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HomeMy WebLinkAbout2749 ABEJORRO ST; ; CB111160; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-01-2011 Plumbing Permit Permit No: CB111160 Building Inspection Request Line (760) 602-2725 Job Address: 2749 ABEJORRO ST CBAD Permit Type: PLUM Status: ISSUED Parcel No: 2153201002 Lot#: 0 Applied: 06/01/2011 Construction Type: NEW Entered By: JMA Reference* Plan Approved: 06/01/2011 PC#: Issued: 06/01/2011 Project Title: ORTLEY: REROUTE HOT WTR-6 FIXT Inspect Area: Applicant: Owner: HANNA PLUMBING ORTLEY JOHN F 643 S. SANTA FE 2749 ABEJORRO ST VISTA CA 92083 CARLSBAD CA 92009 760-726-2002 Plumbing Issue Fee $20.00 Fixture or Trap 6 $42,00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 0 $0.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee ,-./ $0.00 Additional Fees $0.00 TOTAL PERMIT FEES : $62.00 Total Fees: $62.00 Total Payments To Date: $62.00 Balance Due: $0.00 FINAL APPROVAL Inspector: o*S Date: ofe/«=>3/t| 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date I A. JOB ADDRESS CT/PROJECT#^v PHASE # I # OF UNITS I # BEDROOMS SUrTE#/SPACE#/UNIT# # BATHROOMS I TENANT BUSINESS NAME CONSTR.TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) CONTACT NAME (If Different Fom Applicant?" (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 theapplicant 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 theBusiness and Professions Code) 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 acivil penalty of not more than five hundred dollars ($500}). s Workers' Compensation Dscbraticn: / nerecy affirm under penalty of perjury one of the following declarations: .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 permits issued. I have and will maintain workers' carripensaffcm, as required by Section 3700 of the Labor Code, for the performance of the wodf for which this permit is issued. My workers' compensation iriArano/carrier and policy number are: Insurance Co. Ox^Tfg- fCt/lt /V£tf70tWL/ "frlWfitirt&c, No. t^Cf ?)3ff/y£ ft Expirafion Date l/l/3(0j2L This section need not be completed if the permit is for one hundred dollars ($100) or less. ' ' O Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to seeuTTworkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100.000), in addition to the cost of compensaticfo, damabes as provided for in Section 3706 of the Labor code, interest and attorney's fees. J3$ CONTRACTOR SIGNATURE! //U /*— / /^ ^- 'H^GENT DATE &?-- (-"if I hereby affirm that I am exempt from 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). D 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 contractors) 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. O Yes O No 2.1 (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 /contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of (he work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE OAGENT DATE 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? DYes DNo 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 O No is the facility to blconstructedwithin 1,000 feet of the outer boundary of a school site? DYes DNo IF ANY OF THE ANSWERS ARE YES,/ " EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address OSHA An OSHApemitt is required fweravaforsov^^ EXPIRATION: Every permTissued by IteBuMgQ^ 180 days from the o^te of such r^rmit or rf^buiMirig or wwk author^ ^APPLICANTS SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 06/02/2011 Permit* CB111160 Title: ORTLEY: REROUTE HOT WTR-6 FIXT Description: Type: PLUM Sub Type: Job Address: 2749 ABEJORRO ST Suite: Lot: 0 Location: OWNER ORTLEY JOHN F Owner: ORTLEY JOHN F Remarks: P M PLEASE - NO ONE HOME IN MORNING Inspector Assignment: Phone: 7607262002 Inspector: Total Time:Requested By: JUAN Entered By: CHRISTINE CD Description 29 Final Plumbing Act Comments HOT Date Description Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Act Insp Commen