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HomeMy WebLinkAbout2853 CACATUA ST; ; CB080161; Permit.01-22-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB080161 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2853 CACATUA ST CBAD PLUM 2153702000 Lot# 0 Construction Type NEW KALISH RES REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/22/2008 KG 01/22/2008 01/22/2008 Applicant ALL STAR WATER HEATERS & PLUMBING 17886LAKESHOREDR 92530 1-800-727-0977 Owner KALISH RICHARD D 2853 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 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspector FINAL A 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 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 PERWilT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlstyad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL _. Plan CK Deposit Validated By. Date 1 PROJECT INFORMATION rcress ;I.-IC!LCC Biclg/Sj la «) ;> im^\Ji i i'jsiness Name (Business Name (at th.s address) 2 CONTACT PER^Niifjflfl^^ U. IS?" Came 3 APPLICANT ;b All Address City State/Zip Telephone if ntra^^ ,-- Address City Telephone ffState/Zip ffi^ffiffil£^ Address Ciity ' State/Zip Telephone S 5 ...... .C#NTRACTOB.-Cpj\/EA^NA!i^ . '-' (Sec 7031 a Business and Professions Code Any City or County which requires a permit io construct alter improve demolish or repair a::y suuctuie pnar '.o .LJ •-..£..;: ••:•. also requires tne applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of tne Contractors License Law [Cnapter 9 co;n:rer:jin_ Section 7300 of D, vision 3 of the Business and Professions Code] or that he ;s exempt therefrom and the basis fcr the al'-egerj exempiio." A°y viaatic-i o1' Secure. '.":'-'. :• : En/ ap:.i;can: for a penr.it subjects the applicant to a civil penalty of not more than five hundred dollars [5500]) ,, Rj.v/« i^f/^A AU,/^^ ^ ^Z^& frt N'arne- S-s-e License * % / 2- Address License Class _ Cgg City State/Zip City Business License j;I De-s/jner Na'iie Sssic L-ctrst tt Address City S;a:e/Z:p 1 Vo.-p.ers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations "' I ::s e a"'J •..•!.: maintain a certificate of consent to self insure for workers compensation as provided by Section 37CO of the Lasor Cc'Je foi the pcrtor:r3n:c •: for .vmcf: ;ri:S permit :s issued Ss^1 i nave and will maintain workers compensation as required by Section 3700 of the labor Code for the performance of the worn :'cr which this porr.k .= j--..r: •..-crker 3 compensation insurance carrier and policy number are hsurar,:c Ccir.par-y v^ Tf\l'' PlV^v r_'A Policy No ( -f- C* / is V/0 *jf~ Expiration Cute- £>_2. Q_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [5100] OR LESS) D CERTIFICATE OF EXEMPTION I certify (hat in the performance o? the work for which this permit ,s issued ; shall net e/n^.o/ any person r> an, .-:..i r -,•: s; cecorne sucjsct to tne 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 hundreu tho-j doilars(S1CO 000) in addition to thsrllost of^>ompens^tion damages are provided for In Section 3706 of the Labor Code mturost and attorney's fees SIGNATURE f/^— " t~~^ DATE / ' __ 7 •_ OWNERB^ILDERJSEJZLWMpN^^r^^. v;.;!.-. .J^l', ^f^'^:Xf-' '^''^^ •••. '•'••„•• ..' ""• , ~'.,\ - I hereby a:'fi:rn that I am exempt from the Contractor s License Law for the foiiowing reason D I z~ :• /ner c? tr.c- property or my employees with wages as their sole compensation will d the work ar.d the structure is net ur.enaoa o- offeree ror 'j:;k. ;S-.-.: . .• ^'jsir.ess a'.a Professions Code The Contractors License Law does not apply to an owner of property who ouilds or improves thereon j.'ia who aoc-s SL.-c:i /.or-. • ;,•• :,j.i •:. •.nrougn n.s own employees provided that such improvements are not intended or offered for sale If however the building 01 improvement .s sole .vi;i-..n •:•-.. .-.:• :, completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) D I as owner cf the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Coc.; T:v.-C. i; -..;;. •. License La,v dees not apply to an owner of property who builds or improves thereon and contracts for such pro;ec'.s with contractoi(s) licensed pursuant to :ix ••.-••'!•:U..Y.,• L cense La,v; Q I am exempt under 3ect;on Business and Professions Code for this reason 1 i p=rsonaili pian to provide the major labor and materials for construction of the proposed property improvement D YES Q NO 2 I (nave/ha .e not) signed an application for a building permit for the proposed work 3 I ho e contracted with the following person (firm) to provide the proposed construction (include name / address / phone number,' co.r.iaacrs l.cense number.' ' plan to pro1 iae portions of the work but I have hired the following person to coordinate supervise and provide the major wox i,:i-.c;ucie na-n-j / jtid-ess.- snore ••.-••it 'ontrar.ors license number) I .• I P.-C-.-^U scn-.e cf the work but I have contracted (hireci) the following persons to provide tr.e work indicated (include na:ne / jd-ji^ss / p'-oni; rrjniccr /1,•:)..• y . .. FPO^E^Tf C;";;icR SIGNATURE DATE WHITE File YELLOW Applicant PINK nuance PERMIT APPLICATION C?TY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 ^ COMPLETE THIS SECTION FOR WON-RK/^N77£L BUltli^ ' :5 >.ne applican: or future building occupant required to submit a business plan acutely hazardous materials registration for or risk Management ar.c! preveiv.ion prcc s r Sections 23:05 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? D YES O NO 's -.e applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' Q YES !'!! no .s -r.e fsclr.y o sc consm,cted wr.h.n 1 OOC feet of the outer boundary of a school site? D YES D NO ir ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETIN REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8 CONSTRUCTION LENDING AGENCY- S ••</'';. "':' "' '^'•''^"•' -'.-' ^'^-'^w ••'•A''^'"'f'-.J-. ';$•."'• '<-"':<•• '; __ „ . .,.,.,;.•,. m • 3 • /; . '.j'',1 V ; .•;. f ,: ,",..;;;' J; v • .'w..V ..... i..f •. ^^K^ ' •.,;„ .j .^; ^^ ' '^ rz?2i. ' * ' . '• i :~-a ;here is a construction lending agency for the performance of the work forwnich this permii is issued (Sec 30S7;l) Civi; Code) LENDER S ADDRESS ___________ ...... __ ...... 9 APPLICANT CERTIFICATION;,;'...... 'i-KjIS-Jiol',. ^~-L"&...*.^£-.. 1- ..:- J\i:_ .IS.-l./JZS.i , ;3.'".' -''.'. i cc-r-r/ -,".=i I r.j/c read me application and state mat the above information is correct and that the information on the plans :s accurate I agree to compl1, it:-, si orsi.ns.ices a^.; S;a;e iaws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon :nc- above montionea prcpcrt.1 <•-< \ i3'...-. CLir'^-.s i ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGEMENTS COS'S , EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An QSi'A permit is required for excavations of 5 0 deep and demolition or construction of structures over 3 stories in he.ght EXPIRATION Li'.L-r/ permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if me uuild.-rg or •. OT a :"•:•• c; i-cn pcrmi; ,3 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 a; ;jn, • m- 'n-j t.'orr is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) ,-.PPL;C~N'T S SIGNATURE (Jf /* /S _____ DATE ______ /...../. 5 __ Y V_ WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/30/2008 PermiW CB080161 Title KALISH RES REPLACE WTR HTR Description Inspector Assignment 2853 CACATUA ST Lot Type PLUM Sub Type Job Address Suite Location APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner KALISH RICHARD D Remarks Phone 7604769668 Inspector Total Time CD Description 29 Final Plumbing Act Comments Requested By RICHARD KALISH Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Check A License Contractor's License Detail Page 2 of 2 Workers' This license has workers compensation insurance with the Compensation STATE COMPENSATION INSURANCE FUND Policy Number 238-0003235 Effective Date 08/02/2007 Expire Date 08/02/2008 Workers' Compensation History Consumers | Contractors | Applicants | Journeymen | Public Works | Building Officials | General Info CSLB Home | Conditions of Use | Privacy | Contact CSLB Copyright © 2007 State of California http //vvw\v2 cslb ca gov/General-Information/mteractive-tools/check-a-hccnse/License+ 01/22/2008