L.i
STATE
PHONE
EMAIL
FAX
EMAIL
| « * * O* ^-~' ^^ X^U-A^l^^ ~^ » IX j^ Of * \^r
(Sec. JO!1.5 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 he islicensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that be is exempt therefrom, and die basis for the alleged exemption. Any violation ofSection 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
Workers' Compensation Declaration: f hereby affirm under penalty of perjury one of the following declarations:
D 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 ofthe work for which this permit k '"^y '' (ers' compensation insurance carrier and policy
number are: Insurance Co \JJJ&£(?A«S— Policy No. U£jk3>l^Dgfe?3 ( 0 Pf_ ^.ration Date' (0 11 I {V
This section need not be completed if the permit is forgyie hundred dollars ($100) or less.
L~3 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure wojKer>U:ompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&1 00,000), in
addition to the cost of compensation, damWes as provided for in Section 37|frpUhe Labor codet interest and attorney's fees.
JS$ CONTRACTOR SIGNATURE DATE
OWNER-BUILD EW
Aftereby affirm that I am exempt from Contractor's License Law for the following reason:
O 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).
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 contractors) licensed pursuant to the Contractor's License Law).
D I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement O Yes D No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 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 / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the we* indicated (include name / address / phone / type of work):
^PROPERTY OWNER SIGNATURE
lr N'is • CT o N'
DATE
R £ si "0 E nift IAL BUILDING PERMITS ONIY
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 25534 of the
Presley-Tanner Hazardous Substance Account Act? a Yes a No
Is the applicant or future' building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes CJ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d Yes a No
IF ANY OF THE ANSWERS ARE YES, I
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I hereby authorize representative of the City 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
OSHA: An OSHA permit is required for
EXPIRATION: Even/ permit issued by
180 days fromlhe date of such permit or\if
^APPLICANT'S SIGNATURE
51)' deep and demoritjon or construction of structures over 3 stories in height
ial under tie provisions of ttiis Code shall expire by limitation and becnme null and void if t/ie building or v^auttaizexl by su^perrrfl
a vrakautr^ed by ^ctipemiit is suspended <x abandoned at any Sme afterr^
DATE
City of Carlsbad Bldg Inspection Request
For: 12/17/2009
Permit* CB092085
Title: COOK: REPLACE WTR. HTR.
Description:
Inspector Assignment:
2608 CABRILLO PL
Lot:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
OWNER COOK GLENN E&REBECCA F
Owner: COOK GLENN E&REBECCA F
Remarks:
Phone: 7609940115
Inspector:
Total Time:
CD Description
25 Water Heater/Vents
Act Comments
Requested By: REBECCA COOK
Entered By: CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments