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HomeMy WebLinkAbout2724 ARLAND RD; ; CB010199; PermitL/blO 61/17/2001 Plumbing Permit Permit No:CBOI 01 99 City of Carlsbad I 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 15614201 00 Lot #: 0 Applied: 01/17/2001 Reference #: Plan Approved: 0111 7/2001 Issued: 01/17/2001 Project Title: FRY RESIDENCE Inspect Area: 2724 ARLAND RD CBAD Construction Type: NEW Entered By: JM NEW METER TO PRIMARY RESIDENCE Applicant: FRY PETER 2724 ARLAND RD CARLSBAD CA 92008 Owner: FRY PETER 2724 ARLAND RD CARLSBAD CA 92008 9157 01/17/01 0002 01 CGF' 02 27-00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalllRepair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 FINAL APPROVAL Date: 7 - 1- 3-6 1 Clearance: -1 Inspector: Y d NOTICE: Please take NOTICE that approval of your project includes the 'ImposiUon' of fees, dedications, reservations, or other exactions hereafter mllectively referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them. you must follow the protest pmedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance wth Carisbad Municipal Code Section 3.32.030. Failure to tirneiy follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your ight to protest the specaied feeslexaclions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. FOR OFFICE USE ONLY PLAN CHECK NO. ~~a(y[fl EST. VAL. Plan Ck. Deposit Validated By PERMIT APPLICATION CliY OF CARLSBAD BUILDING DEPARTMENT ' 1635 Faraday Ave., Carlsbad, CA 92008 PROJECT INFORMATION e/.strrr- Busmeoi Name (at this addies) ?" 27zcf mfw s no6 Address IIncIude BldglSuhe Wl Legal Descnpt~on Lot NO Subdivision NamalNumber Unit No Phase No Total X of units Aso~isor's Parcel X Existing Use Proposed Use Description Of Work SO FT #Of S101186 X 6f Bedrooms 2. Name Address CltV St.tslZlp Telephone X Fax X 3. APPLICANT 0 Contractor 0 Agent tor ConV.otfa mwnm Agam in Owrur Name &S/ D,€/rL.E UmL /A4 F&?h #e&= reC7QH w64.64. ///dS/= /me/. 2 . (-7s X of Bathrooms 4c CONTACT PERSON U4 dmml born rpplcmtl Z72Y M LA-> Are-ya &7fw- /&?e 92-d 7~0-~M-@TU$ Address CltV Stsfelzlp Telephone X RZ-fz /+CY 6. CONTRACTOR - COMPANY NAME .. ,,: ... , . . .. . ... ,, ,.. I, ISec. 7031.5 Business and Professions Code: Any City or County which requires I permit 10 Construct, alter, improve, demolish 01 repair any 5tRIctUre. prior to its issuance. ais0 rewires the applicant for such permit to file a signed rtatsmont that he is licensed pursuant to the provisions Of the Contractor's License Law ICheptir 9, commanding with Section 7000 of Division 3 Of the Business and Roterrions Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Of not mors than five hundred dollars 185001). Name Address City StatelZip Telephone X State License X License Class City Business License X Designer Name Address City SDtelZip Telephone State License X 6. WORKERS' COMPENSATION .. 1. , ,, WoIkwo' Compensation Declaration: I haiaby affirm under pmallv of perjury one d tha lollowing declarations: 0 of the work for Which this permit is irrusd. 0 issued. My Worker's compensation insurance carrier and poiicy number are: Insurance Company Policy No. Expiration Date ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION I certify that in the performame of thm 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. WARNINQ Failure to secure work-' 0ornp.nutIon covmge Is unhrrful. d .h.l subbct .n .rnplww to criminal waltles mnd civll tin.' up to on. hundnd thousand dollan 1$100.0001. in addition to the cost of sompmsmlon. dampas a* provided for In Section 3706 of UU Labor code. Interest and anomey's feu. ,. I have and will maintain I certificate of consent to raif-insure for worken' compensation as provided by Section 3700 of the Labor Code, for the psrformanctl I have and will maintain workers' compsnrstion, as required by Section 3700 of the Labor Code, for the performance of the work for Which this permit is DATE 0 I, as owner at the property or my employees with wages as their sola compsnsation. will do the work and the structure is not intended or offered for sal. ISec. 7044, Business and Pmfsrsions Code: The Contractor's License Law does not apply to an owner of prop~rtv who builds or improves thereon. md who doer such work himrelt or through his own employees. provided that such imprwaments are not intended 01 offered for sale. If. hawavsr, 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). I, LIS owner of the property, am exclusivdy contracting with licensed collactors to construct the project ISsc. 7044, Business and Professions Code: The Contractor's License Law doer not apply to en owner of Property who builds or improves thereon. and Contracts for such projects with contnactorlsl licensed pu~sumtt~ the Contractor's License Law). 0 1. 2. I (have I 3. 4. number I contractors license number): 5. I am exempt under Section I personally plan to provide the major labor and materials for Construction of the proposd propsrty improvement. 6YES ON0 I have contracted with the following parson lfirml to provide the proposed co~truction lincluds name I address I phone number I contractors license number): I pian to provide portions Of the work, but I haw hind the foliowing person 10 Coordinate. supervise and provide the major work lincluda name I address I phone I will provida some of the work. but I have contracted Ihirsd) the following Perrons to provide the work indicated linclude name I address I phons number I type Business and Rofessions Code for this reason: signed an application for a building permit for the proposed work. , of work): PROPERTY OWNER SIGNA DATE # /. / 7 d/ COMPLETE THIS SECTION Is the applicant or future building OCCUpant required t program under Sections 25505, 25533 or 25534 of the Preslsy-Tanner Hazardous Substance ACCDY~ Act1 0 YES NO 1s the applicant or future building occupant raquirsd to obtain a pimit from the air pOUution c~~trol dirlricl w sir quality managmen1 district1 Is the facility to be Constructed within 1.000 feet of the outer boundary of a school sital YES 0 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 RERUIREMENTS OF THE OFFiCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. sines plan, ecytely hazardous materials registration form or risk management and prevention YES 0 NO 8. CONSTRUCTION LENDING AGENCY .,, ~ I hereby affirm that there is a Construction lending agency for the performance of the work for which this permit is issued ISec. 3097111 Civil Code). LENDERS NAME LENDER'S ADDRESS ,. . 9. APPLICANT CERTIFICATION I( . ,, , ,, I conify that I have read the application and state that the above information is correct and that the intotmation on the plans is ICEUrate. I agree to comply with ail City ordinances and State laws relating to building Construction. I hereby authorize replasentatives of the City of Carlrbsd 10 enter upon the above mentioned property for inspecdon putposas. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSERUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over SO" deep and demolition or Construction Of structures over 3 stories in height. EXPIRATION Evety permit issued by the building Onicial under the provisions of this Code Shall expire by limitation and become null and void B the building or work authorized by Such permit is not commenced within 180 days fmm the date Of such permit or if the building or work Buthodzed by such permit is suspended or abandoned at any time after the work is commen ys (Section 106.4.4 Uniform Building Code). %-APPLICANT'S SIGNATURE E: File YELLOW Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 0711 912001 Permit# CBOlO199 Inspector Assignment: NF Title: FRY RESIDENCE Description: NEW METER TO PRIMARY RESIDENCE Type: PLUM Sub Type: Job Address: 2724 ARLAND RD Suite: Lot 0 Location: Phone: 7608053232 Inspector: &' APPLICANT FRY PETER Owner: FRY PETER Remarks: UNSURE IF INSPECTION IS REQUIRED TQPA a=* qg=L' Total Time: CD Description Act Comments Requested By: PETER FRYElCHRlSTlNE Entered By: CHRISTINE 22 Sewerwater Service -y Date Description Act lnsp Comments