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HomeMy WebLinkAbout2716 ANTA CT; ; CB063515; Permit12-15-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB063515 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2716ANTACTCBAD PLUM 2153104202 Lot# 0 Construction Type NEW SERVIN RES- EXTEND GAS LINE IN BACK/SIDE YARD FOR FUTURE KITCH REMO Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 12/15/2006 LSM 12/15/2006 12/15/2006 Applicant Owner ALL WEATHER PLUMBING HEATING & AIR CONDITIONING SERVIN NICK S&ROSALIA 14204 FRAME ROAD POWAY, CA 92064 760730-1968 2716ANTACT 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 0- 1 0 $2000 $000 $000 $000' $000 ,$000 $700 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $2700 Balance Due $000 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 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 or FOR OFFICE USE ONLY PLAN CHECK NO. && EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use ' I I of Bathrooms Name K! Address City State/Zip Telephone #Fax* / V 2^ V Name Address City State/Zip / Telephone # Address City State/Zip Telephone # (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^ Sectiorjr^QS 1 5 by any applicant for a permit subjects the applicant to a civilpenalty of not more than five hundred dollars IS500I) AddHfss License Class ilici Telephone*Name State Ljcanse * City / State/Zip City Business license # Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 (D 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 Js&ued My worker's compensation insurance carrier and policy number are ,„ Insurance Company ^3/W/^ t-tfiVl/? Policy No Z. ^ ( ~ uO'SO '& Y Expiration Date f^T? .£/_ - (THIS SECTION NEED NOT BE COMPLETED IF (THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q CERTIFICATE OF ElAjMPTION 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 th« Workers' Compensation Laws of California WARNING ' Jailura to fifl</ure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolihrsA010a&60}\ina&lition to the cost of compensation, damages as provided for in Section 3706 of the Labor code. Interest and attorney's fees SIGNATUREJtK^tf2i4=^2r DATE ^ Thereby pffimn that I am exempt from the Contractor's License Law for the following reason 0 I, ak-awner 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 protect (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) Q 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 l~l YES flNO 2 ] (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 / contractors 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 LCQmejfeT«!&8E£TlpN FQJJ^^^ 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? O YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 3Jle3s&M«i:^^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 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 authorize representatives of the CitV 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 Axc&ations over 5'0" deep and demolition or construction of structures over 3 stones in height { EXPIRATION Every permit issuetfty llje tjS Idmg Official under the provisions of this Code shall expire by limitation and become null and void (f the building or work authorized by such permit is not c»mmenfcedjv iithin 1 80 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is (idrnrfier/ied \or/a|\)enod of 180 days (Section 10644 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/18/2006 PerrmiW CB063515 Title SERVIN RES- EXTEND GAS LINE Description IN BACK/SIDE YARD FOR FUTURE KITCH REWIO Type PLUM Sub Type Job Address 2716 ANTACT Suite Lot 0 Location OWNER SERVIN NICK S&ROSALIA Owner SERVIN NICK S&ROSALIA Remarks Inspector Assignment Phone 8588648800 Total Time CD Description 23 Gas/Test/Repairs Act Comment Requested By ROBERT Entered By CHRISTINE Tb Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments * fJk *& r&3? °<£> MO (>pmd)-TO License Detail Page 1 of 2 Calif prnia^Home Friday, Decem1 License Detail Contractor License # 763907 CALIFORNIA CONTRACT_ORS_STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the Im button to obtain complaint and/or legal action information • Per B&P7071 17. only construction related civil judgments reported to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 12/15/2006 Business Information * * * ALL WEATHER PLUMBING HEATING AND AIR CONDITIONING INC 14204 FRAME ROAD POWAY, CA 92064 Business Phone Number. (858) 679-8100 Entity. Corporation Issue Date 06/03/1999 Reissue Date 11/16/2004 Expire Date 11/30/2008 * * *License Status This license is current and active All information below should be reviewed. * * * Classifications * * * C20 WARM-AIR HEATING, VENTILATING AND AIR-CONDITIONING * * ** * * Bonding Information CONTRACTOR'S BOND: This license filed Contractor's Bond number 544209C in the an http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 12/15/2006 License Detail Page 2 of 2 $10,000 with the bonding company DEVELOPERS SURETY AND INDEMNITY COMPANY. Effective Date. 11/16/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) RC HENRY FENTER certified that he/she owns 10 percent or more of the voting stock/equity .corporation. A bond of qualifying individual is not required Effective Date 11/16/2004 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 229-0030907 Effective Date. 07/01/2005 Expire Date 07/01/2007 Workers,Compensation History * * * Miscellaneous Information * * * Description 11/16/2004 LICENSE REISSUED TO ANOTHER ENTITY Personnel List • License Number Request • Contractor Name Request • Personnel Name Request B Salesperson Request 1 Salesperson Name Request © 2006 Slate of California Conditions of_Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 12/15/2006