HomeMy WebLinkAbout2858 NANTUCKET LN; ; CB044080; PermitApplicant:
MICHAEL CALHOUN
20777 JOEY CT 92570
951232-4989
Plumbing Issue Fee
City of Carlsbad
. -
1635 Faraday Av Carlsbad, CA 92008
11-04-2064'' 1- 04 20ô4 Plumbing Permit Permit No. CB044080 .
Building Inspection Request Line (760) 602-2725
Job Address:. 2858 NANTUCKET LN CBAD
Permit Type: PLUM Status: ISSUED
Parcel No: 1674721100 Lot #: 0 Applied: 11/04/2004
Construction Type: NEW Entered By: RMA
Reference #: Plan Approved: 11/04/2004
Issued: 11/04/2004
Project Title: SPENCER RES-COPPER RE-PIPE Inspect Area:
Owner:
SPENCERJOHN S&REYES R
2858 NANTUCKET LN
ICARLSBAD CA 92008
) I.)
.--'
$20.00
Fixture or Trap / , -- '
:0. - ' .\J) ,.-. $0.00
Building Sewer '..'\ 0-y i,- ". 'N -- ,..•• c" $000
Roof Drain / __) .• 0f'),. •.•-A ' c) ,..1 $0.00
Install/Repair Water Line / .' 1 ' \. ..J $7.00
Water Heater and/or Vent --... / 0 $0.00
Gas Piping System! 'T' - / '-- \ ',so.00 - --, --- —. Vacuum Breaker ' . ,/' $0.00
Other Plumbing Fees '\ . -- - I
Q~7$10
-$33.00
.Master Drainage Fe "- - / ../.ç. 00
SewerFeé __•• ••$ '
Additional Fees $0.00 ,.
TOTAL PERMIT FEE $60.001
-'- IORPORATED / Total Fees: $60.00 ' tTótal Payments To Date:95, , $0;00 Balance Due:
\ -
$60.00
4785 11/04/04 0002 01
COP
FINAL APPROVAL
Inspector: 77' Date: "( Clearance:
NOTICE: Please take NOTICE thfti 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
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60..00
FOR OFFICE USE O Y
PERMIT APPLICATION PLAN CHECK NO L/ '-1oO
EST:VAL CITY OFARLSBAD BUILDING DEPARTMENT, _____
Plan k. Deposit 1635 Faraday Ave., Carlsbad, CA 92008
ted By
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Date 141
Cjri. .A iON F RM . ,
2 S t3c cXe-14A .
Business Name (at this address) .
,. - .
- _•_1 J\ Address (include Bldg/ Suite if)
S . , •
Legal Description - - Lot No. Subdivision Name/Number 0 Unit No. PhaseNo. Total if of units -.
-.5.. ,. S. Assessor's Parcel if ' Existing Use
I \1 H- Cc&Jr - It .....
. . . . Proposed Use - . I. .
- Description of Work SQ. FT. ,' . tot Stories ." if of Bedrooms if of Bathrooms I, £
V OF - JJ a FO . .-ll.U.W
City StatelZio Talenhona if Fax #
)e P\CAL\ CicU'—' . -' . . '
/ Name . ' Address - - City.,* . $tate/Zip Telephone
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Name J \ Address - City State/Zip Telephone #
(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 tile 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
axe ti n. 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 [$5001). 'lo'rll Sc4 (,)e.n-tç - 9c\ Name Address City -. . State/Zip lepho
State License : ?'-\o "s . , License Class ,,, -_Z., ? L, . City Business License
- Designer Name C I Address -. . City State/Zip Telephone . ._
State License if
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: S
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 jormit is issued.
I have and will maintain workers' compensetionasequired 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:
Insurance Company . S.
S • Policy No. -'
-
- Expiration Date ' S (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 161001 OR LESS) ' p
CERTIFICATE OF EXEMPTION ~.Lqertify th3Pjr1 the perfo ce of the work for which this permit is issued I shall not employ any person in any manner so as tdtiecome subject to the Workers'ense)h)l'Laws of elifo; ia
WARNING: Failure to sacur ojJc,s' coqsatk'in overa I wful,'and shall subject an employer to criminal pónaltlea and civil fines up to one hundred thousand didon _corn_ens_ on, damages as provided for In Section 3706of the Labor colds ,Intea9ndattotney'sfees.
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SIGNATUR
I heiebyaffifml&4am 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
(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 saIe 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). . - ' -- - , S * . •. 0 I am exempt under Section .' Business and Professions Code forthis reason: • S •' .
S •. S - . SS JS' •. . S f 1. I personally plan to provide the major labor and materials for construction of the proposed prperty improvement. 0 YES - DNO I (have I have not) slgn'd 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 / address / phone
mber I contractors license number): i
. '- I will provide some-Of the work, but'l havd contracted (hired) the following persons to prOvide the work indicated Iinclude name / address / phone number / type
-PROPERTY OWNER SIGNATURE -.- _-.,.•..- 'DATE -. - - - - S
Is the applicant or,future building occupant required to'submit a business plan, acutely hazardous materials registration form or risk management and prevention
program undei 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 ?bnstructed 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.
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 __. __• _-
0 M41 14011. INr E6112201i'
I certify that I have read the ipplication and state that theebova 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 Cit, 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 ove 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 within180 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 fora period of 180 days (Section 106.4.4 Uniform Building Code). ' ' - ' • S - 4 APPLICANT'S SIGNATURE ' S - - . . . ,
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- - DATE
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-- WHITE: File . YELLOW: Applicart PINK: Finance ,. • - - S . '
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Poo City 'of Carlsbad Bldg InspectionRequest
Le For: 11/05/2004 V
Permit# CB044080 Inspector Assignment:
Title: SPENCER RES-COPPER RE-PIPE
Description:
Type: PLUM Sub Type:
Phone: 9412324989
Job Address: 2858 NANTUCKET LN
Suite: Lot 0
Location: Inspector:
OWNER SPENCER JOHN S&REYESR V
Owner: SPENCER JOHN S&RE YES R V
Remarks: did not say whattype of inspection
Total Time: Requested By: MICHAEL
V Entered By: CHRISTINE
24 Z'POU
ent
YJ
Associated PCRs/CVs -
Inspection Histov
Date Description V • Act Insp Comments V
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