HomeMy WebLinkAbout2801 CACATUA ST; ; CB021151; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
04-1 6-2002 Plumbing Permit Permit No: CB021151
Job Address:
Permit Type: PLUM Status: ISSUED Parcel No: 21 536001 00 Lot #: 0 Applied: 0411 612002
Reference #: Plan Approved: 04/16/2002
Issued: 0411 612002 Project Title: LEEPER RESIREPLACE WATER Inspect Area:
2801 CACATUA ST CBAD
Construction Type: NEW Entered By: CB
HEATER
Applicant:
LEEPER K RONALD
1991 VILLAGE PARK WAY #205C
ENClNlTAS CA 92024
753-6060
ZI?j, Jsji.'&q? Jfi(!! >: '\" %<.- Owner: LEEPER K RONALD
1991 VILLAGE PARK WAY #205C
ENClNlTAS CA 92024
- .- . 1 r .. ,. . $-; G $-:G
:' Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
Plumbing Issue Fee Fixture or Trap
Building Sewer
Roof Drain InstallIRepair 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
$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
FINAL APPROVAL
Inspector: A& Date: /--Re P 3 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 "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 feedexactions 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
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Business Name (at this address) Address (include BldglSuite #)
FOR OFFICE USE ONLY
PLAN CHECK NOCm 21/51
EST. VAL.
Plan Ck. Deposit
Validated By /,e
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Assessor's Parcel t I, Existing Use Proposed Use WrZ4CF KeJr, % KdQC @ # of Bathrooms sa. FT. #of Stories # of Bedrooms Descriptibn of Work
Name Address City State/Zip Telephone #
issuance, also requires the applicant 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 the Business and Professions Code] or that he is exempt therefrom, and the basts 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 more than five hundred dollars 1$5001).
Name Address Ctty Statelzip Telephone #
State License # License Class City Business License #
Designer Name Address City Statelzip Telephone
0 of the work for which this permit is issued.
0
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date
(THIS 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 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 secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,0001. in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest end attorney's fees.
SIGNATURE DATE
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
I have 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
by affirm that I am exempt from the Contractor's License Law for the following reason:
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
, 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
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
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).
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
actor'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
ant to the Contractor's License Law).
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO
I (have l have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the'proposed construction (include name / address / phone number / contractors license number):
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number /type
Business and Professions Code for this reason:
4.
number I contractors license number):
5. of work): A n ,
PROPERTY OWNER SIGNATURE
IS SE
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? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 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
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
YES 0 NO
(Sec. 3097(iI Civil Code).
LENDER'S NAME LENDER'S ADDRESS
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 to building construction. 1 hereby authorize representatives of the Citt 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: An 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 the 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 within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is comme ion 106.4.4 Uniform Building Code) 4 APPLICANT'S SIGNATURE DATE
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 05/07/2002
Permit# CB021151
Title: LEEPER RESlREPLACE WATER
Description: HEATER
Type: PLUM Sub Type:
Job Address: 2801 CACATUA ST
Suite: Lot 0
Location:
APPLICANT LEEPER K RONALD
Owner:
Remarks:
Inspector Assignment: RB
Phone: 7607531 102
Inspector:
Total Time: Requested By: MIKE
CD Description Act Comments
Entered By: KAREN
25 Water HeaterNents
Associated PCRs
InsDection Historv
Date Description Act lnsp Comments
.*
City of Carlsbad Bldg Inspection Request
For: 05/06/2002
Permit# CB021151 Inspector Assignment:
Title: LEEPER REWREPLACE WATER
Description: HEATER
Job Address: 2801 CACATUA ST
Suite: Lot
Location:
APPLICANT LEEPER K RONALD
Owner:
Remarks: E
Type: PLUM Sub Type: Phone: 7607536060
Inspector: ,+ 3 0
Total Time:
CD Description
25 Water HeaterNents
Requested By: RON LEEPER
Entered By: ROBIN
Act Comments
A-
InsDection Historv
Date Description Act lnsp Comments