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Home My WebLink About2711 EL RASTRO LN; ; CB052296; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-21-2005 Plumbing Permit Permit No: CB052296 Building Inspection Request Line (760) 602-2725 Job Address: 2711 EL RASTRO LN CBAD Permit Type: PLUM Status: Parcel No: 2551060400 0 Applied: Construction Typ : NEW Entered By: Lott Reference #: Plan Approved: 1 Project Title: MORI RES REPLACE H20 HEATER Applicant: CALIFORNIA DELTA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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: MORI YUKIKO S 2711 EL RASTRO LN CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 06/21/2005 KG 06/21/2005 06/21/2005 $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: $0.00 Balance Due: lnspecto ·: FINAL APPROVAi,,.. Date: 1-&' ~ 0 5 Clearance: $27.00 NOTICE: Please take NOTICE that approval of your project includes the Klmposition" 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. lf 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 r ·,. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECTINFORMATION 29: t I El= Address (inc1ude Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. 2. CONTACT PERSON (II dllferentfrom applicant) • / (: A: L I fizf<!J IA 7J a-r A N?Fc/lA--rv IC/tL Name Address City 3. APPLICANT f Contractor D Agent for Contractor D Owner Name Address City State/Zip 4. PROPERTY OWNER .Q Yu Kt /50 Mf) "' :I Name Address 1 City State/Zip 5. CONTRACTOR~ COMPANY NAME FOR OFFICE USE ONJu,< ft__"'.. PLAN CHECK Nc::C: I..J1 J 2 V ~ EST. VAL.---------- Plan Ck. Deposit ______ .,,,c,__ Validated By ------:,7'-""f-/-- Date --'"'--.,,1----""'-.L.--lf'-- q2oq Phase No. Total# of units Proposed Use # of Bedrooms # of Bathrooms Telephone# 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 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 exemption. Any violation of Section 7031.5 by any applies or a permit subjects e pplicant lo a civil penalty of not more than five hundred dollars (;500]). _ 1 # • · · . · o s. 'o1.{.10-rro1 1 o -,~ ssz.c,& Address City State/Zip 12 !T:t,Ptwe j State License # --=~-,..~~-,~-License Class (~ r .,_..... 3 b City Business License #-~-~=+/.-'±:__,_~.::_==-'---- Address City Telephone# Designer Name State Ucense # Z I j \ I}+: Stale/Zip 6. WORKER'S COM1:'ENS+110N Workers· Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 permit is issued. FJ,... I have and will maintain warner's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which th.is permit ls issued. My worker's compensatio~ i sura ce ca~rier and poliCY. number : . ( I_ n. 0"2..7 . . d J ! _f Insurance Company f (\. i Policy No. 1 \0 :l .:t:Q.. ._.;) Exp1rat1on Date :i ~/ ~ 0 (TI-IIS SECTION NEED NOT BE COMPLE D IF THE PE IT IS FOR ONE HUNDRED DOLLARS ($100} OR LESS) D CERTIFICATE OF EXEMPTION: I ce ify 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 ws of California. WARNING: Failure to se Cp dollars($10D,000), In ad It SIGNATURE 7, OWNER-BUil I hereby affirm Iha am empt fr pens ~on coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand qmp s lion, damages are provided for in Section 3706 of the Labor Code, Interest and attorney's fees. . DATE·--------~ D I, as owner of the property r my employees v,rith wages as their sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: T e 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. lf, 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 exdusively 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 D NO 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 (inciude name I address I phone number I contractors license number): 4. l plan to provide portions of the work. but I have h·red the following person to coordinate, supervise and provide the major work (include name I address I phone number I lontractors license number): ---------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): PROPERTY OWNER SIGNATURE----------------------------DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance ' ,,. . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D 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 D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTROc'"TION LENDING AGENCY' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S ADDRESS ___________________ _ •• I certify that I have read the application and slate 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 City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, 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 of 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official und 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 wit in 80 days t o e dale f such permit or 1f the building or work authorized by such permit 1s suspended or abandoned at any time after the work is commenced for a period/ 1 d s (S 10n 06.4 niform Building Code). ~~ I b Jo f APPLICANT'S SIGNATURE DATE -~~----~-----;li,-.......-~--- WHITE: FIie YELLOW: Applicant PINK: Finance m''; City of Carlsbad Bldg Inspection Request . . Permit# CB052296 For: 07/05/2005 Title: MORI RES REPLACE H20 HEATER Description: Type: PLUM Sub Type: Job Address: 2711 EL RASTRO LN Suite: Lot 0 Location: APPLICANT CALIFORNIA DEL TA MECHANICAL Owner: MORI YUKIKO S Remarks: AM PLEASE -AFTER 8AM Total Time: CD _D_e_s_c-rip-t-io_n _______ ~ Comment 25 Water HeaterNents ~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7607538043 lnspectd£ Requested By: YUKIKIO MORI Entered By: CHRISTINE