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HomeMy WebLinkAbout28 GREENVIEW DR; ; CB994190; Permit•-J;icf\ City of Carlsbad 11/08/1999 Plumbing Permit Permit No:CB994190 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 28 GREENVIEW DR CBAD PLUM Parcel No: 2152314900 Lot#: 0 Construction Type: NEW Reference #: Project Title: MORRIS RESIDENCE WATER HEATER REPLACEMENT Applicant: TORREY PINES PLUMBING STE 101 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619 677-5445 Total Fees: $27.00 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 TOTAL PERMIT FEES Inspector~ FINAL APPROVAL Date: I 2 -l: -97 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/08/1999 MDP 11/08/1999 11/08/1999 $0.00 $0.00 $27.00 $27.00 Clearance: ______ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reseivations, 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 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 fees/exactions of which vou have nreviouslv been < iven a NOTICE similar to this or as to which the statute of limitations has nrevioush1 otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. rt-lf l<tO CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Legel Description Aa11111or's Par~ j L Descripl~orlt Lot No. Business N11m11 (et this address) Subdivision Name/Number Unit No. Phase No. Total I of units Propo111d Use SQ. FT. llof Stories I of Bedrooms I of Bathrooms (Sec. 7031.6 Business and Prof1111lons Code: Anv Cttv or Countv which requires a permit to construct, alter, improve, demolish or repair anv structure, prior to Its Issuance, also requires the applicant for such l)llfmlt to file a signed statement that he I• licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Busineas and ProfH1ions Code( or that he Is exempt therefrom, and the basis for the alleged exemption. Anv violation of Section 7031 . 6 bv anv applicant for a permtt subjects the applicant to a civil pen11tv of not more then five hundred dollars I• 50011. ARS/DBA COAST/MAIO/TORREY PINES PLUMBING 6121 NANCY RIDGE DR #100 SD.CA 92121 Name Address State Ucense I 7 4 2 0 3 9 Ucense c1asJ3 / C -3 6 / C -2 0 City . Stete/Zip Telephone f 61 9 ) 6 7 7 _ 5 4 4 ~ Ctty Bu1m1111 License I 1 0 3 0 7 0 0 Designer Name Addre•s Citv State/Zip Telephone State License I _________ _ •e:•f-'1WO'lik~rcbMPblsA.tioNr7~i~u~~~l..~~~.m-:!11:li,tl~'f~rn::~Ji,:;~i-;;;~l;l;:mf;m.z=r::-~.1~:;'J;·· Workers' Compenaatlon Declaration: I hereby affirm under penalty of perjury one of the following declaration,: 0 I have and will maintain • certificate of consent to 1111f-insur11 for workers' compens•tion as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ~ I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Mv worker's compensation insurance carrier end policv number ere: lnsurenceCompany ___ AON Insurance ______ PolicyNlt. 7082973 ____ Expir1tionDat11 04-01-00 (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 emplov anv person in env manner 10 H to b1come subject to the Workers' Compensation Laws of California. WARNING: Failure to •-wortian' compenaatlon COYlfllllll la unlawful,. and wn aubject ., employer to crlmlnel peneltle• and clvD flnH up to -hundred thout1nd dollaf 1•1 0 0001, In of -. • damage• u provided for In Section 3706 of T;-•,,,...T•t and attorney•• fN•. SIGNATU •~du.~~...!..~:;+,-J...I_Ji..::::.:9!:llii!...I_..:::.t~~::..------------DATE ..A.l'-f-'-~,._-=-_,__ __ 7 ;:'lh1fflNNEJiieui'. . ?7.#~f~'f,?1\~~~.ia~1;~,~~~~-lf~~~{if~,~t,S'.:'.J~T!:i.~tlS ,,-.i,f:~J::.:i:S~~~~~:;::::~~~:;!.:'~"!~{~~-; m the Contractor's Uc11n11 Law for the following re•son: 0 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 s•le (Sec. 7044, BusineH and Profe11ions Code: The Contractor's License L•w does not apply to an owner of propertv who builds or Improves thereon, end who do•• such work himself or through his own employees, provided that •uch improvements 1,11 not intsnded or offered for 1111. If, however, the building or improv1m11nt is sold within one ve•r of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, •s owner of tha property, •m excluaively contracting wtth licensed contractors to construct th• project (Sec. 7044, Bu•inHs ind Professions Code: Th• Contractor's License Lew does not 1pplv to 1n owner of property who builds or improves thereon, and contract• for such projects with contr1ctorC1l lic11n1ed pursuant to the Contractor's Uc1n111 Lew). 0 I em exempt under Section ______ Buainess end Professions Code for this reason: 1. I personellv plan to provide the major labor and materials for construction of the propo11d prop•rtv improvement. 0 YES ONO 2. I I have / have not> signed an eppllcation for • building p•rmit for the proposed work. 3. I have contracted with the following per1on (firm) to provide the proposed construction (Include name / address / phone number / contractors lic•nse number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (include name / addr1111 / phone number/ contractors license number).:_------------------------------------------------ 5. I will provide some of the work, but I have contracted (hired) the following persons to provid1 the work indicated (include name / address / phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------COM Pl:m iTH IS SECtiON'FOtfWON,:/fff/tiENYJAl,aUIU>ftiO'HRMl)'$~NC.~T~~~~~~~:.:!;',.::f.%;(~;~~~~'.':'.:'~.:~:r~i-..~~?;~;;;:mr;'!:: Is the appllcJnt or future building occupant required to submit • business plan, acutelv hazardou• materials registration form or risk management and prevention program under Sttctions 26505, 25633 or 25534 of the Presley-Tanner Hazardou• Substance Account Actr D --¥E.--Q-NO . Is the applicant or future bullding o~cup1nt required to obtain• permtt from the air pollution control district or air quality management district? 0 YES O NO Is the faciltty to be constructad within 1,000 feet of the outer boundary of I school site7 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. :e:~~<>.NSn!U.crri~~,,.-~,-li!Jt~1LTiTii.l:~~~if"~~~i.~~~:~J~f:f!zr'f'f'·'~;~Ji;~;:::f; .. ·,i•i~~'li::~,;J;· I hereby affirm that there is • construction lending 1g11ncy for the performance of the work for which this permit is issued (Sec. 309711) Civil Code). LENDER'S NAME LENDER'S ADDRESS ;&"A~~C~Re'A-ffi>N'.l.'~!\l~~~ · -~ . · ~• · ,, . , , I certify _that I have r111d the application and state that th• abova information la correct and that the information on the pl1ns is accurate. I agr•e to comply with ell City ord1nanc111 •nd State laws relating to building construction. I hereby authorize representatives of th• Citt of Carlsbad to enter upon the above mentioned propertv for inspection purpos•s. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 p•rmlt is required for excavations over 5'0" d1111p ind demolition or construction of structures over 3 stories in height. EXPIRATIO~: Every permit is~ued bV the Building Otti~i•I under the provisions of th~• Code shell expire bv limitation and become null and void if the building or work authorized by such ermtt is not commenc1d within 366 days from the d1t11 of such permit or if the bullding or work aut orized by such permit Is suspended or abandoned •t anv time fte • work i commenc d f eri d 180 a I action 108.4.4 Uniform Building Code). I { O APPLICANT'S SIGNATUR·--..-~-,.~~-L~~....:.-&.....::::._=~~1..l:::.J~-..------DATE --+---.--L------- PINK: Finence .. City of Carlsbad Inspection Request For: 12/2/1999 Permit# CB994190 Title: MORRIS RESIDENCE Description: WATER HEATER REPLACEMENT Type:PLUM Job Address: Suite: Location: Sub Type: 28 GREENVIEW DR Lot 0 APPLICANT TORREY PINES PLUMBING Owner: MILMET MORRIS Remarks: Total Time: CD Description Act Comments 25 Water HeaterNents IJf Inspector Assignment: ~ Phone: 7604396761 Inspector: ~ I '1,7 ~ f7 A~~ l\ CQ- c t41f1«~ Requested By: NA ~ Entered By: BARBARA ---+----- Associated PCRs Inspection History Date Description Act lnsp Comments