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HomeMy WebLinkAbout1799 RATCLIFF RD; MULTI-PERMIT FILE; CB060241; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB060241 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1799 RATCLIFF RD CBAD PLUM Status: Parcel No: 1562701000 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Tille: BREEN RES REPLACE H2O HEATER Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA 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: BREEN INTERVIVOS TRUST 04-29-82 1799 RATCLIFF RD CARLSBAD CA 92008 ISSUED 01/30/2006 KG 01/30/2006 01/30/2006 $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: Inspector: FINAL APflRO~AL Date ~f/o I dl Clearance: $0.00 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 pennit 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 Car1sbad 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 f \ n f whi h v r i I T imil r hi r o wh' h h f Ii i i n h t h PERMIT APPLICATION FOR OFFICE USE ONL V / PLAN CHECK NoC<¼,0 )-4 CITY OF CARLSBAD BUILDING DEPARTMENT .. 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _____ "T7' __ _ Validated By __ .....,,,,.....,,. __ .....p~..,,c-- Date, ____ 1.,___.~_.xJ,c_-R---- Addreaa (Include Bldg/Suite I) BualneH Name (at thi1 addr-1 Legal Ducrlptlon Lot No. SubdMllon Name/Number Unit No. Phue No, Total I of unit• A1Huor'1 Parcel I Exl1ting UH ,. . l>:?A.1"~ .\-\w-u -~"'mQ. I aco.-r• 0" Propoeed UH B.e.Plo.te. lfo ~"' Deacriptlon of Work SQ. FT, lot Storie& I of Bedroom1 I of Bathrooms Name Addr-City S.tate/Zlp Telephone I ll~t:omikl»A~~~~Sl!~,t,"l,.~,,..,,~~~~ I (Sec. 7031,5 BualneH end Proteaalona Code: Any City or County which requlrea a permit to conatruc:t, elter, Improve, demolllh or repair ■ny etructu,e, prior to ltl laauance, alao requlrea the applicant for ■uch permit to file ■ ligned et■tement that he I■ Uc-.d pur■u■nt to the provlalon■ of the Contractor'■ Uc-. Law ICh■pt■r 9, commending with Section 7000 of Dlvl■lon 3 of the euain-end Profeaalona Cod■) or that he I■ exempt therefrom, end the bul1 for the alleged exemption. An violation of Section 7031.6 by any applicant tor• per t 1ubjec:t1 the• pllcant to• civil penalty of not more than five hundted doll■II 1•600)). r I t< ii. A (2, • II / r . S-: • O ~ .;> 0 Name City Stete/Zlp Telephone I State Ucenae I (e&] 31oK Ucen11 CIHI C. 3 ~ City Eklllneu Uc-. I l~I 1j, 71 Deaigner Name Addr-City State/Zip Stet• UcenH I ________ _ tt~~iiuiaii't.Ai'iilkNi"MINlt:'W~~---~~~~~;,~;~"9'~•.-,· "·' Worker1' Compenaetlon Declaration: I hereby efflrm under penalty of perjury -of the following declaretlone: 0 I have end will melnteln • certltlcete of conaent to Hlf•lnaur• for worker•• compenaatlon H provided by Section 3700 of the Labor Code, for the performence of t!), work for which thl• permit II llaued. . Clr I have and will maintain worker•' compenaetlon, u required by Section 3700 of the Labor Code, for the performance of the work for which thi1 permit 11 IHued, My worker'■ comoenaatlon i.-, ... f\Ce carrier end policy number ■re: lnauranca Company ___ T.._Vl l ·-Z l I\ i~ 1}, Polley No._l._p b ?-~'1 ·i 7 0 I Expiration Date O I / b / f () 7 • (THIS SECTION NEED NOT BE COMPUTED IF THE PERMIT IS FOR ONE HUNDRED DOLL.ARI 1•1001 OR I.US) 0 CERTIFICATE OF EXEMPTION: I c■rtlty that In the performance of the work for which thll permit II luued, I ■hall not employ any peraon In any maM■r ao u ·to become aubject to the Worker■' Compenaatlon L1w1 of California, WARNING: Failure to Hcure worker ' compenaatlon coverage la unlawful, end lhllll aubjeGt en employer to crlmlnal peneltlN end clYII flMa up to -hundred thouaand dollar• lt100,000), In eddl to -t of cornpeMatlon, clemefN u ptOWled fw In leotlon 3708 of the Labor oode, int.Mt end ettomey'a f-. SIGNATURE DA TE / -a (:, -Q"7 ijiMtoW~ :· . . . . , -~~~~-;;i.~,l,i:i-1\;,~ I he;eby affirm that I am exempt from th• Contractor'■ Llcwwe Law fOf the foUowlng l'NIOl'I: 0 I, H owner of the property or my ~mployH■ with wagN H their 1101• compenaatlon, will do the work end the 1tructu,e II not Intended or offered for Hie (Sec. 7044, BualneH and Profeaalon■ Coda: The Contractor'■ Ucanu Law doe■ not apply to an owner of property who bulldl or lmprovN thereon, and who doH auch work hlmHlf or through hl1 own amployH■, provided that 1uch lmprovament1 are not Intended or offered for ule, If, however, the building or Improvement la aold wlthln one yHr of completion, the owner-builder will have the burden of proving that he did not build or Improve for the pulp(IM of Hie). 0 I, H owner of the property, am exclualvely contracting. with llcanaed contractor■ to conatruct the project (Sec, 7044, Bualneu end ProteHlona Code: The Contractor'• Ucenn Law doea not apply to an owner of property who build• or lmprovH thereon, and contract■ for auch project■ with contractorl•I llcanaed pur1uant to the Contractor•• Ucenae Law). 0 I am exempt under Section _____ Bualnua and Proteulona Code for thll reaaon: 1. I peraonally plan to provide the major labor and material• for conatructlon of the propoHd property Improvement, 0 YES ONO 2. I (have / have notl algned an application for a building permit for the propoeed work. 3. I have contracted _with the following peraon (firm) to provide the propoeed conatruc:tlon (Include name / addr-/ phone numb■r / contractor■ license number): 4. I plan to provide portlona of the work, but I have hired the following peraon to coordinate, auperviH and provide the major work (lncluda name / addrN1 / phone number/ contractor■ llcenae number):. __________________________________________ _ 6. I wlll provide soma of the work, but I have contracted (hired) th• following peraona to provide the work lndk:ated (Include name / eddr-/ phone number / type of workl:. _______ ---'"-------------------------------------------- PR0PERTY OWNER SIGNATURE ____________________ .,...._ DATE ___________ _ rc.0Mitl:i.tm'a~Cililuo•t~1uum,n;auiWNiWl!MM'1ilfit~-··m:lillffftfW•1~~~~ la the applicant or future building occupant required to aubmlt • buaineH plen, acutely hazardoua material■ reglatratlon form or rlak management and prevention program undar Sectlona 25606, 25533 or 25634 of the Pre1lay-Tanner Huardou■ Subatance Account Act? 0 YES O NO la th• applicant or future building occupant required to obtain a p■rmlt from the air pollution control dl■trict or air quality management dl1trlct7 0 YES O NO 11 th• facility to ba con1tructed within 1,000 feet of the outer boundary of a achool llta7 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 lioU.UTION CONTROL DISTRICT. ii~umlami.Ni~mM&fu&r· · ·t ~.Ati:~ll~~~r.'i!i.r~\i1,~~.?r,i1,~..,,;_-\,: .. -~-..::· 1, I hereby affirm that there 11 a conatructlon lending agency for the performance of th• work for which thl1 permit I■ luued (Sec. 3097(1) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS _______________________ _ ra!D'llll:ldi-'G'~ffNIIIIC·lNWliiiffl~Ul-fi:#Ai'i~tl._811~~4t;~,,;, I certify that I have rud the appllcatlon and atate that the above Information la correct and that the Information on the plana II accurate.' I agrn to comply with all City ordlnancH and State law■ relating to building conatructlon, I hereby 1U1horile repr1N11t1tlv11 of the Cltt of C■rt■bad to enter upon the above mentioned property for inlpectlon purpoH1. I ALSO AGREE TO IAVE, IND£MNlfY AND KW HAIIMLEII THE CITY 01' CARLHAD AGAINST AU UABIUTIEI, JUDGM~TI, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINIT 1A1D CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit la required for excavatlona over 6'0" deep and demolition or conatructlon of ltructu,u ov■r 3 1torlH In height, EXPIRATION: Every permit lasued by the building Offlclal under the pfOYlelona of 1h11 Codi lhall expire by limitation and become null and void H the building or work authorized by IUCh permit II not 00IMl8llC8d 180 daya from the dale of IUCh l)llffllt or II the building or WOik authorized by IUCh permit II auapended or abandoned al any time after the work II commenced for a 80 daya (Sec:tlon 108.U Unlfonn BuUdlng Codi), APPLICANT'S SIGNATURE ---~ ...... ;.;.....,::<,..;;;...______________ DATE I -e: ~~Ob WHITE: FIie . YEU.OW: Appllcant l'IHK: "'""- City of Carlsbad Bldg Inspection Request For: 02/10/2006 Permit# CB060241 Tille: BREEN RES REPLACE H2O HEATER Description: Type: PLUM Sub Type: Job Address: 1799 RATCLIFF RD Suite: Lot 0 Location: APPLICANT AFFORDABLE WATER HEATER Owner: BREEN INTERVIVOS TRUST 04-29-82 Phone: 7607292106 Inspector: ---- Remarks: WILL BE HOME ALL DAY WAITING FOR INSPECT Total Time: Requested By: NA Entered By: CHRISTINE CD Description 25 Water HeaterNents ;_CommenGJ -------------··-- -------·· --------. ----------. ----------------------- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 1 1 / II 71/ . Q ) PLUMBING PERMIT APPLICATION Permit No. City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. Joe ADDA E.$.S -· LOT NO, I OLK I TRACT <Osu I.TTACHED SHEETI LEGAL I 1 DES CR. OWN[" MAIL AODl!t£S5 ZIP PHONC 2 )!:.YII[t.n':!'.--•' ln,, C'i."f) 92· ---.. ) J CONT .. ACTOfl MAIL ADOflESS . .,J:_-;.,..:~:•110,. t LIC£NSE. NO, 3 " . 'J m, • ~L"' l" ..... HU z.:_;_iy,.1.a_:!, ~ { 7 _ ('f',f"'rr.::,"~ ,r.:,i/.}--',:;: AflCHITECT Oft 0£.SIGNE.1111 MAIL ADDRESS PHOM£ LICENSt NO, 4 CNGINECA MAIL ADDfllESS PHONE LICENSE NO. 5 LtNDUt MAIL Aoo,uss Bl'IANCH 6 USI: Of' BUfLDING 7 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR . .. 9 Describe work: ·1\ PERMIT FEES No. Type of Fixture or Item SPECIAL CONDITIONS: ' WATER CLOSET (TOILET) BATHTUB ,r :/, LAVATORY (WASH BASIN) ......,..-, . SHOWER . KITCHEN SINK & OISP. DISHWASHER APP LI CA TOON ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY. LAUNDRY TRAY CLOTHES WASHER I. WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR -SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK MENCED. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TD BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER CESSPOOL -/ SEPTIC TANK & PIT / 7-.1~-.,~ SIGNATURE. OP' CONT,.ACTO" OR AUTHORIZED AGENT (DATE) -- PERMIT ~I GNATUfU: OP' OWNE" IP' OWNER 9UIL0£A (OAT£) TOTAL FEE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. INSPECTOR 0 ~ z 111 I ll ~ ,~ Fee $ ·c,.( ·-~ $ $ • CASH .... 0 a, ► 0 0 7J CD 3 :z 0 ll • 111 "' "'