HomeMy WebLinkAbout2808 NEW CASTLE WAY; ; CB032510; Permit"cY $20.00 N
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Owner:
GUY SUSAN L
3039 NUT WAY ,-
SAN DIEGOCA 92117
$27.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit. Permit No: CB032510
Building Inspection Request Line (760) 602-2725
2808 NEW CASTLE WY CBAD
PLUM Status: ISSUED
1674801931 Lot #: 0 Applied: 09/11/2003
Construction Type: NEW Entered By: SB
Plan Approved: 09/11/2003
Issued: 09/11/2003
GUY RES NEW H20 HEATER Inspect Area:
09-11-2003
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
ARS
STE 100
6162 NANCY RIDGE DR
SAN DIEGO CA 92121
858-677-5455
Plumbing Issue Fee
Fixture or Trap
Building Sewer / Roof Drain
Install/Repair Water Line /L.
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker / Other Plumbing Fees
Master Drainage Fe
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
Ile
Total Fees: $27.00 \
'LJ
Payments To' Da1rORATEr$O.00
1952
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fi
Balance Due: $27.00
U
39270 09/11/03 0002 01 cop
I
FINAL APPROVAL
1 2 NSR DATE________
LCLEARANCE I
02
a
Exb
Descon
Nape
Name
'1'
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO t5' (b.
EST. VAL. '
Plan Ck. Deposit
Validated By________________________
te/1J1 ca
Address (include Bldg/Suite #) .' Business Name (at this address). :
Legal Description Lot division Name/Number - Unit No. Phase Na. Total # of 'units -
Name . Address . City State/Zip Telephone # Fax #"
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any Ciructure, prior to its
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 basis for the alleged
Designer Name Address City State/Zip Telephone
State License #
Workers Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided b, Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued. - • .
. .
- .
have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for
_q41_
this
issued. My worker's
permit is
rPnsation ipsiance carruend pohcy number are
Policy No !' - Expiration Date 0 (7
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 beèome subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage Is uilawful: and shall subject an employer to criminil penalties and civil fines up to one hundred
'thousand dollars ($100 000), In adqtion to the cost of compensation, damages as provided for In Section 3706 of the abor ce. Interest and attorney's feei.,
SIGNATURE t K -(' j/4 I.4,y.\ . • DATE
I heieby affirm that I axempt from the Confpacfor's License Law.for the following reason:
l 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 Professiors Code: The Contractor's License Law does not apply to an, owner of property who builds or improves thereon, and who dóés
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).
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 contractor(s) licensed
pursuant to the Contractor's License Law). , ' . , , - ,,
0 -
I am' exempt under Section Busin'ess and Professions Code for this reason:
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES []NO
I (have I have not) signed an application for a building permit for the proposed work.
. =
3 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 personto coordinate, supervise andprovide the major, work (include name / address / phone -
number I contractors license number):
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number /type'
of work): - -
PROPERTY OWNER SIGNATURE DATE
Ott '
Is the applicant or future building occupant required tosubmit a busines 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? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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.
18 cpNsTRiJpiIop NYil ft '
I hereby affirm that there is a construction lending agency for the performance of the w9rk for which this permit Is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ' ' LENDER'S ADDRESS . .--. • ,
9 APPLICANf ERTiCfioN
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. .1 agree to comply with all-
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit%i 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 exCaetion 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 cad for a e d of 180 days (SeM
I)OUre.2—
O6.4.4 Uniform Building Code).-
APPLICANT'S SIGNATURE DATE 0 —
W TE: a YELLOW: Applicant. - PINK: Finance .
City of Carlsbad Bldg Inspection Request
Lu For: 11/06/2003
Permit# CB032510 Inspector Assignment:
Title: GUY RES NEW H20 HEATER
Description:
Type: PLUM Sub Type:
Phone: 8586775455
Job Address: 2808 NEWCASTLE WY
Suite: Lot 0
Location: Inspector:
APPLICANT ARS
Owner: GUY SUSAN L
Remarks:
Total Time: I Requested By: YOLANDA
Entered By: CHRISTINE
CD Description Act Comment
25 Water HeaterNents
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments