HomeMy WebLinkAbout2247 PASEO SAUCEDAL; ; CB070536; Permit.. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-27-2007 Plumbing Permit Permit No: CB070536
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2247 PASEO SAUCEDAL CBAD
PLUM Status:
Parcel No: 2552602800 Lot #: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: JOHNSON REPLACE WATER HEATER Inspect Area:
Applicant:
ARS
STE 100
6162 NANCY RIDGE DR
SAN DIEGO CA 92121
858-677-5455
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:
JOHNSON RICHARD P&CYNTHIA M
2247 PSEO SAUCEDAL
CARLSBAD CA 92009
ISSUED
02/27/2007
JMA
02/27/2007
02/27/2007
$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:
I
f J -.-// FINAL AP~R,OV~;
Inspector: I 7 /41. Date: 0 /[i' ? Clearance:
$0.00
NOTICE: Please take NOTICE thalpproval 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 fTlust
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
f0 es/ex--'ions of which"◊'' have nr<>viousl" been riven a NOT1r.E similar,,, this nr as tn whirh the statut~ of limitatinnc:: h;is nreviousl" ntherwis<> exrir<>d.
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. C'{J,cJ"70 5 3 (:,
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit-~~~-----
Validated By ,_) l'Y\0,--
Date 2-{ ?-7 f o]
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No,St=="~divislon Name/Number Unit No. Phase No. Total # of units
~Use Proposed Use
SQ. FT. #of Stories # of Bedrooms # of Bathrooms
State/Zip Telephone# Fax#
CA-
Name City State/Zip Telephone# •;i••'t•-·s~':&e·,·, •·!0·,,,,.,. ''ttz'"'"'• ~/q;/&;····· •·-· 7bDf:;'tf J,-.iiJ If 2--:
Address City I State/Zip ' Telephone# Name
s:. ''."'" doNtilActoil!"<lt!Ml')(fl\>1NAME 'V. i' '' ·• """
(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
y violation ofb~cti~n 7031.5 by any app · n tor a per ·t bje trn applica a civil penalty ofl t mi hen jve hun ~_q,!lars 1$5001)~
Addr s {2 City State/Zip Telephone#
license Class Zo c.3'o 8 City Business License # / lJ 30 ·] Do
Designer Name Address City State/Zip Telephone
State license # _________ _
6,,-'; \NORkEftli/'di:iM~!N~A1IllN' ,f,r,;'<'.i'''
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 l 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. ~ 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 'nsurance carrier and policy number are: . • 'l. C, ll I -..l. IO J ,b . ·. q I ?✓Alo 1·
Insurance Company _!"1_,L..15,c'.!<,.c_~f----------------Polley No.7m k,1 Dl7 '=:?✓ _ Expiration Date_~/_,;,r-__ 1 _~---
(THIS SECTION NEED NOT BE COMPL TED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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 nsation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred
thousand dollars {$1 t compensation, damagas 1H provided for In Section 3706 of the lab~:~lnt~rest a .. nd attorney's fees.
s1GNATURE L,l_ DATE £Jt;)J.__l,.,n
., : ;~;'-' OWNER:iJlJlt'.DEft''DEC'ltl'ltATION"ii,cY --:..~1"i'i'"·1'·; •f:"\"°';" l 1'~'1'''.'·,:~>1fi','•·'.:;'&'"1'''"~'i'f(~~;~:fl!,)c;•,~-""'-':''-·;:-,~~-1-:,)._f}'• .:,, ·-·+·;:-:r·,:; --,,-,._-, '''.-'1'• ,,,-,,_-• • ,..,,, ._,•;, ... f~
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 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).
D 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. D YES ONO
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 I 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 f address I phone
number/ contractors license number): ________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following per!lnn9 to provide the work indicated {include name / address / phone number / type
of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE-------,--------,----,,--,------,-------,------------
COM PLere THIS, SECTION· FOR"NON41ESIIJENflilL liUll.1llN'ri 'PERMifitiiNL\<!l~'i"''"'"' " !.f ''''
DATE ________ _
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? D 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? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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.
6, CONSTRUCTION LENDING AGENCY···' ';1, .
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
9. APPLli::ANT-;;C.,ER;:;T;;;IF"-fC:;,A;.T_;;ib;_lli;;:-,;:,,;:::;:::;:::;:::;:::::;:::;:
I certify 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 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 ANO 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 5'0H deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issue by th 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 mence wtthm 180 days from the date of such permit or 1f the buildmg or work authonzed by such permit 1s suspended or abandoned
at any tim 'Pr the work is co enced for a perio\ol 180 s Section 106 4 4 Umform Bu1fdIng Code) -~~,,I/ r'r7
APPLICAt SIGNATURE -+f,frfhf-H-+r..--+H.l''---:#fl--.-----------DATE _C7_~ ;;;,'/~~ V~.,--~~~1---------
. pplicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For 05/08/2007
Permit# CB070536
Title: JOHNSON: REPLACE WATER HEATER
Description:
Type: PLUM Sub Type:
Job Address: 2247 PASEO SAUCEDAL
Suite: Lot O
Inspector Assignment:
Phone: 76094268
Location: Inspector: -----
OWNER JOHNSON RICHARD P&CYNTHIA M
Owner JOHNSON RICHARD P&CYNTHIA M
Remarks:
Total Time:
Act Comment
Requested By: CYNTHIA
Entered By: JANEAN
CD Description
25 Water HeaterNents ~~~~~
29 Final Plumbing
------· ------------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments