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 ____ _
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