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HomeMy WebLinkAbout2845 CAZADERO DR; ; CB061799; Permit06-22-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB061799 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2845 CAZADERO DR CBAD PLUM 2153401501 Lot# Construction Type STEGER RES- REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area PENDING 06/22/2006 LSM Applicant CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 866-898-0008 Owner STEGER FAMILY TRUST 02-19-99 2845" CAZADERO DR CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent ' Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 1 0 0 / ! t $2000 $000 $000 $0 00 $000 , $7 00 $000 $000 • ' $000 $000 $0 00 , • $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due:$0.00 Inspector FINAL APPROVAL Date t\l &(/*.« _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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY-OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. (L&O& EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of Work *2, ^L^CONTACTTpERSON (if different"from.appiicBntl SQ FT #of Stones if of Bedrooms # of Bathrooms WillittinPROPERTY OWNER Address tate/Zip Telephone it Name Address City State/Zip Telephone ft (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 Jjiection 7031-5 by any,applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001)...... ' Wa'me . , , . ,. Address State License # f\ / / 1 ( | License Class L_ " - Designer Name Address State License # City "" State/Zip Telephone # -5 Co City Business License # City StatefZip Telephone 56..^ WORKERS! COMPENSATION JCtf , "tMiF' ^ W, ^ "I*** 1*^ -^^J? -- -^"Wl^^i? V(^\ X 'SCFr 14T Jiw '^^l^ T!I IS Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 of the work for which this permit is issued £J 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 issued My worker's compensation insurance carrier and policy number are i Insurance Company SftTCt^l^cL J^UjA\ji _ Policy No I CV7 / TS <7\^ _ Expiration Date //D//Qtr) (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) ' D 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 13 unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,030), in addition to the cost of compensation, damages as provided for in Section 3706 of the. Labor code, interest and attorney's feeshe. feSIGNATURE .-t _ DATE ,7 r^OWNER-B'LJILDERipEGi^ARATlON^I.Hrli; :V &> .„ ."..J [ 4*( i(i •" -/ -4- - ? <s £ 1 'T?Vf'M-,?;1^rr_^. ^^^f-^.jV^O -'^Jv- 1"1'' '"A,", I hereby affirm that I am exempt from the Contractor's License Law for the following reason D 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 of 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! Q 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) D I am exempt under Section _ Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Q YES QNO 2 I (have / 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 I address / phone number / contractors license number) 4 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 / address / phone number / contractors license number) _ __ __ __ _ ^ __ 5 1 will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE TprSECTlON FOR NQN'RESfDZNTIAL, BUILDING PERMITSIONLYTs^ <->- „ , ^^-5 ''? ^ ( i tf^fi *S "> L IS " -H -lip •" £.,'.£{ l!i CPAC-3KI ^ 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? Q YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? n YES D NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES fj] 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 t'E^ ' e 7;Lr,TVtV!\ ' '"-.' 'i '.' -P '"-" .^U fr:,f<>"™ X. l<f* 7 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME _ LENDER'S ADDRESS I certrfy 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 I hereby authorize representatives of the City 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 commenced for a period of 180 days (Section 10644 Uniform Building Code) APPLICANT'S SIGNATURE L *• V-C^VJCVXC.ffiX "CL DATE O WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 07/18/2006 Permit# CB061799 Title STEGER RES- REPLACE WTR HTR Description Sub Type Inspector Assignment 2845 CAZADERO DR Lot 0 Type PLUM Job Address Suite Location APPLICANT CALIFORNIA DELTA MECHANICAL Owner STEGER FAMILY TRUST 02-19-99 Remarks LATE AM OR EARLY PM 11AM - 1PM PLEASE Total Time Phone 7604389116 Inspector Requested By BILL Entered By CHRISTINE CD Description 25 Watertieater/Vents Act Comment Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments COMPENSATION' t-N S U R /" v POUCYHOLOER COPYi PO BOX 807, SAN FRANCISCO,CA 94142-0807 FLJISIO CERTIFICATE OF WORKERS' COMPENSATION HYSURANCE issue DATE 07-01-2005 GROUP POLICY NUMBER, 1697823-200$ CERTIFICATE ID; 3 CERTIFICATE WIRES. 07-01-2006 07-01-2005/07-01-20O6 C P R C BOX 869006 PLAINO TX 75086 NF JOB-. This Is to certify lhat we have issued a valid Workers' Compensation insurance policv m a form approved by the California Insurance Commissioner to the employer nJmgd below for" the policy period indicated, This policy is not subject to cancellation by the Fund axcept upongodays' advance written notice to the employer We will also give you 39 days-1 advance nones should this policy be cancelled prior to its normal expiration This certificate qf insurance is not an insurance policy and does no: amend; extend or alter the coverage arfordsd by tne policies Usted herein,- -Notwithstanding any requirement, term, or condition of any contract1 or other documentwith respect to. which this certificate of insurance may ba- issued or may pertain, the insurance afforded by the policies described herein is subject TQ all the terms, exclusions and conditions of such policies. AUTHORiZEP'REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: J1,000,000. OO PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE ^07-01-200S IS ATTACHED TO AND FORMS A PART OF THIS POLICY - . c . EMPLOYER LEGAL NAME 'CALUORNfA- DELJA HECtHA.N(CAL, INC 2500 S POWER RD # 8-120 - MESA AZ 85208 CALIFORNIA DELTA MECHANICAL, INC 3-03)PRINTED:" °S/17/200S PQ409 cru 0T *