HomeMy WebLinkAbout2624 EL AGUILA ST; ; CB012423; Permit07/19/2001
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing Permit Permit No:CB012423
Building Inspection Request Line (760) 602-2725
Job Aiddress:
Permit Type.
Parcel No;
Reference #:
Project Title:
2624 EL AGUILA ST CBAD
PLUM
2155623700 Lot#: 0
Construction Type: NEW
IGELIVIAN - REPLACE WATER HTR
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/19/2001
JM
07/19/2001
07/19/2001
Applicant:
TORREY PINES PLUMBING
STE 101
6121 NANCY RIDGE DR
SAN DIEGO CA 92121
619 677-5445
Owner:
IGELMAN RONALD S&JOSEPHINE M
5032 07/19/01 00O2 01
2624 EL AGUILA LN CGF°
CARLSBAD CA 92009
02
27.00
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
Plumbing Issue Fee $20.00
Fixture or Trap 0 $0.00
Building Sewer 0 $0.00
Roof Dram 0 $0.00
Install/Repair Water Line 0 $0.00
Water Heater and/or Vent 1 $7.00
Gas Piping System 0 $0.00
Vacuum Breaker 0 $0.00
Other Plumbing Fees $0.00
Master Drainage Fee $0.00
Sewer Fee $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $27.00
Inspector:^
FINAL APPROVAL
Date: 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 Govemment 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 you have previously been qiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
2624"EL~AGarATNCARtSBADXA"92a09^ <Suite>
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST VAL
Plan Ck. Deposit .
Validated By •^^J~J^A^
Date Z
<Name>
Address (include BIdg/Suite #)
<Legal Descr>
Business Name (at this address)
<Lot> <Subdivision Name/No> <Unit> <Phase> <Total>
Legal Descnption Lot No Subdivision Name/Number Unit No Phase No Total # of units
<Assessor No> sfr <Proposed Use>
Assessor's Parcel #
replace water heater
Existing Use
<SQ FT> <Stories>
Proposed Use
<Bedrooms> <Bathroom>
Descnption of Work SO FT # of stones # of Bedrooms # of Bathrooms
2.-' - CONTACT PERSON (If different.from applicant) .»•. K . \
<Name> <Address> <City> ST <ZiD> <Phone> <Fax>
Name Address City state/Zip Telephone # Fax #
3?^-'APPUCAIfr;sMa. Contractor. Agefltifor Contractor Ovvnft" O^gentfoffOwner |;' _ j_ W X.,-.. • ^ ^ '^5^.^ 1
.Jit . . .Vv. 't..... jBi,..J ITetClerk Inc /ZU uuDuque Ave boum ban i-r; CA 94UB0 8883301777 Name Address City State/Zip Telephone #
;4.t^f ROPERTY OWNER ^ ' >* ^
Ronald Ingleman 2624 El Aguila Lane Carlsbad Ca 92009 7606031256
Name Address City state/Zip Telephone*
STF" CONTRACTOR ^COIM^Y NAME
(Sec 7031 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 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 CodeJ 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 [$500J)
ARS of California Ino 6162 Nancy Ridge Dr. #100 San Diego CA 92121 8586775455204
Name
State License # 742039 <Name>
Address City State/Zip Telephone*
License Class B C16 C20/C36 HIC city Business License # 1030700
<Address> / <City> ST <Zip> <Phone>
Designer Name Address | City State/Zip Telephone
state Licence #
6. WORKERS'COMPENSATION
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-msure for workers' compensation as provided by Section 3700 of the Labor Code, for the Performance
of the work for which this permit is issued
C] 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 compensation insurance earner and policy number are
Insurance Company American Residential Policy No WC7083869 Expiration Date 01/01/2002
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
1 I 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 is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred
thousand doll."/7V^ 1), in addition to the cost of compensation, damages as provided for m Section 3706 of the Labor code, interest and attorney's fees
SIGNATURE *««%f- DATE 07/18/2001
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
I I 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 I 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 threreon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law)
I I I am exempt under Section _ Business and Professions Code for this reason
I personally plan to provide the major labor and matenals for construction of the proposed property improvement • YES LH NO
I (have / have not) signed an applicant for a building permit for the proposed work
I haj/p contracted with the following person (firm) to jjr^vjde^the^groposed construction (include name/^dr^^^hone^umber / contractors license number)
<Name> <Address> <State License>
4 I plan to provide portions of the work, but I have hired fhe following person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number) <Name> <Address> <Work Phone> <State License>
5 I will provide some of the work, but I have contracted (hired) the following person to provide the work indicated (include name / address / p.hone number / type
of work) <Name> <Adaress> <Work Phone> <Work Type>
PROPERTY OWNER SIGNATURE DATE
C0MPLETE*TH1S SECTION F,OR NON^-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? n YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncf? n YES • NO
Is the facility to be constructed within 1,000 feet of the outer boundary of school site'' LH 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
pg%0NjSTRUC1[IONlEND|NG AGENCY'ff?
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3087(i) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
APRlCANT CERTIFICATION
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 authonze representatives 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 AGAINST ALL LIABILITIES,
JUDGEMENTS, 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 and demolition or construction of structures over 3 stones in height
EXPIRATION- 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
authonzed by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned
at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE '^'^^^ DATE 07/18/2001
City ofCarlsbad Bldg Inspection Request
For 08/06/2001
Permit# CB012423
Title. IGELMAN - REPLACE WATER HTR
Description:
Inspector Assignment MA
Type: PLUM Sub Type:
Job Address: 2624 EL AGUILA ST
Suite. Lot 0
Location:
APPLICANT TORREY PINES PLUMBING
Owner: IGELMAN RONALD S&JOSEPHINE M
Remarks: HOMEOWNER WILL BE WAITING ALL DAY FOR IN
Phone: 7606021256
Inspector- i{C-(^
Total Time: Requested By: RON
Entered By. CHRISTINE
CD Description
25 Water HeaterA/ents
Act Comments
Associated PCRs
Inspection Histon/
Date Description Act Insp Comments