HomeMy WebLinkAbout2723 OCEAN ST; ; CB080839; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-07-2008 Plumbing Permit Permit No: CB080839
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2723 OCEAN ST CBAD
PLUM Status:
Parcel No: 2031402000 Lot #: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: JOHNSON: REPAIR SEWER MAIN Inspect Area:
Applicant:
THE METER COMPANY
12763 CAMPO RD
SPRING VALLEY CA 91978
619 670-5030
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
1
0
0
0
0
0
Owner:
JOHNSON NANCY F
806 N FOOTHILL RD
BEVERLY HILLS CA 90210
ISSUED
05/07/2008
JMA
05/07/2008
05/07/2008
$20.00
$0.00
$15.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due:
Inspector:
FINJ\L
Date:\ 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 pe1mit 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 iJlformation 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 end sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this projeCl NOR DOES IT APPLY to any
f I i'lr whihh Ii i I xir
Cit~ of Carlsbad
1635 Faraday Ave., Garlsbad, CA 92008
. 7b0'-602-2717 / 2718 / 2719
PlanCheckNo. C0o&Of3
Est. Value
Fax: 760-602-8558 Plan Ck. Deposit
Building Permit Application Date 5 7
JOB ADDRESS APN
1--72-3-2--72--7 OC
T/ JECT # PH E# # F UNI # BEDROOM # BATHROOMS ENAN B IN NAME CONS~. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet o Affected Area(•)
EXISTING USE
CONT ACT NAME (If Dllrwent Foffl Applfcant)
ADDRESS
CITY
PHONE
EMAIL
PROPERTY~R ~
ADDRESS
'2-72-3-27
CITY/? L;,.,;,,u. ~
PHONE
EMAIL
ARCH/DESIGNER NAME & ADDRESS
PROPOSED USE
STATE
FAX
ST&.-
FAX
WORl<ERS COMPENSATION
ZIP
ZIP
STATE UC.#
Wot1<tn' Compentlllon Dtcllnlloo: I h8r&by alflml under penalty d pe,/ury..., d"" following__,,
AIR ON ITI NING IRE SPRINKLERS
YES □ NO □ YES O NO □
APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
EMAIL
STATE UC.#
~Ss-6/ /,· eol
□ I llav• and wlH maintain I certffk:ate of content to 1tlf-ln1urt for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the WOO( fOI' which this permit Is Issued.
□ I have and will maintain workn',compenntion, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is i~. My workers' compensation Ins ranee rand policy
{ numberare:lnsuranceCo. G-,e,,t,,v1~ :5o/zfr€ t'e5 • Cll, -yNo. /tic 3/) 779'0 L Ex~ratlonoate_J,~C,U.-",C.,:.:.,!2. __ _
This sec6on need not be completed if the pem,it is for one hundred doll.rs ($100) or less.
□ 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 HCUrt wol'Url' compenlltlon coverage 11 un .. wful, and shall tubject an employer to crtmlnal penalties and clvil fines up to ont hundred thou1111d dolWI (&100.000), In
addition to the cost of compensation, dam II provided Ion 3706 of the Labor code, Interest and attorney's fen.
,.S CONTRACTOR SIGNATURfi:::=~~
I hereby afRrm that I am exempt from Con"1Ctrx's License Law for the follmving reason:
□ I, as owner of the property or my employees with wages as their sole compensation, wm 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 01' improvement Is sold within one year of completion, the owner-builder witt have the burden of proving that he did not build or improve for the purpose of sale).
□ 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 owne< of
property who builds or improves thereon, and contracts for such projects with conmto~s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section ---~Business and Professions Code for this reason:
1. I pel'SOnally plan to provide the m*r labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have/ have not) signed an application for a building pem,lt for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address /phone/ contractors' Hcense number):
-4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the ffiE9()rwork (Include name/ address/ phone/ 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/ type of work):
_,6$ PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 Acfl □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airquallty management district? □ Yes □ No
Is the faclllty to be constructed within 1,000 feet of the outer bounday of a school site? □ Yes □ 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.
CONSTRUCTION LENDING AGENCY
I hereby affiml that there 5 a coostruct10n lending agency for the performance of the work th~ permit b issued (Sec 3097 (i) C1v11 Code).
Lenders Name Lenders Address
APPLICANT CERTIFICATION
I certify that I have mad the application and state that the above lntonnatlon Is conectand t!latthe lnfonnatlon on tfle plans Is accurate. I agree to comply with all Cfly ordinances and State laws relating ID bulldlngconslruction.
I h818by llJ!horize _,.,.. of lhe Cify of Clrlsblll ID enler upon lhe aboile mentioned property for i1spectm purposes. I Al.SO AGREE TO SAVE, INDEM'lFY AND KEEP HARM.ESS THE CITY OF CARLSBAD
AGAINST ALL UABUTIES, JUDGMENTS. COSTS AND EXPENSES WHICH W.Y IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMT.
OSHA: AA OSHA permit o req,ied for excavations CNfJf 50' deep end dendtion or construction of stucms o,er 3 s!Dr'os i1 height
EXPIRATION: Eve,y permit issued by lhe Bui~~ Qfllcial under lhe pnlYlsions of ~ls Gode s!iaR e,pn, by-end become nul end voo llhe build~ or work authorized by such permit Is r.Aca11101.ed wlth'1
180 da'/S from lhe date of such permit or ff~~ or ""'11 authorized by such perml • suspended or abendoned at~ line alll!r lhe work • amrenced for a period of 180 da'/S (Section 106.4.4 Unil0rm lliidilg Gode) .
..e:s'APPLICANT'SSIGNATURE~-G DATE :,-07 0 lS
. m.'
City of Carlsbad Bldg Inspection Request
' .
Permit# CB0B0839
For: 10/21/2008
Title: JOHNSON: REPAIR SEWER MAIN
Description:
Type:PLUM Sub Type:
Job Address: 2723 OCEAN ST
Suite: Lot: 0
Location:
APPLICANT THE METER COMPANY
Owner:
Remarks: Can you final?
Total Time:
CD Description
29 Final Plumbing
-&£._Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: PC ---
Phone:
Inspector: fG
Requested By: CHRISTINE
Entered By: CHRISTINE
05/13/2008 22 Sewer/Water Service
05/08/2008 22 Sewer/Water Service
PA PC OK TO BACKFILL BUT INSTALL YARD BOXES FOR FINAL
PA PC N.S. RUN