HomeMy WebLinkAbout2820 CACATUA ST; ; CB033147; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
'1 1 -'18-2;)03 Plumbing Permit Permit No: CB033147
Job Address:
Permit Type: PLUM Status: ISSUED
Parcel No: 2153700500 Lot #: 0 Applied: 11/18/2003
Reference #: Plan Approved: 11/18/2003
Issued: 11/18/2003 Project Title: ENGLISH RES NEW H20 HEATER Inspect Area:
2820 CACATUA ST CBAD
Construction Type: NEW Entered By: SB
Applicant:
ALL STAR WATER HEATERS & PLUMBING
17886 LAKESHORE DR 92530
1-800-727-0977
Owner:
ENGLISH FAMILY TRUST 12-10-96
2820 CACATUA ST
CARLSBAD CA 92009
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
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
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
FINAL APPROVAL I Inspector: Date: 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 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.
02
27.00
C
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
FOR OFFICE USE ON Y
PIAN CHECK NO. cB-33w
EST. VAL.
Plan Ck. Deposit
Validated By &$3
Date/ . I ISICS-
Business Name (at this address)
Lot No. Subdivision NameINumber Unit No. Phase No. Total # of units
cr7To4 ST
Legal Descriptlon
Assessor's Parcel # Existing Use Proposed Use
Description of Work SQ. FT. # of Stories # of Bedrooms #of Bathrooms
Name Address 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 structure, 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 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 [$500]).
Name Address City Stateltip Telephone #
state License # d/ &FU License Class City Business License # b'G & 7
Designer Name Address
State License #
4LLSfl~r;c ~4~33 et6~lm.s DMC ~/rUgrm Lcc 6LSd.a; C4QZ@s 6% 7276977
Telephone # City StateIZip
.. ..
for which this permit is issued.
worker's compensation insurance carrier and policy number are:
Insurance Company 34s 4 \\ ____ Policy No.-!.? (/77ff 7 - Expiration Date 6- 2 -0 ,Fi/
I have and will maintain a certificate of consent to seif-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work
I have and will maintain worker's compensation. as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My
PERMIT IS FOR ONE HUNDRED DOLLARS [SIOO] OR LESS)
in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to
damages are provided for In Section 3706 of the Labor Code, int
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).
0 I. as owner of the property, am exdusively contracting with licensed contractors to construct the project (Sac. 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 prqects with contractor(s) licensed pursuant to the Contractor's
License Law).
0
1.
2.
3.
4.
5.
I am exempt under SecUon
I personally plan to provide the major labar and materials for construction of the proposed property improvement. YES 0 NO
i (havehave not) signed an application for a bullding 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 number I
/ontractors license number):
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number I type of work):
Business and Professions Code for this reason:
~ ~
PROPERTY OWNER SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK Finance
.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
Sections 25505.25533 or 25534 of (he fresby-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or Mure building occupant required lo obtain a permit from the air pollution control district or air qualiv management district?
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.
0 YES 0 NO
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDERS NAME LENDERS ADDRESS
ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Cadsbad 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, JUDGEMENTS, COSTS AND
OSHA An OSHA permit is required for e d demolltion or construction of structures over 3 stories in height
rovisions of this Code shall expire by limitation and become null and void if the building M wok authorized
ch permit or if the building or work authorized by such permit is suspended or abandoned at any time after rm Building Code). the work is commenced for a period of
APPLICANT'S SIGNATURE
W
WHITE: File YELLOW: Applicant PINK: Finance