HomeMy WebLinkAbout2693 MEDFORD CT; ; CB080164; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-22-2008 Plumbing Permit Permit No: CB080164
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2693 MEDFORD CT CBAD
PLUM
1674332200 Lot#: 0
Construction Type: NEW
HANSEN RES REPLACE WTR HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/22/2008
KG
01/22/2008
01/22/2008
ALL STAR WATER HEATERS & PLUMBING HANSEN CARL&RUTH. LIVING TRUST 06-08-07
17886 LAKESHORE DR 92530
1-800-727-0977
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:
Inspector:
$27.00
0
0
0
0
1
0
0
2693 MEDFORD CT
CARLSBAD CA 92010
$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 Payments To Date: $27.00 Balance Due:
Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions: You have 90 days from the date this permit was issued lo protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any
h . h Iii
FOR OFFICE USE JJ'_l/ U
PLAN CHECK NO ~o to 1'7 1
PERMIT A·PPLICATION
CiTY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carls~ad CA 92008
EST. VAL
Planck Dep~st,----~---
Validated By
Date -?/~6'°'
1. PROJECT INFORMAT
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--------------------Lot No Subd1vis1on Name/Number Unit No Phase No ] •j\C,, H c I
---------~~-----------------
; :::G;J~fl~-{µ~-E-'-~-~~-"-''_F_~_'_' ______ #_o_i -s-,o-,-oe-,--------:-•:-,
0
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Address State/Zip Telephone# Fax It
Address City State/ ip Te ephone II
5. CONTRACTOf!.~.9.0Mf~~it"iS1$h:~~~~*;-:;~&;:b§LJL~'.'. .. I-~:-:;,.,
(Si::c 7C31 5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any ~tructurtl, fJrior torts,-,:,_.,
.:.Iso requrrts tne applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractof"'s License Lf,w [Chapter 9, coInr11c:
S«ct,:.r. ;'GOG ol 01v1s1on J of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemp\1011 Any ·,Iolat1c11 of Sioct,011 ,
rrn1t subJect the applicant to a civil penalty of not more than ·ve hu dred dollars [$500l) 2 .
Li!LlJ:i':C_l'/..G.l.(,L__f./..f.,i>J-"1'.2_~~c.-i,'O?)~'__X:U.,c.J~_]',€,JJ'..6,,c.!!.L_f:::,~oi.tLL __ _\..,("'-'~'1·,.":c_.:;,JJ.:JL .. ---·-·flp1,'_:2l_] __ v·_,'} 7
Address State/Zip I e1c1 .. w.uI
License Class --~'---~,·~J~(o~·~· ____ City Business License # l d" ;,)..( 4 l f_
Address City State/Zip
6. WOft~~-R'~ ~£~f±!i~f~:.i" f@Ji~iai~;~&?~1:::ti'):·j;:Y";1}~~J-J,i.?.:::Jb'..!/1~,S,:,
·:,·or,;ers· Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations·
□ I ha-.e an:.i will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 or the Labor Cod~, tor the pertorma :ce 01 :r
for wnicn this permit is issued.
~ I h<.1N aI1a will mamtain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the wurf.. 1or wnIch 111,s perm,: ,s ~~-··
,·,vr,;t-r s ccmpensat,on insurance carrier and policy number are
1r,s ... rance Cun-.µany ;$ ~ ¼e fuo tA Policy No. /j-(.., ( {,,, l//0~ Expiration Date_~f_'.~-•~':'
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
□ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued. I shall not t-mploy c.111y persv11 111 Jrr, :1,,,,11,;
tecome s<..u;ect 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 om, liu11drt"U 1I:"u,~r,~
dollars($100,000), in addition tot ost of
SIGNATURE
Ion, damages are provided for In Section 3706 of the labor Code, interest and attorney"s foes. _'1_
DATE /·t5:•()1J_
? · .... ~.w~~~~J:l~~e.~!'.!.E,. t', ,. :,~·Fiit·i~i~i$9WIAF¥J.fu-¥i~~;~:~. ~ ~.~i£~:-.C,
1 here:.y arf,rrn that I am exempt from the Contractor's License Law for the following reason:
C I. a~ ONntr of the property or my employees with wages as their sole compensation, will d the work and the structure is not inknded or ofle1ed for s.,;., ,$,_-:
Cc.~,r·,-=;,~ ..ir::i r'rofess1ons Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereun. anll ·,v110 dob s .. c!: ,H,'~ ·
t:-,rcugn ~ .. s :.J·M1 employees. provided that such improvements are not intended or offered tor sale. If, however, the building or improvement Is sold w.:n.r,
e,cmp:ct,:,r·,. tne uwner-bu1lder will have the burden of proving that he did not build or improve for the purpose of sale)
-s c,·,,,c:r of tric property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business c1nd Pru1<:ss1011s Ce,oc·
L,;:;c:ns-= ~c11, ::cs::s not apply to an owner of property who builds or improves thereon, and contracts for such projects willl contra.ctor(S) lIce11seu pursuant:~ 11·,! ,'
~.ce::se LiJ1,1
I arn exempt ur;der Section _________ Business and Professions Code for this reason:
! personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES D NO
i (have1ha·,e not) signed an application for a building permit for the proposed work.
j have contracted with the following person (firm) to provide the proposed construction (include name/ address I phone number/ contractors license numoer,:
4. I ;:;;an to pov1de portions of the work, but I have hired the following person to coordinate, supervise and provide the maJor work (include name I address ::i.1•J11e
'ontractors license number)
5. , ,.,:1 ;xov:se some of the work. but I have contracted (hired) the following persons to provide the work indicated (include name/ .iddress i pl10:ie 11u11;l::,;;r, t,~'-' ~t
Pi~J;::;~-;-1 C':."i,ER SIGNATURE----------------------------------DATE _________ _
WHiTE: File YELLOW: Appl1carll PINK: Finance
PERMIT APPLICATION
'::! :Y OF CARLSBAD BUILDING DEPARTMENT
-, ,335 F 2raday Ave , Carlsbad CA 92008
'
COMPLETE THIS SECTION f'l"lX9.!'-,!!•J%LD£i~Y.1lrJl.lli.l!il!WlJ~,,Qtil,¥,:,;;.;'.,.;, ,; ;;.,,;,.' "
.~ 1.1e ap~l,c<>nt or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevem,011 pc,·;
,·~L1,,; 25:05. 25533 or 25534 of the Presley• Tanner Hazardous Substance Account Act? D YES D NO
"' a;,;;:,:.;r,t er f.it0re ou11d1ng occupant required to obtain a permit from the air pollution control district or air quality managemen\ 01slm:t'I [J r E'S C"'
•~e: f;;:,1.:1 L ~c wnstruc1ed within 1,000 feet of the outer boundary of a school site? □ YES D NO
IF AtJY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS ME1 Uis{ IS t,1ll:c :·::,,.
R:CQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
s. coNsTRucnaN LENo.,~~-~.~5!tro-. rt1:;&;ii2\-1:1wi:·~:tfJJJ_k:'!ii~i1~:~c~'ll~:1r;;;t:Ittnit
· -c::cc-, ::;tf;rn; t.~at tr.ere Is a construction len~ng agency for the performance of the work for which this permit is 3097(1) Ci--111 Code)
,_:;;,C•E~-s ~J;..f,'E ______________________ _ LENDER'S ADDRESS ______________ _
9. APPLICANT CERTIFIC_AJJQ~ , _:: __ ~.:. ·M:-ct·,_'~•.:_,\4i:i'i".u •. -"~. _,,.,_ --~-~-> __ ..,.,..,,_*,
tt·,~t r,"-1" read the application and state that the above information Is correct and that the information on the plans Is accurate I agree to 2::i1·1~,
:c~;, •_: :,:i.lw laws reiat1ng to building construction. I hereby authonz.e representatives of the City of Carisbad to enter Uf-!::J:1 me aocvc• 1I1c,n:,o-,.c,:1 ;·r.:;;·, ,,
Ai..SO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, CUS:':. ,\·,.
EXPENSES VVHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THl!:i PERMll
.::.,snA •, ~:Sr,A f-ltlrrI1I1I,; rt:(iL..Ir1.ia fore,;cavalIons of 5'0" deep and ac:rnol1lIon 01 constructio11 ut slruc(u1<:ls ovior 3 stor,t:Js Iri l1e,gr11
:C,U-'IR,\ TIO/--, ._: •'-''i f-"rri"l ,s,-uea by the: bu1id1ng Olfici.il under the prov1sio11s uf this Cude snail ,;xpIre by lim1tat1u11 and becun1tl nu,I ,lllU vu,a 111:1<., ou;IJIi1J or ••~,
L.., ~c.-r, ;:.<.<rn,,· ,~ ;;0; ~ommtinced w1th1n 180 days from the date of such perm1tor1f the ou1Jding or worx. autnor:zed by suc11f-!8111111Is suspe11Li<:'U or c.Jt;Cwllur1c;1
"" nc:,. ,s eur: 1:1t:ncea for a ptinod of 180 days (Section 106.4.4 Uniform Building Code)
_________ DATE_
WHITE: File YELLOW: Appl1cu11t PINK: Finance
----~···
• ... ··;·;·.,. ..
I~~: City of Carlsbad Bldg Inspection Request
~'. .. _.,j, For 03/05/2008 •
Permit# CB080164
Title: HANSEN RES REPLACE WTR HTR
Description:
Type PLUM Sub Type:
Job Address·
Suite:
2693 MEDFORD CT
Lot: 0
Inspector Assignment:
Phone: 7604346711
Location Inspector: ----
OWNER HANSEN CARL&RUTH LIVING TRUST 06-08-07
Owner HANSEN CARL&RUTH LIVING TRUST 06-08-07
Remarks:
Total Time: Requested By: CARL HANSEN
Entered By: CHRISTINE
CD Description
25 Water HeaterNents
~CommetW\J
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments