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HomeMy WebLinkAbout2206 PLAZA BONITA; ; CB061689; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-12-2006 Plumbing Permit Permit No: CB061689 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2206 PLAZA BONITA CBAD PLUM 2152322038 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: YORK RES REPLACE H2O HEATER Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 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 0 0 0 0 1 0 0 Owner: YORK DAVIDA 2206 PLAZA BONITA CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 06/12/2006 KG 06/12/2006 06/12/2006 $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: $27.00 Balance Due: $0.00 EXPIRED PERMIT Inspector: PERMIT HAS !:XPH!fll !N il.tGORDANCE WITH C.B.C. SECTION 1oe.4.4 AS AMF:i'c!Jf[) lW G.M.C.18.04.030 !lAT!'.J.ff;::\':¼-D:-( SIGNATt'RE~---·-· - FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY if PLAN CHECK No ll>'Cwlk EST. VAL. ____ ..,._ ____ _ Plan Ck. Del)osit ~""';<------ Validated By __ ""r7"---r---r~-77"- Date ____ ~_...JJ~-1,.p.;.:___u;.-I'--''- Business Name (at this 1ddresal Legal Description Lot No. Subdivision Name/Number Unit No. Ph■11 No. Total I of units Asses■or' • Parcel I R~-f'I o.c.e. s-o S"-\ Description of Work Existing Use ~ lJ::?{.\,1"~ t\wu -S'<,."'Q.. I ccc,;r• 0" Propo■ed Uae SQ. FT. #of Stories I of Bedrooms I of Bathrooms · Name Addraaa glf.· ., .... , ,,,.,. ,'" Name Addr111 City State/Zip Telephone I 1'~ i ~w · u ~ilfl~,~~~dl~~t.~¥tftttif }r':' i~,~~~t~~~~ijl!~~'¥l!f r. ;f~$lf!irti~'i!1>1i!l:-1':\i•'''' Name Address City State/Zip Telephone I lti!-Q'.«Ni.Mt:i.Ibim\coyW~.N:»l-~Mffll~~~~\.~l~~~t\l.¥i~~i'~:iJl:j~!.if.~ii;:;1/if1'f«~tii.il'tll~fi~~l M1illi~ll iM,,~f:'~h.llJ',~i~..:~l1,ii:;;)~t;;·, (Sec. 7031.5 Business ind Profeulon1 Code: Any City or County which requires I permit to construct, alter, Improve, demolish or repair any structure, prior to Its luu1nce, 1110 requlr-■ the 1pplic1nt for such permit to file • signed 1t1tem1nt that he 11 licensed pursuant to the provl1lona of the Contractor'■ Ucen■e Law (Chapter 9, commending with Section 7000 of Dlvl■lon 3 of the Bu1ln111 and Profe11iona Code( or that he la exempt therefrom, and the b11I■ for the alleged exemption. An violation of Section 7031 .5 by any applicant tor a per t ■ubject■ the I pllc■nt to a civil penalty of not more than live hundred dollars t•500]1. r I t< :T. ti · "1 II I I , 6 · O 5'" .;> 0 Name ae p I State License I _ _,(g,...,,.¢:....].......,3'-"'lc;..;;g:;__ __ Ucenae Cl■11 _C.=,.,.3_1,, _____ _ City Bualnea■ Ucense I I~ I 7 .;J, 7 I Designer Name Addr111 City State/Zip Telephone State Ucense I---------,-- [O,)~jl~~Blii,"'{l--~~~fflj'!Yl~:ll"~~~J.;:~&fl[~Wi~i,~~~~~ii'.~~-J:!,'.)\{.'l~.11~;r.;,.:,., ·,.,;• Workers' Compen11tlon 0eclaratlon: I hereby 1ttlrm under penalty of perjury one of the following declaratlON: 0 I have ind will maintain • certlllc1te of conaent to aelt-lnaure for workers' compena1tlon ■1 provided by Section 3700 ot the Labor Code, for the performance ot t!), work for which thle permit I■ la1ued. . llr I hive and will maintain work1ra' compen11tlon, •• required by Section 3700 of the Labor Code, for the performance of the work for which this permit 1s l11ued. My worker's comoenutlon lr,••1r•ric• carrier and policy number are: Insurance Company _____ T._/r\ l _ Z l fl i'. I I\ Polley No._l_ob 7 ~'ii 70 I Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 18 FOR ONE HUNDRED DOLLARS (UOOJ OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work tor which thl1 permit la laaued, I ah1II not employ any person In any manner so as ·to become subject to the Workers' Comp1na1tlon L1wa of C1lifomla. WARNING: Failure to aecur1 workw ' compensation coverage II unlawful, and ■hall aubjec:t 111 employer to crlmlnal penaltlea and clvU fines up to one hundred thouaand doll1ra It 100,0001, In addl to coat of compenaatlon, damagea II provided fOf In Section 3708 of the Labor code, lntereat and attomey'a 1111. SIGNATURE DATE {,q -j -0v ~™-®wn1U!'QjJ¥i . · · · · · 1 .,. · • ··iWllr~ . . · •:~111,'ltM~~lil11r.11iR.~Jl!l~l~~~~~v.@11~:;r.~il/!i~,.1~,.0s0. I heieby affirm that I am exempt from the Contractor', Uc1n11 Law for the following r11aon: 0 I, as owner of the property or my ~mployees with w1g11 ■1 their sole compensation, will do the work and the structure I■ not Intended or offered for sale (Sec. 7044, Bualne11 ind Prol-■alON Coda: The Contractor'■ License Law doea not apply to 1n owner ot property who build■ or lmprov11 thereo~, ind who does auch work hlm■ell or through his own employeee, provided that auch Improvements are not Intended or offered for 11le. II, however, the building or Improvement is sold within one year of completion, the owner-builder will hive the burden of proving that he did not build or Improve tor the purpo11 of 11le), 0 I, u owner of the property, 1m exclusively contracting, with llcen11d contractor, to construct th• project (Sec. 7044, Bu1in111 and Prof1aalon1 Code: The Contractor'• Ucen11 Law do-■ not apply to 1n owner of property who build■ or lmprov-■ thareon, ind contract■ for auch projects with contractor(al licensed purau1nt to the Contractor'• Llcenae Law}. 0 I am exempt under Section ______ Business ind Prole11lona Code for this reeson: 1. I personally plan to provide the major labor ind materlal■ for construction ot the propo11d property Improvement. 0 YES ONO 2. I (have / have not } signed 1n 1ppllc1tlon for I building permit for the propoaed work, 3. I hi ve contracted _with the following person (llrml to provide the proposed construction (Include name / addreaa / phone number / contractors license number): 4. I plan to provide portions ,;>I the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name / address / phone number/ contractor• license number):. ____________________________________________ _ 5. I will provide some of the work, but I h1v1 contracted (hired) the following p1rsons to provide the work Indicated (Include name / addreaa / phone number / type ot work}: ________ _,_ _________________________________ ~------------ PROPERTY OWNER SIGNATURE---------------------,--DATE _________ _ tc.oM"mi1.tt.uwsec:ctoJiil'.ei'JiV®~~-iN.li)~~~i tm~-l'll~i'~«.'fl~lr~Jn:!1:i~i'..Wi::.:1fa:~,.~. I■ the applicant or future building occupant required to ■ubmlt • buslneaa plan, ■cutely hazardoua materlela registration form or rl1k management and prevention program und11r Sections 26506, 25633 or 25534 of the PrHley-Tanner HuerdoiJs Substance Account Act? 0 YES O NO 11 the applicant or future building occupant required to obtain I permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 floLLUTION CONTROL DISTRICT. ia•1;0N$.it.e.\i:QT:1.Q1ti1..w:O~}N~~M~~;~~.~~.~~~~i~Mf~f~&'l~v~~/1i~(~j~~i~r:w,,itf:1.+,'j1~\'l~;t~~;',.i1::~:.1,i_:,;1.,:,,.•.••:4';:i· I hereby affirm that there la • construction lending agency for the performance of the work tor which this permit la 1 .. ued (Sec. 3097111 Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS. _______________________ _ ra~~c:ntNtam~~-r~~~~~~tti&t<fi~-,~~~j)!!l.tlll\titi1:,:t.tJ, ... , I certify that I have read the 1ppllc1tlon and 1t1t• that the above Information I■ correct and that th1 lnlormat!on on the plana I■ accurate: I agree to comply with all City ordinance■ ind State law■ relating to building construction. I hereby authorize repr111nt1tlv11 of the Cltt of Carlab1d to enter upon the 1bov1 mentioned property tor 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 AHY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required tor excavations over 5'0" deep and demolltlon or construction of atructurea over 3 stories In height. EXPIRATION: Every permit Issued by the building Offlcial under the provlalona of thla Code shall expire by llmltaUon and become null and void If the building or work authorized by such permit Is not commenced wlthl 180 days from the date of auch permit or If the building or work authorized by such permit la suspended or abandoned at any time afler lhe work Is commenced for a lod of 80 days (Section 106.<4.<4 Unllorm Building Code), DATE ____ l _-_1_-_tJ_h ____ _ WHITE: FIie . YELLOW: ~t PINK: Finance