Loading...
HomeMy WebLinkAbout2639 CAZADERO DR; ; CB051487; Permit04-26-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit NO.CBOSUS? Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2639 CAZADERO DR CBAD PLUM 2153002702 Lot# 0 Construction Type NEW HERSH RES REPLACE H2O HEATER Status ISSUED Applied 04/26/2005 KG 04/26/2005 04/26/2005 Entered By Plan Approved Issued Inspect Area Applicant ALL STAR WATER HEATERS & PLUMBING 17886LAKESHOREDR 92530 1-800-727-0977 Owner HERSH GEORGE REVOCABLE TRUST 08-24-00 2639 CAZADERO DR CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram 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 1 0 0 ' $2000 $000 $000 $000 $000 $700 $000 • $0 00 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $0 00 Balance Due-$2700 6858 04/26/05 0002 03 02 CGR 27-00 FINAL APPROVAL^ Inspector Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or olher 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 vou have oreviouslv been Given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERIVIIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL PlanCk Deposit Validated By Date Address (indude Bldg/Suite #}Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel n Existing Use Proposed Use Description of Work SQ FT # of Stories #of Bedrooms #of Bathrooms Name Address City State/Zip Telephone #Fax# >aaTT/j*SHrfU:' TS^TTDx 5TTS5Z* (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 Code} or that he Is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant lor a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500]) Name r * i Address , ,o i 7 C t) U fState License # f^L^O l ] License Class *— ^ Designer Name Address .-j £ City State/Zip ' . vJeleQhaqe# / L$ ^ City Business License # /Z/ 0^/V <Ls ^ City State/Zip Telephone # State License tf Workers Compensation Declaration I hereby affirm under penalty of penury 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 Q I have and witl maintain worker's 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 ,^s7/arTfcz' ff!-*J*^ LJ Policy No / /Q/ o XXOy^ Expiration Date / I"" J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESSJ D 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 criminal penalties and civil fines up to one hundred thousand dollars($100,000}, In addition to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, Interest and attorney's fees SIGNATURE _ DATE. I hereby affirm that I am exempt from the Contractor's License Law for the following reason D I as owner of the property or my employees with wages as their sole compensation will d the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractors 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 ! as owner of the property, am exclusively contracting with licensed contractors to construct the. proiect (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 Contractors License Law) D I am exempt under Section Business and Professions Code for this reason 1 ! personally plan to provide the major labor and materials for construction of the proposed property improvement D YES D NO 2 I (have/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 / 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 / /ontractors license number) , , . 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 . „ Is the applicant or lulure building occupant required to submit a business plan acutely hazardous materials registration lor or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ad? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d YES D NO Is the facility to be constructed within 1 000 feel of the outer boundary of a school site? D YES D 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 JCONSTRUCTIONIL I hereby affirm thai there is a construction lending agency lot the performance of the work for which this permit is issued (Sec 3097(1) Civil Code) LENDER S NAME 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 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 of 5'0 deep and demolition or construction of structures over 3 stones In height EXPIRATION Every permit issued by the balding Officiajjjnde/thi provisions of this Code shali expire by limitation and become null and void if the building or work authorized by sucti petmn is not commenced -within 18Qtdays from/ the work is commenced for a penod of 180 days (Section 11 APPLICANTS SIGNATURE of kuch permit or if the building or woiV, authorized by such permit is suspended or abandoned at any time after 4 l/mform Building Code) DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/22/2005 Permittf CB051487 Inspector Assignment Title HERSH RES REPLACE H2O HEATER Description Type PLUM Sub Type Phone 7609310720 Job Address 2639 CAZADERO DR Suite Lot 0 Location Inspector APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner HERSH GEORGE REVOCABLE TRUST 08-24-00 Remarks Total Time Requested By GEORGE Entered By JANEAN CD Description Act Comment 25 Water Heater/Vents Associated PCRs/CVs Inspection History Date Description Act Insp Comments License Detail Page 2 o f 2 AMERiCAN__CONTRACTORS INDEMNITY COMPANY. Effective Date 01/01/2004 Con tracto r1JSL B o n d i n g _H Iis to ry BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) JEF DUANE SPRAGUE certified that he/she owns 10 percent or more of the voting stock/equri corporation A bond of qualifying individual is not required Effective Date 09/19/2002 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 1791641 Effective Date 08/02/2003 Expire Date 08/02/2005 Workers Compensation History Personnel List ^License Number Request 1 Contractor Name Request • Personnel Name Request [Salesperson Request J Salesperson Namejjequest © 20Q5 State of California Cj^dilion^ofJJse 11..lt-.