HomeMy WebLinkAbout2722 NAPLES CT; ; CB042510; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
• o6-l3-2004 Plumbing Permit Permit No: CB042510
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2722 NAPLES CT CBAD
PLUM Status:
Parcel No: 1673920100 Lot#: 0 Applied:
ISSUED
06/23/2004
KMT
06/23/2004
06/23/2004
Construction Type: NEW Entered By:
Reference #:
Project Title: HARDING RES -REPLACE WATER
HEATER
~R&--✓i1\J1~3.2
6162 NANCY RIDGE DR
SAN DIEGO CA 92121
858-677-5455
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
0
0
0
0
1
0
0
Plan Approved:
Issued:
Inspect Area:
Owner:
DJEDDAH RONA TRUST
2522 CLAIREMONT DR #301
SAN DIEGO CA 92117
$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 Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
5006 06/23/04 0002 01 02
CGP 27-00
PERl'.Tf:t'.', 'iiEDINACCORDANCEWITHU.!3.C
SECTION lUG/,.4
D"TE_~-...\,-pj1.04 SfGN_ATIIRF a4!,(___
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.Ojfj-/~5/0
CffY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
l.ec,
Business Name (at this address)
Legal Description ubdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
#of Stories # of Bedrooms # of Bathrooms
Name State/Zip Telephone# Fax#
Telephone#
5. CONTRACTOR • COMPANY, NAME ',,.;,.
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORl(ERS' COMPEtiiSATIOt,l .. ~
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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.
~ave 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
6?ued. My worker's co ensation i urance rier , policy number are: . /)Q '2..o-(Jlf J-:J.. -O / . . / / t I~
Insurance Company CS, Polley No.'"' _I J b' '"1 :.J Exp1rat1on Date . l D ~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) /
0 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.
SIGNATURE. __ ~4'---+~=-------'~----------------
7. . ·~ ~-·:.:ii -~' ' ~-"'-.,,;~
m exempt from the 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).
O 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 contractor(s) licensed
pursuant to the Contractor's License Law).
O 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. 0 YES ONO
2. I (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 number / 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
number/ contractors license number}:. _________________________________________________ _
5. 1 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 __________ _
COMPLETE THIS SECTION FOR NON-{lE$_/qENTl,4L Bl!!LDINP fERr,'IITS O~NLY.;~n-~;
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 Act7 0 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? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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.
8. CPN~Tf!UCTION LE~P!NG Ag~N~Y. ",.:.. ;. .a,; ,,,,. , '··-"' •.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _
9. APPLICANT CERTIFICATION
LENDER'S ADDRESS. _________________________ _
f .,' •· ,.,_. 1 · .W,d ...
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 t o building construction. I hereby authorize representatives of the Cit\' 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: A n OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under Iha provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced wilhin 1 BO days from the date of such permit or if the building or work authorized by such permit i suspended or abandoned
al any time after the work is com en ed fo~a PE;(od of 1BO days (Section 106.4.4 Uniform Building Code). f " "\ ".l A
APPLICANT'S SIGNATURE • C/ I DATE u 0,. V V
YELLOW: Applicant PINK: Finance